Why Should I Get Narcan™ Training?

by Dr. Henry Paul, MD (written April 4th, 2016)

Narcan™ (naloxone) is an opiate antidote that saves lives! And, you should know how to use it because someday someone in your family just may need it.
Overdoses from painkillers and heroin, both opioids, are alarmingly on the rise in the United States. Opioids include heroin and prescription pain pills like morphine, codeine, oxycodone, methadone and Vicodin. When a person is overdosing on an opioid, breathing can slow down or stop, and it can be very hard to wake them from this state.

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Who is at risk for overdose? Your grandmother who just had a knee replacement, your aunt who is dealing with chronic back pain, your teenage son or daughter who first takes painkillers while recovering from a sports injury. The list can go on and on. Sadly, painkillers are prescribed at alarming rates, and long-term use leads to addiction. These painkillers are often the gateway drug for heroin.

On Tuesday, President Obama announced a series of initiatives aimed at curbing America’s opioid addiction epidemic. The steps he outlined would make it easier to obtain medication-based treatment, expand Medicaid coverage and increase the availability of a drug that saves people from overdoses.

Narcan is a drug that can save people from overdosing. It can be delivered in the nostrils with the use of a mucosal atomization device (MAD) or intramuscularly with a syringe. Narcan is a non-patient specific prescription that is distributed through an authorized agency, such as a local health department, and given to individuals who have been trained in opioid overdose recognition and response consistent with that agencies registration with their state.

What does Narcan do? Simply, Narcan knocks the opioids out of the opiate receptors in the brain. Tom Ferraro, professor of biomedical sciences at Cooper Medical School of Rowan University in Camden, N.J. told Newsworks in an online article published in 2014 that it essentially “blocks the ability of opioids to do what they do at the molecular level.”
Ferrero went on in the article to explain, “The proteins in your brain have special receptors that, when unlocked, release certain biochemical reactions. Think of opioids, like heroin, as being special keys, says Ferraro. When they get in your brain, they seek out those receptors, ‘latch on’ and unlock the lock. When the drug opens and closes that lock repeatedly, it ‘triggers a cascade of biochemistry inside that particular cell.’” He says, “this is the basic mechanism of being high. The heroin repeatedly unlocks the lock, releasing euphoria, pain relief and addiction from that cell.”

Narcan, on the other hand, cannot be used to get a person high, and if given to an individual who has not taken opioids, it will not have any effect on them. For more information on Narcan visit FDA.gov

LINKS
Obama Pushes For More Treatment for Opioid Addiction
CVS to Sell Heroin OD Reversal Drug Narcan in More Pharmacies
The overdose ‘antidote’: how Narcan works

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription.

Original Link to blog: https://henrypaulmd.com/2016/04/04/why-should-i-get-narcan-training/

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Battling Your Inner Demons

Interview between Eric Zimmer and Johann Hari

johann hari the one you feed
Johann Hari

“Johann Hari is a British journalist. He has written for many of the world’s leading newspapers and magazines, including the New York Times, Le Monde, the Guardian, the Los Angeles Times, the New Republic, the Nation, Slate, El Mundo, and the Sydney Morning Herald. He was a lead op-ed columnist for the Independent, one of Britain’s leading newspapers, for nine years. Johann was named ‘National Newspaper Journalist of the Year’ by Amnesty International twice. He was named ‘Environmental Commentator of the Year’ at the Editorial Intelligence awards, and ‘Gay Journalist of the Year’ at the Stonewall awards. He has also won the Martha Gellhorn Prize for political writing.” (Eric Zimmer)

His latest book is called Chasing the Scream, The First and Last Days of the War on Drugs. In this interview, Johann Hari and Eric Zimmer discuss, the origins of the war on drugs, and is the war on drugs productive, and so much more.

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Professor of Psychology Tim Pychyl discusses procrastination

Have you had a chance to listen to “The One You Feed”‘s podcasts? “The One You Feed is a podcast based on an old parable about two wolves at battle within us.” This podcast we’re proud to share discusses hacks to work around our irrational thinking, the two ways procrastination compromises our health, and so much more!

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Finding A Fresh Start After Addiction Treatment

by Adam Cook, http:// addictionhub.org

Image from Unsplash

Getting sober is hard enough, but what comes next is the real challenge of addiction recovery. After treatment, you must face the damage caused by your addiction and start to rebuild your life. It’s a long, hard road, but giving up isn’t an option.

Follow these steps to begin your journey to a fresh, sober start:

Repair Your Finances
Drug and alcohol addiction have damaging financial consequences, including drained bank accounts, overdue bills, and accounts in collections. Deal with any urgent bills, like rent and utility payments, and then assess the damage by pulling a credit report. A credit report provides information on debts so that you can contact creditors about repayment. If debts are manageable, negotiate payment terms with creditors. If the financial damage is extensive, bankruptcy may be an option. Mint explains, “when declaring bankruptcy” is the right call.

You can’t pay off debts without income coming in. So, get serious about looking for work, and find ways to earn money while you search, such as walking dogs, doing lawn care, or taking up another side gig. Make use of assistance programs that are available to you. Receiving food, healthcare, or other financial assistance frees up income for paying off debts so that you can stabilize your financial situation.

Repair Relationships
During active addiction, we push away the people who want better for us. Now that you’re sober, it’s time to make amends and repair those relationships. Share the news of your recovery, own up to the harm you’ve caused, and ask for forgiveness. There’s no guarantee you will be invited back into people’s lives, but there’s no chance if you don’t ask. Know that people will be guarded and hesitant to let you back in. It takes time to prove that you’re stable and trustworthy, but it is possible.

Set and Pursue Goals
Now that you’re out of treatment, what comes next? That’s the big question every person in recovery must face, but you don’t need all the answers right away. Focus on setting short-term, actionable goals that improve your life, even if you aren’t sure of the final destination. If you want a better career but aren’t sure what that is, you can still work toward it with small goals, like writing a resume, taking a college course, or volunteering. Want to improve your mental health? Goals, like finding a therapist and attending a weekly support group, will help get you there.

When setting goals, keep the acronym SMART in mind. As MindTools explains, SMART stands for specific, measurable, achievable, relevant, and time-bound. These are the five attributes all goals must have if you want to achieve them.

Fill Your Time Positively
Boredom is a threat to sobriety. When you’re idle, you’re vulnerable to the cravings and ruminations that send your recovery spiraling. Seek positive ways to occupy your time, like starting a hobby where you can meet like-minded friends, getting outside to enjoy the restorative effects of nature, or volunteering with a local non-profit organization.

Active hobbies are an excellent choice for people in addiction recovery. Exercise not only heals your body after substance abuse, but it also improves your mental health, so you have the strength to stay clean. Try training for a race, joining a team sport, or taking a group fitness class as a way to strengthen your body and your sobriety.

Relocating
For many people going through addiction recovery, relocating to a new area is a critical part of the process. Not only can it get them away from situations that could trigger a relapse, but according to Recovery Ranch, moving can also give those in treatment a chance at a fresh start. However, when deciding to pack up your things and head to a new area, it’s essential to consider your finances. If you can’t afford to pay rent or a mortgage, then you might want to stay where you are for now. When deciding if purchasing a new house in a new neighborhood is the right financial decision for you, keep in mind that the average price of a one-bedroom home in Fishkill is approximately $230,000. Remember: Just because you can’t afford it now doesn’t mean you won’t be able to do so at some point down the road.

Here’s a list of the links and corresponding word/s where to find them:

These steps may sound simple, but picking up the pieces of your life in addiction recovery is harder than it seems. Not only is there a lot of damage to repair, but you’ll deal with people who expect you to fail — not to mention your own self-doubt. Don’t let negative thinking get to you, because it will only bring you down. Set your sights on the future and, with time and effort, life’s pieces will start shifting back into place.

negotiate – https://www.endoverdose.com/news/?fbclid=IwAR1y-guLBHu3iDand5h40fZpo6Bgv7rxLL2jJlYYP9sqjC22u5SeUyKocjI
declaring bankruptcy – https://blog.mint.com/how-to/bankruptcy-a-to-z-when-to-file-and-how-to-recover/
side gig – https://www.makeuseof.com/tag/easy-steps-side-gig/
no guarantee – https://www.thefix.com/content/making-amends-alcoholics-anonymous91408?page=all
aren’t sure – http://www.pickyourgoals.com/goalhacks/how-to-set-goals/
explains – https://www.mindtools.com/pages/article/smart-goals.htm
restorative effects – https://www.mindbodygreen.com/0-30024/a-doctor-explains-how-to-take-advantage-of-the-healing-powers-of-nature.html
Active hobbies – https://www.developgoodhabits.com/benefits-hobby/
fresh start – https://www.recoveryranch.com/articles/recovery-at-the-ranch/recovery-help/
approximately $230,000 – https://www.redfin.com/city/30116/NY/Fishkill

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