naltrexone

Episode 77: Harm Production — The Hazards of Drug Courts with Dave Lucas

September 7, 2022 Narcotica Criminal Justice, Episodes 1:04:45 1 Comment

The United States sure loves to cage people. Incarceration statistics can be shocking, but they can be cited so often that they can lose their potency. It can seem abstract or just the way things are. But it is completely immoral that the U.S. throws more people into cages than any other country for which we have reliable data.

In order to partially address this problem, some jurisdictions have promoted the idea of drug courts, which the U.S. Dept of Health and Human Services defines as “alternative to incarceration, drug courts reduce the burden and costs of repeatedly processing low‐level, non‐violent offenders through the nation’s courts, jails, and prisons while providing offenders an opportunity to receive treatment and education.”

Sounds great, right? Well, as you’ll learn on today’s episode, drug courts come with their own set of problems, and in some ways, can make situations worse.

Narcotica co-hosts Chris Moraff and Troy Farah speak with Dave Lucas, a clinical advisor, social work educator, and therapist committed to reducing the harms of the criminal legal and substance use treatment systems. He serves as a Clinical Advisor with the Health and Justice Action Lab. They discuss drug testing, Measure 110 in Oregon, MAT in courtrooms, synthetic cannabinoids, what drug courts actually get right and much more.

Follow Dave on Twitter at: @davidewlucas

If you liked this episode, here are others you might enjoy:
Episode 45: Overdose Is Tragic, Not Murder with Morgan Godvin
Episode 73: Oh No! Not Naltrexone! with Nancy Curran
Episode 14: Harm Reduction Dies in Darkness—Jeff Deeney

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 73: Oh No! Not Naltrexone! with Nancy Curran

June 25, 2022 Narcotica Addiction, Episodes, Opioids 01:08:35 0 Comments

Naltrexone, also known by its brand name, Vivitrol, is an opioid antagonist that kicks opioids off of opioid receptor in the brain, not unlike naloxone. But thanks to a combination of overprescription, unscrupulous marketing practices and ubiquitous use over more effective alternatives, naltrexone is a very controversial drug. In fact, a common reaction is Oh no! Not naltrexone!

Of course, naltrexone has some benefits and many people say their life has been saved by it. And at Narcotica, we don’t believe any drug is “bad” or “evil.” So where does this substance fit into the broader scheme of things? We’ve spoken about naltrexone many times on this show, but never this indepth before.

Narcotica co-hosts Zachary Siegel and Troy Farah speak with Nancy Curran, a nurse practitioner who has been practicing for 5 years in an OBOT clinic in the Lowell Massachusetts area, treating both opioid and alcohol use disorders. She prescribes buprenorphine (both Suboxone and Sublocade), as well as naltrexone (Vivitrol). She also treats patients who need Hep C treatment. Nancy is passionate about advocating for and educating her patients on their medication options, as well as their rights.

They discuss the history of hallucinogenic opioids, the shrewd and quasilegal marketing practices of Alkermes, Inc., how naltrexone stacks up against buprenorphine and methadone, why stigma persists against people who take certain opioid use disorder drugs but not others, the difference between addiction and dependency, some basic opioid receptor science, and much, much more.

Follow Nancy on Twitter at: @cashboygo

More background on naltrexone and the XBOT Studay can be found here and here. We also recommend reading Walter Sneader’s book: Drug Discovery, A History and also Nancy Campbell’s book OD: The Politics of Overdose.

You can read Zach’s article on Four Good Days and more here: https://www.nytimes.com/2021/05/11/magazine/addiction-movies.html

If you liked this episode, here are others you might enjoy:
Episode 19: Debunking Bupe Diversion Myths with Molly Doernberg
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

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: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: edit: Troy Farah