Fighting Fentanyl: The Crisis in Texas Border Communities

The opioid crisis has become an increasingly pressing issue in the United States. The Centers for Disease Control and Prevention (CDC) estimates that 91 people die every day in the country from opioid overdose. Heroin, prescription painkillers, and fentanyl are among the most commonly used drugs in this deadly epidemic. Combining opioids with other drugs, like benzodiazepines, alcohol, cocaine, etc., can significantly increase the risk of overdose and death.

According to the CDC, the states that were hardest hit by the drug overdose epidemic in 2015 were West Virginia, Kentucky, Delaware, Ohio, Tennessee, Pennsylvania, Maryland, and Louisiana. But the epidemic is now spreading to Texas as well. The latest provisional data from the Texas Department of State Health Services (DSHS) shows that there were 883 opioid-related overdoses in Texas in 2020. In 2021 the number increased to 1,672. 

Synthetic opioids (largely illicitly made fentanyl) are the major contributors to these rising opioid-related overdoses. Fentanyl is an opioid that is 50 times more potent than heroin, and even a small amount can cause an overdose or death. It is commonly mixed with other illegal drugs like heroin, cocaine, meth, and counterfeit pills, which makes them even more powerful. As a result, it has become one of the most dangerous substances on the streets today.

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Fentanyl Flow to the United States

Mexico has replaced China as the dominant source of fentanyl and other synthetic drugs flowing into the US. According to a report from Commission on Combating Synthetic Opioid Trafficking, most pure fentanyl that was seized by the authorities between 2014 and 2019 came from China. But since then, the leading source of fentanyl has shifted from China to Mexico. The report also noted that Mexican drug cartels had established manufacturing capabilities in Mexico, allowing them to produce the drug in large quantities.

The cartels use the US-Mexico border to smuggle fentanyl through ports of entry and illegal border crossings. However, reports by CBP, ICE, and DHS intelligence indicate that fentanyl is primarily smuggled through legal ports of entry and not illegal entry routes. Surprisingly, 91% of drug seizures at checkpoints are from US citizens. Fentanyl producers mostly hire US citizens because it is easier for them to cross the border than noncitizens.

According to the DEA, the drug cartels use major highway routes to transport illicit drugs. They use passenger cars with hidden compartments or intermingled with legitimate goods on tractor-trailers. 

Reports show that more than 90% of fentanyl border seizures happen at legal border crossings and interior vehicle checkpoints. Drug trafficking organizations use official crossing points because it's easier to hide drugs on legal goods than it is to hide a person crossing the border illegally. 

Fentanyl is an incredibly potent drug. This makes it hard to interdict, considering that even a small physical amount can satisfy US demand. Even more troubling is the fact that Mexican drug cartels produce fentanyl in counterfeit tablets with pain management drugs like Xanax and Adderall. This means that some people may unknowingly take fentanyl without realizing it.

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The Impacts of Drug Trafficking on Texas Border Communities

The influx of illicit drugs has put immense pressure on the border communities in San Diego, Texas, Arizona, and New Mexico. These drugs are affecting public health by increasing overdose deaths and hospitalizations, spreading infectious diseases such as HIV/AIDS, increasing crime rates in these areas, and fueling substance abuse among youth.

Furthermore, drug trafficking organizations like the famous Sinaloa cartel use violence to maintain control of their smuggling routes and to counter law enforcement. This has increased homicides and other violent crimes in border towns.

The proliferation of illicit drugs has also led to increased corruption as drug traffickers offer bribes to law enforcement and public officials. This has eroded trust in law enforcement officers, undermining their ability to protect the public. Other impacts include strain on healthcare resources, economic losses due to drug-related crimes, and increased addiction.

Texas Department of Health and Human Services Efforts to Fight the Fentanyl Epidemic

The Texas Health and Human Services (HHSC) have recently launched a campaign to help fight the fentanyl crisis in Texas, particularly on its southern border. The campaign, Texas Targeted Opioid Response  (TTOR), uses many forms of traditional media and social media to reach as many people as possible. The campaign focuses on educating people about preventing drug overdose and promoting treatment options for those battling addiction.

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TTOR is a public health initiative operated by HHSC through federal funding from SAMHSA. It aims to reduce overdose deaths, improve access to treatment, and prevent the misuse of opioids. The program also:

Fentanyl is one of the most dangerous drugs on the streets today, and it is smuggled into the US through Mexico's border with Texas. This drug influx negatively affects public health, increases crime rates, and fuels substance abuse. The more the general public can learn about the dangers of fentanyl and how fentanyl is smuggled into the country, the more we can help law enforcement battle this problem. 

Those struggling with addiction should seek help from professional providers like More Than Rehab. More Than Rehab offers comprehensive treatment plans and access to medication-assisted therapy and counseling, which can help individuals overcome their addiction and recover. With the right help and support, those struggling with addiction can have a chance at leading a life of sobriety.

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Why Are Opiates Like Heroin So Addictive? 

Opiates are a class of drugs that include both illegal drugs such as heroin and prescription medications such as morphine and codeine. Made from the poppy plant, these powerful substances work by binding to receptors in the brain, triggering feelings of euphoria and reducing pain.

While opiates have long been used for their therapeutic properties, they are also widely abused for recreational use. In fact, opiates are some of the most commonly abused drugs in the United States, with heroin addiction rates skyrocketing in recent years.

According to the National Survey in Drug Use and Health 2019 report, 10.1 million people aged 12 or older misused opioids. 9.7 million misused prescription pain relievers, and 745,000 people used heroin. Sadly, overdose deaths involving opioids increased from about 70,029 in 2020 to 80,816 in 2021.

Most of these overdose deaths involved synthetic opioids like fentanyl, which is now often added to street heroin to increase its potency. Fentanyl is 50 to 100 times more powerful than morphine, making it extremely dangerous and highly addictive.

Chasing the Heroin High

The powerful effects of heroin are impossible to resist for many people. Once someone takes the drug for the first time, they quickly become hooked on its potent high and find themselves chasing that feeling over and over again. This process is fueled by different aspects of addiction, like withdrawal symptoms, tolerance, and cravings.

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Withdrawal symptoms set in when a person stops using heroin or reduces their dosage. These symptoms can be both mental and physical and vary in intensity. They can include everything from anxiety and irritability to nausea and diarrhea. In some cases, heroin withdrawal symptoms can be so severe that they lead people back to drug use to get rid of the uncomfortable feelings.

Tolerance occurs when a person needs increasingly larger doses of heroin to get the same effects. As tolerance builds, people start to experience withdrawal symptoms more often, even if they're still using the drug. This can create a never-ending cycle of addiction in which people are constantly chasing that initial high while also trying to avoid withdrawal symptoms.

Cravings are another major factor in heroin addiction. These strong desires for the drug can be triggered by anything from seeing drug paraphernalia to hearing someone mention heroin use. Cravings are often so intense that they lead people to use heroin, even when trying to quit.

Ultimately, these factors leave little room for choice or willpower on the part of the person abusing heroin. Instead, they become driven by a compulsion to abuse this dangerous drug in an attempt to recreate that initial euphoric rush again and again.

Understanding Heroin Addiction and How it Happens

At the chemical level, heroin is very similar to opioids like morphine and codeine. Like these drugs, it works by activating opioid receptors in the brain and triggering the release of large amounts of dopamine. This flood of dopamine produces a potent sense of euphoria, which is why so many people are drawn to heroin in the first place.

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However, this intense pleasure also causes addiction to develop and flourish. In the long term, repeated heroin use causes changes in the brain that make it difficult to experience normal feelings of happiness or pleasure without using the drug. This drives people to continue abusing heroin even when they are fully aware of its harmful effects.

In addition, repeated exposure to heroin can lead to tolerance and dependence, both physical and psychological factors that severely complicate the recovery process. Heroin withdrawal issues are persistent and difficult to overcome.

Eventually, one develops an addiction and cannot live without the drug. This is when people start doing things they would never have done before to get their hands on heroin. They may steal from family or friends, lie, cheat, or engage in other illegal activities to get money to buy more drugs. Heroin addiction can happen in less than a week, depending on the frequency of use and purity.

Risk Factors for Heroin Addiction

When most people start abusing opioids like heroin, they assume they're in control and can handle it without getting addicted. But like other mental health issues, substance use disorder can take over a person's life without warning. Some people are more vulnerable to addiction than others, and certain risk factors can make someone more likely to develop a problem with heroin. These include: 

1.    Family history of addiction or mental illness

2.    Childhood trauma or abuse

3.    Previous substance abuse

4.    Mental health disorders like depression or anxiety

5.    A difficult or abusive home life

6.    Peer pressure or a desire to fit in

7.    Access to drugs

8.    Curiosity about drugs

Treatment for Opioid Addiction

Treatment is essential if you or someone you love is addicted to opioids like heroin. Opioid addiction is a serious condition that can lead to overdose and death, but there is hope. With the right treatment plan, people can recover from drug addiction and go on to lead happy, healthy, and productive lives.

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Heroin addiction treatment often consists of detox, followed by rehabilitation and therapy. Detox is the first step in treatment and involves getting rid of all traces of the drug from the body. This can be a difficult and uncomfortable process, but it is necessary on the road to recovery and long-term sobriety.

After detox, people usually enter a rehabilitation program. Rehabilitation programs can last for 30 days or more, and they typically involve group and individual therapy, support groups, and other activities designed to help people recover from addiction. Cognitive behavioral therapy is a common approach used in heroin addiction treatment, as it can help people change the thoughts and behaviors that lead to drug abuse. 

Patients with dual diagnosis, meaning they suffer from both addiction and another mental health disorder, may need to receive treatment for both conditions at the same time. This is because treating one condition without the other can often make relapse prevention difficult.

Heroin is an extremely addictive drug. If you or someone close is struggling with a heroin addiction, More Than Rehab is always there to help. Give us a call. We are available 24/7, 365 days a year.

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Texas Overdose Trend Remains At All-Time High For 2022

Substance abuse harms individuals’ physical, mental, and behavioral health. It also affects their families and communities at large. In some instances, it may result in overdose deaths.

A recent report by the Centers for Disease Control and Prevention revealed that over 4,000 people in Texas died due to drug overdose in 2020 alone. The same report revealed that overdoses claimed a total of 93,000 lives in the United States in 2020.

Experts connected the rise in drug addiction deaths with the COVID-19 pandemic. According to Robert Redfield, the CDC director, the COVID-19 pandemic significantly affected individuals with substance use disorders. The need to isolate left them bored and lonely, thus they used drugs and alcohol for solace.

A report by DSHS revealed that opioid use is one of the leading causes of overdose deaths in Texas. Other drugs reported causing overdose deaths are cocaine and methamphetamine.

Director of CDC’s National Center for Injury Prevention and Control, Deb Houry, said that the significant increase in overdose deaths is worrying.

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How to prevent drug overdose deaths

Until recently, there was no state-wide system to collect overdose data. Researchers at the University of Texas have created a digital reporting and surveillance system to track this data. The system, commonly known as Project CONNECT. Its purpose is to give stakeholders a clear picture of the Texas overdose crisis and influence future interventions.

The CDC also made the following recommendations in a bid to reduce the number of overdose deaths:

What you can do

Everyone has a role to play in preventing overdose deaths. There is a high chance that someone you know or someone from your community may overdose at some point, but not all overdoses should end in death.

To prevent overdose deaths in your community, you can:

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Ways to talk loved ones into getting treatment

When a loved one is struggling with an addiction, you may be at a loss on what to do to help them. You wouldn’t want to risk losing anyone due to a drug overdose.

Addiction treatment is a personal choice, so you can’t force your loved one to get treatment. The best you can do is be there for them every step of the way. However, you can do a few things to convince your loved one to get substance abuse treatment. Here are some of the most important ones.

Be non-judgemental

If your loved one admits that they are struggling with drug addiction, try to react as calmly as possible. Talk to them in a non-judgemental manner and offer to help them. If your loved one doesn’t confide in you, but you notice they are addicted to drugs or alcohol, you may have to approach them with the issue. Try to be as non-judgemental as possible.

Research the effects of the drug

When your loved one is an addict, it would be best to research the short-term and long-term effects of the drug they are addicted to. When you are well informed, it is unlikely that they will misinform you on the seriousness of the problem. Additionally, they will more likely listen to you when you sound like an expert.

You can get information on various drugs on our website.

Seek professional help

Drug addiction is a chronic illness. Therefore, it needs professional intervention. Reach out to rehab facilities, doctors, or counselors to get relevant information.

Choose a convenient place and time to talk to them

When you decide to approach your loved one to air your concerns, choose a place and time when you would both be comfortable. Do not exhibit aggressive behavior as they may be defensive as a result. Instead, remain calm, maintain an even tone, and focus on the issue at hand.

It would be best to try talking to them when they are as sober as possible. This way, it will be easier to reason with them.

Listen to them

If your loved one is willing to talk about their addiction, listen to them. Give them a chance to air their side of the story, but don’t let them sway you into believing their problem is not serious. Additionally, it would be best to be mindful of how you react or respond.

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Bring up treatment options

From your initial research, you will notice several treatment options available depending on the drug your loved one is addicted to. Some treatment facilities offer both inpatient and outpatient programs. Let your loved ones know their options and help them select the one that suits them best.

Be supportive    

Your loved one will need a lot of your support throughout the treatment and recovery process.

Most treatment programs have medical detox as the first step of treatment. It is arguably the most challenging part of treatment, and most patients feel like they want  to give up. Be there for your loved one and offer emotional support to better their chances of recovery.

You may also have to accompany them to support groups which play a significant role in ensuring recovering addicts maintain sobriety.

What if they don’t want to get treatment?

Sometimes, addicts may refuse to voluntarily get treatment, posing a danger to themselves and those around them. When this happens, you may have to opt for interventionist court-ordered Rehab. You can petition the court for the order if you can prove your loved one’s addiction endangers them and others.

Get help today

If you are searching for trusted and proven drug treatment, Texas has one of the finest. More Than Rehab provides high-quality addiction treatment for Texas residents. We offer unique, individualized treatment programs based on successful national models.

Our experts will take care of your loved one throughout the recovery process, including medical detox, inpatient rehabilitation, and our comprehensive outpatient program. We also provide additional support for Texas overdose victims through sober living arrangements.

Drugs are Getting More & More Potent

It is true that drugs are getting more and more potent these days. Unlike in the past, drug dealers are now selling stronger doses of drugs to attract consumers and also outshine the competition.

According to researchers, the increasing potency of drugs is a sign of an ever-growing recreational drug marketplace, fueled by the rising popularity of stronger drugs. It could also indicate that the drugs are widely available to consumers, forcing dealers to offer punchier products.

Competition in sectors like food or fuel is great for the end-user. It brings about better products and services, helping the consumer get the best of what the market has to offer. But when it comes to drugs, competition can be deadly. It can lead to drug overdoses and overdose deaths.

That’s because dealers do anything to make their drugs stronger and more appealing to end-users. For example, they’ll cut drugs like heroin with other highly potent drugs like fentanyl to spike effects, etc. Sadly, this can cause severe side effects, and in worse cases, overdose deaths. 

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The potency and purity of drugs in the market have reached new levels. It’s an alarming trend especially since the country is dealing with an opioid epidemic that has claimed tens of thousands of lives. At the moment, drug poisoning deaths are the number one cause of injury death in the US, exceeding guns, homicide, suicide, and car crashes.

Organizations like the European Monitoring Centre for Drugs and Drug Addiction and the US Drug Enforcement Agency produce annual reports on drug testing and thorough evaluation of substances they encounter. They also list out drug pricing details, and surprisingly, cheaper substances are often more potent than expensive ones. That’s because the cheaper ones are inexpensively mass-produced or readily available to meet the demand.

In the US, the average purity of cocaine, heroin, and marijuana increased by 11, 60, and 160% respectively between 1990 and 2007, while their prices, adjusted for purity and inflation fell about 80%. With that in mind, let’s now look at specific drugs and how potent they’ve become.

Marijuana

Today’s marijuana is three times stronger than it was about 25 years ago. This is according to a study published by the National Library of Medicine. The THC level found in marijuana went from 4% to 12% since 1994, with some strains having a concentration rate of 15-25%.

The growing popularity of marijuana has seen the development of more potent products. Traditionally, the plant was mainly consumed through edible products or smoking. But today, people make extracts and concentrates which are more potent due to larger resin volumes. Resins, which are isolated active compounds of weed, have 3-5 times for THC than a marijuana plant.

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Meth

About a decade ago, the average gram of meth in the US was 39% pure. Today, the Mexican manufacturers produce and sell it in a near-pure state. According to the 2017 National Drug Threat Assessment by the DEA, the purity in 2016 was around 93-96%. Meth is smuggled alongside fentanyl and carfentanil, a very powerful derivative that’s often used as an elephant tranquilizer and can kill a person with one or two specks.

Fentanyl

Fentanyl, a powerful synthetic opioid, is a prescription drug that’s also made and used illegally. It’s mostly used after surgery to help patients with pain. But the Mexican cartels and Chinese cartels manufacture and smuggle the drug into the US.

And since it’s easier and cheaper to produce than heroin, many drug dealers make pills or cut them into other drugs and deceptively market them as oxycodone pills or heroin. According to the DEA, fentanyl seized on the US-Mexico border is about 4-6% pure. But the smaller quantities from China have a purity of 90% or even higher.

Heroin

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Heroin is highly addictive and many people find it hard to stop using it, even just after using it once or twice. Many constantly crave their next dose. If a heroin addict quits cold turkey or is unable to find another dose, he or she may develop withdrawal symptoms like sleeplessness, feelings of panic, muscle pain, nausea, vomiting, diarrhea, and sweats or chills.

Availability is partly to blame for heroin addiction. Heroin and prescription opioids have the same chemical properties and psychological effects. It’s why many people transition from abuse of prescription medications to heroin. Most of them cite heroin as cheaper, more accessible, and offers a better high. Notably, heroin’s street price has been much lower in the last few years.

As mentioned earlier, drug dealers and distributors are now cutting heroin with fentanyl to increase their supply and make it even more potent. Fentanyl is man-made; so it’s cheaper and easier to obtain than plant-based drugs like cocaine and heroin. Fentanyl-laced heroin is very potent and potentially fatal. According to the Centers for Disease Control and Prevention, Fentanyl is 100 times more potent than morphine and 50 times stronger than heroin. That’s why the risk of fatal overdose is much higher with such drugs.

Cocaine

Like heroin, cocaine is also often mixed with the powerful opioid fentanyl. Fentanyl turns cocaine into a much bigger killer than the drug of the past. In the 70s, drug dealers and users mixed heroin with cocaine. This mix is famously known and speedball. Speedball creates an intense euphoric rush that’s known as push-pull. But fentanyl has made it much worse. It makes people addicted to a crisis.

And the situation seems to worsen with the increased supply. A federal survey revealed that about 2 million Americans used cocaine regularly in 2018. In 2011, there were 1.4 million users. The production in Colombia has widened the stimulant market and reduced prices.

Sadly these people who produce cocaine aren’t chemists and don’t always know what they’re doing. But drug users trust their suppliers. Most of them don’t carry naloxone, an opioid overdose reversal drug because they assume they won’t need it.

Seeking addiction treatment

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Substance abuse is dangerous as is. Alcohol abuse can cause liver damage, and smoking lung cancer. We also know that heroin and cocaine abuse cause adverse effects like heart disease, seizures, lung and liver damage, etc. When people use more potent drugs, the risk is even higher.

Since most of them aren’t aware of the potency, they may use the same dose of a drug, but end up with adverse effects, or even death.

Drug overdoses are fatal. Luckily, many people who have overdoses can be saved if they get immediate care. Usually, death happens due to respiratory failure. Overdose is a scary word, especially since most associate it with death. But these two aren’t always a connected.

A person can still lead a healthy life after an overdose, but only if they learn from it. If you’re wondering where to begin from here, then you’ll be pleased to learn that treatment options exist. Reach out today to get help.

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East Texas Has an Opioid Problem, From Prescription

If you think that the drug abuse trend in the great state of Texas has anything to do with its closeness to the Mexican border, you are right. Texas shares a 1,254-mile border with Mexico, which is a big factor in the state's drug problem, especially with the illegal drug heroin.

According to the National Drug Intelligence Center, Texas Drug Threat Assessment, this border area is widely used by the cartels to smuggle illicit substances to the United States. That’s because most of is open, including state parks and this makes it difficult to constantly be monitored by enforcement agencies.

Large quantities of cocaine, heroin, marijuana, and meth are trafficked to the country through the border. Federal-wide Drug Seizure System (FDSS) research shows that the amount of drugs seized by officers in the state – most confiscated near or at the US-Mexico border – consistently surpasses that of any other region in the United States

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But despite the law enforcement effort, cartels still find creative ways of ferrying the drugs across the border, whether it’s through roads, air, rail, water, or underground tunnels. And while smuggling happens anywhere across the border, commercial smuggling is prevalent in the Gulf of Mexico and the Rio Grande River.

Prescription opioids in East Texas

Illicit substances aren’t the only drug problem in Texas. The seemingly safe prescription medicines are also frequently abused and can cause serious issues, like overdose and death. In 2018, there were 14,975 deaths involving prescription opioids in Texas, according to the National Institute on Drug Use. Although the national prescription opioid-involved death rates decreased by nearly 7% from 2018 to 2019, the Centers for Disease Control and Prevention reveal that more than 70% of the 70,630 deaths in 2019 involved opioids.

Prescription drugs produce feelings of calmness and euphoria when taken in large doses. And while they aren’t meant to be taken this way, people may become tolerant over time and begin taking larger doses to feel the effect. This is part of the reason Texas law limits opioid prescriptions for acute pain to 10 days – with no refills allowed. A separate law also mandates physicians to check a state database to track whether patients with moderate to severe pain have already gotten the drugs elsewhere.

The regional needs assessment showed that the lifetime use rates for codeine syrup, Adderall, and benzodiazepines in the south- and northeast Texas were 15.5%, 4.4%, and 4.1%, respectively. Additionally, there were 7 prescriptions per 10 people in northeast Texas compared to 5.2 per 10 people statewide, according to the assessment.

Examples of commonly abused prescription drugs in East Texas include:

Misuse of prescription medicines is widespread, especially among adults and teens. Xanax misuse is particularly prevalent for teens. Houston, which lies in Southeast Texas, near the Gulf of Mexico and Galveston, is a source city for bulk quantities of pain medicines. Most of the supply comes from diverse activities at Houston’s many illegal pill mills, organized pharmacy theft, and prescription fraud.

Counterfeit pill production

The rise of counterfeit pill production makes the prescription drug situation even worse. Fake Xanax and hydrocodone pills containing fentanyl and other synthetic opioids are increasingly being seized. These impure drugs can have severe side effects and lead to overdose and death in worse cases. In fact, reports show that misused opioids accounted for more deaths than any other drugs save for cocaine.

According to the DEA, fentanyl-laced counterfeit pills remain a leading cause of overdose deaths in East Texas and across the country. As cheap, potent fentanyl infiltrates the heroin markets, the drug will augment and supplant white powder heroin in different markets.

Texas is in the top five states for a total number of opioid-related deaths. It also has the second-highest opioid abuse-related health care costs, amounting to over $1.9 billion, according to the City of San Antonio Metropolitan Health District’s overview. Hundreds of people die of overdose every day, and deaths involving schedule II drugs have outpaced those of heroin and cocaine combined since 2002. The crisis has led several East Texas counties, like Upshur, Titus, and Bowie, to hold drug manufacturers like Pfizer Inc., Purdue Pharma, and Johnson & Johnson responsible for the economic burden of opioid addiction.

Opioid addiction

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Opioids such as fentanyl, heroin, and pain medications are highly addictive because they activate powerful reward centers in the brain. These drugs activate opioid receptors on cells situated in many areas of the spinal cord, brain, and other body organs, particularly those involved in feelings of pleasure and pain. When they attach to these receptors, they block pain signals and flood the body with dopamine. This effect can reinforce the act of using the drug, making one want to repeat the experience.

Long-term use of opioids can cause some people to develop tolerance. In this case, they’ll need higher and more frequent doses to achieve the desired effect. But this causes neurons to adapt so that they only work normally when the drug is present. The absence of the drug causes withdrawal symptoms, some of which are life-threatening. At this point, one is likely to rely on the drug to keep these symptoms at bay.

Treating opioid addiction

Chronic pain patients who develop opioid addiction need medical support to quit using the drugs. There are many inpatient and outpatient facilities in Trinity, Newton, Polk, Port Arthur, Tyler, Texas, etc., dedicated to treating people with addiction. Other programs, like the Deep East Texas Opioid Response Program, can also help with addiction care. Many of these programs use medications like buprenorphine or methadone to help individuals get off of opioids. In cases of opioid overdose, patients are given Naltrexone to flush out receptors to reverse the overdose.

Take advantage of the many resources available in the region to ensure you or your loved one is free from opioid addiction. The East Texas Council on Addiction and Drug Abuse is one such resource that acts as the first step for those seeking help. But you can also contact us today to learn how we can help you get off drugs and lead a clean, healthy life.

Texas is Dealing with Even More Fentanyl Problems

Fentanyl is the newest drug to blame for the growing opioid epidemic in Texas. This might sound odd, considering the drug is medically approved and is often prescribed by doctors. However, statistics show deaths involve fentanyl abuse more now than ever before in the state of Texas

The misuse of opioids, including fentanyl, heroin, and prescription opioids, has reached epidemic proportions in the US, leading to over 69,710 overdose deaths in 2020. This is according to the National Institute on Drug Abuse. Texas, in particular, has experienced an upsurge in overdose deaths, accounting for over 3,000 deaths in 2020. Moreover, trends in opioid abuse in the state point to worsening problems in the coming years.

What is fentanyl?

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Fentanyl is a powerful synthetic opioid used to treat chronic severe pain or severe pain following surgery. It is a Schedule II drug like morphine, only about 50-100 times more potent. When used under doctor’s supervision, fentanyl has legitimate medical use. However, some people use fentanyl at unprescribed levels, exposing themselves to many issues, like tolerance and addiction.

Fentanyl is highly addictive due to its potency. It’s therefore common for those taking prescription fentanyl to experience dependence that’s characterized by withdrawal symptoms upon stopping. Symptoms like sleep issues, muscle and bone pain, cold flashes, vomiting, diarrhea, and severe cravings are uncomfortable and make it hard for people to stop taking fentanyl.

When these people can no longer access prescription fentanyl, they may turn to the streets for options. Unless they enroll in a treatment program, they might not be able to pull themselves out of the hole. Alcohol or drug addictions are best treated by professionals.

On the streets, fentanyl has nicknames like:

Illegal fentanyl is available in different forms, including nasal sprays, powder, pressed pill, eyedroppers, and dropped onto blotter paper. The risks of drug overdose on fentanyl than other opioids are extremely high due to its potency.

In fact, it is now the number one cause of drug overdose deaths. And to worsen the situation, illegal manufacturers often cut fentanyl into other opioids making it even more potent. Examples of these drugs include heroin and cocaine. The lack of quality control on illegal drug production adds another layer of danger.

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Fentanyl epidemic in Texas

Many drugs are sold on the streets of Texas, but none is doing as much damage as fentanyl. According to statistics, the drug has led to a significant increase in opioid overdoses in recent years. In 2020, drug overdose deaths rose to 93,000 and were mostly fueled by the rise of fentanyl.

The scary part is that this year, the Texas Department of Public Safety seized enough fentanyl to kill everyone in California and Texas combined– a 950% rise compared to last year. Most fentanyl enters Texas through the southern border.

Gov. Greg Abbott believes that President Biden’s border policies are the reason behind Texas’s fentanyl problem that begun in 2020 but drastically increased in the first four months of 2021. According to Abbott, people crossing the border come with things that are not visible to the public yet carry deadly danger.

“2mg of Fentanyl has the power to take a life,” read Gov. Abbott’s tweet. “This year, @TxDPS has seized 95lbs of Fentanyl. That’s 21.5M lethal doses. Biden’s deadly border policies are being felt in communities throughout TX and the country. DPS & @TexasGuard are working on getting these drugs off the streets.”

Organizations that traffic fentanyl typically distribute by kilogram. A Kg of fentanyl can kill up to 500,000 people. Sadly, most people who take street drugs have no idea they contain fentanyl. And even those who know they’re taking fentanyl still have no idea that it has a lethal dose.

According to the Center for Disease Control, synthetic opioids are the main culprits behind overdose deaths in Texas and the country at large, rising 38.4% during 12 month period that ends May 2020. In this period, the DEA reports:

Pandemic and fentanyl overdose deaths

The proximity to the border is not the only factor that fuels fentanyl use in Texas. Different sources say there has been evidence of increased fentanyl use during the pandemic. The disruption of the supply chain forced people to turn to drugs they weren’t familiar with. And the stay-at-home measures meant more people were taking drugs in isolation. Other risk factors for fentanyl addiction include:

Where is the fentanyl coming from?

Most of the illegal drugs that come into the US are cultivated in poppy fields in Mexico. They are then distributed by cartels the DEA describes as the greatest drug traffic threat to the US. These cartels smuggle fentanyl and other drugs in passenger and commercial vehicles and through underground tunnels.

Socioeconomic consequences of fentanyl use

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The fentanyl epidemic is having devastating effects on other aspects of public health. It has led to high rates of HIV, hepatitis C, and other illnesses, mostly because of shared syringes. There are also more cases of pregnant mothers passing opioid dependency on their unborn children.

A study performed by HHS researchers revealed that cases of neonatal withdrawal symptoms experienced by newborns exposed to opioids while in the womb skyrocketed to over 80% between 2010 and 2017. Not only that. There’s a good chance that the opioid crisis caused an upsurge in the number of children in foster care.

Besides, those struggling with addiction may suffer a job loss or even end up with legal troubles. Addiction is expensive and often puts a strain on family and friends. After all, only those who care about the patient will provide resources to see one through treatment. In some cases, it’s also the close relations that take the most financial heat – like when the person struggling with addiction spends lots of money or they max out the credit in their pursuit to use.

Treating fentanyl addiction

Fentanyl is one of the strongest opioids and can quickly lead to addiction. It is therefore, crucial to know the risk factors and warning signs of fentanyl addiction. Awareness can help prevent overdose and related deaths and encourage one to get help.

Facilities offering treatment for drug addiction exist to help those who end up with addiction regain control of their lives. There are also support groups to help one stay on the path to long-term recovery.

How To Spot A Possible Heroin User

Heroin is an extremely dangerous and addictive illicit drug. It can come in many forms and goes by many different names but it often comes in a fine white, brown, or black powder. Another popular form of heroin is black tar heroin, and as the name implies, it looks like black tar and is sticky and gooey. Heroin is an opioid that was originally derived from the seeds of the poppy plant. It has been used by millions across the globe for some time now but it has recently grown in popularity in America, particularly in the last decade. According to data collected by the National Institute on Drug Abuse, nearly 170,000 began using heroin for the first time in 2016, a number that had doubled since 2006. Even worse, data collected by the Centers for Disease Control and Prevention in 2018 shows that 128 people die in the United States every day from an overdose on opioids.

A possible heroin user will likely have an addiction that is difficult to treat

An addiction to heroin can be particularly difficult to overcome, especially considering it often leads to death via unwanted overdoses. A lot of times heroin on the street is cut with harmful chemicals, including substances like fentanyl. Unfortunately, fentanyl has become a favorite among dealers as it is particularly powerful, around 100 times stronger than morphine, and it’s also cheap. This is part of the reason as to why there are so many overdoses associated with heroin and the use of other opioids. That is why it is extremely important to get help for your loved one if you believe they might be suffering from a heroin addiction or other type of substance use disorder. If you are unsure whether or not they are a possible heroin user, then here are some tell-tale signs that they are using heroin.

How to spot a possible heroin user:

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Of course, these are just a few of the signs that someone you know may be a potential heroin user. They may also display things like slurred speech, memory problems and a reduced sense of pain. Their pupils may appear constricted and they may also have a constant runny nose or nose sores if they are prone to snorting the substance. If you are still unsure, then please reach out to us for help! We have many trained professionals with years of experience on treating, managing, and helping people cope with heroin use and other addictions. We have the tools necessary to help begin a successful road to a lifetime of healthy sobriety. We hope that your loved one gets the help that they need and we hope to hear from you soon!

(888) 249-2191

What is the Difference Between Norco, Heroin, and Fentanyl?

Drug and alcohol addiction is a very serious problem in our country today, even more so with the current pandemic that has struck the world. It is estimated that nearly 21 million Americans struggle with a substance abuse problem of some kind. The current Covid-19 pandemic has recently caused a lot of issues with substance use, including devastating impacts to sobriety and recovery for many people. However, what many may not know is that there is an epidemic that has been hitting our country pretty hard for several years and that is the opioid crisis. The opioid crisis, also known as the opioid epidemic, is in part to the overprescribing of addictive painkillers, like Norco that eventually lead to people buying drugs on the street, such as heroin, fentanyl, or even other prescription drugs. This is especially true if they are no longer able to obtain them through legal channels, like a prescription from their doctor.

Opioids are a class of drugs that are naturally found in the opium poppy plant and target the opioid receptors in the brain to produce effects very similar to morphine. Many opioid medications work by blocking pain signals to the brain. Even though there are many different opioids, Norcos, heroin, and fentanyl are some of the most popular substances that are commonly abused by people who suffer from an addiction or substance abuse problem. With so many different opioid drugs on the market, it is easy to be confused about the differences between them, so here is a brief explanation of Norcos, heroin, and fentanyl.

Norco prescription painkillers are very addictive

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Norco is a prescription painkiller used to treat moderate to severe pain but can also become very addictive. Norcos are made with a combination of acetaminophen (over the counter pain reliever) and hydrocodone (a synthetic opioid). Like many opioid painkillers, this drug works by altering the perception of pain by targeting certain opioid receptors in the brain. Norcos are also very similar to another prescription painkiller known as Vicodin, the only difference between them is the ratio of acetaminophen and hydrocodone. Both of these prescription painkillers are regulated by the Drug Enforcement Agency (DEA) and are considered a Schedule II drug.

The danger with Norco or Vicodin is the potential to become addictive if there is chronic or persistent pain involved. Over time, people are likely to develop a tolerance and physical dependence to the drug, needing to take more and more each time to feel the same effects. A lot of time this leads people to trying “harder” drugs in order to achieve the desired effects, or even to avoid the painful withdrawal symptoms. Some common side effects of Norco are:

Heroin addiction can result from a dependence on prescription painkillers

Heroin is a highly dangerous and illicit substance. It is derived from morphine, which is made from the naturally occurring opioid poppy plant. Heroin can come in many different forms, the most common are in the form of white powder, brown powder, or a sticky black substance known as black tar heroin. The danger with heroin is that it is made illegally with no real way to test the strength of the product, unlike Norcos which come highly regulated. This has the potential to cause a lot more overdoses and a higher chance of addiction as most of the time the substance is a lot stronger than prescription painkillers.

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Some people eventually turn to abusing heroin after their dependence to painkillers has grown strong enough to the point where they need something else in order to feel the desired effect. Heroin is also classified as a schedule I drug, meaning that there is no valid medical purpose for the substance. A lot of times this drug is cut or mixed with other dangerous and cheaper chemicals in order to maximize profits and cut costs for the dealer. Some common side effects of heroin include:

The dangers of Fentanyl

Fentanyl is a powerful, dangerous, and highly addictive opioid painkiller. It is very similar to morphine but is estimated to be anywhere around 50-100 times stronger, making this one of the most powerful opioid substances on the market. The effects of fentanyl are activated at a much lower level than other opioids, making this an extreme danger to those who are not aware of its strength. When people use this drug nonmedically, they are at a very high risk of overdose because it can be anywhere from 50 to 100 times more potent than morphine.

Unfortunately, many dealers dilute their heroin with fentanyl in order to increase their drug’s potency and their own profits. This is because it takes very little to produce the same effects as other drugs. The problem with that is unsuspecting users may ingest more fentanyl than intended because they are not expecting to ingest this dangerous chemical. Dealers have even been known to use fentanyl in MDMA, cocaine, and methamphetamine, causing a lot of unfortunate and unintended overdoses that would not have happened if it weren't for fentanyl unknowingly being there. Some common side effects of this dangerous chemical are:

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All of these drugs listed above are very dangerous and addictive. They can all destroy your life if you let it. We know that there are times when you need to take painkillers, but that doesn't mean you have to end up addicted to the high for the rest of your life.

If you or a loved one are struggling with any sort of opioid addiction, or an addiction to any other drugs or alcohol, then we are here to help! We know how difficult that getting off of drugs can be, but your comfort is our main concern. We are medically-equipped to take care of all of your needs during and after detox. We want to help show you the way to a happy, healthy life without drugs or alcohol.

Call us today at More Than Rehab so we can start a personalized plan just for you:

888-249-2191

What are Tiny Spoons Used for in the Drug World?

Tiny spoons often prove to be a curious find for parents, friends or family members who stumble upon their loved one’s “secret stash” of drug paraphernalia. The internet is littered with questions like: what are these tiny spoons with a bunch of white powder? Or why are the bottoms of all of my spoons black? The simple answer here is drug culture in the United States.

The short answer to these questions is that very small spoons can be placed under the nose for easy, sometimes discreet snorting of drugs through the nasal cavity. Typically, larger, bent metal spoons with burn marks on the bottom is clear evidence that someone has used the spoon to inject drugs via intravenous (IV) needles. We’ll go into more depth on the different types of drug paraphernalia that are commonly used in the culture of the drug world.

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Tiny spoons can be used for snorting a variety of drugs.

Tiny spoons can be used for drugs that can be snorted, like cocaine, meth, ecstasy or even heroin. Come to think of it, even prescription drugs like Xanax, opioids like oxycontin or Adderall can be crushed up and then snorted through the sinuses. People who use drugs often like snorting these substances because the psychoactive effects will begin much faster than when these drugs are ingested in pill form.

While the high might come on quicker from snorting drugs, this usually means the effects will also wear-off sooner. In the case of highly addictive drugs like methamphetamine or cocaine, this could compel the user to immediately seek out more of the substance, creating a vicious cycle which can effectively jump-start a mental or physical addiction to the chemical.

The history of an unlikely piece of drug paraphernalia: The McSpoon

If you really want to find out how old your coke dealer is, ask them if they know what a “McSpoon” is. This item was a staple of McDonald’s restaurants throughout the 1960’s and 1970’s. The long plastic stick with a small scoop on one end and the infamous golden arches on the top was used to stir cream and sugar into your coffee. But quickly people in the drug culture figured out this small plastic spoon was a good way to snort cocaine. It was an easy way to measure cocaine as well. It reportedly held exactly 100 milligrams of cocaine. Throughout the 70’s and 80’s the term “McSpoon” was used by dealers as a slang term for 100mg of cocaine.

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In the 1970’s, it is estimated that a whopping 11 percent of the adult population in the United States was using cocaine regularly. In 1971 President Richard M. Nixon began the war on drugs with his declaration that drug use was “public enemy number one”. In 1979, the DEA unveiled its Model Drug Paraphernalia Act to help end the sale of common drug utensils, like pipes, rolling papers and coke spoons. Many critics thought these drug paraphernalia definitions were vague and could include just about anything, given the right circumstances.

Smoke shops and various other vendors in the US were opposed to these laws and one member mocked the vague, broad overreach of the law. As a mockery he said: “This is the best cocaine spoon in town and it’s free with every cup of coffee at McDonald’s”.  One person took this joke completely the wrong way. The president for the National Federation of Parent’s for Drug-Free Youth actually got the president of McDonald’s to agree to remove the spoon from all of their over 4,500 restaurants.

Spoons of all sizes can be used for injecting drugs with needles.

Another baffling find for someone who is unaware are their spoons being burnt black on the bottom, or simply their spoons will begin disappearing from the kitchen utensil drawer. Where did they go? If you happen to find black, burnt marks on your metal spoons, they have likely been used to mix a concoction of heroin, meth or other types of illicit or prescription drugs that can be injected with a hypodermic needle.

Once the crystal form of the drug is mixed with water and heated up, the liquid will be injected directly into the bloodstream with an IV needle. You may happen to find cotton balls, or Q-Tips, which are used to filter the concoction before injecting. Often a belt, or rubber hosing could be found along with needles and spoons.

Injecting drugs is incredibly detrimental to a person’s health and safety. Using needles to do drugs is arguably the most dangerous method of using drugs. Hypodermic needles can also lead to a full-fledged addiction at a rapid pace. Since the drug is injected directly into the bloodstream, the effects of the drug kick-in nearly instantaneously. This instant high could lead to a physical dependence and a psychological addiction to the substance before the user even realizes it. Often they won’t notice the addiction until they stop or try to quit using.

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Withdrawal symptoms for all of the drugs people use with tiny spoons are extreme and could be dangerous. Meth, cocaine, heroin and all of the other drugs discussed in this article are highly addictive and in many cases they can be deadly.

If you suspect a loved one is using drugs and ultimately risking their lives for a substance you might want to seek help, before you confront them on the issue. If you feel that the time to confront them about their drug use is right away, please help them understand that help is available.

Addiction does not automatically mean that someone is a bad person.

For many family members, co-workers or close friends, it may difficult to fully understand what they are going through. Attaching a negative stigma or personal judgement on someone who is struggling with substance abuse can ultimately discourage their willingness to change. Many addicts do not seek help for their substance use because they fear the negative judgement from their family, friends or the authorities.

Please call us today if you, or someone you love needs help. We are available 24/7 to take your private, confidential call.

We’re here for you:

(888) 249-2191

How Much Does Heroin Cost In Texas?

Opioid addiction has increasingly become an epidemic in America in recent history, with many attributing this growing problem to prescription painkillers. These painkillers are being prescribed at a rate. The average price for a single pill of an opioid prescription, like norco or percocets, can run the user anywhere between $8 without insurance to $40 dollars on the street. Since opioids are highly addictive, when people are cut off or run out of their medication, they often turn to the streets for a cheaper alternative. Due to the substance abuse problem with these prescription painkillers, the use of heroin has been widely sold as a cheaper solution. As a result, many users have gotten hooked on the substance after seeing that it also achieves a more intense high.

When looking at the prices of heroin in the United States over the last few years, we have seen it steadily become more cheap and readily available, with the potency levels continuing to rise. Heroin and black tar heroin are illegal substances that mimic the effects of other opiods. They are mainly being trafficked by Mexican drug cartels who smuggle them across the Mexican border and then distribute them illegally throughout American cities, like Texas and Dallas. Due to close proximity with the border, Texas becomes a major hotspot for these cartels to traffic their drugs. Today, more and more often, heroin is being cut with other substances, such as fentanyl (a high strength opioid), in order to drive those prices back up on the street, increasing the profit margin for drug traffickers or other people who are selling heroin.

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While the average price for a “baggie” of heroin can range anywhere between $5-$20 dollars (with many recovered addicts reported having bought 15-20 of these single use bags per day), we must ask ourselves, what is the actual cost of using heroin?

The economic burden America faces when dealing with this categorical problem is estimated to be around 78.5 billion dollars a year due to things like decreased productivity in the workforce, the overwhelming cost of healthcare, addiction rehabilitation treatment costs, and criminal justice involvement. Not only can a heroin addiction have a detrimental impact on the economy, it can wreak havoc on the users finances as well, costing the average addict anywhere between $438 to $1,750 per week.

However, once the addiction to heroin has taken hold, it will not stop to ask the price that anyone is willing to pay, because unfortunately, with many addicts, no price is too high. They do not see the impact their addiction is having on the world around them. An addiction to heroin will take as much as the user is willing to give, which in most cases, can and will be everything. Heroin will not stop at taking your job, your car, your money, your family, your home, your health, your appearance, your friends and in most cases, it will even take your life. Addiction is a powerful disease that will continue to take and take, until either the user has gotten help from a substance abuse treatment program or has died from their disease altogether. 

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Heroin is a high strength, extremely addictive and highly dangerous opioid that it is one of the leading causes of death in America, with Texas being one of the states most heavily impacted by its usage. According to the National Institute on Drug Abuse, more than 130 people in the United States alone die from an overdose on opioids every single day, with Texas attributing to about 5% of that number. In 2017, Texas had around 2,199 reported deaths related to an opioid overdose, coming in 5th on the list behind states like Florida and New York. 

Addiction from heroin can affect any region, race, and age demographic. Surprisingly enough though, in Texas during the year of 2017, the age group most affected by opioid overdoses were people aged 55 and above, followed by young adults who were aged 25-34. With up to 80% of people who struggle with a prescription painkiller dependency that may turn to heroin, one can not be surprised by these staggering numbers.

In response to this crisis, the US department of Health and Human Services (HHS) has been focusing its efforts on these major areas; 

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The National Institute on Health (NIH), a component of the US Department of Health and Human Services, also met with major pharmaceutical companies in 2017 in order to help solve this problem. In these meetings, they discussed alternative methods for the treatment of pain, like non addictive alternatives, ways to prevent opioid misuse, and how to effectively manage opioid abuse disorders or how to avoid altogether.

We hope that in time, with these combined efforts, this problem in America will begin to subside. Until more people are willing to seek help, many will remain affected. With drug overdoses from heroin and other opioids still on the rise, we urge those suffering to reach out for assistance if they are struggling with getting clean or staying sober. No one is safe from becoming a part of this epidemic. 

The time to get clean is today. The longer an addiction is left unchecked the harder it is to overcome. When an addiction is allowed to thrive for an extended period of time, the chance for overdose escalates as the users tolerance begins to increase along with the amount of time being spent on getting high. The one and only lasting cure for any type of drug addiction is to lead a life of sobriety. If you or a loved one are suffering from withdrawal symptoms or are unable to stop taking drugs or alcohol please reach out to More Than Rehab.

(888) 249-2191