injection drug use

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

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

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

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

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 21: Ethically Documenting Drug Use Activism

Sometimes, you’ll be reading a great piece on the drug overdose crisis that is just ruined by a crappy stock image of a gigantic syringe and a mountain of what is obviously flour or someone nodding out on the sidewalk. On this episode, Narcotica explores what accurate, tactful drug imagery should look like.

The team speaks with Nigel Brunsdon, the official/unofficial photographer of the modern day harm reduction movement, who is joining us via from the UK. He has shadowed the Chicago Recovery Alliance, Harm Reduction International, and many others on the front lines of the so-called drug war. His photos of the workers, advocates, people who use drugs, and the academics are loaded with grief, emotion, hope, and solidarity. He explains balancing privilege, relationships and representation of impacted communities through drug war photojournalism.

Follow Nigel on his website nigelbrunsdon.com and check out harmreductionphilosophy.com for more on how harm reduction works as an ideology.

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We talk a lot about this image that we used from Nigel for Episode 3, memorializing harm reduction activist Dan Bigg. Here it is for reference:


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

Episode 4: Supervised Consumption Breaks Rod Rosenstein’s Brain


In response to Deputy Attorney General Rod Rosenstein’s outrageous supervised consumption op-ed in the New York Times, the Narcotica team speaks with Laura Thomas, of the Drug Policy Alliance, who broke down the obstacles harm reduction workers face in opening a site in the United States. Thomas, who is deputy state director at DPA, has been championing supervised consumption sites for over a decade, because she knows what the data says: SCS save lives.

But how long until we see a facility in the U.S.? We discuss the status of many projects in Washington, New York, and California, and what kind of fight we can expect from the Department of Justice.

You can follow Laura on Twitter @LThomas and learn more about the Drug Policy Alliance at drugpolicy.org.

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Photo credit: Composite by Troy Farah