This past Wednesday, Attorney General Jeff Sessions made the announcement that White House counselor Kellyanne Conway will be the Trump administration’s go-to for opioid crisis efforts. This announcement has been met with both praise and criticism. Some say this appointment actually gives validity to the White House’s commitment to solving the ongoing opioid epidemic, while others see it as the exact opposite.
For a little background, Kellyanne Conway worked as a pollster before becoming Trump’s campaign manager during his run for the 2016 presidential nomination. Currently, Conway serves as a White House spokeswoman and Trump surrogate. She has been seen on countless panels discussing the biggest topics and politics. She absolutely has her work cut out for her, so can Kellyanne Conway compete?
The Kellyanne Cons and Pros
So can this infamous Trump advocate, the woman who practically accidentally coined the phrase “alternative facts” compete with the opioid crisis in America? Kallyanne Conway has become notorious for defending some of President Trump’s most flagrant and controversial “alternative facts” in the media. But in her defense, she also has said some things that seem to highlight important prospects for this problem.
So here are some things to consider when we talk about Kellyanne Conway being put in charge of the opioid epidemic.
Lack of Experience
One of the big problems with this appointment people are pointing out is the lack of experience. Critics say this appointment speaks to how little passion the current administration is actually putting into fighting the opioid crisis since Kellyanne Conway has no experience in public health or with drug policy.
But in a time where Americans seem to be putting more trust in people that don’t typically meet the description of “qualified” in hopes that an outsider might bring better results, it makes sense that a lot of people might still hope Kellyanne can do some good.
Yet, there are still those who aren’t so sure. Tom Synan, a police chief and member of the Hamilton County Heroin Coalition in Ohio tweeted in response to the announcement:
“Ummm… did we run out of Dr’s, cops, addiction specialists or people who are actually dealing with this on the street to lead this?”
As a first responder, Synan is one of many people who are frustrated with the current actions being taken.
“I don’t want to get involved in politics, but it seems like it is a political position … I think I would have gone out to the country and tapped into people who are national experts who are on the street who are literally dealing with this issue every day,”
It seems many on the front lines are not impressed with the Trump administration’s move to put Kellyanne Conway in charge of efforts to combat one of the worst drug problems in the nation’s history.
Publicity and Perception
During a press briefing about the Justice Department’s efforts to combat the crisis where the announcement was made, Sessions said President Donald Trump chose Kellyanne Conway to “change the perception” about opioids and reduce addictions and deaths.
According to Sessions, President Trump has made the epidemic “a top priority for his administration, including every senior official and Cabinet member.”
An opioid policy expert Andrew Kolodny of Brandeis University actually defended the move when speaking to BuzzFeed News, stating:
“It is a positive sign. She is a high-profile figure in the administration, showing the administration takes this seriously,”
Some believe this can offer a sign of hope for more concrete action since many recovery advocates say despite the declaration of a public health emergency from President Trump there has been very little action taken to change the state of the epidemic.
Bertha Madras, a member of the President’s Commission on Combating Drug Addiction and the Opioid Crisis and Harvard Medical School professor, said:
“The most important thing that Kellyanne Conway will provide is access … but also commitment… She was at all the meetings, she listened and took copious notes.”
Let’s hope those are some good notes because thus far the opioid problem in America has shown no signs of slowing down. Jeff Sessions justified the appointment by saying Kellyanne Conway “understanding messaging” and can help turn around public perception. But is this about publicity, or is it about the preservation of life?
Surely breaking the stigma and changing the way addiction is viewed does matter, but should someone who specializes in making things look good to be in charge of how this country deals with one of the most prominent crises we face?
Treatment and Resources
Kellyanne does seem to support treatment, but to what extent it is still unclear. In one interview with ABC Kellyanne Conway did say,
“Pouring money into the problem is not the only answer. We have to get serious about in-facility treatment and recovery.”
So she at least appears to understand how crucial effective inpatient treatment is for recovery.
But when reporters mentioned the fact that there needs to be funding for these programs, she put more emphasis on “a 4 letter word called will” that seems to side-step the question- where will these resources come from?
As it now stands, White House has:
- Left the leadership role of the Office of National Drug Control Policy vacant
- Failed to release any written opioid-control strategy
- Not requested funds to replenish the national public health emergency fund that currently sits at just $66,000
In fact, President Trump’s 2018 budget request would increase addiction treatment funding by less than 2%. And don’t be fooled, that increase includes the $500 million already appropriated by Congress in 2016 under the 21st Century Cures Act with the Obama administration.
Even Chris Christie, the Republican New Jersey Governor who led the White House Opioid Commission, said:
“In New Jersey, we are spending $500 million,” he said. “I am not, quite frankly, impressed with $1 billion from the federal government for the nation.”
Strict Prevention and Punishment
When you look at what she has said on record in regards to opioids and addiction, it doesn’t really inspire a great deal of confidence. Kellyanne Conway has consistently hinted to an outdated ideology of what addiction is and how to address it.
In the past, Kellyanne has said,
“The best way to stop people dying from overdoses and drug abuse is by not starting in the first place… That’s a big core message for our youth.”
That’s right; just say no.
Critics say this aligns with the mindset of Jeff Sessions and others in the White House who seem to think that ‘Just Say No’ tactics actually work, or that purely prevention-based programs like D.A.R.E. can solve the whole problem. While prevention is important, it has proven to be ineffective as a focal point when addressing addiction.
Circling back to publicity, what Ms. Conway does seem to heavily endorse is a White House investigation for a “national ad campaign” on abuse prevention. President Trump himself had voiced his own support for a national advertising initiative to try and deter drug use.
But we all remember those commercials- this is your brain on drugs- and they didn’t really help that much.
Again, it seems Attorney General Sessions and the current administration is more focused on punishment than treatment and strict law enforcement. Sessions said the Justice Department was giving more than $12 million in grants to state and local law enforcement to help them prosecute crimes connected to:
Sessions is also ordering all U.S. Attorney offices to designate opioid coordinators. Kaitlyn Boecker, Policy Manager with the Drug Policy Alliance, has been vocal in her disapproval of the current steps being taken.
“Despite declaring the opioid overdose crisis a public health emergency just last month, the Trump Administration continues to emphasize failed prohibitionist policies while ignoring proven public health measures that we know reduce overdose death, like community naloxone distribution.”
“As we feared, the Administration is using the overdose crisis as an excuse to ratchet up the war on drugs rather than an opportunity to save lives.”
At this point, we can say that the news is not without skeptics. While many are still trying to remain hopeful that maybe because Kellyanne is so vocal and such a well-known surrogate for the president that perhaps she will be able to garner more attention to the issue.
While the fight for more resources continues, we should always encourage people to seek help. There are many safe and effective treatment resources already that have been helping people recover from drug and alcohol addiction for decades, like Palm Healthcare Company. If you or someone you love is struggling, please call toll-free now. We want to help.
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The Big Pharma industry is still in the hot seat, and this week another lawmaker is adding a new name to the roster of drug makers to be investigated for shady marketing practices. Alkermes, the company behind the opioid treatment implant Vivitrol, is now being investigated for how they market their product.
Background on Vivitrol
Vivitrol is another name given to the generic drug Naltrexone. Originally approved by the U.S. Food and Drug Administration (FDA) for the treatment of alcohol dependence in 1994, Naltrexone eventually became approved for the treatment of opioid dependence. The medications primary use appears to be blocking the opiate receptors in the brain. It’s intended so that someone using heroin or other opiate-based drugs cannot experience the drugs high.
The Vivitrol shot is made by Boston-based biotech Alkermes. This medication stood out from other Naltrexone medications because Vivitrol is an injection given every 4 weeks with a monthly doctor visit. It is time released for longer lasting relief, instead of being a pill taken once a day.
Supposedly Vivitrol is intended to further help by reducing cravings for opioids. However, Naltrexone and Vivitrol have been refuted by many for having any notable effect on opioid cravings.
Enter Senator Harris
Kamala Harris is a Democratic California Senator who has announced she will be part of launching a new investigation into the sales and marketing practices of the makers of Vivitrol. According to the senator, Alkermes allegedly worked to increase sales of their opioid treatment medication through two questionable strategies:
“Aggressively” marketing Vivitrol to officials in the criminal justice system
Senator Harris says that Alkermes pushes for judges and lawmakers to use their product. The company even provided free samples, which resulted in Vivitrol being actively implemented in 450 treatment programs across 39 states.
Lobbying efforts by federal and state lawmakers
In her statement, Harris also alleges that the company has spent millions of dollars in direct appeals to government officials. Meanwhile, they were contributing to numerous congressional campaigns.
Due to the drug companies marketing, Vivitrol raked in well over $69 million dollars in the third quarter of 2017.
In her statement Senator Harris says,
“We are at the height of a crisis, and companies are taking advantage of pain in order to profit”
“We must hold these companies accountable for their deliberate actions that magnify the opioid epidemic and drive up the cost of drugs for Americans.”
The senator even quoted the chief of addiction medicine at Stanford University School of Medicine, Dr. Anna Lembke, who said,
“Alkermes has taken unethical drug promotion to new depths by enlisting judges, law enforcement personnel, and legislators to favor Vivitrol over proven treatments. Alkermes’ actions undermine public health.”
Which seems like some pretty strong words. In the midst of the opioid crisis, it might be fair to say we should use every resource we can get. However, the Big Pharma enterprises still need to be put in check when it comes to overlooking more effective treatments.
In fact, a 2011 review of studies suggested that Naltrexone was not significantly superior to placebo, and the authors believed there was no sufficient evidence to support Naltrexone therapy for opioid dependence.
One reason Senator Harris seems to have Vivitrol in the crosshairs seems to be that the pharmaceutical company made a habit out of promoting Vivitrol as a more effective treatment than other maintenance drugs, such as Suboxone or Methadone, even though there is no substantive data to support this claim.
As part of the investigation, Harris contacted Richard Pops, the Alkermes Chairman, requesting the company provide data and communication. At the moment Alkermes is disputing the allegations. Senator Harris appears to be calling their bluff, as she was requested that Alkermes submit:
Alkermes has also been asked to turn over any materials provided to participants or speakers for Alkermes since 2010. They’re being asked to disclose amounts paid to the company by various associations, including:
American Society of Addiction Medicine
National Institute on Drug Abuse (NIDA)
Partnership for Drug-Free Kids
Any studies presented to these groups are also to be turned in.
In their own statement, Alkermes states they are “focused on ensuring that patients, healthcare professionals, and criminal justice officials are educated on Vivitrol, and believes that patients should have access to all medications.”
There is no telling whether or not this investigation is going to turn into a witch hunt or if it will blow the lid off of even more bad behavior from Big Pharma. While other drug companies that can be connected to the opioid crisis are already facing lawsuits and others even criminal cases for racketeering and fraud, the Vivitrol producers might find themselves on the chopping block sooner rather than later.
There is already much disagreement about whether or not the Vivitrol treatment is really effective in the first place. Some say the medication helped save their life. Many others have horror stories of uncomfortable side-effects made worse by cravings. Either way, pharmaceutical companies still need to be held accountable for their marketing methods, especially when they seem a little suspect.
For now, this is all a request. Only Republican Senator Ron Johnson has the power to issue subpoenas on behalf of the Homeland and Governmental Affairs Committee.
When talking about the most effective treatment programs for addiction, we should also remember that maintenance drugs like Suboxone, Vivitrol and others are not exactly a solution. While they can be effective in keeping people alive and helping to overcome their sickness, the real healing does not come from magic pills or implants. The real transformation comes with developing the understand and the tools to take care of yourself. If you or someone you love is struggling, please call toll-free now.
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(This content is being used for illustrative purposes only; any person depicted in the content is a model)
For anyone out there who (like me) loves the allure and intrigue of conspiracy theories, the new upcoming mini-series Wormwood on Netflix should absolutely be a Roswell-sized-blip on your radar. The show is described as part documentary, part drama (and in my early predictions- all awesomeness). Set to the backdrop of the 1950s and 1960s, the show is going to delve into the notorious Project MK-ULTRA.
Should we be excited about an intense take on CIA spooks, mind control experiments and a murder mystery?! Uh… YEA! Well, at least I am, obviously. The trailer released shows off cinematography that looks dark, edgy and eerie, with a tone that fits the content. For a little backstory about the twisted conspiracy behind the show Wormwood on Netflix, let’s take a face plant down the rabbit hole of Project MK-ULTRA.
The operation began in the early 1950s and was officially sanctioned in 1953. It was designed and undertaken by the United States Central Intelligence Agency (CIA) during the Cold War era when- as the trailer says- “the most dangerous weapon is information.” MK-ULTRA was kept hidden for about two decades due to the fact that the experiments were done on human subjects, which were at times illegal and most notably because the subjects did not consent and had no idea what was being done to them. The organized efforts of the project included entities such as:
- The Scientific Intelligence Division of the CIA
- Special Operations Division of the U.S. Army’s Chemical Corps
These invasive and supposedly damaging experiments were intended to identify and develop drugs and procedures to be used in interrogations and torture. The idea was to learn how to weaken the individual to force confessions through mind control, but the implications of these methods may also suggest far more sinister ways to utilize these tactics.
For years people thought it was truly a paranoid dream, and considering the massive scope of the project, once finally revealed, there is no wonder why. According to a 1984 broadcast of 60 Minutes, MK-ULTRA involved more than 130 research programs within various known institutions, including:
- 44 of them being colleges and universities
- 15 research foundations, chemical or pharmaceutical companies
- 12 hospitals or clinics
- 3 prisons
Project MK-ULTRA conducted many illegal activities. One incredibly controversial method was the use of unsuspecting U.S. and Canadian citizens as test subjects. But the most notorious of all is probably the use of LSD and other chemicals to manipulate people’s mental states and alter brain functions.So essentially anyone from inmates and hospital patients to college students and Big Pharma customers could have been exposed to some of the most mind-bending, drug-induced illusions without their knowledge at the will of the United States government.
The world remembers well learning that government agencies were forcing hallucinogenic drugs onto citizens, but this is just one method of psychological torture via drug abuse in Project MK-ULTRA.
Forced Drug Experiments
While LSD is the drug most commonly associated with MK-ULTRA, the program is said to have utilized several other drugs in their illegal testing, including:
The CIA Cover Up
To touch on the timeline of Project MK-Ultra being exposed:
1973- CIA Director Richard Helms ordered all MK-ULTRA files destroyed
1975- The Church Committee of the U.S. Congress first brought MK-ULTRA to the attention to the public.
A Gerald Ford commission was tasked to investigate CIA activities within the United States. Investigative efforts were hampered by the fact the destruction of the documents in 1973.
1977- Senate hearings began following a request from the Freedom of Information Act that uncovered a cache of 20,000 documents connected to MK-ULTRA.
2001- Even more information regarding MK-ULTRA became declassified
Now the world is well aware that the CIA, in cahoots with other entities, was behind hundreds of mind-control experiments. These horrific tortures and inhumane experiments are said to have left some people mentally and emotionally crippled for life. Hopefully, the new series Wormwood on Netflix will also give us a closer look at home some of these victims were able to recover, if at all.
Wormwood on Netflix makes it Personal
Academy Award-winning director Errol Morris gives this illustrious conspiracy story new texture and connection using dramatic reenactments with real-life interviews. Beyond that, the series Wormwood on Netflix also stands to humanize the drama, making it a much more personal and relatable scenario.
Enter the incarnation portrayed by Peter Sarsgaard of Dr. Olson. The real-life CIA biochemist Dr. Frank Olson died after falling 10 stories from a New York City hotel room in 1953. Dr. Olson’s death at the time was ruled a suicide. However, his family and others believe that he was actually assassinated by the CIA. Dr. Olson’s son, Eric Olson, is also part of the series.
Eric Olson and his brother Nils have made it their life’s mission to uncover the truth about their father’s death. Eric Olson has spent over 60 years investigating.
As if an indirect admission of fault, the Olson family actually received a settlement of $750,000 and a personal apology from then-President Gerald Ford and CIA Director William Colby. This came 20 years after Olson’s death in 1976, after all the documents pertaining to MK-ULTRA began to surface. Then in 1994, a second autopsy was conducted on the body of Frank Olson, which is said to have revealed injuries that had “likely occurred before the fall” leading many to believe that Frank Olson was killed by the CIA.
One way or another, Wormwood on Netflix is sure to be a very interesting ride. With the ominous overtone of impending espionage, chemical warfare, spy games and murder this show is set to take something that is so real it’s scary and packages it in a way that is sure to pull us in.
At risk of tempting a Netflix binge, there are some very good documentaries and other films related to substance abuse, drug policy and addiction. There are all kinds of resources out there to stay informed about the history of drug use and the risks associated with it. Find a way to learn more and if you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
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As we have seen time and time again, the opioid epidemic all across America has not been confined to one substance. It takes the shape of prescription painkillers, illicit heroin and even the more potent synthetic opioids like fentanyl. With the gradual progression of this poisonous outbreak, we have seen the stakes get higher and higher. Prescription opioids contributed to a growing population of heroin users. Dealers lacing heroin with synthetics like fentanyl led to higher overdose rates. Then the highly dangerous, frequently lethal carfentanil was added to the mix and now just being around the drugs can almost kill you.
With the addition of fentanyl and carfentanil to the illicit drug world comes a very real and potentially lethal new threat- secondary exposure overdose.
What is Secondary Exposure?
Secondary exposure is also referred to as secondary contamination or second-hand exposure. It is a term usually used with things like asbestos poisoning or mesothelioma. Sometimes it is even used to describe the effects of radiation. It is when people come into contact with gasses or substances that can be absorbed into the body and do very real damage.
The most common comparison you could make is to second-hand smoke, which is when people smoking cigarettes expose others to the toxic gas they and the cigarette release into the air. Second-hand smoke can cause very real health problems, including some cancers. The most terrible aspect of it being that the individual who gets sick doesn’t even have to smoke themselves.
With drug use secondary exposure overdose has now become a real risk thanks to synthetic opioids. Law enforcement and other officials tell us that some of these dangerous substances must be handled with the utmost caution. The news coming out of Ohio this week is just another example of how hazardous these drugs have become.
Ohio Nurses Experience Secondary Exposure Overdose
At Affinity Medical Center, a hospital in Massilion, Ohio, three nurses helped treat an overdose patient. After cleaning the room where the individual was treated, the three nurses were overcome by secondary exposure. They got sick and shortly after lost consciousness.
Detective Shaun Dadisman states,
“They were cleaning up the room and started to feel sick. And then that left them waking up in a hospital bed,”
According to the investigators in this case, the three nurses were treated with Narcan. The opioid overdose antidote Narcan is the brand name for Naloxone, which is used to reverse the effects of opioids on the respiratory system. The local law enforcement believe the substance the nurses were exposed to was fentanyl. Thankfully, all three nurses are said to have recovered.
A union representing nurses at the hospital intends to meet with hospital officials to review protocols for environmental contamination. A spokeswoman from the hospital states that the institution does have effective policies, which isn’t out of the question.
Police Officer Needs Narcan after Secondary Exposure Overdose
Just this summer, a police officer in a very similar situation almost died from an accidental overdose due to secondary exposure. Officer Chris Green was responding to a drug call when the incident occurred. The drug he came in contact with at the time was so powerful that even though officer Green said he was wearing gloves and a mask as he searched a suspect’s car, he still ended up being severely impacted by the substance. Merely by ending up with a white substance on his shirt officer Green needed to be revived with not just one, but multiple doses of Narcan.
How Does Secondary Exposure Overdose Happen?
Detective Shaun Dadisman spoke more about the dangers of opioid overdose through secondary exposure. Dadisman states,
“It shuts down your breathing. It shuts down your system so you get to the point where you’re not breathing on your own. And you need that boost and that Narcan is what takes that away so it helps you to recover quickly,”
Fentanyl and other opioids like carfentanil present a whole new level of danger concerning secondary exposure. The drugs are so intoxicating that law enforcement and medical personnel are now forced to come up with new policies and protocols just to handle an individual who may be overdosing on these drugs to protect themselves and others. Dadisman stated,
“I was actually stuck by a needle from an individual on a heroin overdose, so I had to run through all of the testing myself,”
The opioid epidemic now doesn’t just present an elevate risk of death to those who are using these drugs. Opioid abuse now poses a very real and deadly danger to those who work to save the lives of users every day. The greatest danger some of these drugs prevent is that of the unknown. As Dadisman points out,
“I think there will be continued changes – gloves, masks. And the problem with our first responders, police officers and our nurses and stuff, is you don’t know immediately what you’re dealing with. After the fact, you may know, but it may be too late.”
So now every day these synthetic opioid drugs don’t just threaten the lives of people who consume them, whether knowingly or not, but also the people closest to them.
So what can be said about secondary exposure overdose? Well, it is safe to say that with some of the most powerful drugs that are out there simply getting some on your skin or breathing it in, even on accident, can cause life-threatening illness. While hopefully this concept does not start a panic, it is a reality that more people should probably be aware of. Whether people are leaving the drug around others, consuming the drug in public places or being revived by loved ones and first responders, the fact is the drugs are stronger and more life-threatening than ever. The fact that a dose of Narcan might not save someone on the first shot should be enough to push for more awareness and more focus on finding a way to fight back.
So, what more can be done about the possibility of secondary exposure overdose?
If you or someone you love is struggling with opioids do not hesitate to get help. The rates for overdoses and opioid-related deaths are far too high to keep gambling with your life. Protect your loved ones and your future. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-888-922-5398
If you believe you or someone else is experiencing fentanyl overdose symptoms, please call 911 right away. Fentanyl is an extremely potent potentially fatal drug and should not be underestimated.
Fentanyl, also known as fentanil, is an incredibly potent synthetic opioid pain medication with a rapid onset and short duration of action. This drug is considered to be around 50 to 100 times more potent than morphine, while some fentanyl analogues such as carfentali, which are designed to mimic the pharmacological effects of the original drug, may be as much as 10,000 times more potent than morphine. Fentanyl brand names include:
Individuals who abuse opioids, particularly heroin, are more likely to ingest fentanyl, knowingly or unintentionally. This puts them at an even higher risk of overdose.
In 2015 alone, 33,091 people died due to overdose on opioids like fentanyl.
Learning how to recognize the indications of a fentanyl overdose and getting professional substance abuse treatment may save a life.
Fentanyl Overdose Symptoms: Side Effects of Fentanyl
As an extremely potent opioid drug, fentanyl is very carefully prescribed and dosed by medical professionals. Those who abuse fentanyl may use the drug outside of prescription guidelines or without a prescription altogether, which can drastically increase their risk of lethal overdose.
Fentanyl’s most common side effects of Fentanyl use include
- Dry mouth
Some of the less common side effects of Fentanyl use include:
- Abdominal pain
- Anorexia and weight loss
- Flu-like symptoms
- Dyspnea (shortness of breath)
- Urinary retention abuse
Fentanyl Overdose Symptoms: Risks of abuse
With a powerful drug like fentanyl the risk of abuse is exceedingly high, especially considering the drug’s medical use is so limited to treating extreme cases. So when people take fentanyl in higher doses or more frequently than prescribed it of course elevates their risk for serious side effects and experiencing fentanyl overdose symptoms.
As far as recreational use, fentanyl is extremely dangerous. Using this drug in any way other than intended, such as snorting or injecting it, is not only illicit abuse of the chemical, but potentially life-threatening. In recent years drug dealers have been mixing fentanyl powder with heroin to increase potency or compensate for low-quality heroin. This illegally manufactured, non-pharmaceutical fentanyl cut into other substances caused an outbreak of overdose deaths in the United States and Canada over the past several years.
Combining fentanyl with other drugs can have effects that either compound the already severe side effects of fentanyl or contradict the effect and cause more chaos in the body. Using fentanyl with other substances is very hazardous, especially with drugs such as:
- Antidepressant medication
The Center for Disease Control and Prevention (CDC) conducted a study recently that showed:
- 82% of fentanyl overdose deaths involved illegally manufactured fentanyl
- Only 4% were suspected to originate from a prescription
National Forensic Laboratory Information System reported:
- 942 fentanyl seizures in 2013
- 3,344 fentanyl seizures in 2014
Fentanyl Overdose Symptoms: Signs to Look For
Being able to address a possible overdose means being able to recognize and understand some of the possible fentanyl overdose symptoms. While one of these may not be a definite indication, noticing a combination of symptoms may be a more serious issue.
A person experiencing fentanyl overdose symptoms may present with the following overdose signs:
- Pinpoint pupils
- Pale skin
- Choking sounds or gurgling/snoring noises
- Weak muscles
- Extreme sleepiness
- Very low blood pressure
- Dangerously slowed or stopped breathing
- Blue skin tinge nails and lips
- Loss of consciousness
- Intensely slowed heart beat
The effects of fentanyl overdose symptoms on an individual’s respiratory system and heart rate are the most serious relating to risk of death or permanent damage. Not only can this lead to coma or death, but even after surviving the overdose there can still be complications.
If not treated immediately, the impact of fentanyl overdose symptoms on the heart and respiratory system may cause residual problems such as permanent brain damage.
Fentanyl Overdose Symptoms: How Much Is Too Much?
It is difficult to determine the exact dose it would take for someone to experience fentanyl overdose symptoms. According to some medical professionals, 250 micograms of fentanyl might represent a lethal dose of fentanyl. However, most individual’s using heroin and other drugs are unaware that they have ingested the drug at all, let alone know how much fentanyl is in the doses.
At the end of the day, fentanyl overdose symptoms can vary depending on the individual, and the amount it takes to overdose will vary to. Some elements that impact the odds of overdosing includes:
- Other drugs taken
- Physical condition
In the event of an overdose of fentanyl you should seek immediate emergency medical assistance. Some cases require several doses of Narcan (Naloxone), the opioid overdose antidote, to stabilize the individual suffering from an overdose. Even if you have access to Narcan or Naloxone yourself, always contact emergency medical services to get assistance, because when the antidote wears off the overdose could return, or there may be other severe complications.
Opiate medications and street drugs have done a great deal of damage these past few years. Synthetic opioids like fentanyl have raised the risks and increased the death rates in a big way. Far too many lives are ruined, or brought to an abrupt end, because of overdoses when there is real help out there. Don’t wait until after an overdose. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
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Narcan is a brand name for the opioid overdose antidote Naloxone hydrochloride. Technically speaking, the opioid antagonist is a synthetic congener of Oxymorphone that is structurally different in that the methyl group on the nitrogen atom is replaced by an allyl group. In the past couple years Narcan has gradually become a household name. With the opioid epidemic in America continuing to ravage many communities across the nation, Narcan has become one of the first lines of defense. For some people, while they know now what this powerful substance is, they are still unsure how to use Narcan to stop an opioid overdose.
NOTE: All instructions in this article come from the Harm Reduction Coalition website. You can also look for Narcan/Naloxone training in your area. Different brands may provide more specific instructions. Be sure to real labels and warnings on Narcan or Naloxone kits.
How to Use Narcan: More about Narcan
Narcan works by blocking the effects of opioids and can actually reverse an overdose in order to get medical attention to someone who is in need. The life-saving opiate antidote is used for the complete or partial reversal of opioid depression, including respiratory depression. An opioid overdose can cause breathing to slow down or stop completely, putting someone’s life in immediate danger. Some examples of opioid overdoses Narcan may be used to reverse include the drugs:
One major plus is that Narcan has no euphoric effects and cannot get someone “high” so abuse is not an issue. The overdose antidote is essentially harmless if there are no opiods present in someone’s system. If given to a person who has not taken opioids, there will be no effect. Narcan can still be effective when alcohol or other drugs are present with opiates. However, some of the incredibly potent synthetic drugs such as Fentanyl and carfentanil have shown to be somewhat resistant to Narcan treatment, meaning those overdosing due to carfentanil require extra doses to be stabilized.
Administration to opioid-dependent individuals may cause symptoms of opioid withdrawal, including:
- Fast heart rate
There are other measures that can be taken to help ease these symptoms as well.
How to Use Narcan: Intravenous Infusion
The most rapid onset of action is achieved by intravenous administration, which is recommended in emergency situations. Narcan may be diluted for intravenous infusion in either:
- Normal saline
- 5% dextrose solutions
2 mg of Narcan mixed in 500 mL of either solution provides a concentration of 0.004 mg/mL. Narcan should not be mixed with preparations containing:
- Long-chain or high molecular weight anions
- Any solution having an alkaline pH
No drug or chemical agent should be added to the mixture unless its effect on the chemical and physical stability of the solution has first been established. To use the injectable Narcan:
- If the person is not breathing perform rescue breathing for a few quick breaths.
- Use a long needle (called an IM or intramuscular needle) which about 1 – 1 ½ inch. NOTE: If there isn’t a big needle, a smaller needle is OK and inject under the skin, but big needles are better.
- Remove the pop off orange top from the vial
- Draw up 1cc (1cc=1mL=100u) of antidote into the syringe
- Inject into a muscle, the best being thighs, upper, outer quadrant of the butt, or shoulder. NOTE: Inject straight in to make sure to hit the muscle.
- After injection, continue rescue breathing 2-3 minutes.
- If there is no change in 2-3 minutes, administer another dose and continue to breathe for them.
NOTE: If the second dose of naloxone does not revive them, something else may be wrong— either it has been too long and the heart has already stopped, there are no opioids in their system, or the opioids are unusually strong and require more naloxone (such as Fentanyl or carfentanil).
For more information, you should be able to find instructions in the Narcan kit, or inquire when picking up a Narcan kit about any opportunities to receive more in-depth training.
How to Use Narcan: Nasal Spray
Another resource that has helped make huge progress in fighting opioid overdose death rates is the Narcan (or Naloxone) nasal spray kit. The variation has made training people to administer the overdose antidote much easier and much less dangerous. Without needles, the nasal spray system helps eliminate the issue of blood contamination.
According to instructions posted through the Harm Reduction Coalition, there are about 5 steps for how to use Narcan with nasal spray.
- If the individual is not breathing perform rescue breathing for a few quick breaths.
- Attach the nasal atomizer (applicator) to the needleless syringe and assemble the glass cartridge of naloxone.
- Tilt the head back and spray half of the naloxone up one side of the nose (1cc) and half up the other side of the nose (1cc).
- If there is no breathing or breathing continues to be shallow, continue to perform rescue breathing for them while waiting for the naloxone to take effect.
- If after about 3 to 5 minutes there is no change, administer another dose of naloxone and continue to breathe for them.
NOTE: If the second dose of naloxone does not revive them, something else is wrong—either it has been too long and the heart has already stopped, there are no opioids in their system, or the opioids are unusually strong and require more naloxone (such as Fentanyl or carfentanil).
Regardless of if you use an intravenous Narcan kit or a nasal spray kit, Narcan should never be used as substitute for emergency medical care. In the event of an opioid overdose one should always call 911 right away, even if the individual wakes up. Narcan can wear off between 30-90 minutes, while the effects of the opioids can last much longer. It is possible that after Narcan wears off the overdose can return.
Also look into Narcan training programs in your area.
How to Use Narcan: Get More Help
When someone has to be revived from an opioid overdose it can be a pretty clear cut indication that something needs to be done in order to help them stay safe.
Another difficult aspect of how to use Narcan is that naloxone can cause uncomfortable opioid withdrawals. Because Narcan blocks the action of opioids in the brain, people can wake up feeling withdrawals practically immediately and try to use again. Of course this could result in another overdose.
Beyond administering Narcan to save someone’s life, take this as an opportunity to seek resources and start a conversation about getting them the help they need. Preserving life is important, but saving a life by changing a life can make a world of difference. There are empowering and innovative addiction treatment programs that specialize in addressing this chronic, progressive and fatal substance use disorder. After surviving an overdose presenting someone with the opportunity to get treatment may be the best chance they get.
Holistic addiction treatment allows people who were once hopeless build the foundation of hope again. If you or someone you love is struggling with substance abuse or addiction, please call Palm Healthcare Company. We want to help.
CALL NOW 1-888-922-5398