Marijuana as a recreational drug is now legal in Washington and Colorado, and it’s legal medicinally in 18 other states. But a recent research paper raises legitimate questions about the drug’s safety. One of proponent’s main arguments in favor of legalized marijuana has been the absence of overdose deaths associated with sole use of the drug. The article calls that assertion into question.

Public perception is that a person who uses marijuana on its own is safe. In fact, a 2011 U.K. Department of Health report said “no cases of fatal overdose have been reported” due to marijuana use and “no confirmed cases of human deaths” had been found.

The new report suggests that marijuana is not quite that safe. In the study, German researchers took a look at 15 individuals whose deaths were somehow related to use of marijuana. The investigators performed careful post-mortem tests to identify and rule out other factors which may have been responsible for the deaths.

Scientists ran genetic tests, examined organs, performed an autopsy and asked for a toxicology report to screen for possible problems, such as liver disease, alcohol abuse or other conditions which could seriously compromise health and life.

Is Marijuana Overdose Possible?

One of the German researchers involved with the study said he believes marijuana overdose to be rare but possible. They discovered that two of the 15 persons were found to have the psychoactive ingredient THC in blood samples in amounts that indicated they had been using marijuana just hours before they died. In both cases the men’s hearts had experienced arrhythmia, meaning their hearts were beating either too quickly or too slowly. The change was drastic enough that it killed the two men, ages 23 and 28. One was found to have a significant but formerly undetected heart condition, and the other had a personal history of substance abuse apart from marijuana use. The study did not determine how marijuana caused the deadly arrhythmias.

The report is considered the first proof that deadly marijuana overdose is possible, even if infrequent. It suggests that further investigation is warranted into cases where marijuana use took place near to the time of death. Other risks, such as impaired memory, schizophrenia and depression have been associated with use of marijuana. Now it’s time to re-evaluate whether deadly overdose is another potential risk.

Find Out If Habitual Marijuana Users Can Quit Voluntarily

Cocaine is a well-known, illegal stimulant drug of abuse. While short-term use of this drug can lead to serious or even fatal health problems, much of the public health focus on cocaine centers on its ability to produce addiction in chronic users. In a report presented in March 2014 to the White House Office of National Drug Control Policy, researchers from the RAND Corporation made detailed estimates of the number of chronic cocaine users in the U.S. from 2000 to 2010. Unlike most previous efforts, which include only the overall total of chronic users, these estimates also specify levels of involvement in chronic cocaine use.

Who Is Using Cocaine?

A federal agency called the Substance Abuse and Mental Health Services Administration uses a yearly project called the National Survey on Drug Use and Health to estimate the number of people in the U.S. who use any amount of cocaine in the average month. According to the most recent figures from this survey (reported in late 2013), roughly 1.6 million adults and teenagers used the drug in a representative month in 2012. This number represents about 0.6 percent of the entire U.S. population age 12 or older. Since 2002, the highest reported rate of monthly cocaine use is 1.0 percent; the rate reached this peak in three years: 2003, 2005 and 2006. Cocaine use has been trending pretty steadily downward since 2006, with a low monthly rate of 0.5 percent reported in 2011.

What Are The Levels Of Chronic Use?

Chronic drug users are users who consume any given substance repeatedly over time. However, not all chronic users consume drugs with the same level of frequency. On the low end, a chronic cocaine user may consume the drug from roughly four to 10 days in any 30-day time period. Moderate to heavily involved chronic users may consume the drug from 11 to 20 days within the same time period. The heaviest chronic users consume cocaine on at least 21 days within a given month. Any chronic user runs the risk of developing (or already having) diagnosable problems with cocaine abuse or cocaine addiction (both of which are classified as specific forms of a condition called stimulant use disorder). However, as a rule, heavy chronic users have the most seriously elevated risks. In addition, heavy chronic users account for a large percentage of the overall amount of cocaine consumed in any segment of the population.

How Many Chronic Cocaine Users Are There?

In the report presented to the White House Office of National Drug Control Policy, the RAND Corporation researchers used information gathered from the National Survey on Drug Use and Health, the federally sponsored Arrestee Drug Abuse Monitoring Program and several other sources to estimate the number of Americans involved in chronic cocaine use in the first decade of the 2000s. In all likelihood, the total number of chronic users in 2010 (the last year under consideration) was roughly 2.5 million. For the sake of accuracy, the report also includes a low potential figure of 1.6 million chronic users and a high potential figure of 3.9 million chronic users. Most of the chronic cocaine users (1.3 million) consumed the drug four to 10 days per month. Another 500,000 chronic users consumed the drug somewhere in the range of 11 to 20 days per month. In addition, 600,000 chronic users consumed cocaine at least 21 days per month.

Past And Present Cocaine Use

The highest reported number of likely chronic cocaine users between 2000 and 2010 was 3.3 million in the year 2000. Totals for the following six or seven years were fairly close to this peak. However, a downward trend in the number of chronic users began in 2006 and continued through the end of the period under consideration.

The estimate of cocaine use reported by the RAND Corporation is consistently higher than the estimate provided by the National Survey on Drug Use and Health. The difference between the two projects can be broadly attributed to the wider number of sources used by the RAND Corporation researchers, and more specifically attributed to the inclusion of data from the Arrestee Drug Abuse Monitoring Program (which gathered information from people who were incarcerated or otherwise involved in the criminal justice system). The RAND Corporation researchers note that total cocaine use (among both occasional and chronic users) fell by close to 50 percent between 2006 and 2010.

Find Out How An ADHD Medication Disrupts Cocaine Addiction

Drug abuse is not only for the young. Statistics indicate that seniors are using and abusing drugs at an ever increasing rate. It’s a problem that not many are willing to talk about openly, but the risks to our older loved ones are great and it is an important issue to address. The biggest problems when it comes to substance abuse in the elderly are alcohol and prescription drugs. If you care for an older friend or family member, be aware of the possibility of substance abuse and know the signs so you can step in and help.

Why Are Seniors Abusing Drugs And Alcohol?

There are several reasons older Americans are abusing substances in growing numbers. One explanation is that the population of seniors has been growing as the baby boomer generation ages. That population age shift, however, is not the only issue. Socializing often drops off with retirement and aging. With loneliness may come self-medication with alcohol or readily available prescription medications. Another possible issue is mental health. Many seniors either do not recognize the signs of mental health problems in themselves, or they are embarrassed to seek treatment and turn to self-medication instead of getting professional help.

What Are The Dangers Of Senior Substance Abuse?

Substance abuse is risky and dangerous for anyone at any age, but the elderly are particularly vulnerable to the consequences. Many seniors have several prescriptions for medical reasons. Mixing these drugs with each other and with alcohol can have serious and even fatal outcomes. Between 20 percent and 30 percent of adults over the age of 75 have a problem with drinking, which means that the possibility for harmful interactions is great.

Abusing drugs and alcohol, or both, causes dangerous side effects for seniors. These include sleeping problems, delirium and cognitive issues, difficulty balancing and an increased number of falls, and depression and anxiety.

How To Recognizing The Signs Of Substance Abuse

If you think it is impossible that your older loved one is abusing drugs, take a look at the facts. According to Johns Hopkins Medical School, 12 percent to 15 percent of older adults who seek medical help for any reason are abusing prescription drugs. While some also abuse illegal drugs, prescriptions are the real issue. As with people in other age groups, seniors may underestimate the harm that these legal drugs can cause. Opioid painkillers and benzodiazepines are among the most frequently abused. Make sure you know the signs of abuse so you can recognize them in your older loved one.

The most important thing to look for is change. Any kind of change in regular habits or behaviors may indicate a drug abuse problem, or a medical problem. In either case, your loved one will need to see a doctor. With drug abuse, you may see changes in sleeping habits and appetite. Look for unexplained weight loss or gain. An increased number of falls or injuries can indicate inebriation. Changes in mood, such as irritability, agitation or confusion often accompany drug abuse. Also be suspicious if your loved one is seeing multiple doctors or filling prescriptions in several different pharmacies.

Seniors substance abuse is a growing problem and one that could have serious individual and public health implications. The consequences of abusing drugs and alcohol become more serious as we age. Take good care of your older loved ones and always have your eyes open to the signs of abuse. Intervening is important and could prevent harm and even save a life.

Find Out Why Drug Use Is Surging In Baby Boomers

Stories of famous athletes caught using performance enhancing steroids have become so numerous as to practically elicit a yawn. But taking steroids to improve muscle size and responsiveness is as unhealthy as it is illegal. Professional athletes take these kinds of drugs intentionally, but others may be taking a form of anabolic steroid without even realizing it.

Identifying Falsely Marketed Steroids

Thousands of American men and women purchase dietary supplements which claim to boost muscle. The supplements claim to be safe and, legally speaking, contain no banned ingredients. However, plenty of these sports supplements contain what are referred to as “designer steroids.”

Designer steroids, like designer drugs, are man-made substances that mimic the effects of known drugs. These chemical compounds are not identical to a certain illegal substance, but they’re similar enough to yield many, if not all, of the same effects. The benefit to designer steroids? They are not technically illegal so they can be sold with impunity. And many consumers have no idea that what they’re taking is essentially the same as a drug the U.S. has banned.

Designer steroids fall just outside the Drug Enforcement Administration’s (DEA) list of illegal compounds. Each time the DEA adds a new steroid compound to the list designers simply tweak the recipe enough to remain beyond the reach of the law. But a new bill would include more substances and make fighting these drugs easier.

What Is The DEA Doing About It?

It’s called the Designer Anabolic Steroid Control Act. Senator Orrin Hatch of Utah and Senator Sheldon Whitehouse from Rhode Island co-sponsored the bill which aims to close the existing loophole. The Act broadens the power of the DEA by adding 27 new substances to the list of controlled anabolic steroids.

It would also empower the DEA to place newly identified designer steroids on the list on a temporary basis so that swift action could be taken. The substances could then be added permanently to the list of prosecutable substances in due course.

Improving the agility of the DEA is crucial if progress is to be made in turning this problem around. Quick action and certain prosecution are the only things that will deter profiteering from the false marketing of “safe” supplements which, in fact, contain anabolic steroids.

Who’s Helping To Fuel The War Against These Drugs?

Not surprisingly, organizations which deal with the problem of doping and steroid-loaded supplements on a regular basis are one hundred percent behind the new bill. The group which monitors Olympic athletes is just one example of many whose jobs would be made easier if designer steroids were more readily punished.

But even the supplement industry itself has spoken up in favor of the legislation. Representatives of the Council for Responsible Nutrition and the United Natural Products Alliance both publicly supported the move. The integrity of the entire supplement industry is on the line when products are being used to mask the sale of illegal steroids.

The bill will help the DEA keep pace with the makers of these substances. But even as the government strengthens the DEA’s reach in one area, problems in another area are popping up.

A crop of exercise and workout supplements are being laced with compounds quite similar to methamphetamine or amphetamines. People looking for a healthful jolt to rev up their gym time are getting the equivalent of a controlled stimulant drug. This Act does not address the designer stimulant problem. That may require another visit to Capitol Hill.

Read More About Performance Enhancing Drugs-Androgenic Steroids

Social anxiety is a term used to describe the presence of substantial feelings of unease, tension or fear in social settings that most individuals don’t view as particularly negative or harmful. People seriously affected by these feelings may qualify for a diagnosis of a mental health condition called social phobia or social anxiety disorder. In a study published in January 2014 in the Journal of Studies on Alcohol and Drugs, researchers from Louisiana State University examined the connection between social anxiety and the chances that a college undergraduate will use marijuana or other forms of cannabis. These researchers found that socially anxious people tend to use cannabis only when they believe that certain social norms support this behavior.

Identifying Social Anxiety Disorder

Doctors consider diagnosing social anxiety disorder in people whose levels of social anxiety interfere with their ability to maintain a reasonable sense of mental equilibrium or participate in various aspects of a typical daily routine. Symptoms commonly found in people affected by serious social anxiety include:

• fear of judgment from others
• unease in the presence of others
• difficulty communicating with others
• tendency to avoid voluntary social contact
• extreme self-consciousness or easy embarrassment
• difficulty establishing or maintaining friendships

Physical indicators of social anxiety are:

• nausea
• excessive sweating
• blushing in social situations

Most people first develop tendencies toward social anxiousness in early childhood or during their teenage years. Equal numbers of men and women experience symptoms profound enough to merit a social anxiety disorder diagnosis.

What Are Social Norms?

A social norm is a spoken or unspoken rule that helps govern the ways people interact in interpersonal, group or community settings. Some norms only operate on a relatively small scale (e.g., within a family or a close peer group), while others may operate on several levels or only on a broader social scale. As a rule, certain norms only have an effect when an individual believes that important or powerful people in his or her social group also endorse those norms. Other norms don’t necessarily receive an endorsement as acceptable behavior; nevertheless, they have an impact because an individual sees respected or influential people following them in everyday life. Broadly speaking, any person’s social environment is formed from a combination of norms he or she should follow and norms he or she actually follows.

Social Anxiety, Norms And Cannabis Use

In the study published in the Journal of Studies on Alcohol and Drugs, the Louisiana State University researchers looked at the interactions between social anxiety, cannabis use and the desire to follow social norms. They conducted their work with the help of 230 undergraduates at the university who were known users of marijuana or some other form of cannabis (i.e., hashish or hashish oil). The researchers undertook their study for a couple of reasons. First, mental health professionals and addiction specialists know that socially anxious people may develop problems with marijuana use more often than the general population. In addition, despite this fact, researchers know very little about how social norms influence the drug-using behaviors of socially anxious people.

After analyzing the social anxiety levels, social norms regarding cannabis use and actual cannabis-related behaviors in the study participants, the researchers concluded that social norms do have a significant impact on the chances that a socially anxious person will or won’t use cannabis or develop significant cannabis-related problems. However, perhaps surprisingly, the main influencing norms come from college students’ parents, not their peers. When a socially anxious student believes that his or her parents have a favorable view of cannabis use, the odds for participation in cannabis use increase substantially. In addition, a socially anxious student who believes his or her parents follow pro-cannabis norms has a greater chance of developing relatively minor and relatively severe problems related to cannabis intake. Conversely, a college student affected by social anxiety tends not to get involved in cannabis use when his or her parents regularly express anti-cannabis points of view.

The authors of the study published in the Journal of Studies on Alcohol and Drugs do not discount the potential of social norms established among peers to influence a socially anxious college student’s chances of using cannabis or experiencing cannabis-related harm. However, they note that parental influences appear to play a much more prominent role. The study’s authors believe that their work can help deepen understanding of the factors that can potentially contribute to the onset of diagnosable cannabis use disorder (cannabis abuse or addiction) in people affected by social anxiety.

Read About How To Have The Marijuana Talk With Your Child

Methamphetamine is a highly addictive stimulant drug of abuse that produces substantially more profound effects on normal brain chemistry than cocaine. Repeated, long-term (i.e., chronic) users of this drug have very strong chances of developing diagnosable issues with drug abuse and drug addiction. In March 2014, researchers from the RAND Corporation presented the White House Office of National Drug Control Policy with a detailed report that, among other things, estimates the number of Americans affected by chronic methamphetamine use from 2000 to 2010. This report also breaks down chronic users of the drug into three levels of habitual intake.

What Constitutes A Meth User?

Each year, federal researchers from the Substance Abuse and Mental Health Services Administration use a project called the National Survey on Drug Use and Health to estimate the overall prevalence of methamphetamine use among American teenagers and adults. Figures released in late 2013 for the 2012 version of this survey indicate that 0.2 percent of the total population age 12 or older used the drug in an average or representative month. In raw numbers, this equates to about 440,000 people. In addition, approximately 0.4 percent of the teen and adult population used methamphetamine at some point during the entire survey year. This percentage equates to roughly 1.2 million people. Another project funded by the National Institute on Drug Abuse, called Monitoring the Future, tracks methamphetamine use among all 8^th, 10^th and 12^th graders. All told, about 1 percent of students enrolled in these three grades used the drug at least one time in 2012.

The Levels Of Chronic Meth Use

All chronic drug users repeatedly take a given substance over time. However, the actual frequency of intake between different chronic users can vary quite substantially. For instance, “low level” chronic users may regularly take a drug about four to 10 days a month. “Moderate- to high-level” chronic users may regularly take a drug about 11 to 20 days a month. The most extreme level of chronic use involves drug intake on a minimum of 21 days a month. Chronic drug use and the onset of diagnosable abuse and addiction typically go hand in hand. Compared to other habitual users, heavy chronic users commonly experience particularly intense forms of these problems. In the U.S., diagnosable cases of methamphetamine abuse and addiction fall under the heading of a larger condition called stimulant use disorder, which also encompasses abuse and addiction associated with the use of cocaine, amphetamine and other stimulant substances.

How Many Chronic Methamphetamine Users Are There?

In the report presented to the White House Office of National Drug Control Policy, the research team from the RAND Corporation used data gathered from several well-regarded sources to calculate how many people in the U.S. qualified as chronic methamphetamine users for each year between 2000 and 2010. Among others, these sources included that National Survey on Drug Use and Health and a periodically conducted project called the Arrestee Drug Abuse Monitoring Program, which tracked drug use rates in people who get arrested or otherwise come under the jurisdiction of the criminal justice system. In 2010, the most likely total number of chronic methamphetamine was about 1.6 million. The actual number of affected individuals may have been as low as 700,000 or as high as 2.7 million. For a number of reasons (including the relatively high rate of drug use among incarcerated individuals), the figures from the RAND report are substantially higher than the estimates produced by the National Survey on Drug Use and Health.

Roughly 600,000 of the people classified as chronic methamphetamine users in 2010 took the drug on four to 10 separate days per month. A slightly smaller number of chronic users (500,000) took the drug on 11 to 20 separate days per month. In addition, about 500,000 chronic methamphetamine users took the drug on 21 or more separate days per month.

The authors of the RAND Corporation report note that it’s quite difficult to accurately determine how many people in the U.S. have been involved in chronic methamphetamine use since the beginning of the 2000s. These difficulties stem largely from changes in the programs used to gather information on methamphetamine use. For example, methods employed by the National Survey on Drug Use and Health to calculate this use were changed significantly in 2007. In addition, there is only incomplete information available from the Arrestee Drug Abuse Monitoring Program (which also completely lost its federal funding in 2012).

Read About How Bath Salts Are 10 Times More Addictive Than Meth

As a rule, people affected by drug or alcohol addiction benefit from some sort of psychological or behavioral counseling that can help them successfully discontinue substance use and learn how to maintain substance abstinence over time. Some treatment programs feature individualized counseling sessions that only include a therapist and a single patient, while others feature group counseling sessions that include a therapist and multiple patients. In a study published in late 2013 in the Journal of Groups in Addiction & Recovery, researchers from two Canadian institutions compared the rate at which participants in individual counseling-oriented programs successfully complete addiction treatment to the rate at which participants in group counseling-oriented programs complete addiction treatment.

What Is Individual Counseling?

Individual counseling-based programs for addiction treatment rely on a therapeutic relationship between a therapist and a single patient/client to achieve the treatment objectives common to all forms of substance-related counseling. Typically, individual therapy takes place in sessions that last 30 minutes to an hour; the specific techniques used in each session depend upon the therapist and the guiding principles of the program in which he or she is involved. In most cases, a recovering addict participates in a single one-on-one session with his or her therapist per week. However, some programs make provisions for as many as three or more sessions per week or for sessions that only occur every 30 days or more. Because of its relatively high cost, individual therapy is used less often than group therapy as a treatment for substance abuse or substance addiction.

What Is Group Counseling?

Group counseling-based programs for addiction treatment rely on the natural human dynamic of group interaction to achieve typical goals such as regular attendance at counseling sessions, avoidance of a relapse back into substance use and the establishment of a solid foundation for ongoing substance abstinence. Depending on the program in question, group therapy can place a particular emphasis on any one of a number of recovery-related issues also commonly addressed in individual counseling-based programs. These issues include educating participants about various aspects of abuse and addiction, helping participants understand their underlying psychological/emotional motivations for substance use and helping participants establish mental and behavioral skills that can form the basis for a substance-free daily routine. Recovering addicts enrolled in group counseling-based programs may attend regular group sessions for as long as half a year to a year.

Comparing Completion Rates Of Both Types

In the study published in the Journal of Groups in Addiction & Recovery, researchers from Canada’s Western University and the Centre for Children & Families in the Justice System compared the rate of client/patient retention in individual therapy programs for substance abuse/addiction to the rate of client/patient retention in group therapy programs. They decided to undertake this work after finding out that the vast majority of voluntary enrollees at a Canadian agency for addiction treatment failed to complete their program participation.

The researchers concluded that the average recovering addict enrolled in a group therapy-based program is roughly 100 percent more likely to successfully complete his or her treatment than the average recovering addict enrolled in an individual therapy-based program. However, they also concluded that the majority of the difference in success rates between the two counseling approaches is gender-related. Broadly speaking, men participating in addiction recovery are more likely than women to drop out of any form of treatment. Still, men who participate in group therapy-based programs have a much higher treatment completion rate than men who participate in individual therapy-based programs. Conversely, the researchers found that women tend to complete individualized addiction therapy just as often as they complete group addiction therapy.

The conclusions made by the authors of the study published in the Journal of Groups in Addiction & Recovery indicate that doctors may need to take their patients’ gender into account when making recommendations for participation in either individual therapy or group therapy for addiction treatment. Further research will be needed to fully confirm the gender-related differences in the program completion rates among recovering addicts. While some programs rely only on individual therapy or group therapy, others combine the two approaches, largely because each approach typically produces some unique potential benefits for participants. This means that men in some programs who don’t respond well to individual therapy may still achieve their treatment objectives through regular attendance at any available group therapy sessions.

Read About How Drug Rehab Programs Rely On Science To Develop Effective Addiction Treatment Methods

Heroin use has exploded, a national survey on drug use reveals, growing from 373,000 yearly users in 2007 to an estimated 669,000 in 2012. This alarming substance abuse trend highlights the need for drug rehab and for strategies that reduce heroin’s harmful impact. One of those strategies is the distribution of a medication called naloxone, which reverses the effects of heroin overdose.

Naloxone, also known by the brand name Narcan, is a non-narcotic drug that works by binding certain opioid receptors in the brain. Approved by the FDA in 1971, naloxone reverses sedation and respiratory suppression, heroin’s primary life-threatening effects. It can be administered via an injection, usually given in the upper arm or thigh, or as a nasal spray. After it’s been administered, the medication takes effect as quickly as five minutes or less. Naloxone is considered safe and nontoxic, and it doesn’t produce a pleasurable high when used. This medication treats overdoses from heroin and other narcotic drugs, including codeine and oxycodone.

Administering naloxone is a harm-reduction technique, which means it’s not necessarily intended to stop heroin use. Instead, its purpose is to reduce the harmful and potentially lethal impact of a heroin overdose. While death is, of course, the most serious consequence of overdosing on opioids, brain injury from oxygen deprivation is a very serious concern as well.

Heroin users who overdose are at risk for long-term health issues, ranging from coordination problems to communication difficulties. In severe overdose cases, the result can be a vegetative state. Brain injury damages both the physical and emotional well-being of the addict, but it also negatively impacts the well-being of his or her loved ones. Treatment of an overdose-related brain injury is expensive as well. If the addict is unable to pay for needed medical care, the community will end up bearing the burden.

Who Can Give Naloxone?

Naloxone has been available for years to emergency medical technicians, ambulance crews and emergency room personnel. However, in recent years, perhaps fueled by the increase in heroin use, public health officials have pushed to make it more widely available to other first responders. For example, naloxone is now carried by police officers in several communities, including one in New Mexico and five in Massachusetts.

The challenge, however, is that heroin overdoses sometimes result in injury or death before first responders arrive or before the drug user reaches an emergency room. This has spurred some public health officials to advocate putting naloxone directly into the hands of addicts, their loved ones and concerned friends.  In fact, in 2012, the American Medical Association (AMA) announced its support of offering naloxone through community-based programs. This would allow the bystanders of an overdose to administer the potentially life-saving medication. Some states have already moved to make naloxone more widely accessible. For example, Washington State allows drug users, family members and concerned friends to carry the medication.

What Are The Benefits Of Naloxone?

The potential benefits of naloxone are significant, and include the following:

The drug saves lives. Research shows that using this medication reduces the number of deaths from opioid overdoses. A published study, which examined Massachusetts communities where first responders carried naloxone, reported 327 rescues from 2006 to 2009. The communities that had higher levels of training for naloxone use reported a nearly 50 percent reduction in opioid overdose fatalities. Those with lower levels of training had an approximate 30 percent lower death rate.

Naloxone is relatively inexpensive. A nasal spray naloxone kit costs in the ballpark of $25. This is extremely inexpensive when compared to the potential cost of brain damage or death due to a heroin-induced overdose.

It can be administered with minimal training. Naloxone, whether it is in injectable or nasal spray form, is easy to administer to someone who has overdosed on heroin or other narcotic drugs. Instructions are typically provided with the medication to help someone at the scene know when it’s time to give it and how to prepare the dose. For those who want to learn more about how to give naloxone properly, training is available through many community-based programs or from physicians familiar with the drug.

What Are The Downsides Of Naloxone?

Although the benefits of using Naloxone for opioid overdoses are impressive, use of the medication is not without its downsides. Negative aspects include the following:

The medication usually must be administered by someone else. By the time a heroin user needs naloxone, he or she is already likely unconscious. Naloxone is most effective when there’s a sober bystander able to watch for signs of overdose and administer the medication as quickly as possible. Unfortunately, many addicts use when they’re alone or with others who are also using.  A sober bystander often isn’t anywhere in the vicinity. By the time someone does come onto the scene, it may be too late.

It doesn’t counteract the effect of other drugs. Naloxone only works for opioid overdoses, which means it has no impact when a person has ingested alcohol or substances like cocaine, benzodiazepines (such as Xanax or Valium), or methamphetamines.

Naloxone triggers withdrawal. Because the medication quickly reverses heroin’s effects, the user experiences withdrawal symptoms. These feelings are intense and uncomfortable; however, they’re not life-threatening. Perhaps the most dangerous aspect of withdrawal is that the heroin user will have a compelling urge to get high again.

The medication’s effects are temporary. Naloxone begins to wear off after 30 minutes, and most of it is gone after 90 minutes. However, a heroin high lasts from two hours in addicted users and up to six hours in new users. When the naloxone dose wears off, there may still be enough heroin in the body to reinitiate the high. If the original dose of heroin was large enough, respiratory suppression and sedation could start again. This would make an additional dose of naloxone necessary.

Bystanders may not call for help because they fear trouble with law enforcement. Loved ones or drug-using friends are sometimes highly reluctant to reach out to responders, even when those responders are armed with the potentially life-saving naloxone. This is often because they don’t want the person who’s using to get into legal trouble.

Some oppose its use. As with other harm-reduction strategies, such as needle exchange programs, there are always those who oppose its use. Critics charge that naloxone makes heroin users less likely to seek drug rehab because they no longer fear the consequences of an overdose.

Heroin abuse and addiction are serious community concerns. An overdose can lead to tragic and permanent consequences. While drug rehab treatment and abstinence are always the ultimate goals, it’s also important to address and reduce the harm done by drug abuse. Although it has its downsides, naloxone is a safe way to decrease the physical, emotional and financial impact of heroin overdose.

Read More About Successful Buprenorphine/Naloxone Treatment For Opioid Addiction