A recent study looking at diversion of buprenorphine finds that: While 9% reported recent street-obtained buprenorphine use, only a small minority reported using buprenorphine to get high, with the majority reporting use to manage withdrawal symptoms. The use of street-obtained buprenorphine primarily to avoid withdrawal fits with Dawn Farm's experience, though the percentage would be … Continue reading Suboxone diversion?
Tag: United States
Quality of life and death
A study out of Australia looks at death rates among opioid addicts receiving opioid substitution treatment (OST, for short. It's methadone.) in New South Wales between 1985-2005. It's a HUGE sample--43,789 people. If fact, the paper says: This cohort is likely to represent the majority of opioid dependent people in that State during this period, … Continue reading Quality of life and death
Buprenorphine compliance rates
The following abstract popped up today. The purpose of the study was to look at factors associated with completion of the 6 month, primary care based program. What struck me was the completion rate--35.7%. For all the crowing about ORT, this seems really low. (And, they said this completion rate is consistent with prior studies.) … Continue reading Buprenorphine compliance rates
Drug war sense
I've always thought that there's a lot that could be done to improve the state of the drug war without passing a single law. Police and prosecutors have a lot of discretion in terms of what priorities to maintain and which charges to file once someone has been arrested. It sounds like the feds are … Continue reading Drug war sense
“It works!”, Ctd
A new study of buprenorphine implants find that implants work as well as oral dosing and outperform placebo. What does that mean? If I'm reading it correctly, it means that the average subject receiving the implant tested positive for opioids 68.8% of the time compared to 86.6% for the placebo subjects. (If I'm misreading it, … Continue reading “It works!”, Ctd
Non-Violent State Inmates Declining for 20 Years
From Keith Humphreys: Prison is the subject of many myths in the public policy world. For example, many people believe that the size of the prison population has continued to rise under President Obama, when in fact it has fallen. Other observers maintain that prison populations drop during economic downturns, when in fact the reverse has generally … Continue reading Non-Violent State Inmates Declining for 20 Years
What makes treatment effective?
I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to them as opioid replacement therapy, or ORT, for the rest of this post. One commenter who blogs for an ORT provider challenged my arguments that we should offer everyone the same kind … Continue reading What makes treatment effective?
Regulating the marijuana market
The Partnership at Drugfree.org reports the results of a recent survey: There is strong support for a wide array of stringent post-legalization marijuana regulations to protect minors and the community wellbeing. The research shows intense support (above or near 90 percent) for: Setting a legal age of 21 Prohibiting marijuana smoking in public places Severe … Continue reading Regulating the marijuana market
Solving the prescription opioid problem
I've posted several times recently on the problem of opioid over-prescription and overdose. Some might assume that I want some regulatory or statutory intervention to address the issue. Truth is, I've got more questions than answers and I would not support a response that forces us to choose between treating pain and preventing addiction and … Continue reading Solving the prescription opioid problem
What policy would minimize total damage?
Mark Kleiman responds to a WSJ column expressing concern about increases in marijuana use leading to increases in schizophrenia. Kleiman responds to the specific concerns and then steps back to frame the larger policy decisions. The author of the WSJ piece solemnly announces, “The claim that marijuana is medically harmless is false.” No sh*t, Sherlock! … Continue reading What policy would minimize total damage?
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