heroin

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 76: How To Change Your Mind About ALL Drugs with Veronica Wright

August 5, 2022 Narcotica Criminal Justice, Episodes 00:49:51 0 Comments

Certain celebrity authors want to help you accept that certain drug use is OK—and there’s nothing wrong with psychedelic exceptionalism, but it overlooks the biggest destructive forces of the drug war. Yet, legalizing drugs like meth, heroin and cocaine remains a hard sell for even the most progressive of drug policy reformers. So how do we cross this bridge?

Narcotica co-host Chris Moraff speaks with Veronica Wright, founder of the National Coalition for Drug Legalization. They discuss how prohibition is far worse than the drugs deemed too dangerous for public consumption, and only works to worsen health inequities and harms from drug use. However, the transition from prohibition to a future where drug use isn’t criminalized won’t be easy. Veronica shares what helped her change her mind on this issue and the future of drug use that she envisions.

Follow Veronica on Twitter at: @veronicawright8 and visit the National Coalition for Drug Legalization’s website here: https://www.nationalcoalitionfordruglegalization.org/

If you liked this episode, here are others you might enjoy:
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 68: Is The Drug War Getting Better… Or Worse? with Zach Siegel, Chris Moraff and Troy Farah
Episode 58: How Racism Fuels The Drug War with Kassandra Frederique

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
Co-producer: Garrett Farah
Music: Glass Boy / Waves
Intro voice: Jenny Schaye
Image: The Noun Project edit: Troy Farah

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

February 8, 2022 Narcotica Episodes, Opioids, Overdose Crisis 00:58:10 0 Comments

Harm reduction programs like syringe access, supervised consumption or even just handing out condoms on the street, can be some of the only access to healthcare some people encounter. Definitely not all, but some people who use drugs routinely shun going to the doctor—not because they don’t care about their health, but because our for-profit healthcare system treats almost everyone who uses an illicit substance like complete shit. And people who use drugs have been treated like pariahs long before the covid pandemic, but things got way worse once the virus came to town.

Previously on Narcotica, co-host Chris Moraff did an episode all about how doctors need to work harder to rebuild the patient-trust relationship. And many medical professionals are doing that work, which makes such a huge difference. It’s hard to understate how valuable it can be to receive nonjudgmental medical care that doesn’t hinge on absolute abstinence.

That episode, number 65, which we encourage you to listen to after this one, came from the perspective of two amazing doctors, Ashish Thakrar and Ben Cocchiario. However, on this episode, we want to talk to someone from the other side of the aisle to get a different viewpoint from someone with lived experience in this area.

Why would you go to a healthcare provider for an infection or injury if you’re going to be lectured about your drug use, even if it has nothing to do with why you’re there? Or you might be forced to hand over your urine or have your possessions rifled through by a nurse. Even for people that don’t use illegal substances, our healthcare system is a nightmare to try and navigate. It only gets worse if you happen to self-medicate or enjoy chemicals that aren’t sanctioned by the FDA.

Narcotica co-host Troy Farah speaks with Danielle Russell of Phoenix, Arizona, who is currently a justice and social inquiry PhD student at Arizona State University. She studies how the criminalization of substances used for personal pleasure has become a key issue and tool for social control, contributing to the ongoing legacy of racialized criminalization and mass incarceration in the U.S. Having personally experienced many of the harms that impact people who use illicit drugs, she is passionate about mutual aid and working to change the structures that impose harms on the bodies of drug users. Her research interests are oriented towards community-based participatory research.

Follow Danielle on Twitter @DopefiendPhD and you can read the study she co-authored here:
https://pubmed.ncbi.nlm.nih.gov/33461838/

If you liked this episode, here are others you might enjoy:
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 56: Drug Use During Disaster with Aaron Ferguson

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 / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: 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 55: Street Sampling Synthetics, from Carfentanil to Xylazine with Alex Krotulski

April 23, 2021 Narcotica Episodes 00:44:56 0 Comments

Amid a wave of synthetic drugs in recent years, Kensington, Pennsylvania has emerged as the locus for a different kind of experimentation, through a new generation of freelance entrepreneurs. Their bathtub chemistry is often guided by trial and error—leaving doctors, public health officials and harm reductionists struggling to understand the latest side effects.

Last year, a concerned toxicologist from the nonprofit Center for Forensic Science Research & Education (CFSRE) at the Fredric Rieders Family Foundation, the academic and research arm of NMS Labs outside Philadelphia, conceived of a new testing program. It employs sophisticated mass spectrometry to reveal the composition of retail-level street drugs.

Alex Krotulski, an associate director of the CFSRE, spoke to Narcotica co-host Chris Moraff about everything from synthetic cannabinoids like 5F-APB to carfentanil to xylazine.

You can follow Alex Krotulski on Twitter: @alexkrotulski and read Chris’s report on this subject in Filter Magazine.

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 / Suhov
Intro voice: Jenny Schaye
Image: 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 50: Sicarios and Supply Side Economics with Stewart Scott

January 25, 2021 Narcotica Episodes 01:01:36 0 Comments

On this episode, we discuss how Mexico became a flashpoint of the war on drugs, broader trends in American foreign policy and drug policy, as well as the evolution of synthetic drugs as the main category of illicit narcotics. Our guest is Stewart Scott, a security analyst who for years penned one of the best annual assessments of Mexico’s evolving cartels for Stratfor and has since transitioned to Torchstone Global, a private security consulting firm. 

Scott has worked in the trenches of intelligence and security for 35 years and began his career in army reserve and National Guard intelligence before spending 10 years as a special agent with the U.S. Department of State’s Diplomatic Security Service. 

During the height of the drug war’s surge under Ronald Reagan and George H.W. Bush, Scott was assigned to protect a Colombian judge who had signed an arrest warrant for Pablo Escobar. In 1993 he traveled to Bogota to help the Colombian government investigate a car bombing at a school supply market.

You can follow Scott on Twitter @stick631 and learn more at torchstoneglobal.com

If you liked this episode, here are others you might enjoy:
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy
Episode 31: Supervised Consumption: Narcotica Breaks Down Safehouse Ruling with Av Gutman
Episode 34: “Inside the Bloody War on Drugs”

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 / Chandiliers
Intro voice: Jenny Schaye
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 23: Bring Back Prescription Heroin! with Travis Lupick

July 3, 2019 Narcotica Episodes 00:42:04 0 Comments

With perhaps the exception of fentanyl, no drug is seen as more dangerous or controversial than heroin. But when you look at decades of medical literature, it’s clear that heroin, also known as diacetylmorphine, is just another opioid, and it has a place in medicine. On this episode, Troy Farah and Zachary Siegel discuss the controversial idea of prescription heroin with Canadian journalist Travis Lupick, author of Fighting for Space.

You can follow Travis Lupick @tlupick Twitter here.

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Wikipedia / Edit by Troy Farah

Episode 9: Speed Up, Slow Down Pt. 3 — The Cocaine Fentanyl Blues

November 19, 2018 Narcotica Episodes 00:29:56 0 Comments

For more than a century, Americans have had a love-hate relationship with cocaine. Once viewed as a cure-all tonic for everything from hemorrhoids to morphine addiction, the drug has inspired infamous rock songs and brought people to their knees.

In the third and final segment of Narcotica’s ‘Speed Up, Slow Down’ series on stimulants, reporter Christopher Moraff examines the strange and perplexing history of cocaine and it’s latest demonization—fentanyl adulteration. He speaks with toxicologist Kevin Shanks, Dennis Cauchon of Harm Reduction Ohio and fentanyl test strip guru Tino Fuentes.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: Christopher Moraff, edit by Troy Farah.

Episode 3: Remembering Dan Bigg, Naloxone Renegade

September 8, 2018 Narcotica Episodes, News 00:37:03 1 Comment

Dan Bigg, activist, visionary, and harm reduction pioneer, died on Tuesday, August 21, 2018. In this episode, Zach Siegel interviews journalist Max Blau, who has been researching the history of naloxone, about Bigg’s radical legacy.

You can follow Max on Twitter @MaxBlau

Follow Narcotica on 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!

If you liked this episode, here are others you might enjoy:
Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Nigel Brunsdon

Episode 2: Anthony Bourdain, Suicide and the Myth of Cross Addiction

June 26, 2018 Narcotica Episodes, News 00:19:40 1 Comment

*CW: Suicide is discussed on this episode.*

Narcotica heard that members of the addiction recovery community were wildly speculating about whether or not drinking played a role in Anthony Bourdain’s suicide. Not only do we think that speaking for someone who cannot speak for themselves—especially someone like Bourdain, who was an incredibly empathetic human being and storyteller—is a shitty thing to do. But to do it without any shred of evidence or rigor, makes it all even worse. In this episode, more commentary than radio magazine format, Troy, Zach, and Chris, discuss the CDC’s latest suicide report, and cross addiction, a popular myth that people who recover from addictions continue to believe.

If you or someone you know are having thoughts of suicide, please visit suicidepreventionlifeline.org/

Follow Narcotica on 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!

If you liked this episode, here are others you might enjoy:
Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Pete Souza.

 

 

Episode 1: Opioid of the Masses

May 24, 2018 Narcotica Episodes 00:57:49 2 Comments

Episode 1 of Narcotica is here! In the first segment Zachary Siegel does some mythbusting around overdosing by touching fentanyl; Troy Farah gives a nuanced take on what’s driving the overdose crisis; and Christoper Moraff talks with experts and drug users about the disease-model of addiction.

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!

If you liked this episode, here are others you might enjoy:
Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy with Sanho Tree

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Jon Ehrens
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Public domain photo