Among many drugs, heroin is commonly considered one of the most dangerous, addictive, fatalist drugs in the world and treating this form of addiction, can be a complicated process for anyone wishing to kick off this habitual use. However, determining what treatment method best benefits a person, seeks no easy answer to a very complex problem. Ascertaining whether an individual using heroin should treat their addiction through the use of methadone or choosing to go cold turkey, is a troubling question that faces ongoing controversial debate.
All opiates share unique characteristics in origin and the effects to the human body. They are known to alleviate pain and other serious discomforts to human kind. Since the third century, opiate usage can be traced back through linking of writings refereeing opium to poppy juice. In which the Greek term to opium is referred to as vegetable juice. By then, Arabian physicians were familiar with the medical usage opium and its healing traits. In the seventh century, Arabian traders introduced it to the Orient to assist at treating pain and diarrhea. It was during the sixteen century that Europe became aware of the medicinal use of opium and by the eighteen hundreds was available freely and could be purchased at the grocery stores. People from the working class would use opium as an expensive alternative to beer. Opium was sold at pubs and added directly to beer.
In 1803 when substance was isolated from crude opium and identified as one of
This paper is intended to educate those who almost nothing about heroin and those who use it. Many people have been associated with friends or families who have used some kind of drug. There are many people who have not had any contact with heroin users or if they have, don’t understand much about it. Using various sources about heroin to explain where it came from, how it is used, who uses it and how a person starts on the path towards heroin, preventing addiction, and global issues surrounding this drug. Although the topic of heroin is inexhaustible, it is my hope to spark reader’s curiosity. Knowledge of this drug might just help the reader join in on discussions about heroin.
This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.
Heroin addiction is one of the leading killers of adolescents and adults in the United States. In recent years, addiction has skyrocketed, and “the rate of heroin-related overdose deaths increased by 286 percent between 2002 and 2013.” In 2002, “100 people per 100,000 were addicted to heroin, and that number has doubled by 2013” (The National Institute on Drug Abuse 2013). The most affected populations include low income males, adolescents, and those who have a family history of addiction, due to their increased susceptibility and crime-ridden environment. While it may seem as though heroin addiction is “just another drug problem” in the U.S., it is actually a problem of major public health importance because there are numerous physical, economic, and social risks associated with heroin dependence. Heroin dependence in the United States accounts for brain damage, increased homelessness, crime, and incarceration rates, as well as economic decline.
THESIS STATEMENT: To investigate Methadone maintenance is found to be more effective in treating heroin addiction than 180 day detoxification. The objective is how methadone maintenance, a widely used but controversial method of weaning heroin addicts off the drug—with counseling has psychosocially enriched 180 day methadone assisted detoxification.
“In 1949, Isbell and Vogel, working at the U.S. Public Health Hospital in Lexington, Kentucky, showed methadone to be the most effective medication for withdrawing addicts from heroin (Joseph, Stancliff, & Landgord, 2000, p. 347). Further studies revealed that administering methadone to an addict for seven to ten days had a relapse rate of more than 90% when treatment ceased. “By 1998, the number of methadone patients in the United States had increased from the original six research patients in 1964 to about 44,000 patients in New York Stated and 179,000 patients worldwide” (Joseph, Stancliff, & Landgord, 2000, p. 347). The number of individuals enrolled in MMT continues to increase as the methadone clinics and the overall effectiveness of MMT gains
Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.
Methadone has been used since the late 1960s to treat heroin addictions. Methadone is a synthetic opioid that is highly addictive and is harder to withdraw from than heroin. Despite 50 years of experience and widespread acceptance by addiction specialists and health agencies, Methadone Maintenance Treatment (MMT) has sometimes been publicly controversial in the U.S. and other countries. MMT is a program in which addicted individuals receive daily doses of methadone as part of a broad, multicomponent treatment plan (Methadone Maintence Treatment, 2002). Critics argue that methadone doesn’t actually help heroin addicts, but just replaces heroin with an equally addictive methadone (Mason, 2013). From my perspective, methadone should not be given to heroin addicts because it does not
For thousands of years, opiates have been used in the treatment of pain. Opium is believed to have been discovered 6000 BC, and since then, it has had a huge impact on both medicine and the recreations of those seeking euphoria. More recent than the ancient discovery of natural opium are the derivatives of opium, such as the alkaloids morphine, codeine, and thebaine. From these alkaloids, semi-synthetic opiates can by synthesized, such as hydrocodone, and oxycodone. Synthetic opioids are also quite prevalent, which include fentanyl and tramadol. Opium can also be processed into heroin, a morphine derivative. As advancements were made in science and engineering to allow for a wider distribution and usage of opiates, the problems of dependence and overdose also increased drastically. According to Hart and Ksir (2013, p. 302), the invention of the hypodermic needle for intravenous administration of morphine and other drugs allowed for a much faster and more potent dose of the drug. With this increased potency came an increase in the possibility of a recreational intravenous user to overdose. Hart also mentions that some of the wars surrounding the era of the synthesis of morphine may have contributed to the rise of morphine, seeing as a medic soldier’s motto was always “first provide relief” (2013). This relief-driven attitude and extensive use of opioid analgesics in medicine during the time, in addition to the large amount of patent medicines and remedies on the market may
Methadone clinics can be another solution to combat the ever growing heroin epidemic. Methadone is very similar to heroin as it provides the same high, but it blocks the brains reward receptors that are effected by heroin. This allows the user to detox slowly without little withdrawal symptoms that accompany it, rather than a dreadful recovery. The goal is to relieve heorin addict’s cravings and desire for heroin in a safe, legal manner. Addicts are only able to attain Methadone and have use of the clinics by having a prescription. Methadone has been around and proven to be affective since the 1960s, but only recently have clinics come into practice. There has been a rise of Methadone clinics popping up in neighborhoods where there are high
Since the early times, opiates, heroin, and other drugs have been used in providing analgesia as well as substitutes to reach a place of euphoria. Originally, as Yurgelum-Todd et al (2009) has noted, derived from the opium poppy, heroin has been used as an alternative to morphine in dealing with addiction (Yurgelum-Todd, p. 175, 2009). Unfortunately, over the years it has consistently become prevalent that heroin has more negative aspects than anything; heroin is highly addictive, resulting in consequences such as overdoses, infections, violence and crime, deficits in memory, learning, and
Opiate addiction is an intricate part of the history here in the United States and globally. It is a cycle of abuse, misinformation, medical discovery, pain, and death that spans generations. While many naively believe that this type of addiction is unique to the late 20th and 21st century, it is one that our ancestors battled. Among laymen and physicians, there is a mixture of misunderstanding about what this type of addiction is and how it, not only, stems from the nature of opiates but the psychological factors behind this type of disease. Opioid and Heroin addiction are treatable with a combination of chemical treatment and counseling. Having worked in a Methadone clinic that specialized in this specific combination treatment that required
With every five first time heroin users, four of them will have started out by using prescription painkillers (ASAM). According to the Journal of Addiction Medicine, the years 2010 to 2013 showed an increase of heroin-overdose deaths by 37% (NIDA). Until recently, opioid addiction, related criminal activity and death have been deeply casted into the shadows of important issues in our societies at a global level. Care for this particular area of substance abuse is urgent and crucial, one dosage having the capability to kill a person instantly. Before people can rid themselves of the poisons, the human body reacts to the absence of opioids in a powerful cycle of withdrawal. Decades filled with little to no research surrounding the rehabilitation of this common but life threatening illness has unfortunately resulted in few options for people to turn to. Medical experts, politicians and even passionate citizens are beginning to point attention towards this progressively large margin of individuals that are becoming addicted, desperate for treatment, and ending up with results of complete failure. The one-size-fits-all approach to opioid treatment needs to be abolished and replaced with a method of accountability and strict individual progress.
"Presently she cast a drug into the wine of which they drank to lull all pain and anger and bring forgetfulness of every sorrow." -The Odyssey, Homer (Ninth century B.C.) Opium is one of the greatest discoveries in the field of medicine the world has ever come across. While its use dates to about 2100/3000 BC in Sumerian, the educated and controlled use of the drug started in 1800s with the isolation of Morphine by Serturner. He named it Morphine after the Greek God of dreams, Morpheus.
In order to understand heroin and its effects, we must understand what happens with the body at a neurological level. The body produces its own natural opiate-like substances and uses such substances as neurotransmitters. These substances are called endogenous opioids, which would include the neuropeptides endorphins, dynorphin, and enkephalins. Endogenous opioids serve several purposes, such as regulating hunger and modulating painful stimuli (thus, the use of morphine as a pain killer). Heroin and morphine are so effective because these exogenous opioids bind to the same receptors as the endogenous opioids. Notice that exogenous opioids are substances synthesized outside the body while endogenous opioids are found naturally in the body.
Heroin use and overdose related deaths have increased considerably in the United States in recent years (Jones, Logan, Gladden, & Bohm, 2015). The results of the National Survey on Drug Use and Health [NSDUH] (2014), showed in the year 2013, approximately 517,000 Americans abused heroin, which was almost a 150 percent increase since 2007 (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). According to the National Institute on Drug Abuse [NIDA] (2014), in the year 2011, 4.2 million people who were twelve years of age or older said they used heroin at least once in their lifetime. Furthermore, data from NSDUH showed approximately 460 people, twelve years of age or older, used heroin each day in 2013 (Lipari and Hughes, 2015). An even more frightening statistic is death rates doubled for people who were twelve years of age or older as a result of heroin overdose in the years 2010 through 2012 (Hedegaard, Chen, and Warner, 2015).