How Can I Tell if I’m Taking Fake Opioids?

How Can I Tell if I’m Taking Fake Opioids?

man holding Fake OpioidIf you’re taking pain pills recreationally, chances are, you have to source them from somewhere other than a pharmacy. That leads to increasing risks of the drug you think you’re taking not being present at all. Instead, today’s street drugs include counterfeit pills containing everything from stronger opioids like fentanyl to methamphetamine to benzodiazepines and even veterinary medications.

If you buy prescription pills on the street, it’s very likely to be some kind of opioid. The bad news is that fake prescription pills are also very likely to include extremely dangerous drugs like fentanyl. In fact, one DEA report showed that 6 out of 10 fake prescription pills they seized actually contained a potentially lethal (over)dose of fentanyl – an opioid that’s up to 100 times stronger than morphine.

How Common are Fake Opioids?

In 2021, the DEA seized some 20.4 million fake opioid pain pills. These drugs can often look extremely similar to the drugs they’re knocking off. And, with labels like Percocet, OxyContin, etc., it can be difficult to tell that you’re not taking the real thing.

With recent crackdowns on opioid prescriptions, it’s likely that fake opioids are more common than the real thing. This means that unless you get your pills from a pharmacy or someone you trust who go them from a pharmacy, you can’t be sure that your pain pills are genuine.

How Dangerous are Fake Pills?

According to the CDC, over 4.7% of deaths caused by overdose in 2021 were proven cases of fake opioids. In some states, that rate is as high as 15%. Those fake prescription pills included OxyContin, Percocet, Vicodin, Xanax, and Adderall, so not all of them were sold as opioids. However, almost all of them included fentanyl.

That translates to a devastatingly large number of overdose deaths. In 2021, 106,000 Americans died from an overdose, meaning almost 5,000 people are proven to have died after taking fake opioids and pills. Those numbers are the highest they’ve ever been, which is linked to the rise in synthetic opioids like fentanyl, which are often significantly stronger than any other drug on the market.

In addition, with no dosing or quality control on fake opioids, you have no idea what you’re taking. A Percocet pill is dosed and rigorously checked for quality control. A fake Percocet may contain almost any amount of fentanyl and just one could send you into an overdose. And, according to the DEA, 60% of fake Percocet on the market has the ability to do so – dependent on your tolerance, metabolism, and genetics. That becomes even more dangerous if you’re buying Percocet in doses where you’d normally take more pills, because you have no idea of just one pill is enough to cause an overdose, let alone two or three.

It’s also a risk if you go to the hospital. If you tell hospital staff that you’ve been taking something like Vicodin, you’ll normally receive a single dose of Narcan, the overdose prevention drug. A single dose is enough to reverse an overdose for most pain pills. However, most fentanyl requires up to three doses to reverse the overdose, followed by longer term medical care because the drug lasts longer than the overdose prevention. Most Naloxone products are sold in doses of two, which means that if you’re using on your own, you’ll need two packs of Naloxone per person to use “safely”.

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Checking Your Pills

checking pillsIf you’re taking opioid prescription pain pills without a prescription, it’s important to do so safely. The best and only real safety measure is to take your drugs to a testing lab. Here, you can have your drugs tested to see if the contents are what you think they are, what the dosing is, and if there are any contaminates you should be aware of.

These services are often free or low cost. For example DanceSafe is a nonprofit center offering drug checking strips, so you can check for fentanyl and other contaminates in your home. The organization also has a lab, which you can sometimes use. In addition, DanceSafe sometimes has labs set up at events – which means you can always look for them if you live in an urban area. There are other organizations offering similar services, but DanceSafe is the only nonprofit drug checking company in the United States.

A drug test kit also isn’t a greenlight on your drugs. Instead, these kits look for red flags such as fentanyl or known contaminates. The DanceSafe kit looks for 100 different substances. It means it’s less likely that you’re taking fake opioids. However, you’ll need an actual lab test to see what your drugs actually are and if they are completely safe.

If you can’t order a test kit before you intend to take your pills, you can also try comparing your drugs to something you know is the real thing. That means having a package of the real thing on hand. For example, a friend might have a prescription which you can compare.

This means:

  • Comparing the packaging and looking for any differences
  • Looking at pill size and color and seeing if they are the same
  • Checking the listed dosage amount
  • Looking for irregularities in pill size, color, or contents
  • Breaking pills and seeing if they’re the same color inside

Prescription pills are always uniform in size, color, and contents. There are no irregularities from one to the next. Packaging is always sealed and always lists the dosage, the contents, and the brand. If not all of that is present, chances are, you’re taking fake pills.

However, fake opioids can be extremely convincing. It may be difficult to impossible to tell the real thing from the fake without a lab. So comparing your pills to the real thing isn’t a foolproof way of ensuring you’re taking “safe” pills. The only way to ensure you’re not taking fake pills is to have them lab tested or to buy them from a pharmacy.

Getting Help

10 Acre's Ranch When They Don't Want Your Help with Their Addiction photo of Young stressed woman listening psychologist's analysisIf you or a loved one is struggling with substance abuse, it’s important to get help. That includes if you’re taking pills which you know could endanger you. Knowingly risking your life to get high is not a symptom of mental health or everything being okay. Often, it means you need mental health treatment and therapy – even if you’re not struggling with substance abuse problems or addiction.

Pain pills are popular, affordable, and are often considered safe. As a result, millions of Americans use them recreationally. Unfortunately, that’s becoming more and more dangerous as fake pills become more common. Today, there are millions of fake pain pills seized by the DEA every year. And, some 60% of those contain potentially lethal doses of fentanyl. Often, there’s no easy way to tell fake pills from the real thing. However, you can look for lab testing if you will use those pills anyway. The best option is to stay safe, don’t use pills, and ask for help if you can’t stop using on your own.

If you or your loved-one struggles from alcoholism or other substance abuse please contact us today and speak with one of our experienced and professional intake advisors about our alcohol rehabdetox, partial hospitalization, and residential treatment programs. 10 Acre Ranch also has specialty tracks like our pet friendly drug rehab and couples substance abuse treatment programs. We’re here to help you recover.

 

Celebrity Drug Deaths 2022

Celebrity Drug Deaths 2022

Celebrity Drug Deaths 2022

Celebrity Drug Deaths 2022Most of us are well-aware of the lifestyles of the rich and famous and they glamorize drugs and alcohol. Yet, even people with wealth and access to the best medical care in the world suffer because of drug and alcohol abuse. While the numbers are unknown, celebrities struggle with drug addiction, mental health problems, and physical health problems as a result of substance abuse.

And, every year, with 99,017 people dying of alcohol-related causes, and in 2022, nearly 110,000 people died of drug-related causes including overdose. Celebrities are not immune, and in 2022, 5 well-known celebrities died as a result of drug abuse.

These tragedies are a stark reminder that even people with access to the safest drugs and the best medical care suffer as a result of drug abuse. And, if you or a loved one is using, it’s important to get help when you can and before it’s too late.

Celebrity Drug Deaths in 2022

In 2022, five well-known celebrities died of drug-related causes, most of which were fentanyl related. However, this list only includes individuals whose autopsy reports were publicized. This means there may be additional drug deaths which are not listed here – but their families have chosen to opt for privacy. There were also 5 celebrity deaths in 2021, 5 in 2020, and 3 in 2019.

Taylor Hawkins

FoosLondonStad220618-90 (41228811680)Foo Fighter’s Drummer Taylor Hawkins was announced dead on March 25th of 2022. An ambulance was called at his hotel after he complained of chest pains, but by the time emergency services arrived, Hawkins was unresponsive.

The toxicology report later revealed that Hawkins had taken a large number of prescription medications as well as THC. These included opioid pain pills, benzodiazepines, and antidepressants. His heart was also twice the expected size, following what doctors expressed as prolonged substance abuse. It is unknown if Hawkins had a prescription for his medications or not.

Hawkins died at the age of 50, leaving behind his wife and three children. His death rocked the music and entertainment industry, resulting in an outpouring of love, with memorials and tribute concerts in his honor.

Dwayne Haskins

Dwayne Haskins (31124904497) Dwayne Haskins, NFL Quarterback, died on April 9 of 2022, pronounced dead after being hit by a car while crossing a road under the influence. Haskins was driving to training in a rented vehicle when he ran out of gas. He stopped by the side of the road, called his wife, and then crossed the interstate where he was struck by a dump truck and died. His blood alcohol level at the time was .24 and he tested positive for ketamine. Haskins did not die as a direct result of drug use and drugs may not have contributed to his death. However, Haskins tragic death was under the influence and his crossing the interstate may have been influenced by ketamine usage.

Jamal Edwards

Jamal Edwards, 2019 Jamal Edwards, DJ and television platform owner, died in February of 2022 after a heart arrythmia. His sudden death was first reported as a heart attack – but toxicology reports later found that he had ingested significant quantities of cocaine prior to the arrythmia. His tragic death occurred in the middle of a project to reopen youth centers in London, using his platform of SB.TV and funding from Google to help kids turn to music and performance instead of drugs.

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Coolio

Coolio at The Great GoogaMooga Festival (cropped)Artis Leon Ivey Jr., artistically known as Coolio, died on September 28 of 2022, following an overdose on fentanyl, heroin, and methamphetamine. The artist was found in a friend’s home in Los Angeles, on the bathroom door and was pronounced dead by the first responders. An investigation was opened, later showing the cause of death to be an overdose. The artist is most well-known for his single “Gangsta’s Paradise” but was in the middle of recording a new album at the time of his death.

Aaron Carter

Aaron Carter Performing at the Gramercy Theatre - Photo by Peter Dzubay (cropped 2) Aaron Carter, singer and teen-pop star, died in November of 2022 following an overdose and accidental drowning in his tub in Lancaster California. The 34-year-old was found by his housekeeper in the tub. It was later found that the singer had passed out after inhaling difluoroethane, an inhalant drug used for aerosols, and taking alprazolam, which he may have had a prescription for. His death was ruled as accidental – as he liked passed out because of the difluoroethane.

Stephan Bonnar

Stephan-bonnar-flickr-fight-launch American mixed martial artist Stephan Bonnar is most well-known for his UFC fights and wrestling. The wrestler died on December 22 of 2022. It was initially reported that he had died of a heart attack. However, the toxicology report showed that the 45-year-old had died of a fentanyl overdose. This followed multiple run-ins with the law including several DUIs. He left behind his wife and son.

Getting Help

man thinking about getting help from his addictionAnyone can be vulnerable to drug addiction. It doesn’t matter how well your life is going, drugs are addictive and can cause you to lose control when using them. That puts you at risk of mental health problems, physical health problems, and overdose. Like the celebrities on this list, you are always at risk of overdose and death when using drugs. Even “Safer” drugs like cocaine and ketamine can result in heart attacks, decision-making that leads to death, and organ damage that can cause significant long-term reductions to quality of life. And, with street drugs including pain pills and Xanax now containing traces of fentanyl, risks of overdose are higher than ever.

If you or someone you know is using drugs or alcohol, you are at risk of overdose. People often use to feel better, self-medicate, and to fit in. No matter what you’re using for, you can still lose control and you are still at risk. If you need help, it is there, and modern rehab and substance use disorder treatment works to help you uncover the underlying causes behind substance abuse so you can improve quality of life, improve how you cope with things, and work to build skills and strategies to make your life better. The goal of recovery is not to get your old life back but to build a new one where you don’t need drugs.

If you or your loved-one struggles from alcoholism or other substance abuse please contact us today and speak with one of our experienced and professional intake advisors about our detox, partial hospitalization, and residential treatment programs. 10 Acre Ranch also has specialty tracks like our pet friendly drug rehab and couples substance abuse treatment programs. We’re here to help you recover.

What Are the Most Addictive Prescription Medications?

What Are the Most Addictive Prescription Medications

What Are the Most Addictive Prescription Medications?

What Are the Most Addictive Prescription MedicationsMore than 1/3rd of Americans, or 66% of all adults, or 131 million people, take at least one prescription medication. Americans spend some $73 billion on prescription drugs annually, and that’s often with the expectation that those drugs will improve our health, reduce symptoms, and improve our quality of life. Unfortunately for many, prescription drugs don’t work the same for everyone and many can be habit forming and addictive. In fact, while awareness of the addictive potential of pain pills and opioids is on the rise, prescription opioid usage is still one of the leading causes of moving on to street drugs like heroin.

If you or a loved one is being prescribed a medication, you don’t have to worry. Talk to your doctor, request a Risk Evaluation and Management Strategy (REMS), and go in for your checkups. As long as you use the prescription medication as directed, you shouldn’t have problems with the drug. However, it’s important to have those discussions, to understand your risks, and to understand how prescription drugs can impact your health and your mental health.

Many drugs can be habit forming or dependence inducing, meaning they are “addictive”. However, the following are the most addictive prescription medications.

Opioids

Opioids are the most well-known class of prescription painkillers. These drugs all work in similar ways, by binding to the opiate receptors in the brain. In small doses, they can reduce your perception of pain and create a calming or sedative effect. In high doses, they can create euphoria and intense highs that can be extremely addictive.

OpioidsFor many people, opioids are the most addictive drug. In fact, fentanyl, an extremely strong opioid, is one of the most addictive in the world, and also takes part in some 70% of all opioid overdoses.

Common opioids include:

  • Oxycodone (OxyContin, Percocet)
  • Codeine
  • Fentanyl
  • Meperidine (Demerol)

Each of these drugs has different properties and strengths. However, all of them work in the same way. All of them also cause euphoria when taking large doses. And, people abusing these drugs normally start to show long-term cold and flu symptoms, stomach problems, lethargy or drops in energy, and increased “seeking behavior”. Here, individuals think about, use, or spend time acquiring drugs for a significant portion of their day, their behavior changes, and they may prioritize drugs over anything else.

Once someone is physically dependent on an opioid medication, getting off of it will require a withdrawal phase. That can mean up to 2 weeks of severe cold and flu symptoms, anxiety, and depression, which can interfere with normal life and responsibilities. For this reason, many people using pain pills end up continuing to use them to avoid withdrawal symptoms, despite no longer needing them for pain management.

However, if you receive an opioid medication, you’ll likely only have it for a few weeks. Doctors are increasingly aware of the dangers of opioid addiction and will therefore normally take large steps to ensure you are safe while you receive your prescription.

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Benzodiazepines

Benzodiazepines

Benzodiazepines are a class of central nervous system suppressants used to treat anxiety, panic attacks, and the symptoms of PTSD. Previously, they were also used for sleep issues. Today, some 30.5 million people have a prescription or use benzos illicitly. However, 17.1% of all people with a benzodiazepine prescription misuse them and a further 2% qualify as having a drug use disorder.

Benzodiazepines include:

  • Diazepam (Valium)
  • Lorazepam (Ativan)
  • Clonazepam (Klonopin)
  • Alprazolam (Xanax)
  • Midazolam (Versed)

Today, most doctors won’t prescribe these drugs without a co-occurring therapy requirement. It’s also unlikely that you’ll receive a prescription for longer than 5 weeks. However, many people have had benzodiazepine prescriptions for years.

Unfortunately, these drugs are highly addictive and can cause significant psychological reliance, where users might work themselves into panic attacks because they don’t have the drug in case something goes wrong.

In addition, many people experience significant withdrawal symptoms while trying to quit benzos. Often, the only safe way to get off of them is to slowly taper usage over the course of a few weeks or months. If you go cold turkey on a benzodiazepine, chances of severe symptoms like seizures are high. For this reason, it’s not recommended to quit benzodiazepines without medical supervision,

Sedatives

Sedatives or prescription sleeping pills include several classes of drugs but most of them have similar effects and a similar addiction profile. Often, these drugs are prescribed for the short term, alongside a REMS, and alongside therapy that is intended to resolve the root of the problem rather than symptoms. However, some people have been on sleeping pill prescriptions for decades. Today, we know that these drugs are addictive and dependence inducing. But, if you’ve been on one for some time, chances of dependence and possible addiction are high.

Common sleeping pills include:

  • Zolpidem (Ambien, Zolpimist, Edluar)
  • Zaleplon (Sonata)
  • Triazolam (Halcion)
  • Temazepam (Restoril)
  • Ramelteon (Rozerem)
  • Eszopiclone (Lunesta)
  • Doxepin (Silenor)

All of these drugs are dependence inducing. In addition, like benzos, you should not stop most of these drugs cold turkey. Instead, they should be tapered off to avoid causing major symptoms such as seizures and major paranoia. For this reason, it’s always a good idea to consult with a doctor before quitting a sleeping medication or sedative.

Amphetamines

Amphetamines are most-famous for street drugs like methamphetamine. However, they also make up a large selection of prescription medications including ADD and ADHD treatments like Ritalin, Concerta, and Adderall.

However, these amphetamines are rarely severely habit forming. Instead, most people will never have problems. At the same time, heavy abuse, especially in combination with other drugs or alcohol, can cause significant.

Getting Help

a beautiful woman during her individual therapyIf you or a loved one is struggling with a prescription medicine, there is help. The first step should normally be to go to your doctor, who can offer insight into your prescription use, where it went wrong, and what the next steps should be. Depending on your specific case, you may benefit from therapy, tapering off the drug, or rehab and drug abuse treatment. However, in most cases, if you’re compulsively using a drug, you’ll need therapy and treatment to help you resolve the underlying causes – or your risk of relapse or changing to a different drug will remain high.

Prescription medications can be dangerous. However, they can also be lifesaving. Following the prescription, avoiding mixing drugs, and stopping drug usage when you no longer need it can all help you to stay safe when using prescription medication. However, you should always discuss your plans and their safety with your doctor before changing how you use or take a prescription medication.

If you or your loved-one struggles from substance abuse please contact us today and speak with one of our experienced and professional intake advisors about our detox, partial hospitalization, and residential treatment programs. We’re here to help you recover.

What is Naloxone (Narcan)?

photo of a bottle of naloxone

What is Naloxone (Narcan)?

photo of a bottle of naloxoneNaloxone, sold under the brand name Narcan, is a drug used to counteract the effect of opioids. It is most often used to reverse overdoses, giving people time to make it to the hospital and emergency care. Naloxone, which was first approved in the 1990s, is estimated to have saved tens of thousands of lives in the United States. It’s also available for free or at a low cost, via the drug’s distribution website and through many pharmacies. In most cases, you don’t even need a prescription.

An estimated 1.6 million people have an opioid use disorder. A further 10.3 million abuse prescription pain pills, heroin, and other illicit opioids. Naloxone exists to give those people the opportunity to recover from an overdose and to get the help they need to live. That’s crucial, considering over 70,000 people in the U.S. die from opioids each year. The CDC and the World Health Organization recommend Naloxone as first line treatment, marking it among the safest and most effective drugs in its type.

History of Naloxone

Naloxone or Naloxone Hydroxide was first patented in 1961. It quickly hit markets and was used in clinical trials of efficacy across North America. In a 20-year study, the drug reversed over 10,000 overdoses, giving patients time to get to the hospital. This study was crucial in opening Naloxone available to the “take-home” public, resulting in legislation that now allows families and addicts to pick up doses or order them online. In 2017, take home naloxone had been available for 20 years, with a consensus that it saved lives where available – but with too few people educated in using naloxone, more effort in education and availability would have to be done.

Today, Naloxone is available in most pharmacies and at most clinics for a low cost. In addition, you can get it for free at many shelters and drug shelters. Availability, of course, depends on region. However, you can always look for pickup options on the Narcan website.

What is Naloxone and How Does It Work?

Naloxone is an opioid agonist. It prevents opioids from binding to the brain. This means that when taken, the drug can actually cause the individual to go into withdrawal. That can be dangerous on its own, so it’s important to call 911, even if you have Naloxone on hand. In most cases, Naloxone is administered using a nasal spray which should successfully pull the individual out of an overdose within about 2-5 minutes. If it doesn’t, you’re recommended to give them a second dose.

Naloxone typically works for 20-30 minutes. After this, the individual may need a second dose. However, many people simply don’t call 911 for drug emergencies. While that often relates to the police showing up with ambulances, doing so could save a life. Currently, ambulances are called just 10-56% of the time during overdoses. Simply calling an ambulance after administering Naloxone ensures that the dose is enough, that follow-up treatment is handled, and that the person overdosing is monitored until they are out of the window of danger.

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Medication Assisted Treatment

photo of a man and doctor during Medication Assisted TreatmentWhile Naloxone is primarily used to reverse overdoses, it’s also used in Medication Assisted Treatment of MAT. Here, it is commonly administered with Buprenorphine. The idea is that someone using naloxone cannot get high off of an opioid. Buprenorphine includes a 1:20 mixture of Naloxone and Methadone. This allows the individual to take the methadone to relieve cravings and to reduce withdrawal symptoms, while preventing them from getting high. Naloxone is also poorly orally absorbed and is poorly absorbed through a patch. So, if the patient attempts to inject the methadone, the Naloxone takes effect, and they go into withdrawal instead.

This has allowed Buprenorphine to be used as a maintenance therapy, with little supervision by doctors.

Naloxone may also be used as a maintenance therapy on its own. However, in most cases it is not. In addition, taking Naloxone while addicted can cause significant problems, such as paranoia, cold and flu symptoms, and spasms. Therefore, it’s important to seek out therapy and behavioral treatment when starting Naloxone therapy.

Does Naloxone have Side Effects?

Naloxone, like any other drug, has a full list of side effects. They are:

  • Pain at injection site
  • Burning sensation at injection site
  • Hot flashes
  • Sudden onset withdrawal
  • Sweating
  • Arrythmia (low chance)
  • Allergies (low chance)

Naloxone is also completely non-addictive. Long-term users experience only slight increase in tolerance. However, with no other addiction profile, this drug is safe to take long-term with buprenorphine. However, buprenorphine is usually recommended for 3-6 months – so extremely long-term usage should never be a consideration.

In addition, with no overdose risk, Naloxone is safe to use, even by amateurs. In fact, if someone is not responding to a first dose, the recommendation is to give them a second one. And, if your ambulance does not show up within 20 minutes, it’s recommended to monitor the affected person and administer a new dose if symptoms of overdose start to reappear.

Essentially, Naloxone is one of the safest and most effective drugs for treating overdose, as listed by the World Health Organization.

Who Can Get Naloxone?

Naloxone is sold over the counter and for take-home use across most of the U.S.

It’s also FDA approved as a pill, a patch, an injection, and a nasal spray. The nasal spray is the most recommended, as it is the easiest to administer, even under stress. It’s also easier to use without complications than an intramuscular shot. However, both are readily available under two major brands. Narcan and EVZIO. Both are low-cost, widely distributed at pharmacies, shelters, and drug shelters, and easy to use. You can check online on Narcan.com to see where you can acquire the drug in your area.

Eventually, Narcan is a safety device. You have it on you to ensure that yourself or a loved one is safe in case of an opioid use disorder. If you’re already getting opioid addiction treatment, Narcan is a lifeline to prevent you from relapsing. In either case, the drug is safe, readily available, and it will help.

If you or your loved-one struggles from substance abuse please contact us today and speak with one of our experienced and professional intake advisors about the drug rehab admissions process. We’re here to help you recover.