Tag: opioid epidemic

Secret limits to stop ‘suspicious’ Xanax and Adderall orders are forcing some legitimate patients to scramble

Patients diagnosed with conditions like anxiety and sleep disorders have become caught in the crosshairs of America’s opioid crisis, as secret policies mandated by a national opioid settlement have turned filling legitimate prescriptions into a major headache.

In July, limits went into effect that flag and sometimes block pharmacies’ orders of controlled substances such as Adderall and Xanax when they exceed a certain threshold. The requirement stems from a 2021 settlement with the US’s three largest drug distributors — AmerisourceBergen Corp., Cardinal Health Inc. and McKesson Corp. But pharmacists said it curtails their ability to fill prescriptions for many different types of controlled substances — not just opioids.

Independent pharmacists said the rules force them come up with creative workarounds. Sometimes, they must send patients on frustrating journeys to find pharmacies that haven’t yet exceeded their caps in order to buy prescribed medicines.

“I understand the intention of this policy is to have control of controlled substances so they don’t get abused, but it’s not working,” said Richard Glotzer, an independent pharmacist in Millwood, New York. “There’s no reason I should be cut off from ordering these products to dispense to my legitimate patients that need it.”

It’s unclear how the thresholds are impacting major chain pharmacies. CVS Health Corp. didn’t provide comment. A spokesperson for Walgreens Boots Alliance Inc. said its pharmacists “work to resolve any specific issues when possible, in coordination with our distributors.” 

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“Grandma of the Police Officers Association” in California Arrested for Importing Fentanyl From China and Other Countries

As the drug crisis in America rages on as opioids and fentanyl pour across our unsecured border from the Mexican drug cartels supplied by Chinese “pharmaceuticals,” an unsuspecting trafficker has emerged.

San Jose Police Officers Association police union executive Joanne Marian Segovia was arrested on Wednesday for attempting to import a synthetic opioid called Valeryl fentanyl.  If convicted, she faces up to 20 years in federal prison.

Police union president Sean Pritchard told the New York Post that Segovia was like “the grandma of the POA…this is not the person we’ve known, the person who has worked with fallen officers’ families, organized fundraisers for officers’ kids…”

Segovia was allegedly importing packages of drugs from China, Canada, India and other countries and disguising them as common items such as makeup, chocolates, and food supplements.  She has received at least 61 packages at her home from 2015 through 2023.

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Abrupt closure of ketamine clinic chain blindsides veterans and others with severe depression and chronic pain

Military veterans across the country are scrambling after more than a dozen clinics that had been providing them with free ketamine treatments for severe depression, chronic pain or post-traumatic stress disorder suddenly closed.

Patients and employees of the Ketamine Wellness Centers, or KWC, said they were blindsided when the company, one of the nation’s largest operators of ketamine clinics, announced on its website on March 10 that it had shuttered all 13 of its locations in nine states.

“I cried for days,” said Travis Zubick, a U.S. Navy veteran, who was a patient at the company’s Minnesota location. “They packed up and left town, and that’s over.”

Zubick and about 50 other former service members had been relying on KWC’s partnership with the U.S. Department of Veterans Affairs for free ketamine treatments.

Now, many are rushing to find another facility that takes their VA insurance before the effects of their last treatment wear off.

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Hospitals Are Still Reporting New Mothers for Neglect Based on Drug Tests Triggered by Poppy Seeds

Before Kate L. gave birth to a baby girl last September, a nurse at New Jersey’s Hackensack University Medical Center collected a urine sample from the soon-to-be mother. Kate thought nothing of it, because she was accustomed to having her urine tested for protein levels during her pregnancy. She had no idea that her urine would be tested for drugs, which resulted in a terrifying, monthslong investigation aimed at determining if she was a fit mother.

Kaitlin K. had a similar experience when she gave birth to a baby boy at Virtua Voorhees Hospital in Camden County, New Jersey, the following month. The immediate culprit in both cases seems to have been a poppy seed bagel that triggered a false positive for opiates. That, in turn, led to state investigations of alleged child neglect. But the real blame, according to complaints filed this month by the American Civil Liberties Union (ACLU) of New Jersey, lies with the hospitals, which it says conducted nonconsensual, medically unnecessary, and woefully inadequate drug tests, then reported the erroneous results to the New Jersey Department of Child Protection and Permanency (DCPP).

The ACLU, which is asking the New Jersey Department of Law and Public Safety’s  Division on Civil Rights to stop that practice and award compensatory damages, argues that a policy of “drug testing perinatal patients on the basis of sex and pregnancy” constitutes illegal discrimination under state law. Whatever the legal merits of that claim, the sneaky, arbitrary, high-handed, and cruel treatment described in the complaints shows what can happen when medical personnel forsake their ethical responsibilities in service of the war on drugs.

“No one should be subjected to unnecessary and nonconsensual drug tests,” says ACLU of New Jersey staff attorney Molly Linhorst. “Our clients are sending a clear message to hospitals that these testing and reporting policies are unacceptable. Discriminatory testing policies like these upend what should be a time of joy for families, and so often subject them to further trauma and unwarranted investigation by the state.”

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Priorities: Defense Dept. Holds Diversity, Equity, and Inclusion “Summit” As Military Fentanyl Overdoses Surge

In an article entitled “‘You Can’t Fix the Problem If You’re in Denial:’ The Military’s Surge of Fentanyl Overdoses,” Military.com tells the story of Carole De Nola, whose son Ari McGuire, “a 23-year-old reconnaissance scout with Fort Bragg’s storied 82nd Airborne Division,” died of a fentanyl overdose.

[O]n a Friday night in August 2019, De Nola got a call from an Army officer: Her son was on life support in a Fayetteville, North Carolina, hospital. Ari’s heart had stopped beating while riding in an Uber, coming through the gate at Fort Bragg. An ambulance had managed to revive him, and Ari was induced into a coma upon arriving at the hospital.

De Nola, her husband Joseph, and the cantor from their synagogue had made the daylong trek from California to North Carolina to say goodbye to Ari. “When we got there, the doctor told us that there was nothing they could do. I’m sure that the whole hospital heard me screaming.”

Unfortunately, statistics show that Ari is not alone. His death was one of 332 fatal overdoses within the military, according to information newly released by the Pentagon on ODs between 2017 and 2021. That five-year period also saw 15,000 non-fatal ODs among the active-duty force. Fort Bragg is a known drug “hot spot“; “Thirty-four soldiers died at the base between 2017 and 2021; it also saw a 100% increase in drug crime over 2021. Those deaths account for more than 10% of the total fatalities reported by the military.”

Gil Cisneros, the Under Secretary of Defense for Personnel and Readiness, stated in a letter accompanying the new fentanyl statistics that “[w]e share your concern that drug overdose is a serious problem and must be addressed.” But “De Nola said that she doesn’t feel that the military has done enough.” Others agree.

Alex Bennett, a professor at NYU’s School of Public Health who has led several studies addressing opioid-use among military veterans, stated that “what we have in the military is sort of an epidemic that’s not fully acknowledged.”

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Pentagon Finally Stops Hiding Military Overdose Epidemic

THE U.S. ARMY Special Forces, better known as the Green Berets, has a serious problem with substance abuse and fatal drug overdoses. The same is true of the Army’s two most important infantry divisions: the 101st Airborne Division and the 82nd Airborne Division.

That’s the takeaway of data released by the Pentagon this week to a group of five U.S. senators, led by Massachusetts Sen. Edward Markey. Markey, Massachusetts Sen. Elizabeth Warren, and others grew concerned about rising drug use in the military after reading a report in the September issue of Rolling Stone that at least 14 and as many as 30 American soldiers had died in 2020 and 2021 of overdoses at Fort Bragg, North Carolina. Fort Bragg is the headquarters of the Special Forces, as well as the top-secret Joint Special Operations Command, the “black ops” component of the military.

The senators wrote a letter to Secretary of Defense Lloyd Austin in late September requesting detailed statistics, going back five years, on accidental overdoses in the ranks. “We share your concern that drug overdose is a serious problem,” the Pentagon’s undersecretary for personnel and readiness wrote in response this week. “We must work to do better.”

A total of 15,293 American soldiers, sailors, airmen, and Marines overdosed on illicit drugs from 2017 to 2022, according to a compendium of data and analysis enclosed with the letter. Of those, 332 cases were fatal.

Consistent with Rolling Stone’s recent reporting, the data showed a rising long-term trend, followed by a sharp spike in overdose deaths among active-duty military men in 2020 and 2021. Fentanyl was by far the biggest killer, accounting for more than half of the casualties. “The number of OD deaths involving fentanyl has more than doubled over the past five years,” the Pentagon disclosed.

“With hundreds of fatal overdoses reported on U.S. military bases in recent years,” Markey writes in a statement to Rolling Stone, “the toll is mounting. We can and must curb this tragic trend.”

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BC decriminalizes hard drugs amid fentanyl crisis

On Tuesday, following the granting of a three-year exemption from Health Canada, British Columbia became the first province in Canada to decriminalize hard drugs, with the government arguing that “substance use is a public health matter, not a criminal justice issue.”

Many have argued that it will only result in more drugs on the street and, inevitably, more dead British Columbians, while some have praised the move as a step in the right direction.

Under the new laws, adults found possessing less than 2.5 grams of certain formerly-illicit drugs will not face criminal charges, nor will they have the substances seized by law enforcement.

Drugs that can now be possessed and used without punishment include opioids, such as heroin, morphine, fentanyl, crack and powder cocaine, meth, and MDMA. 

The BC government emphasized that “decriminalization is not legalization,” noting that, “under this exemption, illegal drugs (including those listed above) are not legalized and will not be sold in stores. Drug trafficking remains illegal, regardless of the amount of drug(s) in possession.” They added that all prior restrictions relating to drug use at schools, airports, and private establishments will remain in place.

While the aforementioned drugs may not be sold in stores, in Vancouver, opioids were recently made available for purchase via vending machines. The project was meant to give users access to safe medical-grade opioids instead of potentially contaminated street drugs, however, it has come under scrutiny as of late due to the potential of misuse.

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‘Gas Station Heroin’ Is Causing Intense Withdrawals. It’s Legal in Most States.

A drug called tianeptine, known colloquially as “gas station heroin,” has been banned by several states. It’s being marketed as a dietary supplement, but some users are describing it as a highly addictive opioid. 

Tianeptine is a tricyclic antidepressant used to treat depression in some European, Latin American, and Asian countries, but it’s not approved by the FDA for medical use in the U.S. It’s not a controlled substance and is typically sold in the U.S. as a dietary supplement, nootropic (a chemical that improves cognitive function), or a research chemical under brand names like ZaZa Red, TD Red, and Tianna. It can be found in gas stations or easily bought online. 

Medical experts say tianeptine functions as an opioid because it hits opioid receptors in the brain, which explains why people have reported severe withdrawal when they try to stop using it. 

“People are using it either to manage or withdrawal from harder, harsher stuff, or they’re kind of starting their journey and developing an unhealthy relationship with it based on its effects—and its effects are opioid-like effects,” said Dr. Patrick Marshalek, an associate professor at West Virginia University’s School of Medicine. 

There’s very little known about tianeptine, including how many people are using it, though reports from both the FDA and the DEA have noted upticks in poison control calls about the drug up until at least 2020. It’s been banned in Michigan, Alabama, Minnesota, Tennessee, Georgia, and Indiana; officials in Mississippi issued a health alert about it earlier this year. 

Experts told VICE News the issues surrounding its use are part of a larger problem where unregulated substances mimic the effects of illicit drugs, despite being marketed in a benign way. 

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Don’t Let Police, Media Mislead You About Fentanyl Exposure Overdoses

Once again, media outlets are rushing to sow panic by blindly accepting a police department’s claims that an officer may have accidentally overdosed by being in close physical proximity to fentanyl, reinforcing the false message that you can potentially overdose on the drug even if you don’t intentionally consume it.

This time we head to Tavares, Florida, where the Tavares Police Department distributed to the local press body camera footage of Officer Courtney Bannick appearing to collapse and pass out after encountering what turned out to be fentanyl and meth in a rolled-up dollar bill she found in a routine traffic stop.

Local news outlets lapped it up (the story, not the fentanyl) and the video footage ran on WESH (the local NBC affiliate), FOX 35, and elsewhere. In none of the initial stories does anybody so much as question whether what they’re seeing is actually being caused by exposure to fentanyl. The officer was wearing gloves, but it was windy, and police argue that it’s possible she breathed the fentanyl in. Officers on the scene say they gave her three doses of Narcan. They brought her to the hospital, where she fully recovered. She is now fine.

The Tavares Police Department is very clear that it’s releasing the body camera footage for the purpose of scaring people about fentanyl.

“Officer Bannick really wants others to take away that this drug is dangerous,” Tavares Detective Courtney Sullivan told WESH. “It’s dangerous for not only yourself but others around you. Something as simple as the wind could expose you and just like that, your life could end.”

This just isn’t true. Add it to the pile of many, many examples of police attempting to convince the public that any possible exposure to fentanyl may be deadly. It does not simply pass through the skin when you touch it. As for the claim that the officer might have inhaled it, a study from the American College of Medical Toxicology and American Academy of Clinical Toxicology calculated that a person would have to stand next to a massive amount of fentanyl for two and a half hours to feel its effects.

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This Couple Died by Suicide After the DEA Shut Down Their Pain Doctor

It was a Tuesday in early November when federal agents from the Drug Enforcement Administration paid a visit to the office of Dr. David Bockoff, a chronic pain specialist in Beverly Hills. It wasn’t a Hollywood-style raid—there were no shots fired or flash-bang grenades deployed—but the agents left behind a slip of paper that, according to those close to the doctor’s patients, had consequences just as deadly as any shootout.

On Nov. 1, the DEA suspended Bockoff’s ability to prescribe controlled substances, including powerful opioids such as fentanyl. While illicit fentanyl smuggled across the border by Mexican cartels has fueled a record surge in overdoses in recent years, doctors still use the pharmaceutical version during surgeries and for soothing the most severe types of pain. But amid efforts to shut down so-called “pill mills” and other illegal operations, advocates for pain patients say the DEA has gone too far, overcorrecting to the point that people with legitimate needs are blocked from obtaining the medication they need to live without suffering. 

One of Bockoff’s patients who relied on fentanyl was Danny Elliott, a 61-year-old native of Warner Robins, Georgia. In March 1991, Elliott was nearly electrocuted to death when a water pump he was using to drain a flooded basement malfunctioned, sending high-voltage shocks through his body for nearly 15 minutes until his father intervened to save his life. Elliott was never the same after the accident, which left him with debilitating, migraine-like headaches. Once a class president and basketball star in high school, he found himself spending days on end in a darkened bedroom, unable to bear sunlight or the sound of the outdoors. 

“I have these sensations like my brain is loose inside my skull,” Elliott told me in 2019, when I first interviewed him for the VICE News podcast series Painkiller. “If I turn my head too quickly, left or right, it feels like my brain sloshes around. Literally my eyes burn deep into my skull. My eyes hurt so bad that it hurts to blink.”

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