Stop Using Suboxone in 5 Steps: Understanding Medication-Assisted Treatment

Stop Using Suboxone in 5 Steps: Understanding Medication-Assisted Treatment

The battle against opioid addiction in America is being fought every day, and many are fighting hard to create more opportunities for treatment and recovery. With more awareness being raised across the country, many are turning to medication-assisted treatment (MAT) methods as a way to address illicit opioid abuse and overdose. One of the most commonly known medications used in MAT is Suboxone.

MAT programs can be very helpful as a harm reduction strategy that gives people struggling with addiction a chance to avoid harmful withdrawals. However, addiction specialists also recognize that MAT alone is not an adequate substitute for comprehensive addiction treatment.

Furthermore, medications like Suboxone can be useful, but only to an extent. This drug may help to curb withdrawal symptoms from opioids like heroin or prescription painkillers, but it is also a powerful narcotic that can cause its own symptoms of dependence and withdrawal. Some people have tried to utilize Suboxone to get off of other drugs, only to find themselves dependent on this medication. So how do you stop using Suboxone?

More About Suboxone

Suboxone is a medication primarily for helping people stop using other opioids. The medication is a combination of two drugs:

  1. Buprenorphine

Most people do not realize that Buprenorphine is itself an opioid. This semi-synthetic opioid medication is different from other opioids because it is a partial opioid agonist. What this means is that its maximal effects are less than full agonists such as heroin or methadone.

However, it still creates feelings of euphoria and respiratory depression. With chronic use, this opioid can still cause physical dependence.

  1. Naloxone

This medication is used to block the effects of opioids, especially when it comes to opioid overdose. It is added to the Buprenorphine to attempt to decrease the risk of misuse. Due to the nature of this medication, if someone takes Naloxone while still experiencing the effects of an opioid it can cause them to go into sudden withdrawal.

The makers of Suboxone do warn that it can be abused in a manner similar to other opioids, both legal and illicit. They issue a number of other warnings for those considering using the medication, including:

  • Injecting Suboxone may cause serious withdrawal symptoms.
  • Suboxone film can cause serious, life-threatening breathing problems, overdose and death, particularly when taken intravenously in combination with benzodiazepines or other medications that act on the central nervous system.
  • One should not drink alcohol while taking this medication, as it can lead to unconsciousness or even death.

Some of the adverse effects of Suboxone use include:

  • Nausea
  • Vomiting
  • Headache
  • Sweating
  • Numb mouth
  • Constipation
  • Painful tongue
  • Redness of mouth
  • Intoxication
  • Disturbance in attention
  • Irregular heartbeat
  • Sleep problems
  • Blurred vision
  • Back pain
  • Fainting
  • Dizziness

These are only a few examples. Some circumstances may lead to further complications, including someone being pregnant or living with severe hepatic impairment. You should discuss any decision you make to start or stop using Suboxone with a healthcare professional.

5 Steps to Stop Using Suboxone

  1. Speak with a medical professional

If you have a Suboxone prescription, do not stop taking it without speaking to a healthcare professional first. Abruptly discontinuing a MAT program can not only cause you a great deal of discomfort, but it can be very dangerous. Trying to quit without medical assistance also creates the risk of relapse and overdose.

This is why safe medical Suboxone detox is such an important element of any addiction treatment program.

Before you decide to stop using Suboxone, speak with your personal physician or a medical addiction specialist in order to decide what is the safest and most effective way to move forward.

  1. Taper vs Cold Turkey

When someone goes ‘cold turkey’ to stop using Suboxone, they essentially discontinue without any kind of medical support. Again, we remind you that this can be extremely dangerous and is always counterproductive. A better choice is to develop a plan with a medical professional that utilizes a gradual taper or even medications to assist with withdrawals.

Health experts recommend gradually reducing doses of buprenorphine. Typically, you can lower your dosage over a period of three weeks or more, reducing the doses by 10%-20% each week. The best way to decide how to do this is by working with a medical professional.

  1. Get comprehensive addiction therapy

Another crucial aspect of addiction treatment is the opportunity for comprehensive addiction therapy. Individuals have a much better chance to stop using Suboxone for the long-term when they address the underlying issues that lead them to use opioids in the first place. Sometimes, drug use stems from emotional issues, trauma, or behaviors that are self-destructive. When people avoid addressing these issues, they become vulnerable to relapsing as a means to cope with them later.

Therapy not only helps people uncover the root cause of their pain, but it also teaches people new, healthy ways to cope with these issues.

  1. Build a support group in recovery

Once someone has started the recovery process, a huge part of staying on the right path is to build a support group. It is very difficult to try and stop using Suboxone or any other drug all on your own. Having friends, family or mentors provides people with the resources to reach out to when they are struggling.

When trying to overcome addiction, it can be difficult for some to relate to people who do not understand addiction. Thankfully, there are support groups all over the country that offer assistance to each other while dealing with a specific issue. Most people know of 12-Step programs and other support groups for alcohol or drug addiction.

  1. Participate in aftercare programs

Another useful element of treatment is aftercare. While support groups are extremely helpful, another way to stay involved in the ongoing process of addiction recovery is to get involved in aftercare programs. Many treatment providers will have programs in place to support those who have completed the inpatient levels of care, such as residential treatment, and are ready to transition back into everyday life.

When you stop using Suboxone, it is a good idea to stay connected with those who can offer support and guidance.

Understanding MAT

When a lot of people hear about medication-assisted treatment, they think it is an easy way out of addiction. Some people automatically assume that you can trade an addiction to heroin or Oxycodone for a dependence on Suboxone or another drug and everything will be fine. However, with MAT programs the goal should never be to rely on a medication for the long-term.

Medication-assisted treatment does make a difference. For some people, the fear of withdrawal symptoms keeps them using far more potent and dangerous drugs. Because they do not want to experience the pain, they keep using. Sometimes, this leads to death. So giving someone the chance to reduce the risk by using a prescription medication might keep them alive long enough to get treatment. But that is the important thing- to get the treatment.

Medications like Methadone and Suboxone are only supposed to be one piece of a more comprehensive treatment plan. They are intended to act as a short-term tool to help people ease their discomfort and avoid suffering while they try to give up drugs. MAT programs are only really effective when they are accompanied by therapy and other means of treatment. So if you want to stop using Suboxone and start recovering, seek out a rehab program that wants to help you heal.

Holistic addiction treatment is specifically designed to treat the entire person, not just the addiction. This kind of approach offers a variety of opportunities to develop new coping skills, learn more about addiction and the impact of drugs on the body, and experience innovative treatment modalities to heal the mind, body and spirit. For over 20 years, Palm Healthcare Company has been a leader in providing holistic addiction treatment. If you or someone you love is struggling, please call toll-free now.

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Remembering Anthony Bourdain: Cooking, Traveling and Giving Up Heroin

Remembering Anthony Bourdain: Cooking, Traveling and Giving Up Heroin

Anthony Michael Bourdain, born June 25, 1956, was a man with a rich and vibrant legacy. He took us on exotic adventures to explore the world and tried to expand the view of the audience on culinary arts and culture. He was much more to so many than a celebrity chef.

Anthony Bourdain was an author, travel documentarian, and television personality. He used programs like A Cooks Tour and No Reservations to travel across the globe, focusing on the international culture, cuisine, and the human condition. He has sat down for humble lunches with President Obama, and his explosive personality has even been featured in cartoons like The Simpsons and popular FX series Archer. Bourdain has taken us to some of the most secluded corners of faraway places to chat with the locals and enjoy a simple dessert. Anthony Bourdain was widely regarded as one of the most influential chefs in the world.

On June 8th, 2018 the world was shocked to hear that Anthony Bourdain had died at 61 years old. Even more heartbreaking was to learn his death was a suicide. Over the last several days, his passing has sparked a continuous stream of dialog about mental health and the need for treatment resources. Over the years the famous traveling chef fought against drugs like heroin, as well as depression. As we remember who Anthony Bourdain was, and as we call for letting go of stigma and pushing forward with helping those in need, it is important to look at the whole story.

Kitchen Confidential

Anthony Bourdain first fought his way up the kitchen ladder in New York to become a long-time chef at Brasserie Les Hallas. Around this time, he wrote his breakthrough memoirs titled Kitchen Confidential: Adventures in the Culinary Underbelly, which took him beyond the cutting boards to carving his way through the literary map.

Part of this first memoir describes the long journey that brought him to become a chef, and a notable element of his story is extreme excursions into drugs, strung out over years. In the book Kitchen Confidential he wrote about his experiences back in 1981 working at a restaurant:

“We were high all the time, sneaking off to the walk-in refrigerator at every opportunity to ‘conceptualize.’ Hardly a decision was made without drugs. Cannabismethaqualone, cocaine, LSD, psilocybin mushrooms soaked in honey and used to sweeten tea, secobarbital, tuinal, amphetamine, codeine and, increasingly, heroin, which we’d send a Spanish-speaking busboy over to Alphabet City to get.”

Later, Bourdain became more open about discussing his drug use. He’d even said some of these problems should have killed him in his 20s. In 2014, he did an episode of his show Parts Unknown that highlighted the ongoing opioid epidemic in Massachusetts. During the episode he says,

“Somebody who wakes up in the morning and their first order of business is (to) get heroin — I know what that’s like,”

Parts Unknown went on to be honored with five Emmy awards.

Eventually, Anthony Bourdain found himself kicking heroin in the 80s in drug rehab. When talking about finally getting clean he said,

“And we’re the lucky ones. We made it out alive. There are a lot of guys that didn’t get that far. But you know, I also don’t have that many regrets either.”

However, he admits to still worked long hours in New York kitchens interspersed with binges that consisted of cocaine and alcohol. Following rehab that Bourdain had cleaned up his act, although he continued drinking alcohol. He later wrote,

“Most people who kick heroin and cocaine have to give up on everything. Maybe because my experiences were so awful in the end, I’ve never been tempted to relapse,”

On June 8, 2018, Bourdain was found dead of an apparent suicide by hanging in his room at the Le Chambard hotel in Kaysersberg, France. At the time he had been traveling with friend Éric Ripert. Ripert reported that he became worried when Bourdain missed dinner and breakfast. According to the public prosecutor Christian de Rocquigny du Fayel, Bourdain’s body showed no signs of violence. At this point there has been no official word on toxicology tests to determine whether drugs or medications were involved in his tragic death.

Legacy

It is hard to put into words the life and legacy of a man as dynamic as Anthony Bourdain. He wasn’t just a face on TV, he was a voice trying to tell us to embrace more of the delicious variety in life. It is easier to just look at some of his many accomplishments. Bourdain wrote multiple bestselling nonfiction books over the years, including:

  • Kitchen Confidential: Adventures in the Culinary Underbelly
  • Medium Raw: A Bloody Valentine to the World of Food and the People Who Cook
  • A Cook’s Tour: In Search of the Perfect Meal
  • The Nasty Bits

His articles and essays appeared in many publications, including:

  • The New Yorker
  • The New York Times
  • The Times
  • Los Angeles Times
  • The Observer
  • Gourmet
  • Maxim
  • Esquire

He even co-wrote an original graphic novel titled Get Jiro! For DC Comics/Vertigo.

Between 2002-2018 he hosted a number of shows, including:

  • A Cook’s Tour
  • No Reservations
  • The Layover
  • Parts Unknown

He worked on various other television shows, doing everything from judging to producing.

With the sudden news of Bourdain’s death, people from all across the world have paid homage to the man who did so much to try and share the beauty of diversity with us all. In the days following Bourdain’s death fans paid tribute to him outside his now-closed former place of employment, Brasserie Les Halles on New York City’s Park Avenue.

Fellow celebrity chefs and other public figures expressed sentiments of condolence, including Gordon Ramsay and Andrew Zimmern.

Beyond his amazing adventures of cooking in different countries, Bourdain also believed in making a difference for those less fortunate. He championed industrious immigrants from places like Mexico, Ecuador, and other countries in Central and South America.

He became a big advocate in the fight against sexual harassment in the restaurant industry in 2017, calling out other celebrity chefs and people in Hollywood.

Depression and Suicide

Anthony Bourdain had also been open about his struggles with depression. In 2016 he did an episode of Parts Unknown where he traveled to Argentina for psychotherapy. At one point he tells the camera,

“I will find myself in an airport, for instance, and I’ll order an airport hamburger. It’s an insignificant thing, it’s a small thing, it’s a hamburger, but it’s not a good one. Suddenly I look at the hamburger and I find myself in a spiral of depression that can last for days.”

While the passion he had for his work is quite obvious, traveling around 250 days of the year can take a toll. More than once he described his life as lonely. During an interview with People magazine, he said he was living the dream, but admitted that it did come at a cost. That cost may have had something to do with the ups and downs of marriage and divorce he experienced over the years.

Only a few months ago, when discussing his 11-year-old daughter Ariane, Bourdain had said he felt he had to “at least try to live” for her. Although he explained he also felt he did have things to live for. Sadly, it seems that over time, the iconic chef started losing his battle with the feelings he wrestled with on the road.

Anthony Bourdain’s death is another tragic loss in a trend we have seen a spike over the years, including among celebrities. Only three days before Bourdain’s own death, fashion designer Kate Spade took her own life. Suicide is a growing problem in the United States. According to a survey published by the US Centers for Disease Control and Prevention:

  • Suicide rates increased by 25% across the country over nearly two decades ending in 2016.
  • 25 states have experienced a rise in suicides by more than 30%

While Anthony Bourdain may have been clean for decades, there was still pain there. While overcoming drugs may have been a huge victory in his inspiring legacy, other fights can still wear us down.

There is Help

As we remember the incredible impact that Anthony Bourdain had as an adventurer and advocate, we emphasize the importance of supporting those who need it the most. Sadly, we don’t always know when people need help. But we should always work to make sure people know that there is help, no matter what they are struggling with.

“As you move through this life and this world you change things slightly, you leave marks behind, however small. And in return, life — and travel — leaves marks on you. Most of the time, those marks — on your body or on your heart — are beautiful. Often, though, they hurt.”

Anthony Bourdain

June 25, 1956 – June 8, 2018

Mental health is an important part of recovery for people who struggle with drugs or alcohol. Fighting depression and suicide prevention means supporting well-being and fighting for mental health support. For those struggling, treatment for mental health disorders and addiction is not always the easiest thing to seek out, but as we as a nation continue to evolve the conversation and raise awareness more people are finding out about the amazing pathways to a life in recovery that are out there. We urge you to seek yours. If you or someone you love is struggling with substance abuse, please call toll-free now. You are not alone.

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Bill Nye the Science Guy Tries to Debunk Myth of Addiction as a Choice

Bill Nye the Science Guy Tries to Debunk Myth of Addiction as a Choice

That quirky Science Guy with those theoretically-funky and quantifiably-fresh bow ties from your childhood is back to work making science fun with the help of celebrities and strange experiments. Since 1993, Bill Nye has been trying to teach kids, and the world, about the importance of exploring science. Now, with two seasons of his Netflix series Bill Nye Saves the World already in the bag, our boy Bill has made his way to a hard-hitting topic that has a huge impact on America today- addiction. And according to the science guy himself, one of the biggest myths he is out to debunk is that addiction is a choice. In fact, this kind of stigma may be one of the single greatest hurdles for those who need treatment.

Now we can admit that Bill Nye is not necessarily an authority on mental health or behavioral science. However, the American science communicator began his career as a mechanical engineer for Boeing Corporation, inventing a hydraulic resonance suppressor tube used on 747 airplanes. He eventually left the company to pursue a career in entertainment, and following the success of his show, Nye continued to advocate for science. He became the CEO of the Planetary Society and helped develop sundials for the Mars Exploration Rover missions. So while he may not be an expert himself, it is safe to say he is a smart man who knows how to do his research.

In a recent interview with The Fix, Bill Nye shared some of his thoughts on some of the most crucial questions we have to examine when looking at addiction and its effects. Beyond that, we look at some of the topics covered in the Netflix piece.

Bill Nye Acknowledges the Prevalence of Addiction

One of the first things Nye does is to point out how widespread the issue of addiction truly is. When asking his studio audience if they know someone living with addiction, whether in recovery or not, almost everyone in the room raised their hands. Nye tells The Fix,

“Addiction is a huge problem for our society. It’s very expensive. You have addicts getting addicted to all sorts of things and they become unproductive, they destroy their families, and they, for better or for worse, have very low qualities of life,”

Bill Nye emphasizes that addiction is not limited to a specific economic or social class, sharing a story about the wife of a close friend. This was a person who became addicted to the powerful opioid Oxycontin after breaking her ankle. This family quickly fell apart due to the addiction, despite being successful and affluent.

“It was horrible. It went on for years and years…she got into harder and harder drugs. She was an accessory to murder with a drug dealer, and this was a family that was very well off because of their success and careers. It was really heartbreaking.”

Throughout the segments, Bill Nye continues to expand on the brain’s involvement in addiction. He even bring in people to discuss treatments, and talks about behavioral addictions.

Addressing Choice and Changes in the Brain

Early on in “The Addiction Episode” of Bill Nye Saves the World, the science guy makes a point to distinguish from “really liking chocolate or re-watching episodes of Game of Thrones” and “real conditions that do real harm.”

He immediately points out that our society often believes addiction is an obvious choice, an avoidable weakness, or a moral failure. If you have been awake for the past few decades, you have probably seen this opinion expressed at some point. From lengthy articles like this one (but with better writers) to viral videos on social media featuring some guy yelling at a camera phone because it makes him an expert, people have argued that if people were strong enough they would fix themselves. Bill Nye says,

“I’m here to tell you that just ain’t so.”

Now, while Bill Nye may not be an addiction expert himself, he has surely done his homework over the years by interviewing various experts in the field of addiction medicine and recovery. This isn’t even the first time he’s tried to debunk the myth of addiction being a choice. Years ago he did a similar episode addressing addiction on the show The Eyes of Nye, which featured addictionologist, Dr. Drew. In this past interview, Dr. Drew makes a very strong argument stating:

“The definition of a disease, to me, would be an abnormal physiological process brought on by a relationship between the genetics of the individual and the environment that creates a set of signs and symptoms that progress in a predictable way which we call ‘natural history,’ and by effecting the natural history we can create a predictable response to treatment. That is a disease, and addiction does fit that.”

On Bill Nye Saves the World, he uses his trademark fun and goofy way to explain how dopamine released in the brain’s reward center by particular behaviors over time actually changes the brain, with the help of orange trees and a light-up LED brain. Nye states,

“When and if this happens depends on both the hand you are dealt- your genes- and what’s going on around you- your environment- it’s akin to the old question of nature versus nurture. Except with addiction, it’s both. It’s nature… and nurture!”

Bill Nye explains later on how the human ability to adapt is intimately connected to addiction, adding that while we can get used to just about anything when our brains and bodies adapt to a drug it makes quitting incredibly difficult to accomplish, especially when you factor in withdrawal symptoms.

Putting Addiction into Perspective

But good old Bill doesn’t expect you to just take his word for it, either. Throughout the episode he speaks with various people concerning the truth about addiction and different kinds of treatment for addiction. The conversations include people with various points of reference, including:

  • Maria Bamford, comedian/actress

Bamford sits with Bill to discuss her own experience with what she calls an “addictive process”: an eating disorder. She talks about finding a 12-Step program at 21 years old, and the value she has found in connecting with others.

  • Cara Santa Maria, science communicator and journalist

Cara Santa Maria talks about the importance of having individualized treatment options that go above and beyond the traditional 12 step programs. She also believes that people should also consider connecting addiction to deeper psychological issues, such as trauma.

  • Neuroscientist Carl Hart

Dr. Carl Hart advocates that there is a real need for more comprehensive assessments concerning addiction. Dr. Hart believes the vast majority of people who use drugs, including heroin, do not become addicted. Dr. Hart believes also putting too much focus on the drugs and not enough focus on the behaviors makes treatment less effective.

  • Lieutenant Robert Chromik Jr. of a Sherriff’s Office in Ohio

The officer from Ohio states that his precinct has been working to help people get clean instead of arresting them. He says that out of 2,400 “clients” involved in the program, 81% are now living clean. Lt. Chromik also agrees with his fellow panelists that specialized treatment is essential because there is no one-size-fits-all answer.

In the end, the episode is pretty interesting. This writers only critque would be that the ending itself seems almost incomplete. It includes an unrelated, but pretty cool segment about aquaculture with a guest scientist. Still, without a definitive signing-off moment to summarize the concepts Bill covers, the impact of a scientific understanding of addiction almost feels lost. However, between the piece from The Eyes of Nye and this new episode, there is a lot of interesting information that is essential to our society learning to treat addiction, and those who are suffering, better. Overall, one of the most important parts of the conversation is the emphasis on compassion and supporting effective and individualized treatment options. Bill Nye and the many individuals throughout the episode present various perspectives on the issue of addiction. Surely, not all these people agree on everything. Still, the episode works hard to offer a simple explanation of the scientific evidence in the brain and the body as to how addiction really works. Hopefully, more people can appreciate the science behind it.

Thanks Bill. Science still rules.

Another important take away from this episode is that personalized treatment is a unique and life-changing tool to helping get people off of drugs or alcohol. If you or someone you love is struggling, there is professional and innovative help for you today. Please call toll-free now.

CALL NOW 1-888-922-5398

DEA Orders Big Pharma Opioid Distributor to Shut Down Sales

DEA Orders Big Pharma Opioid Distributor to Shut Down Sales

For the first time in six years, the DEA has ordered a suspension on a pharmaceutical wholesaler, and it’s a Big Pharma opioid distributor- Morris & Dickson.

We now know that officials all over the country, both at the state and federal levels, are joining forces to go after Big Pharma companies for pushing powerful opioid painkillers that contributed to one of the greatest addiction outbreaks in American history. While not everyone agrees on the role prescription drugs played in the opioid crisis, many believe the questionable marketing and distribution practices is reason enough for real intervention.

Lawsuits against opioid makers are taking place all over the US, and distribution companies are finding themselves in the hot seat.

DEA vs Opioid Distributor

This latest news comes following an investigation into Morris & Dickson. Allegedly, the investigation uncovered evidence that the Big Pharma opioid distributor neglected to inform the DEA about large quantities of addiction painkillers being bought up by independent pharmacies.

This is a problem because, according to The Hill, reporting such information to the DEA is a requirement.

Back in October of 2017 the investigation into the opioid distributor out of Shreveport, Louisiana got kicked off after reports came in that Morris & Dickson had sold narcotics to five of the state’s top 10 drug-purchasing pharmacies, but never filed any suspicious activity reports in any of these cases. In a statement Friday, the Justice Department revealed that according to the DEA investigation, independent pharmacies were allowed to purchase six times the amount they would normally order from the opioid distributor.

For the record- pharmaceutical distributors like Morris & Dickson are legally required to report unusually large shipments of narcotics to the government as a safeguard against prescription medications from making their way to the illicit drug market. DEA Acting Administrator Robert W. Patterson said in a statement:

“Distributors have an obligation to ensure that all pharmaceutical controlled substances their customer’s order are for legitimate use, and it is their duty to identify, recognize and report suspicious orders to DEA,”

“This is another reminder that DEA will hold accountable those companies who choose to operate outside the law.”

The Big Pharma opioid distributor will have the chance to appeal the suspension during an administrative hearing.

Morrison & Dickson Fight Back

Let the record show that Morrison & Dickson are definitely not taking these charges sitting down. The opioid distributor has struck back against the suspension with a federal lawsuit. They adamantly hold that they will fight the suspension. Company president Paul M. Dickson released his own statement, saying:

“Sadly, in this case, the DEA has gotten it wrong. We would’ve proved that to them had they given us the chance.”

They already asked a judge last Thursday to overturn the DEA suspension. In the legal claim against the DEA order the opioid distributor states:

“Make no mistake—this is a life and death situation. Morris & Dickson services 30-40% of the hospital drug market in Louisiana and Texas alone. If Morris & Dickson cannot ship needed medications to these hospitals, these hospitals may face immediate drug shortages.”

The company president also maintains that the opioid distributor has already greatly reduced its circulation of opioids. Dickson emphasizes that the company provides medications that many patients do desparately need. He also acknowledges the devastation caused by the opioid crisis, saying:

“Everyone in the Morris & Dickson family has been touched by the opioid crisis. That’s why we’ve taken aggressive and effective voluntary measures against any potential opioid diversion from medical use. We have reduced our opioid distribution dramatically. And it’s why we’re so proud of our history of 177 years with no outside enforcement actions against us.”

At this point, only time will tell if the company will have to adhere to the suspension for much longer.

Some people argue that moves like this from the DEA are too aggressive or an over-reach. However, given the circumstances, this seems like a logical response. Looking at the massive shipments of Oxycodone and Hydrocodone, it seems like it shouldn’t be too much to ask they notify the DEA.

What is Next?

Big Pharma executives testified for Congress yesterday, answering questions about their role in the prescription drug problem. The Washington Post reports that this could be a defining moment for the opioid industry. Witnesses for the hearing included high ranking executives from:

  • Miami-Luken, INC
  • McKesson Corporation
  • Cardinal Health
  • AmerisourceBergen Corporation
  • HD Smith Wholesale Drug Company

During the hearing, Congressman Gregg Harper of Mississippi states:

“We have learned much from the investigation but still have many questions,”

“Why did the distributors repeatedly fail to report suspicious orders of opioids or exercise effective controls against diversion?”

He goes on to explain that the DEA identified opioid distributor companies as a key element to combating the diversion of drugs to the black market. He states that distributors have often claimed that they were too limited to properly address these issues, as they do not understand the whole scope as the DEA does. However, he argues that distributors do have a great deal of data collection, and should be aware of their impact.

According to Congressman Harper, distributors also frequently argue that they are simply providing a service. They do not control the demand, but simply offer the supply based on the prescriptions from physicians. This argument seems a bit of a cop-out, and almost sounds like something a street-level drug dealer would say.

The committee also adds that over the course of 6 years, opioid distributor companies filled the state of West Virginia with over 780 million Hydrocodone and Oxycodone pills, while 1,728 people in West Virginia fatally overdosed on those two painkillers.

In their opening statements, each Big Pharma distributor representative acknowledged the devastation of the epidemic. However, when asked by Chairman Harper if they believed their companies contributed to the opioid epidemic, except for the chairman of the board for Miami-Luken Dr. Robert E. Mastandrea, they all said no.

In fact, Dr. Mastandrea seemed to be the only one consistently willing to admit that Miami-Luken had made mistakes that helped create the opioid crisis.

While it will take time to determine the impact of these testimonies, one thing we can say now is that drug distribution companies are quickly finding themselves on the chopping block when it comes down to the efforts to curb prescription opioids abuse.

For now, a crucial part of fighting the opioid epidemic is going to be providing safe and effective addiction treatment. It may not be easy to put a stop to the spread of addiction, but there are programs that can help you break out of the cycle of drug and alcohol abuse. If you or someone you love is struggling, please call toll-free now. We want to help.

CALL NOW 1-888-922-5398

Dave Aronberg Talks How to Fight Fraud in Treatment Industry

Dave Aronberg Talks How to Fight Fraud in Treatment Industry

8 months ago, Florida was home to 953 licensed drug treatment centers, and 207 were in Palm Beach County. As of April 1, there are now 185 in Palm Beach, with 771 in the whole state. This decrease is due to the crackdown on fraud by Palm Beach State Attorney’s Office, which has led to 45 arrests in the last year and a half. So far, those arrests have led to 16 convictions. For State Attorney Dave Aronberg there is no sign of slowing down.

Recently, Dave Aronberg spoke with Opioid Watch to talk about the work his office has been doing to try and strengthen the addiction treatment industry. Chief Assistant State Attorney Alan Johnson also sat down to talk about how Palm Beach County is fighting to protect those who are coming to Florida for help. Johnson heads the office’s Sober Homes Task Force.

Dave Aronberg VS Purdue Pharma

 According to Aronberg, he got involved with opioid-related issues back in 2001, when he was an assistant attorney general. Aronberg says he was asked by his boss, Bob Butterworth, to investigate Purdue Pharma. This Big Pharma giant is the producer of OxyContin. This powerful prescription opioid has been credited with making a heavy contribution to the opioid crisis. Dave Aronberg was to examine the marketing practices of Purdue Pharma, and is quoted in the interview transcript stating:

“I believe we were one of the first in the country.”

Of course, now Purdue Pharma is one of many big name pharmaceutical companies being accused in lawsuits across America. In fact, Delray Beach, Florida recently filed its own case against the company.

When asked about what he found, Aronberg said that Purdue was marketing the product like it was Advil. Purdue has been repeatedly accused of pushing this product as if it was far less dangerous than it actually was. In 2002, Dave Aronberg was elected to state senate, and shortly afterward the case against Purdue was settled. In the edited interview transcript, Aronberg is quoted:

“Purdue also offered $2 million to the state to establish its first prescription drug monitoring program. I worked in the state senate to get the PDMP enacted into law. But some conservatives refused to go along. They thought it was Big Government. So Purdue’s $2 million went away, because the offer expired. We didn’t get the PDMP till 2011. By then the carnage was horrific.”

Furthermore, Opioid Watch notes that a Purdue spokesperson confirmed that the state failed to implement a PDMP by July 1, 2004, which was the expiration of the companies offer.

Dave Aronberg Goes to Congress

In December of 2017, Aronberg went in front of Congress to testify concerning fraud and abuse in the addiction treatment industry. In this meeting, they discussed various issues with shady facility operators in Florida and made suggestions on how the law could step in to change it and protect patients. The interview transcript quotes Aronberg:

“In recent years, we’ve had an influx of unscrupulous operators who enrich themselves by exploiting those in recovery. As a consequence, we’re attracting thousands of young people from throughout the country into fraudulent rehab centers. (We’re talking about some, not all. There are good rehab centers, too.)”

Again, Aronberg found himself at battle with shady marketing practices. While investigating the treatment industry, Aronberg’s office discovered illegal operations that not only manipulated insurance providers but put patients at extreme risk.

From patient brokering, where illicit actors would sell patients with insurance to the highest bidders, to illegal kickback schemes being run by sober homes to outpatient treatment programs. Chief Assistant State Attorney Alan Johnson added information about the exploitation of urine analysis costs, and even some programs that began billing insurers for allergy and DNA testing. Aronberg states:

“We have a doctor who billed $7 million in nine months for allergy tests.”

Needless to say, the task force and state officials had their work cut out for them.

The ACA, ADA, and FHA

When talking about the many scams being run by various illegitimate businesses, the conversation came back to insurance and how these cons run. Here Dave Aronberg talks about his beliefs on how the law should step in and help restructure the current system.

“Number one: Change the Affordable Care Act’s fee reimbursement model to an outcome-based reimbursement model. Where the good providers are rewarded and the bad ones are paid less. Right now, the opposite occurs, so the more times you fail, the more money you get. There’s an incentive for more services and for more relapse. That shouldn’t be.”

After talking about the issues with the ACA, he talked about the ADA and FHA.

“The second change we need is this: the Americans with Disabilities Act and Federal Housing Act have been misused and exploited by bad actors who own flophouses.”

He went on to say,

  “Local governments are largely prohibited from overseeing the sober home industry. If they want to require mandatory inspections, certifications, and registrations, they’re likely prohibited under federal law.”

In essence, Aronberg believes the law should allow local governments to create their own guidelines for health, safety and the general welfare of the patients. None of these demands seems outlandish, and with reasonable regulation, the reputable and effective providers in this industry can continue to best serve the South Florida recovery community.

Aronberg also points out that the problem is not only in Florida. Recently, he went to Orange County, California to meet with officials dealing with the same situation. Next for Dave Aronberg is leading the national task force of 34 prosecutors in 30 states. Their goal is to produce a working paper for setting best practices for prosecutors all over America concerning these issues. The task force also intends to make suggestions for changes to federal and state laws.

What might be most surprising though is the mention of harm reduction strategies?

“It’s about prevention, drug treatment, and innovative strategies. I think it will be powerful because it’s going to be prosecutors talking about needle exchanges and disposal and safe injection sites. People assume prosecutors are going to be focusing only on mandatory minimums and longer sentences. That’s not what this is about. I think it’s going to surprise people.”

While needle exchanges and safe injection sites have been proposed in numerous states, it is not the most popular idea. San Francisco is actually on track to open the first safe injection site in America, with Philadelphia not far behind, and Seattle and Baltimore in the conversation as well.

With Aronberg and the task force working to make a difference, hopefully, we will see the right change soon. We hope it will make the recovery community stronger as a whole. Reputable and respected providers are also doing their part to refine their practices while implementing innovative and effective resources to ensure that those who with drug or alcohol addiction always have a safe place in Palm Beach County to get the help they need. With the opioid crisis ongoing, having real resources for opioid treatment is still an essential part of overcoming the problem.

Palm Healthcare Company is a leader in holistic addiction treatment with over 20 years of helping people from all over the country heal mind, body and spirit. Providing safe and comprehensive care should always be a focus in the effort to overcome the drug problem, and preservation of life should always be a priority. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-888-922-5398

Sober Slim Shady: 10 Years of Eminem in Recovery

Sober Slim Shady: 10 Years of Eminem in Recovery

Eminem; Marshall Bruce Mathers III; The Real Slim Shady, is not just an icon in rap who had an unfathomable impact on hip-hop culture. He is also a man who has endured a lifetime of public controversy, private conflict, personal loss and emotional pain. Not only does this make his music career that much more powerful, but it makes his journey through addiction and recovery that much more gripping. With Eminem celebrating 10 years of sobriety this month, we take a quick look at the story of sober Slim Shady.

Eminem Celebrating Sobriety

A few days ago, between his headlining sets at this year’s Coachella, 45-year-old Marshall Mathers took to social media to share a message with his fans. On Instagram Slim Shady posted a photo of his ten-year medallion on Saturday, April 21. The circle, marked with an ‘X’ for the Roman numeral ten, is a token he received to commemorate a decade of continuous sobriety. To caption the image, he wrote:

“Celebrated my 10 years yesterday”

In just 2 days’ time, the image had already garnered over 1.7 million likes and over 33,000 comments. He wasn’t the only one utilizing his social status to share that powerful moment. Fellow rap artist and friend in sobriety Royce Da 5’9” also took to Twitter to give the real Slim Shady a shout out for his recovery milestone, writing:

“Happy sobriety birthday to my mentor @Eminem… Keep fighting the good fight homie… I love you for life”

Eminem has also shared moments of his journey through recovery with other famous sober peers, including Sir Elton John. The post prompted many fans on social media to congratulate Mathers on his anniversary. Others shared how he had helped inspire many others in recovery.

The last ten years have not been easy for Slim Shady, but it seems they have been worth it.

A Quick Look at a Legend

Long before Eminem got sober, he was a household name and best selling artist. Over his whole career, he has had a truly incredible list of accomplishments, including:

  • 10 number-one albums on the Billboard 200
  • Five number-one singles on the Billboard Hot 100
  • 4 million albums sold in the US
  • 220 million records globally
  • He is among the world’s best-selling artists of all time
  • He is the only artist to have eight albums consecutively debut at number one on the Billboard 200
  • Winner of 15 Grammy Awards, including Best Rap Album

All of this, not to mention successful clothing lines, the creation of his label Shady Records which helped launch artists like 50 Cent and Yelawolf, and his own Sirius XM Radio channel, Shade 45. He gave us such gifts as D12 and Slaughterhouse, while also inspiring countless other artists.

Eminem isn’t only known for his music, but also for the controversy surrounding him. Whether it was the ugly battles with his mother, ex-wife, or the legal trouble he was conflicted with publically, it all fueled an image of a man who lived in a courtroom fighting painful scandals. He used the pain in his creative process, and the world was given a lot of angry, violent, and even poetic moments.

The Academy Award-winning film 8 Mile, which he starred in, made him the first rap artist to ever win the award for Best Original Song with “Lose Yourself”. Followed by various other film and entertainment ventures.

Oh, and don’t forget the Marshall Mathers Foundation, which aids disadvantaged youth.

The list just goes on and on. There is not enough time here to cover the truly immeasurable impact Eminem has had on not just hip-hop culture, but on the overall culture in America.

Getting to 10 Years

Slim Shady has always been pretty public about his struggles with addiction to prescription drugs. It is laced in his image over the years and is a prominent subject of his music. Back in 2002, a fellow artist said he had been trying to straighten out, but while working on 8 Mile he was introduced to Ambien and this prescription took him deeper down the path. When talking about working on his album Encore, Slim Shady once said he would “just go into the studio and goof off [with] a pocketful of pills”.

In 2007, Eminem suffered from an accidental methadone overdose after his addiction had spiraled out of control. At one point he revealed that he was taking up to 60 Valium and 30 Vicodin pills a day. After adding Ambien to the mix, he made his way to methadone by the end of his substance abuse. In 2011 when interviewed about the overdose, he stated:

“The doctors told me I’d done the equivalent of four bags of heroin… They said I was about two hours from dying.”

In a 2011 New York Times interview Slim Shady said,

“I used to get pills wherever I could. I was just taking anything that anybody was giving to me.”

Following that near-death experience, the Detroit rap legend chose to attend an addiction treatment program in Michigan. However, he ended up relapsing short of a month out of the hospital.

He reported that his star status made rehab difficult for him to focus on himself. Instead, he chose to detox at a hospital and dove into counseling and therapy. He credits his children, including his biological daughter Hailie, and two adopted daughters Lainey and Whitney. He also gives credit to exercise, saying that running helped him find a healthier high that helped him sleep.

When looking at his story, it is absolutely remarkable the impact that Slim Shady had had on the world of hip-hop or just music in general. He has been described by many as one of the greatest artists of all time, with billions of fans all over the globe. To hear about the life he lived; through poverty, depression, desperation, and addiction, to be a living legend only speaks to the inspiration in his experience, strength and hope. We celebrate the path Eminem walks and the work he has done over the years to make it this far.

Thank you for sharing, Slim Shady.

It can be a real inspiration to see some of the most successful people are recovering alcoholics and addicts. It reminds us that we all can suffer the same way and that we all have the same chance to build a better future. The more heroes we have every day that step up and share their message of hope, the more hope we may have that people seek the help they desperately need. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.

CALL NOW 1-888-922-5398

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