Sunrise Detox

The “Bath Salts” Problem Is Rapidly Getting Worse

It's no news that people want to get high.  The urge to turn off our brains for a while, or do something that just feels good, goes back at least 8,000 years.  We know that because the ancient Sumerians wrote about beer on tablets that have lasted until the present day.  There is every reason to believe that our romance with intoxication goes much farther back than that — probably to the time when one of our hunter-gatherer ancestors first discovered that spoiled fruit could give a guy a buzz.

So it's no surprise that entrepreneurs keep trying to stay ahead of the law by developing and marketing drugs that start off more-or-less legal due to the inability of regulators to keep up with the changes.  The way laws are currently written, if a drug isn't specifically mentioned in a statute it's pretty hard to prosecute someone for possessing it, and even harder to charge anyone who sells it.

Thus, we have “bath salts,” the current entrepreneurial emesis.  Unconcerned with details like clinical trials and the variety of other checks and balances needed to gain approval for mainstream pharmaceuticals, the manufacturers of these designer drugs make them available to a public that is absolutely at their mercy.  At the same time, web sites like “bathsaltsdrug.com” and “bathsaltsreview.com” promote the alleged safety of the drugs as a “public service” (most of them actually designed to provide guidance to outlets that sell them online).

The active ingredients in most bath salts are the chemicals methylone, MDPV, mephedrone and flephedone.  Sometimes referred to as “copy-cat cocaine,” these drugs — all chemically-related — are central nervous system stimulants.  MDPV (Methylenedioxypyrovalerone), after which most of these drugs are modeled, is a modification of pyrovalerone, a drug that was investigated about 50 years ago for use as a weight control medication and to combat fatigue.  It never got to market because of its abuse and addiction potential.  MDPV is known to be several times as potent as methylphenidate (Ritalin), itself a drug with considerable potential for abuse.

Most of the drugs on the market today are analogues (slightly-changed chemical copies) of MDPV.  Thus they share its drawbacks, along with some of their own.  For example, the changes made in their structures to avoid legal issues are untested, and their effects largely unknown.  Furthermore, they are unstable when exposed to air, and often degrade into other compounds with unknown qualities.  Possible reaction with additives, packaging, or with compounds added by users, can create further complications — all problems unlikely to occur with regulated pharmaceuticals.  As a result, what you think you're seeing is not necessarily what you get.

We are beginning to see more and more headlines such as “Report: Bath salts killed Tampa man,” and “America's New Drug Problem: Snorting ‘Bath Salts'.”   We will see more, because problems with users of bath salts are becoming more common.  In one case, in Panama City, Fla., several officers were needed to subdue a man who tore a radar unit out of a police car with his teeth!

Bath salts are used because they promote euphoria, increased energy, sociability, wakefulness, and have some sexual stimulant effects.  On the other hand, adverse effects include (but are not limited to) rapid heartbeat, high blood pressure, insomnia, nausea, tooth grinding, headaches, kidney pain, dizziness, agitation, difficulty breathing, and increased body temperature, chills and perspiration.  At least one death was caused when the MDPV analogue methylone caused the brain of a 23-year-old man to swell due to lack of oxygen, and an accompanying high fever that shut down his kidneys and other organs.  The possibility of drug use triggering and exaggerating users' existing physical or mental problems is yet another risk.  Nor is it a small one, as those with such issues are far more likely to resort to self-medication than others.

The solution, if there is a good one, will most likely be found in education combined with laws that are written to close the  loopholes that enable sale and possession of these drugs without fear of prosecution.  The Federal government is investigating the possibility of a nationwide ban on unchecked use of the components involved, which may make pursuit and prosecution of the manufacturers and sellers more practical.  As it is, substance abuse treatment personnel report more mentions of bath salts during intake, indicating use is on the rise.  Actual treatment protocols have yet to be established, however, and there is some question whether users of these “unofficial” drugs will qualify for insurance coverage.

More, as they say, will be revealed.  In the meantime, parents and other interested parties need to be on the lookout for possible drug-related behavior in loved ones, friends, and others they care about.  Until we get some sort of handle on this problem, these drugs — sold in convenience stores, gas stations, head shops and similar outlets — will remain readily available to potential users of all ages.

 

Suboxone and Opiate Detox

Suboxone (buprenorphine & naloxone)

Some detox centers do not medicate their patients during withdrawal. This is known as “cold turkey” and Sunrise Detox doesn’t believe in it. Opiate withdrawal symptoms can produce potentially dangerous health situations, including high blood pressure and dehydration. Left untreated, the pain of the withdrawal symptoms can make it psychologically difficult to stay in the detoxification facility, and makes the client more likely to leave prematurely.

At Sunrise Detox we use Suboxone®, buprenorphine-based medication that effectively manages opiate withdrawal symptoms. Read More…

Former drug addict devotes his time to helping others

Great article and interview with Ira Levy, national marketing director for Sunrise Detox.  Ira has been in the treatment field for many years, and has tremendous insight into the various aspects of treatment and recovery.  Interesting read.

A Guide To The Safe Use Of Pain Medication – FDA

Addiction to pain medication is the fastest-growing segment of the addiction field.  There are a variety of reasons, ranging from doctors who do not understand the potential of addiction, to drug companies who underplay the dangers of their products, to unscrupulous doctors and importers who provide a smörgåsbord of drugs to their “patients” on demand.

The Food and Drug Administration has published an excellent rundown on the safe use of pain medication, from aspirin to opioid drugs.  We recommend it highly.

A Guide To The Safe Use Of Pain Medication

How Do I Stage An Intervention?

The intervention concept has been popularized by the excellent A & E television series of the same name, several of which have been recorded right here at Sunrise Detox. Many folks have seen the show and are familiar with the basic idea, but I thought it might be a good idea to go over some points here.

First of all, we need to understand that interventions are the “big gun” when it comes to getting addicts (including alcoholics) to turn the corner and become willing to deal with their addictions. Done properly, they can have a terrific effect, allowing the client to see how his addiction has affected others, and getting him into treatment before his denial can kick in and before he can begin to justify his behavior.

On the other hand, an intervention is pretty much a one-shot deal. If it doesn't work the first time, it is highly unlikely to work on subsequent tries. It is, therefore, important to get it right.

A proper intervention involves an addiction professional (leader), and as many of the client's family members, friends and co-workers as can be gathered together at one place and time, including his employer or immediate supervisor if possible.

The leader will, ahead of time, instruct the participants to prepare carefully. Each person will need to think about the way the client's addiction has impacted their life, and be ready to tell the addict about it. A spouse can speak about how she misses the man she married; a child about how he felt when Dad missed his graduation. A friend can tell how much he misses his buddy, the employer about how the client is a valued worker, and how he would very much like to see him become his “old self” again (and keep his job).

It is important that the client not know what is going to happen. Sometimes the group can assemble at a restaurant meeting room. The home might be appropriate, or some other location. Ideally, the client will walk in unaware of anything in store, for maximum shock value.

Most important of all is that the participants talk about how the client's addiction has impacted them, about their feelings, and not direct comments at the client: “You did this to me,” “You ruined our family,” and so forth. The object is to let the person know how his actions have affected others, rather than putting him on the defensive. That can be nearly impossible for angry members, another reason the leader, trained in interventions, is necessary: to act as a guide for the participants and keep them on track, both before and during the actual intervention.

Finally, it is vitally important to have the next step ready to go. If the addict acknowledges the problem and promises to “do something about it,” he needs to be presented with packed bags, an open car door, and a prearranged admission to a treatment facility — another reason the professional is there.

As we saw above, this is a one-shot project. Once the client's denial is broken, the next steps have to be definite — and put into place before he can change his mind. It is easy to see how, once exposed to an intervention, the addict's likelihood of responding positively to a second one is vanishingly small. Done properly, however, an intervention can literally be the difference between life and death.

It was for this addict/alcoholic.

Going With Our Gut

There is nothing mystical about hunches, intuition, and trusting our gut. We are all the sum total of millions–billions–of experiences, and we remember most of them on some level. We are well-equipped to let our subconscious minds help us out with problems, armed as they are with that wealth of experience, but we often force ourselves to ignore those gut feelings, the feeling that something is just sort of “icky.”

We want to do something, say something, buy something, to fill that empty place inside. So we think up all sorts of ways to justify our wants to ourselves and ignore the message that our subconscious mind is sending loud and clear.

Then we go on with the self-deception and make up ways to justify whatever it is to others — our partners, our business associates, our sponsors, our friends — but, ultimately, to ourselves again.

Healthy ideas seldom need justification. Feeling a need to explain, to justify, should tell us that something’s wrong somewhere. It may simply be a neurotic need on our part to assure ourselves and everyone else that we’re really OK, but there’s also an excellent possibility that we’re about to venture where we ought to fear to tread, guided by the child inside who is telling us it’s OK because I Want, I Want, I Want.

In either case, there are two possible clues: the urge to hide whatever it is, or the urge to justify it. Both should set off our alarms, lest we end up back in that nice Sunrise Detox.

One. More. Time.