christopher moraff

Episode 80: A Messy History of Methadone with Dr. Zoe Adams

December 31, 2022 Narcotica Addiction, Episodes, Opioids 01:16:58 0 Comments

At Narcotica, we’ve often talked about how methadone is one of the most over-regulated substances on the planet. It’s not a perfect drug — nothing is — but it helps a lot of people. So why is it so hard to access?

On this episode, the crew (Zachary Siegel, Chris Moraff and Troy Farah) speak with Dr. Zoe Adams, an internal medicine resident at Massachusetts General Hospital, whose thesis was a narrative history of methadone. It’s a long, strange chronicle, from its development in Germany, to becoming a mainstay in Nixon’s War on Drugs, but what’s most surprising is how little has changed. Learn about why this drug is so scrutinized, stigmatized and what people are doing to make it more available.

Follow Zoe on Twitter at: @zoe_m_adams

Read Zoe’s thesis here: https://elischolar.library.yale.edu/ymtdl/4049/

If you liked this episode, here are others you might enjoy:

Episode 73: Oh No! Not Naltrexone! with Nancy Curran

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Episode 67: Methadone in the Time of Covid with Danielle Russell

Episode 48: Moms And Methadone with Elizabeth Brico

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Episode 79: Is California Really Progressive on Drugs? with Dr. Isaac Jackson

December 19, 2022 Narcotica Episodes 01:12:41 0 Comments

People have this conception that San Francisco’s streets are just overflowing with human shit and people injecting drugs in the open. Stereotypes about California being overrun with homeless encampments and open-air drug markets abound, as if these things don’t exist in other states, while politicians in Arkansas and Oklahoma, for example, warn against so-called progressive policies infecting the midwest. But how true is all this?

San Francisco in particular is associated with progressive policy, especially when it comes to drugs. From the chill vibes of Haight-Ashbury and Hippie Hill to opening Prevention Point in 1988, the Golden Gate city has long been a leader on certain drug issues. But not always.

On this episode of Narcotica, Troy Farah speaks with Dr. Isaac Jackson, a community organizer who has over a decade of experience working with drug users. He has been instrumental in starting two drug user organizations (San Francisco Drug Users Union in 2010 and the San Francisco branch of the Urban Survivors Union in 2013). As leader of the Urban Survivors Union in San Francisco, Jackson has spearheaded a crack pipe distribution program and so much more, he has a lot of interesting history to share. The conversation meanders all over the place and doesn’t really stick on California too much, but that’s the main throughline in discussing Jackson’s unique history and connection to this beautiful region of America.

If you liked this episode, here are others you might enjoy:

Episode 69: The Promise and Peril of the Psychedelic Mainstream with Shelby Hartman and Madison Margolin

Episode 64: LSD And Psilocybin For Physical Pain? with Greg McKee and Dr. Johannes Ramaekers

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Image: The Noun Project // edit: Troy Farah

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

November 19, 2021 Narcotica Episodes, Overdose Crisis 01:05:20 0 Comments

Over the past two decades, as fatal drug overdoses have risen precipitously, few professions have been hit harder by the crisis than the medical community. Physicians in particular have found themselves in the no-win position of being both blamed for the overdose crisis, which claimed more than 100,000 American lives in the past 12 months, while being tasked with containing it.

According to one dominant narrative, it was cavalier doctors who sparked the crisis in the first place, by overprescribing habit forming narcotic painkillers to millions of Americans after being softened up at lavish dinners and then duped by nefarious pharmaceutical reps using fudged data.

But that’s overly simplistic. For starters, it ignores the fact that the greatest spike in drug deaths came when doctors reigned in opioid prescribing after authorities started targeting so-called pill mills. This left tens of thousands of pain patients stranded and paved the way for the introduction of illicitly made fentanyl into the U.S. to fill unmet demands.

Narcotica co-host Christopher Moraff delves into this topic, asking how the medical community can work to restore trust from their patients who are justifiably suspicious of the U.S. healthcare system, speaking with doctors Ashish Thakrar and Ben Cocchiario, who both work for the University of Pennsylvania medical system in Philadelphia, a focal point of the overdose crisis. They cover everything from methadone prescribing to overfunding the DEA, all of it underlining the importance of patient autonomy.

Follow Ben Cocchiaro at UPenn
Follow Ashish Thakrar on Twitter @especially_APT

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Stockvault // edit: Troy Farah

Episode 63: Delta-8-THC And Other Obscure Cannabinoids with Jason Wilson

October 8, 2021 Narcotica Cannabis, Episodes 01:14:28 0 Comments

Nearly half the U.S. population now have access to adult-use cannabis. Marijuana is a medicine, if it’s cultivated or extracted right, and millions of people find relief or pleasure from this fantastic plant. But as legalization accelerates, regulations have struggled to keep up. Most experts and maybe many consumers would agree that cannabis is not well regulated or could use some improvements.

Meanwhile, new cannabinoids like delta-8-THC, THC-O and more are hitting the streets, licit and illicit. This is a rapidly changing environment, which is far beyond THC and CBD, the two most well-known drugs in marijuana. It leaves a lot of questions: Are these ‘new’ cannabinoids safe? What do they do in the body? What about vaping them?

Narcotica co-host Troy Farah speaks with Jason Wilson of Medford Oregon, host of the Curious About Cannabis podcast, and author of the book of the same name, which can be found at CACpodcast.com. Jason is a biologist and science educator that has been studying the biochemistry of the cannabis plant and cannabis-derived products for nearly a decade. Jason has done work with groups like the International Institute for Cannabinoids (ICANNA) and serves as a member on the board of directors for the Oregon Cannabis Education and Resource Center.

Follow Jason on Twitter @AboutCannabis

If you liked this episode, here are others you might enjoy:
Episode 53: A Life of Getting Lit with Tommy Chong
Episode 49: Salvia: Psychedelic Oddity (Plus, Canada’s Emerging Psilocybin Scene)
Episode 25: Banning Kratom Will Escalate the Opioid Overdose Crisis with Walter Prozialeck

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Done With Fish
Intro voice: Jenny Schaye
Image: Flickr — Willpower Studios // edit: Troy Farah

Episode 59: Psychedelic Extinction—How Poaching Endangers Some Psychoactive Plants with Dr. Anya Ermakova

July 1, 2021 Narcotica Episodes 01:09:27 0 Comments

Psychedelic drugs are well beyond the quote ‘renaissance’ stage and relatively recently entered a ‘gold rush’ as dozens of companies maneuver themselves to make this nascent industry as profitable as possible for themselves. At least that’s part of their motivation. It’s a bit of a double-edged sword for folks that want to see an end to the drug war, but also don’t want access to these substances available only through doctors and therapists.

While Big Pharma slowly ambles onward to transform psychedelics into the next blockbuster pharmaceutical, the plant medicine decriminalization movement is steadily growing in the United States and more and more people are taking plant-based psychedelics for spiritual, medicinal and yes, even recreational purposes. No judgment here.

The thriving popularity of naturally-occuring entheogens has sparked a lot of concern from some in the psychedelics community, who warn that overuse of these plants for any purpose could drive them to virtual extinction. Imagine if ayahuasca became like Silphium, the ancient contraceptive used by the Greeks and Romans that was consumed to such excess that it is now believed to have vanished from the earth. Could the same happen to psychedelic plants?

Narcotica co-host Troy Farah speaks with Dr. Anya Ermakova, a researcher based in London with a very extensive background in conservation, ethnobotany, neuroscience, psychiatry and more, almost all of which relates back to psychedelics in some way. She has a master’s in Conservation Science from Imperial College London, a PhD in Psychiatry from the University of Cambridge and a bachelor’s degree in Biological Sciences from the University of Edinburgh. She’s worked as a science officer at the Beckley Foundation, and has provided psychedelic welfare and harm reduction services with PsycareUK and Zendo and so much more.

You can read Dr. Anya Ermakova’s research on ResearchGate.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Some psychedelic plant organizations you can support include The Cactus Conservation Institute and Blessings of the Forest.

That paper on the jaguar trade and ayahuasca is here:
https://doi.org/10.1111/csp2.126

If you liked this episode, here are others you might enjoy:
Episode 49: Salvia: Psychedelic Oddity with Ivan Casselman (Plus, Canada’s Emerging Psilocybin Scene)
Episode 35: Holding Space — The Values of Trip Sitting with Michelle Janikian
Episode 57: Autism, Acid and the Altered Brain with Aaron Orsini and Justine Lee


Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson / Troy Farah
Music: Glass Boy / Kesta “Rekindle”
Intro voice: Jenny Schaye
Image: Flickr edit: Troy Farah
(**Note: At one point Troy says that Indigenous people are afraid of losing the ‘privilege’ of having access to peyote, when it is more accurately described as a ‘right.’ A non-trivial distinction! We considered rerecording this question, but decided to leave it as is.)

Episode 53: A Life of Getting Lit with Tommy Chong

March 10, 2021 Narcotica Episodes 01:12:16 0 Comments

It’s kinda weird hearing people say “weed is mainstream” now, when merely possessing the plant stuff can still earn you serious consequences in many parts of the world. But the growing popularity of cannabis is unmistakable. Marijuana is now a global, multi-billion dollar industry—well, to be fair, it always was, only now it’s all legitimate and overtaxed and commercialized instead of enriching drug cartels. 

Regardless, cannabis is more popular than ever, with a rapidly growing fandom among older generations. Even Martha Stewart is into CBD now. But while it’s great to see so many people starting to dig the awesome benefits cannabis sativa offers, it’s important to contextualize the culture and history that got us here. 

On Narcotica, we’ve done more than 50 episodes about all kinds of drugs: opioids, meth, cocaine, psilocybin magic mushrooms, ketamine, even sorta obscure stuff like antibiotics and salvia. But we’ve never done an episode entirely devoted to cannabis! How weird is that? One of the world’s most popular drugs, one I use every day and we just… haven’t gotten to it yet.

So we thought we’d start things off with a bang and bring in one of weed’s biggest fans, none other than comedian, musician and world famous stoner Tommy Chong, of Cheech and Chong fame. We discuss everything from prison life to getting high in old age to how ‘Up In Smoke’ became a blockbuster hit to the emerging cannabis industry.

You can follow Tommy on Twitter @tommychong

If you liked this episode, here are others you might enjoy:
Episode 2: Anthony Bourdain, Suicide and the Myth of Cross Addiction
Episode 49: Salvia: Psychedelic Oddity (Plus, Canada’s Emerging Psilocybin Scene)
Episode 25: Banning Kratom Will Escalate the Opioid Overdose Crisis with Walter Prozialeck

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Jesse Spillane
Intro voice: Jenny Schaye
Image: Wikipedia / FreeSVG // edit: Troy Farah

Episode 52: The Fundamental Human Right to Get High with Casey William Hardison

February 22, 2021 Narcotica Episodes 00:58:15 1 Comment

Maybe it seems like an obvious question, but why is certain drug use illegal in the first place? Don’t you, as a human being, have some bodily autonomy and doesn’t that extend to alterations in the mind as well? What about the fundamental right to change your mind?

On this episode of Narcotica, co-hosts Troy Farah, Chris Moraff and Zachary Siegel talk with Casey William Hardison about cognitive liberty, the freedom of thought, and how that relates to prohibiting some drugs but not others. Hardison is a giant in the underground chemistry scene, who has rubbed shoulders with many legends in obscure chemistry: Sasha Shulgin and Darrell Lemaire, for example, and he was featured on Hamilton’s Pharmacopeia, in the episode ‘The Lazy Lizard School of Hedonism.’

In the past, Casey operated several infamous drug labs producing things like MDMA, LSD and 2C-B. That’s all behind him, but unrelated to that, Casey has had a bit of legal trouble lately, which we’ll discuss more, but his central argument in court is quite unique. 

This episode is being produced in collaboration with Filter Magazine. Troy wrote an article that goes into some more detail about Casey’s life and the implications for this court case. You can read the article at filtermag.org

You can follow Casey on Twitter @asthouwilt

If you liked this episode, here are others you might enjoy:
Episode 49: Salvia: Psychedelic Oddity (Plus, Canada’s Emerging Psilocybin Scene)
Episode 15: Accurate, Compassionate Drug Journalism with Filter Magazine
Episode 17: Using DMT To Contact Aliens

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Checkie Brown
Intro voice: Jenny Schaye
Image: Pixabay // edit: Troy Farah

Episode 51: The Joy of Drug Use with Dr. Carl Hart

February 21, 2021 Narcotica Episodes 01:09:26 2 Comments

Dr. Carl Hart has long been known as America’s preeminent drug scientist. If you listen to our show regularly, you’ve probably heard of him. He appeared briefly way back on Episode 6, talking about crack-cocaine. For the uninitiated, Dr. Hart is a neuroscientist at Columbia University, and he’s published well over 100 peer-reviewed, scientific papers, which produces vital knowledge and understanding of how drugs work not only in the brain, but how they work in people’s lives and society at-large.

But lately, Dr. Hart has taken his work outside the lab with his new book, “Drug Use for Grown Ups: Chasing Liberty in the Land of Fear.” On this episode, Narcotica co-hosts Zachary Siegel, Chris Moraff and Troy Farah discuss with Dr. Hart everything from using cannabis while pregnant to housing as harm reduction to taking MDMA as a way to romantically connect with your partner.

We debunk a lot of myths, but especially the idea that drug use is only a form of self-medication. Sometimes—a lot of the time—people just use drugs to feel good. Acknowledging the joy of drug use is essential to dismantling the war on people who use them.

You can follow Dr. Hart on Twitter @drcarlhart and learn more at drcarlhart.com

If you liked this episode, here are others you might enjoy:
Episode 47: Can Harm Reduction and Cops Coexist?
Episode 44: Reimagining Public Health and Racial Justice
Episode 27: What’s the Most Dangerous Drug?

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Revolution Void
Intro voice: Jenny Schaye
Image: Hartwig HKD Flickr // edit: Troy Farah

Episode 48: Moms And Methadone with Elizabeth Brico

October 1, 2020 Narcotica Episodes 01:06:14 1 Comment

Is there any class of people who receive more stigma, who get more shit and abuse for using drugs, than mothers? Probably not! For whatever reason, society really looks down upon mothers who use drugs. And too often, Child Protective Services use evidence of drug use, even prescribed drugs like methadone or buprenorphine, as a pretense for seizing children from parents, even when there are no signs of abuse or neglect.

At Narcotica, we believe in safe drug use no matter who it is. On this episode, Troy, Zach and Chris talk about how stigma against drug use is contributing to an overloaded foster care system, how so-called ‘fetal assault laws’ are used to control women and pregnant people, and the various ways the war on drugs can be used to dehumanize parents.

Our guest is Elizabeth Brico, a freelance journalist and author from the Pacific Northwest. Her work has appeared in Politico, Columbia Journalism Review, VICE, Undark and many others. She is also the mother of two little girls.

Follow Elizabeth Brico on Twitter @elizabethbrico

You can read some of Elizabeth’s work here: https://filtermag.org/motherhood-legally-terminated/

Sign Elizabeth’s petition to get her kids back: https://www.change.org/p/florida-department-of-children-and-families-reunite-the-brico-girls-ages-5-and-6-with-their-mama

If you liked this episode, here are others you might enjoy:
Episode 24: How To Get Abortion Pills
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 6: Speed Up, Slow Down Pt. 2 — Myth Evolution: From Crack Kids to Addicted Babies

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / A.A. Aalto
Image: Wacky Stuff // edit: Troy Farah

Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno

August 17, 2020 Narcotica Episodes 00:47:27 0 Comments

You ever wonder what the hell pharmacists even do? To laypeople, pharmacists are the gatekeepers standing between us and our drugs. But they can be, and arguably, should be, much more than that. Even though just about everyone has experience with pharmacists, some good, some really bad, the profession is still a bit of a mystery. What’s going on behind the counter?
To answer this and more, Narcotica hosts Zachary Siegel, Christopher Moraff and Troy Farah talk with Jessica Moreno, a psychiatric clinical pharmacist based in Detroit, Michigan. We cover topics like why naloxone and birth control should be over-the-counter, how some pharmacists can be prejudiced against people who use drugs, and the role pharmacists play in society as the gatekeepers to prescription drugs.

Follow Jessica on Twitter @Jesslynnmoreno

If you liked this episode, here are others you might enjoy:
Episode 24: How To Get Abortion Pills
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Image: Thomas Hawk, Flickr // edit: Troy Farah

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

June 26, 2020 Narcotica Episodes 00:55:56 1 Comment

There are several health crises occurring around the U.S. and the world right now: overdose deaths, a pandemic, police brutality and violence… While these crises may all feel distinct one from one another, they are actually deeply entwined and can be understood through a lens of racial justice. Overdose deaths disparately impact people of color, as does Covid-19. People of color, especially Black men, find themselves on the blunt end of police brutality and excessive use of force.

To talk about the theme of racial justice across public health, policing, and harm reduction, Zach and Troy were honored to speak with veteran researcher Dr. Ricky Bluthenthal, who has been a harm reduction researcher for decades, writing some of the foundational evaluations of syringe exchange programs. Right now, he’s the associate dean for social justice at University of Southern California’s School of Medicine. We talk about syringe access programs, policing homelessness, “socialism” in public health and so much more.

Follow Ricky Bluthenthal on Twitter @DrPtw
Here is more info on SIF MA: https://sifmanow.org/

Also, here’s the GoFundMe for Aubri Esters: https://www.gofundme.com/f/in-honor-of-aubri-esters

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Image: Zachary Siegel // edit: Troy Farah

Episode 43: Russian Roulette—Life, Death and Getting High in Putin’s Backyard

June 9, 2020 Narcotica Episodes 00:36:37 0 Comments

The last place you’d want to be dependent on drugs, besides the Philippines, North Korea or the United States, is probably Russia. To give just one example, the Motherland has long banned the use of medication-assisted treatment, such as buprenorphine or methadone, which has made recovery next to impossible for many users. 

Narcotica co-host Christopher Moraff takes a deep dive into Russian drug culture with Aleksey Lakhov, the deputy director of the charitable foundation Humanitarian Action in St. Petersburg. They discuss the culture of naloxone, synthetic drug use, heroin trends, the death penalty, legality of MAT and much more. Here’s the paper about HIV prevention mentioned in the interview and you can read more on this topic in Filter Magazine.

Follow Aleksey Lakhov on Twitter @Alexei_L

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Poddington Bear
Image: Flickr / edit: Troy Farah

Hot Spots 1 – 3 Arizona, Iowa and Nova Scotia

May 29, 2020 Narcotica Episodes 00:55:14 1 Comment

Pretty much everyone on the planet is being impacted by Covid-19 right now. Harm reduction services like syringe access programs or supervised consumption sites are no exception. But for some people, these services are not just their lifeline, they’re the only healthcare they receive, period. And when hospitals and doctor’s offices are already stretched thin, it can lead to a lot of potentially harmful situations. 

At Narcotica, we’re introducing a new miniseries called Hot Spots, where we’re going to call up people in harm reduction across the country and ask them how coronavirus has impacted their services and the people they help. 

We have three shorter interviews, which equal a full episode. First up, we have a segment from Troy Farah, talking to Thoi at Shot in the Dark in Phoenix about getting creative with syringe access during the pandemic. Then Philly’s Christopher Moraff talks to Matthew Bonn in Dartmouth, Nova Scotia about services offered in Canada and the local drug trade there, and I round out the hour with Sarah Ziegenhorn, the executive director at the Iowa Harm Reduction Coalition, about what happens when services suddenly ghost their clients.

Follow Sarah Ziegenhorn on Twitter @sarah_ziggy, Matthew Bonn @matthew__bonn and Thoi @bjthoi

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Image: Pixabay / edit: Troy Farah

Episode 42: Supervised Consumption is an Essential Service

May 4, 2020 Narcotica Episodes 00:44:00 0 Comments

The covid-19 crisis has exposed many weak spots in our culture and the need for radical change. It has revealed which workers are really essential—hint: it’s not executives keeping this late-stage capitalist economy afloat—and that we need to pay these workers a living wage. It has revealed that yes, healthcare is a human right and that contributing to public health is, shockingly, essential to keep everyone healthy. 

And perhaps most relevant to this show, the covid-19 crisis has demonstrated the utmost importance of supervised consumption sites, or places where people can use drugs under medical supervision. We have numerous episodes in the past on this issue, so check out our archives if you aren’t already familiar: Episode 31, Episode 26 and way back on Episode number 4. 

We have two guests today: Sterling Johnson, a housing lawyer, who is well known among Philly harm reductionists and has been fighting for a supervised consumption site for years, and Matthew Sheppeck, an organizer with the Philadelphia Tenants Union, a harm reductionist, and addiction outreach specialist that works with homeless drug users in the Kensington region of Philadelphia. 

We discuss everything from housing as a human right, whether cops should carry naloxone, representation in harm reduction institutions and the importance of supervised consumption spaces, but why they need to reflect the needs of people who use drugs. We also discuss the coronavirus pandemic that is overshadowing everything and how that is changing so much about harm reduction.

Follow Sterling Johnson on Twitter @LB_Sterling and Matthew Sheppeck on Instagram @Sheppecksees.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Pictures of the Floating World
Image: Wikimedia / edit: Troy Farah
One correction: At the 21:30 mark, Zach incorrectly quoted Gov. Andrew Cuoma. There were 263 positive infections at Rikers, not deaths. We regret the error.

Episode 39: Pain Patients Are Still Fighting For Their Lives with Kate Nicholson

March 14, 2020 Narcotica Episodes 00:48:38 0 Comments

In 2016, the Centers for Disease Control and Prevention laid out guidelines for primary care doctors prescribing opioids to treat chronic pain. Essentially, these guidelines stated that opioids should not be the first line treatment for pain, and that other methods should be tried first. Which is perfectly sensible.

But when it came to dosing and duration, these guidelines — not laws — guidelines, started to become widely misinterpreted. We don’t need to get in the weeds of morphine milligram equivalents here, but what wound up happening across the country is that doctors, medical boards, and even legislators took the guidelines as black letter law. And clearly mistook the intended audience for the guidelines: primary care providers. Not pain management specialists, primary care providers. The one you might go see for a wellness check up or if you have strep throat.

Why is all this important? Aren’t prescription opioids, after all, the very substance that ignited a massive wave of overdose deaths across the country? It’s not so simple. Well intended efforts to reduce everyday people’s exposure to high doses and long durations of opioids started to hit the wrong target: patients with chronic, intractable, debilitating pain.

And we have an excellent guest, civil rights attorney, writer, and advocate, Kate Nicholson. Kate has been a critical asset for the pain community, who has been speaking up about how policy intended to help is actually causing more harm. She has consulted on several Democratic presidential candidates, including Bernie Sanders, Julian Castro and even Joe Biden.

Follow Kate Nicholson on Twitter @speakingabtpain

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah / A A Aalto
Photo: U.S. Air Force photo illustration/Tech. Sgt. Mark R. W. Orders-Woempner // Edit Troy Farah

Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall

February 28, 2020 Narcotica Episodes 00:49:03 0 Comments

Public officials have been yelling from the rooftops that there’s an opioid epidemic. Yes, an obscene number of people are dying from overdoses, many of which involve opioids. But they’re not quite right. Researchers who really get what’s going on describe what’s happening to the U.S. drug supply over the last few years as a mass poisoning. Were it not for potent fentanyl analogues being sold in heroin markets, many, many lives would be spared. 

That’s where the concept of a safe drug supply comes in. Troy and Zach speak with Dr. Mark Tyndall, a professor of medicine at the University of British Columbia, and the founder of My Safe Project, a vending machine that dispenses hydromorphone pills, otherwise known as dilaudid. Mark says this program is saving lives. We cut through some of the bullshit arguments about diversion, “enabling” drug use and other pearl-clutching fears, but also talk about safe supply for stimulants and benzos, and how this program is already changing lives.

Follow Dr. Mark Tyndall on Twitter @DrMtyndall

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah
Photo: PXFuel // Edit Troy Farah

Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

February 13, 2020 Narcotica Episodes 0:49:30 0 Comments

An opioid overdose can be a terrifying experience. When too much of a  drug like heroin or fentanyl floods the brain, it can cause your  breathing to stop. Sometimes you wake up, sometimes you don’t. But  there’s a miraculous drug called naloxone or brand name Narcan that can  reverse an opioid overdose and save your life.  

Today’s guest is Ryan Marino, an emergency room physician and medical  toxicologist at Cleveland University Hospitals. We discuss moral  hazards about naloxone, one of the most important drugs on the planet,  but also buprenorphine, competitive antagonists for benzos and  stimulants, and dispelling drug myths on social media. 

How to Get Naloxone by Zachary Siegel in VICE

Also visit: naloxoneforall.org

Follow Ryan on Twitter.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more.
Tell your friends about us!


Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Min Y Llan

Photo: Naloxone via Wikipedia / Edit Troy Farah  

Episode 35: Holding Space — The Values of Trip Sitting with Michelle Janikian

January 20, 2020 Narcotica Episodes 01:00:25 0 Comments

Magic mushrooms are having a bit of a moment. Some scientists are bending over backgrounds investing in psilocybin research, which is getting huge accolades from the FDA, while a decriminalization movement is slowly sweeping the nation. At least two towns have made psilocybin arrests the cops’ lowest priority.

But how do you prevent a mushroom trip from going sour? In this episode with author Michelle Janikian we enter the world of tripsitting, or watching over someone while they take powerful psychedelic drugs, in this case psilocybin mushrooms. Janikian is the author of the new book, “YOUR PSILOCYBIN MUSHROOM COMPANION: An Informative, Easy-to-Use Guide to Understanding Magic Mushrooms.”

**As with all our episodes, this is not medical or legal advice, it’s just a brief intro to the topic, please do your own homework and be safe.

Follow Michelle on Twitter: https://twitter.com/m00shian

Order “Your Psilocybin Companion” here: https://ulyssespress.com/books/your-psilocybin-mushroom-companion/

Some excerpts from the book:
https://doubleblindmag.com/how-to-trip-sit/

https://realitysandwich.com/325410/challenging-trips/

https://www.playboy.com/read/bliss-your-heart

Extra resources:
https://zendoproject.org/training/

https://www.decriminalizenature.org/

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more.
Tell your friends about us!


Producers: Christopher Moraff, Troy Farah, Zachary Siegel 

Music: Glass Boy / Min Y Llan

Photo: Psilocybe tampanensis via Wikipedia / Edit Troy Farah

 

Episode 34: “Inside the Bloody War on Drugs” with Antony Lowenstein

December 16, 2019 Narcotica Episodes 01:09:44 1 Comment

President Richard Nixon ignited the War on Drugs in 1971 by declaring drugs “public enemy No. 1.” Over the ensuing decades, the U.S. has turned the Drug War into a vital feature of its vast empire, exporting a drug policy of militant enforcement and harsh criminalization in Mexico, Latin America, South America, and beyond. Exactly how this war plays out––its victims, villains, and profiteers––is the subject of journalist Antony Lowenstein’s vivid new book, “Pills, Powder, and Smoke: Inside the Bloody War on Drugs.” On Today’s episode, co-hosts Troy Farah and Zachary Siegel interview Lowenstein about what he saw on his journey chronicling the Drug War in countries like the Philippines, Australia, Honduras, and the U.S., among elsewhere.

You can follow Antony Lowenstein on Twitter and buy his book here.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-Producer: Aaron Ferguson 
Music: Glass Boy / Monplaisir
Photo: Linnaea Mallette / Edit Troy Farah

Episode 33: Party and Play—An Intro to Chemsex with David Stuart

November 23, 2019 Narcotica Episodes 00:58:25 0 Comments

Aphrodisiacs are powerfully attractive for a reason. Sex is, after all, crucial to the survival of our species and it feels fucking amazing, so using chemicals that can make sex last longer, feel better or otherwise enhance the act is going to be like candy to a bunch of horny primates.

But the term chemsex—using drugs, or chemical enhancement, to prolong or alter sexual experiences—is actually specific to the gay community, or men who have sex with men. Drugs used have included methamphetamine, Viagra or sildenafil, cocaine, the anesthetic GHB, mephedrone (also known as ‘bath salts,’ although that’s a broad term), ketamine, and amyl nitrates or “poppers.”

Our guest today is David Stuart, who has spent decades as a fixture in London’s gay community. Stuart is an independent social worker and activist who actually coined the term ‘chemsex’ in the 1990’s. Stuart has witnessed the fundamental changes in the gay community as homosexuality has become more acceptable, but fleeting internet-based hook ups became increasingly ubiquitous, and in some cases fraught with potential medical and mental health risks.

You can follow David Stuart on Twitter and learn more about him at https://www.davidstuart.org/

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-Producer: Aaron Ferguson 
Music: Glass Boy / Monplaisir
Photo: Linnaea Mallette / Edit Troy Farah