Recognizing the Signs: How Drug Use Leads to Skin Wounds & Infections

Many people who abuse drugs try so much to hide their secrets. And most of them manage to do so, especially in the early stages. But the thing about drug use is at some point, the signs start to show – either through psychological, behavioral, or physical signs. In this article, we’ll discuss how to recognize the warning signs of drug abuse through skin wounds, scabs, and lesions.

Which Drugs Affect the Skin?

Drug use and addiction don’t just cause negative mental health and physical issues. It can also lead to a range of skin and soft-tissue issues. Here are some common drugs that cause skin problems:

Methamphetamine (Crystal Meth)

Meth is one of the most well-known drugs for causing issues like skin wounds. It’s highly addictive and affects the central nervous system. People who use meth often experience intense itching, which leads to skin picking and scratching. Methamphetamine abuse can also lead to "meth mites," a sensation where users feel like bugs are crawling under their skin, further driving them to scratch and harm their skin.

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Heroin

Heroin is typically injected, which is why people who use it often develop track marks—bruised, damaged areas along the veins. Repeated injections can lead to scarring, abscesses, and infections, especially if non-sterile needles are used.

Heroin users also practice skin popping, where they directly inject the drug under the skin instead of the vein. And with obsessive picking, users are likely to get necrotizing skin lesions and infections. And let’s not forget that heroin suppresses the immune system, making it easier for skin wounds to get infected and harder for the body to heal.

Cocaine

Cocaine, particularly when snorted or smoked, can cause skin damage around the nose and mouth. However, when injected, it also causes track marks and abscesses, much like heroin. Cocaine use can make you feel restless and lead to obsessive skin picking. Over time, this can cause open wounds, lesions, and serious infections. The stimulant effects of cocaine also cause blood vessels to constrict, leading to high blood pressure, poor circulation, and a higher risk of skin damage.

Synthetic Opioids (e.g., Fentanyl)

Fentanyl and other synthetic opioids can lead to similar skin problems as heroin, including track marks, abscesses, and infections from repeated injections. They also affect the immune system, making it harder for your body to fight infections. Opioids also cause dehydration, leaving the skin dry and prone to cracking, which creates even more opportunities for bacteria and fungi to enter and cause bacterial and fungal infections.

Alcohol

While alcohol might not directly cause skin wounds like meth or heroin, it can lead to severe skin issues. Alcohol dehydrates your body, making your skin dry and flaky. Over time, heavy drinking can lead to a yellowish, jaundiced appearance due to liver damage. Alcohol also weakens your immune system, making you more susceptible to infections and other skin problems.

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How to Identify the Warning Signs of Drug Abuse

If you’re concerned that a loved one is abusing drugs or alcohol, looking out for physical signs is a good starting point. Sores, skin wounds, or infections can be early indicators, but there are other changes to watch for:

Look for Sudden Changes in the Skin

If someone’s skin starts to look different—either more irritated, pale, or unhealthy—that can be an early sign of drug use. Watch for sudden outbreaks of acne, random scabs, or red, irritated skin. Drugs like methamphetamine can cause severe acne or sores from skin picking, which often appear out of nowhere. If you notice these changes and they don’t seem to heal, that’s a sign something might be wrong.

Notice Track Marks or Unusual Bruises

Track marks are one of the more apparent signs of drug use, especially with substances like heroin or Fentanyl. These marks usually appear as minor, dark bruises or scars along veins, especially on the arms, legs, or hands. Repeated injections damage the veins and leave behind noticeable scars. If you notice bruising or marks that don’t seem to have an explanation, it could be a sign of intravenous drug use.

Pay Attention to Frequent Skin Infections

Skin infections, like abscesses (painful, swollen lumps filled with pus), can be a clear indicator of drug use, especially with those who inject drugs. These infections happen because non-sterile needles allow bacteria to enter the skin, leading to infections like staphylococcus aureus or necrotizing fasciitis. If someone has recurring or unexplained skin infections, that’s a major red flag.

Watch for Skin Picking or Scratching

Some drugs, like meth or cocaine, cause a sensation that feels like bugs crawling under the skin, leading to obsessive scratching or picking. If someone is constantly scratching, picking at their skin, or creating sores that won’t heal, this is a sign they may be using drugs. These skin wounds can get infected and turn into scars if left untreated.

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Be Aware of Changes in Skin Color

If someone’s skin starts to look paler than usual, or if you notice a yellowish (jaundiced) tint, it could indicate liver problems from alcohol or opioid abuse. A jaundiced appearance is often linked to liver damage, which happens when your body can’t correctly filter toxins. A pale complexion can also suggest poor circulation due to drug use, especially with substances that affect blood flow, like heroin.

Look for Signs of Premature Aging

Drugs like methamphetamine can make someone look older than they are. You might notice deeper wrinkles, sagging skin, or a tired appearance. This happens because drugs dehydrate the body and break down collagen, which keeps skin firm and youthful-looking. If someone seems to age rapidly, especially in their skin, drug use could be the cause.

Keep an Eye on Sun Sensitivity

Some drugs make the skin more sensitive to sunlight, causing sunburns or dark spots more easily. If you notice that someone’s skin seems to be burning faster or developing dark patches, especially when they’re outside, this could be a side effect of drug use.

Look for Vascular Issues

Discoloration in the skin, especially around the hands, feet, or injection sites, can be an early sign of drug-related vascular problems. Poor circulation caused by drug use can turn skin a bluish or purplish color, especially in the extremities. This is a sign that the veins or arteries are damaged and the skin lacks oxygen.

Can You Reverse the Effects of Drug Use on Your Skin?

If you’re worried about your loved one’s skin issues due to drug use, the good news is that many of the effects can be reversed with the right care. Once they stop using, their body can begin to heal. Minor wounds, sores, and infections often improve with proper hygiene and medical treatment. However, more serious conditions, like deep scars or severe infections, may need more intensive care. The sooner your loved one seeks help, the better their chances of healing their skin and overall health.

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When to Seek Help

If your loved one is showing signs of drug use, it’s essential to act quickly. These could be early signs of a larger issue that may worsen if left untreated.

Here’s when you should think about getting help:

Seeking help doesn’t just mean addressing the physical effects of drug use. Finding treatment for their substance use disorder is critical to a full recovery. You can also look into harm reduction strategies to lower their risks until they’re ready for treatment. Encouraging them to seek help is one of the best things you can do for their health and your peace of mind.

It’s never too late to take that first step and ask for help. Give us a call today, we are available 24/7, 365 days a year:

888-249-2191

Borderline Crisis: How Fentanyl is Crossing the US-Mexico Border

Synthetic opioids like fentanyl are the leading course of overdose deaths in the US. New data from the CDC’s National Center for Health Statistics shows that there were an estimated 81,083 opioid-related deaths in 2023. While this marks a slight decrease from the 84,181 deaths recorded in 2022, the numbers remain staggering and underscore the ongoing threat fentanyl poses to communities nationwide. Most of the fentanyl in the United States is smuggled across the US-Mexico border.

Our border with Mexico has become a major front in the fight against the opioid crisis. Despite efforts to tighten security, traffickers keep finding new ways to sneak the drug in. Mexican drug cartels have set up complex smuggling operations. They recruit US citizens to carry fentanyl across the border, hiding it in cars, trucks, and personal items.

How Fentanyl is Crossing the US-Mexico Border

Seizure reports show that the pounds of drugs seized at the border are trending down. But this is mostly only true for heavier, less potent drugs like marijuana. Seizures of fentanyl, which is 100 times more potent than morphine, is up significantly. In fact, it’s 480% higher at the southern border in 2023 compared to 2020.

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The US-Mexico southern border stretches approximately 1,954 miles, crossing four states: California, Arizona, New Mexico, and Texas. This long expanse includes about 26 official land ports of entry, where people, vehicles, and goods are legally allowed to cross between the two countries. These ports are crucial points for trade and travel but also serve as primary routes for smuggling fentanyl and other illicit drugs into the United States.

So, how does fentanyl get in the country?

You might be surprised to learn that most of the fentanyl coming into the US isn’t being smuggled by migrants—it’s often US citizens doing the job. Cartels recruit Americans because they can cross the border without drawing as much attention. They get paid well to hide fentanyl in cars, trucks, and even everyday items like food packages or clothes. Most of this drug trafficking happens right at official border crossings, like the busy ports of entry in San Diego and El Paso.

The Mexican cartels—mainly the Sinaloa and Jalisco New Generation cartels—have this down to a science. They use all kinds of tricks to get fentanyl past border agents. We’re talking about false compartments in cars, blending drugs with legal goods, and even hiding fentanyl pills or powder in shoes or personal items. It’s a cat-and-mouse game that’s constantly evolving, and the cartels are always finding new ways to beat the system.

Despite increased security measures, the sheer size of the border and the volume of traffic make it a challenging task for border patrol and customs agents to effectively monitor and intercept every illegal shipment that passes through.

What the US is Doing to Fight Back

The Biden Administration has been trying to crack down on this by going after the supply chain, especially the chemicals used to make fentanyl. Most of these chemicals come from China, and without them, cartels can’t produce fentanyl at the same scale.

Since 2019, China has cut down on sending fentanyl directly to the US. This is a big change noted by the DEA. However, China still plays a major role in the fentanyl crisis as it supplies the chemicals used to make fentanyl in Mexico and other Central American countries. These chemicals are shipped to Mexico, where cartels turn them into the fentanyl that floods the US.

So, the US has been pushing a foreign policy with China that will help tighten the rules on these chemicals. It’s a step in the right direction because if we can cut off the supply of these chemicals, we can slow down the production of fentanyl.

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Federal law enforcement is also working hard to break up cartel operations. They’re going after the money trails that fund these groups and are working with Mexican authorities to shut down labs where fentanyl powder is made. At the same time, US agencies are stepping up their game at the border, using more advanced tech like X-ray machines and drug detectors to spot hidden stashes of fentanyl. They’re also training customs and border protection agents to spot the tricks smugglers use.

But let’s be real—the cartels are always adapting, so it’s a constant battle. For example, fentanyl comes in many forms, and each version can be made using different chemicals. Cartels keep switching up how they make the drug, finding new chemicals that are easy to get.

It’s like a never-ending chase between cartels trying to make money and governments trying to stop them. It’s a dangerous game, and both sides are constantly trying to outsmart each other.

The Real Impact of Fentanyl

Illicit fentanyl is incredibly dangerous. It only takes a tiny amount—just two milligrams, about the size of a few grains of salt—to be deadly. That’s why fentanyl is so lethal and why it’s driving the overdose crisis in the United States. Here are some dangerous impacts of fentanyl and why it’s a public health concern:

Why Fentanyl is So Dangerous?

Fentanyl is often mixed with other drugs like cocaine, methamphetamine, and fake prescription pills. This isn’t an accident; it’s a deliberate move by cartels to make their products more potent and addictive. But it’s incredibly risky because users often don’t know fentanyl is in what they’re taking. This turns every dose into a deadly gamble.

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Fentanyl Overdose Deaths

Fentanyl remains the deadliest drug in the United States, and despite a slight drop in 2023, the crisis is far from over. For the first time since 2018, overdose deaths declined, but the numbers are still staggering. Over 100,000 Americans lost their lives to drug overdoses last year, and fentanyl was responsible for about 75,000 of those deaths.

It’s Everywhere and It’s Overwhelming

Fentanyl has flooded the streets, and it’s not just in big cities. It’s in small towns, suburbs, and communities that never thought they’d face a drug crisis like this. It’s cheap to make and easy to transport, which is why it’s turning up all over the country.

The strain on our healthcare system is enormous. Emergency rooms are overwhelmed with overdose cases, and the cost of treating these emergencies is skyrocketing. First responders use drugs like Narcan every day to save lives, but it’s just a Band-Aid on a much bigger wound.

The battle against fentanyl is tough, but it’s one we can’t afford to lose. Let’s take action now to protect our loved ones and build a safer future.

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Maximizing Texas’s Opioid Settlement: Investing in Treatment & Rehabilitation

The US has been experiencing an opioid crisis since the mid-90s. This was around the time when there was a shift in how doctors prescribed pain medication. Pharmaceutical companies downplayed the addictive potential of opioids, and doctors were encouraged to prescribe them more liberally for chronic pain. Sadly, this led to a significant increase in the number of people taking prescription opioids like Percocet and OxyContin.

As more people were exposed to opioids, rates of addiction and misuse skyrocketed. Many who became addicted to prescription drugs eventually turned to cheaper, more dangerous alternatives like heroin, further inflating overdose deaths. The rise in opioid overdose deaths paralleled the increase in opioid prescriptions, highlighting a clear link between the two. 

After the CDC survey that found over 10 million patients misused prescription opioids in 2018, it, along with states like Texas, declared an opioid epidemic and changed prescription standards. Texas and 13 other states took the drug companies to court, with both Democrat and Republican attorneys general teaming up to sue. 

In July 2021, a significant agreement was made: Johnson & Johnson and three drug distributors agreed to cough up $26 billion to settle the case. But other settlements, including with OcyContin manufacturer Purdue Pharma, are still pending. Texas is expected to get about $1.6 billion from six companies over 18 years as part of these settlement agreements.

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The Current State of Opioid Addiction in Texas

Texas is experiencing a drug poisoning epidemic. According to surveys, deaths from poisoning in the state increased by more than 75% in just five years. In 2017, the rate was 9.4 deaths per 100,000, and that nearly doubled to 15.8 deaths per 100,000 residents in 2021.

Although the prescription of opioids by doctors in Texas has reduced over the last few years, overdose deaths from illegally manufactured fentanyl continue to rise. A CDC report estimates 5,566 drug-related deaths occurred in Texas between August 2022 and August 2023. 45% of these deaths involved fentanyl.

The human cost of opioid addiction is immense. For every statistic, there’s a person and a story—a family member, a friend, or a neighbor whose life has been affected. Beyond that, the opioid epidemic is putting a strain on all levels of care. Hospitals and emergency services are overwhelmed by the number of overdose cases they handle daily.

This strain makes it harder for everyone to get the care they need. Local resources such as law enforcement and social services are also stretched thin trying to manage the wide-ranging consequences of the opioid crisis. 

The Potential Impact of Strategic Investments 

The $1.6 billion settlement presents a significant opportunity for Texas to combat the opioid crisis effectively through strategic investments. Proper allocation of these funds can profoundly impact the state's ability to support the people who are struggling with addiction, improve public health, and reduce the overall burden of the crisis.

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Let’s explore some key areas where strategic investments can make a difference:

Expansion of Treatment Facilities

There’s a need for more treatment facilities so more people can get the help they desperately need. With more money, we can build new treatment centers and improve upon the ones we already have. This means people won’t have to wait so long to get care. These centers can offer a variety of services like detox, inpatient and intensive outpatient treatments, and special treatments for mental health conditions. More facilities means increasing the number of beds, doctors, and nurses, which ultimately leads to saving more lives.

Enhancement of Recovery Support Services

The money can also go to recovery support to give people the tools they need to rebuild their lives. This includes access to counseling and therapy, which are crucial for long-term recovery. Programs that offer stable housing and job training can help people recover and stay sober.

We can also create peer support groups and mentorship programs where people who have been through recovery can offer support and advice. These services build a strong support network that can make a huge difference.

Implementation of Prevention Programs

Preventing addiction before it starts is key to tackling the opioid crisis. When we invest in prevention programs, we can educate communities about the dangers of opioid misuse and teach healthy coping strategies.

Schools, workplaces, and community centers can run educational programs to raise awareness. Early intervention programs can identify at-risk people and help them before things worsen. Strengthening prescription monitoring systems can also prevent misuse and diversion of opioids. Prevention efforts can stop the cycle of addiction before it starts, saving lives and reducing the impact of the crisis. 

Misallocation of Opioid Settlement Funds Raises Concerns

In the wake of the opioid crisis, states across the country have received significant settlement funds intended to combat addiction and support affected communities. However, there are growing concerns about how these funds are being used. Instead of directing the money towards prevention and treatment options, some states are spending it on things like new police cars and slush funds that don't directly help those struggling with substance use disorders.

Police Cars and Equipment

In several states, portions of the opioid settlement funds have been used to buy new police cars and other law enforcement equipment. While law enforcement is crucial in addressing the crisis, these expenditures don’t provide the necessary treatment or support for individuals battling addiction.

Filling Budget Gaps

Some states use the funds to cover general budget shortfalls or unrelated projects. This means the money isn’t going to addiction treatment or prevention programs, which undermines efforts to combat the opioid epidemic.

Lack of Transparency

In some instances, funds have been placed into slush funds with little oversight or accountability. Without explicit tracking, it’s hard to ensure the money is being used to help those who need it most.

The Need for Transparency and Accountability

Unless the state and local governments put the funds to good use, they won’t help those affected. The state can ensure this happens by:

  1. Establishing robust oversight mechanisms. This includes transparent reporting, regular audits, and involving community stakeholders in decision-making processes.
  2. Learning from the missteps of other states, where funds have been diverted to unrelated expenses like new police cars and slush funds, Texas must commit to using the settlement money exclusively for addressing the opioid crisis.
  3. Strategically allocating funds to areas with the highest need and potential impact. This way, Texas can maximize the benefits of the settlement, supporting recovery, reducing overdose deaths, and ultimately diminishing the overall opioid crisis in the state.
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How to Track Fund Usage in Your Community

There are several resources available to help track the allocation and use of opioid settlement funds:

News Sites

While the information might not be readily available, some platforms, like KFF Health News, have made it public after negotiations.

Government Websites

Check state and local government websites for information on fund allocation and spending. Look for sections on budget reports, public health initiatives, or opioid response plans. BrownGeer, a court-appointed firm administering the settlements, also shares the information on a public website.

Public Records Requests

You can file public records requests to obtain detailed information about funds' use. Do this through state or local government offices handling public information requests.

Community Advocacy Groups

Local advocacy groups focused on addiction and public health, such as the Texas Harm Reduction Alliance and the Texas Overdose Naloxone Initiative (TONI), can be valuable resources for information and action.

Opioid Addiction Treatment at More Than Rehab

At More Than Rehab, we’re committed to making a real impact. We offer comprehensive care, from detox and therapy to long-term support and education. Our mission is to provide a safe, supportive environment where people can recover and thrive.

With the right investments and a commitment to transparency and effectiveness, we can make a significant difference in the fight against the opioid crisis in Texas. Let’s work together to ensure these funds are used to their fullest potential, helping those in need and building healthier communities across our state.

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The Connection of Substance Abuse & Mental Health

Substance abuse and mental health issues often co-occur. According to reports, about 50% of people with severe mental problems also grapple with substance use disorders (SUD), and vice versa.  When SUD and mental illness coexist, it's often referred to as a dual diagnosis or co-occurring disorder. 

Substance abuse and mental health issues are both complex challenges that affect millions of people in the United States. SUD involves a compulsive pattern of drug or alcohol use despite negative consequences.

Mental health issues encompass a range of conditions like anxiety, schizophrenia, depression, bipolar disorder, etc. Each of these conditions can be hard to deal with on its own. However, when they co-occur, it creates a particularly challenging situation for those affected.

Understanding the Link between SUD and Mental Health: 

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People with mental illness are at risk for SUD and vice versa than those who don’t have these conditions. While one condition doesn’t necessarily directly lead to the other, studies have established a strong correlation between the two. The 2022 NSDUH report found that about 21.5 million adults in the US have co-occurring disorders. This happens due to a range of reasons, including: 

Trying to Self-Medicate the Symptoms of Mental Health Issues

Sometimes, when people are experiencing mental health issues like depression, anxiety, or PTSD, they might turn to alcohol or drugs as a way to cope with their emotions. It's like trying to ease the pain they're feeling. So, if they’re down because of depression, they might drink alcohol to try to feel better temporarily.

However, while it might seem like it helps at the moment, it tends to make things worse in the long run because substances mess with the brain and make mental health problems even harder to manage.  A study by the National Institute on Drug Abuse found that people with anxiety disorders are about twice as likely to have SUD compared to the general population.

Substances Can Increase the Underlying Risk for Mental Disorders

Alcohol and drugs have been shown to interfere with the way brain cells work. They alter the way neurons process and transmit information. So when someone uses alcohol or illegal drugs excessively over time, their behavior, thought process, perceptions, and feelings change. As a result, they may become more vulnerable to mental disorders

Substances Can Worsen the Symptoms of Mental Health Issues

Even if someone already has a mental health problem, using alcohol or drugs can make their symptoms even worse. For example, if someone is struggling with anxiety and starts using drugs, it can make them feel even more anxious and paranoid. Likewise, if someone is dealing with depression and they drink alcohol, it can make them feel even more down and hopeless. So, instead of helping with the mental health problem, alcohol and drug abuse can make things much harder to handle.

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Dual Diagnosis Treatment

Dual diagnosis treatment is all about recognizing that when a person is struggling with both a substance use disorder (SUD) and a mental health issue, you can't just focus on treating one while ignoring the other. That’s because each condition can exacerbate the other, leading to a vicious cycle of symptoms and challenges.

Treatments for dual diagnosis typically lead to the best outcomes because they address both substance use disorders and mental health conditions concurrently. Usually, the healthcare provider works closely with the patient to understand how the SUD or mental disorder affects the other. They will then determine the proper treatment. Treatment usually involves:

How to Help a Loved One Struggling with Dual Diagnosis

There’s still so much stigma around addiction and mental health issues. People assume that these disorders are a sign of personal weakness or moral failing, which is never the case. Both these conditions rewire the brain and make it hard for people in recovery (or active addiction) to function or manage their lives as they normally would. 

If your friend or loved one is struggling with a dual diagnosis of addiction and mental health issues, supporting them requires understanding, patience, and active engagement. Here are several ways you can help:

  1. Learn about the nature of addiction and mental health disorders. This will help you understand the nature of these conditions and how they affect the brain. You will also be able to recognize symptoms and understand the challenges your loved one faces.
  2. Approach your loved one with compassion and empathy. Let them know you are there for them without judgment. 
  3. Help your loved one find and access effective treatment programs specializing in dual diagnosis. These programs are better equipped to handle the complexities of treating both mental health issues and substance abuse and often include a range of therapies that can be tailored to individual needs.
  4. If appropriate, join your loved one in therapy sessions and participate in family programs offered by treatment centers. Understanding the recovery process and what your loved one is learning can help you provide better support and create a home environment conducive to recovery.
  5. Social media can be a powerful tool to connect with support groups and resources for people in recovery and their families. However, be mindful of the privacy and sensitivity surrounding your loved one’s condition. Use these platforms to promote positive support and to educate others, helping to reduce stigma.
  6. Help them keep track of medications and appointments
  7. Understand that relapse is part of the process. Just like heart disease or diabetes, addiction is a chronic illness, and up to 60% of people relapse within a year of leaving treatment. Educate yourself about preventing relapse and recognize the early signs. This way, you are better prepared to support your loved one through these challenges.
  8. Help create a stable, stress-free environment that reduces triggers for substance use and mental health symptoms. 
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How to Ask for Help from Your Loved Ones

Like most people in recovery, you might feel as though asking for help is a sign of weakness. But that’s not true. Asking for help is a sign of strength. Besides, support from your friends and family members can go a long way in helping you manage and overcome the challenges associated with recovery from a dual diagnosis.

With that said, here’s how you can ask for help: 

  1. Find a quiet, comfortable setting to talk without interruptions. Ensure you and the person you are talking to are not rushed or distracted.
  2. Start the conversation with honesty and openness. Express your feelings, struggles, and the specific areas where you need support. For example, you might say something like, “I’m finding it really challenging to manage my recovery on my own, and I could really use your support.
  3. Sometimes, friends and family want to help but don’t know how. Provide them with information about your condition, what you’re experiencing, and what kind of support would be most helpful.
  4. Be clear about the type of support you need. Whether it’s accompanying you to appointments, helping with medication schedules, or listening when you need to talk.
  5. Give them a chance to respond and share their feelings. They may have their concerns or suggestions that could be helpful. Communication should be a two-way street.
  6. Acknowledge their willingness to help and express gratitude for their support.
  7. After your initial conversation, keep the lines of communication open. Update them on your progress and continue to express your needs as they evolve.

As we observe Mental Health Awareness Month this May, let’s commit to action, understanding, and empathy. Addiction and mental health issues are complex issues that affect millions of people worldwide. But with the right support, recovery is possible.

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Overcoming Cocaine Addiction: Effective Treatment Strategies

Cocaine addiction is a chronic and relapsing condition that can affect anyone. Today, millions of Americans have a cocaine use disorder, and millions of others have lost their lives due to cocaine-related complications. If you or a loved one is struggling with cocaine addiction, you should know that treatment is available and recovery is possible. Cocaine addiction treatment can help return you to productive functioning in your home, workplace and community.

What Does Cocaine Addiction Look Like?

Cocaine has a reputation for being extremely addictive. In fact, in cases of crack cocaine, users can become addicted after first use. Cocaine use produces intense yet short-lived effects, which can lead you to take more to re-experience the high.

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Repeated use causes the mind and body to become so used to the drug that you build tolerance to it. At this point, subsequent episodes of drug use will produce decreased levels of pleasure. So, you'll need to take more cocaine often to achieve the desired effects. You may also:

Side Effects of Cocaine Use

While cocaine use produces pleasure, feelings of intense wellbeing and even heightened sexual arousal, increasing the doses raises the risk of experiencing adverse effects. Some common side effects of cocaine include:

If you notice any of these signs of cocaine addiction in yourself or someone you care about, it is best to seek help. Cocaine addiction is a severe medical condition that needs professional intervention and support.

Quitting cold turkey is not a good idea. You may experience extreme anxiety, depression, seizures, feelings of hopelessness or even suicidal thoughts during withdrawal. There's also the issue with cravings that make you prone to relapse.

That's why it is always a good idea to seek professional help for detox. Professional addiction treatment can make all the difference in reducing these risks.

Effective Treatment Strategies

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Treatment for cocaine addiction can be effective, and many individuals achieve successful recovery with the proper support and interventions. It's essential to recognize that addiction is a complex and chronic condition, and there is no one-size-fits-all approach to treatment. However, the following evidence-based treatments and comprehensive strategies are successful in helping individuals overcome cocaine addiction.

Supervised Detox

This is the initial phase of treatment that focuses on safely managing the withdrawal symptoms associated with discontinuing cocaine use. The goal of supervised detox is to help individuals transition through the acute withdrawal phase safely and prepare for the next stages of addiction treatment.

During detox, trained medical professionals closely monitor the patient's physical and mental health. They may give medications to ease withdrawal symptoms and reduce cravings. They will also offer emotional support to help one cope with anxiety, depression, and other emotional aspects of withdrawal.

Behavioral Therapies

Behavioral therapies help address the psychological aspects of addiction. They empower patients to understand the root causes of their addiction, develop coping mechanisms, and build a foundation for long-term recovery. Examples of behavioral health therapies include:

Counseling

Counseling is an integral component of cocaine addiction treatment. It provides a supportive and therapeutic space for one to explore their behaviors, emotions and thoughts related to substance use. There are different counseling settings:

Support Systems

The support system is instrumental for sustained recovery. It can come from family, friends, or even peers. A robust support system helps individuals navigate the challenges of recovery, encourages them during difficult times, and reinforces the commitment to a drug-free life.

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Treatment for Comorbid Cocaine Use and Mental Health Conditions

Dual diagnosis treatment helps address co-occuring cocaine use and mental health disorders simultaneously. Many individuals with cocaine addiction may experience underlying mental health issues that contribute to or result from their substance abuse. So, treating one condition without addressing the other may lead to incomplete recovery or an increased risk of relapse.

Holistic Approach

Some treatment centers like More Than Rehab also use holistic approaches to treat cocaine use disorders. These approaches involve a combination of medical interventions, behavioral therapies, support groups, stress management techniques, nutritional counseling, exercise, and other complementary therapies to address the individual's physical, mental, and emotional wellbeing.

Cocaine Addiction Treatment at More Than Rehab

At More Than Rehab, our goal is not just to help individuals overcome cocaine addiction but to empower them with the tools and support needed for sustained recovery and an improved quality of life. If you or someone you know is seeking help for cocaine addiction, we are here to provide compassionate and comprehensive care.

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New Year, New Beginnings: Tips for Sobriety in 2024

The dawn of a new year symbolizes a fresh start. A chance to redefine your path and embrace positive changes. It is a good time to prioritize your physical and mental health. This could mean making a choice to get help for alcohol abuse or reaffirming your commitment to a life of sobriety. As the calendar turns, it allows you to adopt new habits and routines that will make you feel great about yourself.

While New Year’s resolutions and recovery goals aren’t always easy to stick to, they are definitely worth the effort. Breaking free from the crutches of addiction offers a renewed sense of purpose and empowerment. It sets the stage for a healthier, happier life.

Here are Some Tips to Promote Your Sobriety in 2024:

Set SMART Goals

SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound. This goal-setting framework ensures your goals are actionable and set you up for success. SMART goals are:

  1. Specific: What you want to achieve. So, instead of "be sober," or “stop bad habit,” try "attend three support group meetings per week."
  2. Measurable: The goal should be quantifiable – like “stay in sober living for ten days” or “track my physical health for a month.”
  3. Agreeable: Set goals that resonate with your desires, values, and commitments to recovery.
  4. Realistic: The goals should be attainable considering your commitments, circumstances, and resources.
  5. Time-bound: Set deadlines for each goal. "Go for an hour-long walk every day in January" is more effective than "exercise more."

Some good examples of SMART goals are:

setting-goals-physical-health-alcohol-abuse-long-term-sober-living-support-groups

Avoid Triggers

Identify situations, people, or places that tempt you to drink or use. Once you have, develop a coping mechanism to avoid them proactively. For example, if certain friends or family members trigger cravings, limit contact or reschedule outings. Or if bars, parties, and other high-risk environments make you crave substances, opt for sober-friendly activities like attending concerts, going to the movies, or joining a club centered around your favorite hobby.

The same principle applies to your emotions. Cravings often arise during times of stress, anger, or sadness, so you want to learn healthy coping mechanisms like talking to a trusted friend, journaling, mindfulness meditation or deep breathing. 

Action Plan

Exercise

Exercise has many health benefits even in addiction recovery. Experts believe regular exercise can serve as a healthy stand-in for substance abuse. That’s because substances and physical activity work on the same brain parts. They both activate the reward center, which triggers the release of feel-good hormones like dopamine and serotonin.

As a result, exercise can help curb cravings, ease withdrawal, improve sleep, and replace triggers. It also strengthens your mind and body, helps with weight loss, and facilitates stress relief, which is essential in maintaining long-term sobriety.

exercise-goals-mental-physical-health-new-years-resolutions-relapse-prevention-stay-sober-in-2024

Examples of exercises that can help include cardio or aerobic exercises like running, swimming, light gardening, hiking, and dancing. You can also try strength or resistance workouts like weightlifting, lunges, push-ups, and some types of yoga.

Action Plan

Set Boundaries

Boundaries help protect your well-being and maintain healthy relationships. And it doesn’t need to be complicated; it can be as simple as saying "no" to parties, potentially risky behaviors, or even things you hadn’t planned for.

For example, if you're having difficulty striking a work-life balance and a colleague asks you to take on an additional task, it's okay to say, "I appreciate the opportunity, but my plate is full right now. I won't be able to take on any more projects." Or, in the case of a romantic relationship, you could say "I value our time together, but I also need some time alone to recharge. I hope you understand".

You can also allocate specific time for self-care activities, whether reading a book, taking a long bath, cleaning your house, or going for a walk. Communicate to others that this time is non-negotiable for you.

Action Plan

Connect with Others

Joining a support group connects you with people who understand your struggles and celebrate your victories. Look for support groups specific to your needs, whether a general sobriety group, one focused on a particular substance or even one tailored to your age or background. Examples include Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and online forums and communities dedicated to recovery. Building relationships with loved ones is equally essential for a robust support system.

Action Plan

Find New Hobbies

Doing activities you enjoy can distract you from cravings, boost your mood, and build a fulfilling life beyond alcohol or drugs. Consider exploring new hobbies that align with your interests and provide alternative sources of enjoyment and fulfillment. This could include making art, cooking, playing a musical instrument, or joining a recreational sports league.

start-a-new-hobby-set-boundaries-tips-to-stay-sober-in-2024-new-years-resolutions-mental-health-prevent-relapse-triggers-addiction-recovery-drug-rehab-in-TX

Start a Recovery Journal

Maintaining a recovery journal can be a powerful tool for self-reflection and progress tracking. It allows you to document your journey, celebrate your achievements, and identify areas for improvement.

Action Plan

Keep a Positive Mindset

A positive outlook arms you with the mental strength you need to recover from relapses, setbacks and unavoidable obstacles that arise in your recovery journey.

Action Plan

Get Help at More Than Rehab

If you're finding it challenging to overcome addiction or if the strategies and tips mentioned earlier aren't providing the support you need, it may be time to seek additional professional help. More Than Rehab has a team on call, ready to provide the assistance and support you require on your journey to recovery. Contact us today to learn more about addiction treatment at More Than Rehab.

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Dark Web Markets & the Changing Face of Narcotics Distribution

The dark web can be a helpful tool for ensuring private communication or sourcing legitimate products. But it is also a hotspot for illegal internet activity. People turn to this part of the internet to buy, sell, or exchange a variety of illicit goods and services, including narcotics. And with over 2.5 million daily dark web visitors, the digital drug trade has become a significant and concerning aspect of illicit online activities.

How the Dark Web Has Revolutionized the Narcotics Trade

The way ecommerce has changed how we do business in the same way the internet has changed the drug dealing landscape in the 21st century. Today, people can order virtually any illicit drug with a click of a button and have it delivered to their doorstep within hours or days. Buyers are attracted to crypto markets to buy narcotics due to the perceived increase in safety, variety, enhanced quality, and speed/ease of delivery. Besides, there’s no dealing with intermediaries and longer supply chains.   

The sale and marketing of illicit substances on the web can happen on different levels:

But since conducting such business on the clean web and social media platforms comes with unwanted scrutiny from the authorities, many turn to the dark web.

What is Dark Web (darknets)

Dark web concept illustrating narcotics distribution with a hacker attacking a server a focus for law enforcement

The dark web, sometimes called darknets, is a part of the internet that exists on overlay networks and requires specific software, configurations, or authorization. The dark web is intentionally hidden and is known for hosting various activities, prioritizing privacy and anonymity. To understand the dark web better, let’s look at the other layers of the internet.

Narcotics Trade on Dark Web Markets

The narcotics trade on dark web markets operates in a covert and decentralized manner, leveraging technology to facilitate illegal transactions while attempting to maintain a level of anonymity for both buyers and sellers. Here’s how the trade works:

Creation of Darknet Markets

Darknet markets are online platforms that operate on the dark web, providing a space for users to buy and sell narcotics and other drugs. These markets often operate as peer-to-peer networks, connecting buyers with sellers and dealers.

Access and Anonymity

The dark web isn't indexed by or accessible through search engines – which makes it an asset for those who buy and sell narcotics. Users access darknet markets using specialized software like Tor (The Onion Router) to conceal their IP addresses and maintain anonymity. Tor routes users' internet traffic through volunteer-operated servers, creating layers like an onion (hence the name). This allows them to browse and participate in transactions without easily revealing their real-world identities.

CryptoCurrencies (e.g., Bitcoin)

Cryptocurrencies, particularly Bitcoin, are the primary form of payment on dark web markets. Buyers and sellers use cryptocurrencies due to their pseudo-anonymous nature. Transactions made with Bitcoin are recorded on a public ledger (blockchain), but the individuals' identities are not necessarily tied to their wallet addresses. 

Cryptocurrencies add a layer of anonymity for buyers and sellers on the dark web. It makes financial transactions more difficult to trace compared to traditional payment methods – another asset for those who deal and buy drugs.

Communication and Encryption

Buyers and sellers often communicate through encrypted messaging systems within the darknet market. This adds a layer of privacy to conversations. Encryption prevents third parties, including law enforcement, from easily intercepting or deciphering messages.

Shipping and Stealth Packaging

Vendors on dark web markets often ship narcotics using discreet and stealth packaging to avoid detection during transit. Methods may include vacuum sealing, decoy packaging, or using materials that mask the scent of the substances. Sellers may also provide tracking information to buyers.

Detection and Intervention Modes

Law enforcement tackling digital drug trade through advanced drug prevention and detection intervention modes

Law enforcement agencies use the following strategies to detect and intervene in facilitated drug trade:

But despite this, law enforcement faces numerous challenges in combating digital drug trades on the dark web. These include:

Difficulty Uncovering Real-World Identities

Using anonymizing tools like Tor and encryption technologies makes it challenging for law enforcement to trace the identity and location of individuals involved in digital drug trades. Transactions and communications are shrouded in layers of privacy, making it difficult to uncover users' real-world identities.

Global Nature of the Dark Web

The dark web operates globally, and illicit activities may involve actors from different countries. Coordinating efforts across international jurisdictions poses a challenge for law enforcement agencies, as legal frameworks and resources vary widely.

Constant Adaptation of Criminal Tactics

Criminals on the dark web are quick to adapt to new technologies and law enforcement tactics. As authorities develop strategies to identify and apprehend those involved in digital drug trades, criminals respond by evolving their methods, making it a constant game of cat and mouse.

Decentralized Nature of Darknet Markets

Darknet markets are often decentralized and operate on a peer-to-peer model. Shutting down one marketplace does not necessarily eliminate the trade; new platforms may quickly emerge. This makes it challenging for law enforcement to target and dismantle these networks effectively.

Implication for Users

Although users enjoy privacy on the dark web due to its anonymity, this double-edged sword comes with several user risks and implications as discussed below:

Risk of Scams and Fraud

The lack of regulation on online platforms for drug trade opens users to the risk of scams and fraud. Sellers may misrepresent products, fail to deliver, or engage in other fraudulent activities, leading to financial losses for buyers.

Health and Safety Risks

Users may unknowingly purchase substances with unpredictable compositions, harmful additives, or incorrect dosages. This poses serious health risks, including the potential for overdose, poisoning, or other adverse reactions.

Vulnerability to Exploitation

Users engaging in internet-facilitated drug trade may be vulnerable to exploitation by malicious actors. Scammers, hackers, or violent individuals might take advantage of users' activities for personal gain, leading to financial or personal harm.

Difficulty in Quitting

The ease of access and perceived anonymity provided by online platforms may make it challenging for users to quit or seek help for potential addiction issues. The discreet nature of online transactions may delay or hinder individuals from accessing the necessary support and treatment.

That said, if you ever thought of purchasing drugs on the crypto markets, know that law enforcement is fully aware of what’s happening. Many buyers have had DEA agents show up at their doorsteps instead of the drug package they were expecting.

Purchasing narcotics online places you at risk of federal charges. Add that to the fact you may not know all the ingredients that are in the drugs you’re ordering from an anonymous dealer. It’s all too risky. If you’re struggling with addiction, it’s best to seek addiction help right away. 

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DARE to Challenge: Why Drug Education Programs Fail

Drug education programs are often seen as a critical tool in the fight against substance abuse. However, a growing body of research suggests that most of these programs fail to achieve their intended goals. This blog post will critically assess why drug education programs often fall short of their objectives, drawing insights from the DARE (Drug Abuse Resistance Education) program as a case study.

Historical Context of DARE and Similar Initiatives

The DARE program emerged in the 1980s amidst a growing public concern over drug use among youth. The Reagan administration's "War on Drugs" was in full swing, and DARE was seen as a promising solution to prevent drug use and promote healthy lifestyles.

The Los Angeles Police Department developed DARE and initially implemented it in elementary schools in California. The program quickly gained popularity and spread nationwide, as well as in 50+ other countries, reaching over 1.5 million students annually. At its peak, DARE was practiced in 75% of US schools, costing hundreds of millions of dollars to run.

DARE's success was attributed to its focus on prevention, emphasis on law enforcement involvement and use of uniformed police officers as instructors. The program aimed to educate students about the dangers of drug use, provide them with refusal skills and instill a sense of drug resistance.

Intended Objectives of DARE and Similar Initiatives

DARE program discussion highlighting scare tactics and misinformation issues during a group rehab session

The primary objectives of DARE and similar drug education initiatives were to:

Missteps of DARE and Similar Initiatives

Despite the widespread implementation and popularity, DARE and similar initiatives have faced criticism for their effectiveness and approach. Some of the key missteps include:

The "Just Say No" Approach

DARE, one of the most widely implemented drug education programs worldwide has been criticized for its emphasis on a simplistic "Just Say No" message. This approach assumes that drug use is solely a matter of personal choice and that individuals can resist peer pressure by saying no. However, this message fails to address the complex factors that lead to substance abuse, like mental health issues, social determinants of health, and underlying trauma.

Overreliance on Fear-Based Tactics

DARE is also known for its scare tactics, which often exaggerate the risks associated with drug use. For example, the program claimed that marijuana poses detrimental health effects, has no medicinal value and causes lung disease and insanity. Such claims make it hard for gain the target audience trust. While it is important to educate young people about the potential harms of substance abuse, doing so in a way that instills undue fear can backfire. Misinformation or simply overstating the risks can lead to mistrust of the program and make it less effective in promoting healthy decision-making.

Ineffective Delivery Methods

The delivery of drug education programs can also impact their effectiveness. Traditional lecture-style formats may not engage students and may fail to promote active learning and critical thinking. Additionally, having police officers deliver the program can create a sense of fear or distrust among students, further hindering the program's effectiveness.

Failure to Address Underlying Issues

Drug use is often a complex issue with underlying causes such as mental health problems, trauma, or social and economic factors. Drug education programs that fail to address these underlying issues are unlikely to be effective in preventing substance abuse.

Lack of scientific accuracy

Some of the information presented in DARE and other drug education programs has been questioned for its accuracy and consistency with scientific research. This can undermine the program's credibility and make it less effective in influencing students' attitudes and behaviors.

Moving Beyond DARE: Evidence-Based Drug Education

Moving beyond scare tactics and misinformation to understanding addiction illustrated by a drug free sign on a school fence

Drug education has the potential to play a significant role in preventing substance abuse among young people. However, the effectiveness of drug education programs depends on their approach, content, and implementation. Traditional programs like DARE, which rely on fear-based tactics and lack evidence-based curriculum, have often fallen short of their goals. 

On the other hand, others like Above the Influence and Be Under Your Own Influence appear to be effective because they tap into the desire of teens to be self-sufficient and independent. Teens crave being autonomous, effective and independent. If they perceive using drugs as a way to showcase autonomy and independence, it becomes an uphill battle to discourage them against drug use. This explains why these two education programs led to a dip in marijuana use.

With that said, here are some more effective approaches to drug education based on research and a holistic understanding of addiction:

Emphasize Skill-Building and Social-Emotional Learning

Drug education should focus on teaching practical skills that empower students to make healthy choices and resist peer pressure. This includes teaching communication skills, refusal skills, problem-solving skills, and stress management techniques. Additionally, incorporating social-emotional learning programs can help students develop self-management, self-awareness, relationship skills, social awareness, and responsible decision-making.

Address Underlying Issues and Risk Factors

Drug use is often a complex issue with underlying causes such as mental health problems, trauma, social and economic factors. Drug education programs should not only focus on the immediate risks of drug use but also address these underlying issues. This may involve promoting positive social connections, providing access to mental health services, and addressing structural inequalities that contribute to substance abuse.

Use Evidence-Based Curricula and Teaching Methods

Drug education programs should be based on rigorous addiction research and incorporate evidence-based curricula and teaching methods. This means using teaching strategies that are engaging, interactive, and age-appropriate. It also means using curricula that are up-to-date and accurate, reflecting current scientific understanding of the risks and consequences of drug use.

Provide Ongoing Support and Follow-Up

Drug education should not be a one-time event. Ongoing support and follow-up are essential to help students maintain healthy behaviors and make positive choices. This may involve providing access to mentors, counselors, or support groups. It may also involve offering booster sessions or refresher courses to reinforce key messages and skills.

Foster a Positive and Supportive School Environment

A positive and supportive school environment can play a significant role in preventing drug use. As such, schools should create a climate of open communication, mutual respect, and positive reinforcement. It also means providing opportunities for students to engage in extracurricular activities, develop healthy relationships, and feel connected to their school community.

Involve Parents and Families

Household members play a crucial role in shaping their children's attitudes and behaviors toward drugs. Drug education programs should involve parents and families to provide them with the knowledge and skills to communicate effectively with their children about drugs. Additionally, creating strong parent-child relationships and fostering open communication at home can help reduce the risk of drug use among youth.

Adopt a Holistic Approach to Prevention

Effective drug prevention requires a holistic approach that addresses individual, familial, and community factors. This includes collaborating with schools, law enforcement agencies, community organizations, and healthcare providers to develop comprehensive prevention strategies that address the root causes of substance abuse and promote healthy lifestyles.

Drug education programs have often failed to prevent substance abuse due to their reliance on scare tactics and propaganda. Effective drug education should focus on understanding addiction and empowering individuals to make healthy choices.

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Synthetic Opioids: The Invisible Epidemic

The 2022 provisional data showed that over 68% of the reported 107,081 drug overdose deaths in the US involved synthetic opioids other than methadone. According to the CDC, illicitly manufactured fentanyl was the primary driver of these deaths, accounting for nearly 73,654 of all overdose deaths. Fentanyl deaths have increased every year since 2012. In addition, fentanyl analogs like carfentanil, furanylfentanyl, and acetylfentanyl are being detected more in overdose deaths.

Not since the HIV/AIDs crisis has the US faced a lethal and devastating public health issue as the current opioid crisis. More people die each year of drug overdoses than died in the entirety of the Korean War, Vietnam War, or any armed conflict since WWII.

What are Synthetic Opioids?

Synthetic opioids are a class of powerful and man-made drugs designed to replicate the effects of natural opioids, such as morphine and heroin. These substances are chemically synthesized in laboratories, and they differ significantly from natural opioids due to their artificial origins and, most notably, their potency.

Drug Potency and Overdose Risk

The potency of synthetic opioids is a defining and devastating characteristic. Fentanyl, for instance, is estimated to be between 50 to 100 times more potent than morphine. Carfentanil is estimated to be 10,000 times stronger than morphine. Such extreme potency means that only a minuscule amount of the drug is sufficient to produce a powerful effect. This, in turn, significantly amplifies the risk of overdose.

Fentanyl is not a newcomer to the opioid scene, as it has legitimate medical uses for pain management. However, the illicit production and distribution of this drug have exacerbated the opioid crisis significantly. The clandestine production of fentanyl, often mixed with other drugs like heroin or cocaine, poses an enormous risk to users who may unknowingly ingest a lethal dose. 

The unpredictability of synthetic opioids further compounds the dangers. Street drugs laced with these substances may not be uniform in composition, leading to variability in strength and effects. This makes it difficult for users to gauge the risk accurately, and even experienced individuals can inadvertently consume a lethal dose.

Understanding the Opioid Epidemic: When Did It All Start?

Understanding the opioid epidemic with synthetic opioids substance abuse and drug potency showing a bottle of prescription drugs and hydrocodone pills

The opioid overdose epidemic in the United States can be divided into three distinct waves, each marked by different factors and substances involved.

The First Wave (1990s)

The first wave of the opioid overdose epidemic began in the 1990s with the increased prescribing of opioids, particularly prescription painkillers. During this period, there was a surge in the prescription of opioids, including natural and semi-synthetic opioids like oxycodone and hydrocodone, as well as methadone.

Overdose deaths involving these prescription opioids began to increase during this time, with a notable rise since at least 1999. This wave was primarily driven by the overprescribing of opioids for pain management.

The Second Wave (2010)

The second wave started around 2010 and was marked by rapid increases in overdose deaths involving heroin. This shift was partially a consequence of the first wave. As the medical community and authorities began to recognize the overprescribing of prescription opioids, efforts were made to reduce their availability, which led some individuals to turn to heroin as a cheaper and more accessible alternative.

This wave was characterized by a surge in the use of heroin and its associated overdose deaths.

Third Wave (2013)

The third wave began in 2013, with significant increases in overdose deaths involving synthetic opioids, especially illicitly manufactured fentanyl. Illicit fentanyl, which is much more potent than heroin and prescription opioids, became a primary driver of overdose deaths.

The market for illicitly manufactured fentanyl evolved, and it started to appear not only on its own but also in combination with other drugs, such as heroin, counterfeit pills, and cocaine. This made drug use riskier as users often didn't know what substances were in the drugs they were consuming.

This wave was marked by the rise of synthetic opioids, particularly illicit fentanyl, and their association with a substantial number of overdose deaths.

Challenges in Detection and Regulation

Synthetic opioids substance abuse and drug potency issues represented by fentanyl syringes anesthetics and muscle relaxers highlighting the opioid epidemic and narcotic misuse crisis

There are numerous origins and types of opioids in the market, which makes it hard for the authorities to detect, let alone regulate, these drugs. Let’s explore the reasons behind the detection challenges and regulation difficulties surrounding opioids. 

Evolving Chemical Structures

Illicit manufacturers of synthetic opioids continually alter the chemical structures of these drugs to evade legal restrictions. This "cat and mouse" game with law enforcement makes it difficult to keep up with the constantly changing landscape of these substances.

Online Sales and Dark Web Marketplaces

The internet has become a major distribution platform for synthetic opioids. Dark web marketplaces and online sales have made these drugs accessible to a global audience, rendering traditional law enforcement and border control methods less effective.

Lack of Regulatory Oversight

The lack of regulatory oversight on the production and distribution of synthetic opioids contributes to their proliferation. Many of these drugs are manufactured in unregulated facilities, making it nearly impossible to ensure quality control or safety.

Analog Substances

The existence of analog substances compounds the difficulty of regulation. Even when specific synthetic opioids are banned, analogs with minor chemical variations can emerge, circumventing legal restrictions.

The Need for Increased Awareness

Behind the statistics and headlines are real people, families, and communities affected by the synthetic opioid crisis. Lives are shattered, and the social and economic costs are immense. The opioid epidemic has created a public health crisis of unprecedented proportions.

There is a need to increase public awareness about the dangers of synthetic opioids. Educational campaigns can inform individuals about the risks associated with these drugs, making them more cautious and informed when confronted with them.

Harm reduction strategies and the distribution of naloxone (a life-saving opioid overdose antidote) are vital steps in reducing the harm caused by synthetic drugs. Safe injection sites also provide a controlled environment for users to minimize risks and seek support.

Above all, preventive measures like prescriber education, monitoring prescription practices, and improving access to addiction treatment can go a long way in combating the synthetic opioid crisis.

Rehabilitation and Treatment Options

The opioid epidemic has exacted a heavy toll on individuals and communities. While efforts to raise drug awareness, prevent overdose, and regulate these potent substances are critical, they must be accompanied by robust rehabilitation and treatment options to help those already affected.

Substance abuse is a medical condition, and treatment and rehabilitation options are essential. Rehab programs can provide the necessary support for individuals struggling with synthetic opioid addiction. But it’s equally important for the stakeholders to reduce barriers to treatment, such as cost or location. This will improve the likelihood of individuals seeking and continuing treatment. 

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The War on Drugs: More Harm than Good?

Drug offenses are the number one reason for arrest in the US. According to sources, over 1.16 million arrests are made for drug law violations each year. Sadly, these arrests disproportionately affect Black, Latinx, and Indigenous people.

Five decades after President Richard Nixon declared drug abuse "public enemy number one" and allocated significant resources to combat it, about 83% of Americans believe that the policy has been a failure. In one poll:

The campaign led to the creation of the Drug Enforcement Administration (DEA), a US federal law enforcement agency responsible for enforcing controlled substances laws and regulations. The drug enforcement agency works to prevent the diversion of prescription medications, combat drug-related crime, and regulate the legal production and distribution of controlled substances.

More Harm than Good?

Illegal drug production depicting the consequences of the war on drugs including mass incarceration and drug related violence

The question of whether the War on Drugs initiative has done more harm than good is a subject of ongoing debate. The perspectives on this issue can vary widely, and the assessment of its impact depends on one's viewpoint and the specific aspects being considered.

Proponents argue that:

However, a majority of Americans believe that it’s a failed initiative. If one considers the historical beginnings, the things that were supposed improve – people stopping using drugs, communities getting back together, getting drugs off the street, and everyone being safe – didn’t happen.

Although there was a sharp decline in illicit drug use in the earlier years, the drug problem is increasing in the country and at an alarming rate. According to SAMHSA, the number of people 12 years or older using illicit drugs shot to 13% in 2019, almost reaching its peak from four decades ago. If the initiative was meant to reduce drug use and prevent drug-related deaths, it has not made much progress. If anything, it has played a part in:

Increased Incarceration Rates

The massive increase in incarceration rates, particularly for non-violent drug offenses, is one of the most compelling arguments against the War on Drugs. While proponents argue that incarcerating drug offenders serves as a deterrent, the reality is that it has led to an unprecedented surge in the US prison population.

This has placed a considerable burden on the criminal justice system and fueled concerns about fairness and racial disparities. Incarceration also harms people. It blocks them from support and can even get in the way of finding a place to live, a job, or an education.

More Drug Overdose Deaths

Again, there’s the issue of overdose cases rising. The latest federal data shows that there were over 107,081 reported drug deaths in 2022, up from 106,699 in 2021. Opioids like fentanyl were the biggest contributor to these surging overdose cases.

The opioid epidemic is mostly a public health crisis and not of criminality. The cost of incarcerating people abusing these drugs instead of getting them help outweighs the potential deterrent impacts of criminalization.

Drug-Related Violence

Mexican armed forces in northeast Mexico illustrating the war on drugs mass incarceration and drug related violence issues

Paradoxically, the War on Drugs has contributed to an increase in drug-related violence. The prohibitionist approach, which makes drugs illegal, has created a lucrative black market for illegal drugs. This, in turn, has led to competition among drug cartels and gangs, resulting in violent conflicts over control of the drug trade.

Moreover, the "tough on crime" stance has often led to confrontations between law enforcement and drug offenders, which can turn violent. Overall, the policy has not succeeded in reducing the violence associated with the drug trade.

Societal Impact

The War on Drugs has had profound societal and domestic consequences. Families have been torn apart by the incarceration of loved ones, especially in cases of non-violent drug offenses. It has led to the stigmatization of individuals with addiction issues, making it harder for them to seek treatment and reintegrate into society.

The focus on punitive measures has overshadowed efforts to address the root causes of drug addiction, such as poverty, lack of education, and lack of access to healthcare. As a result, it has not effectively reduced drug addiction rates.

Expenditure and Resource Allocation

The federal government’s budget for drug use prevention and control was a little over $ 1 billion in 1981. But this number increased to $34 billion by 2020. When adjusted to inflation, that translates to $1,090%, and the number keeps increasing by the year.

The allocation of significant resources to the War on Drugs has raised concerns about whether this is the most cost-effective approach to addressing drug-related issues. Some argue that these resources could be better spent on prevention, treatment, and harm reduction strategies that address the public health aspects of drug use rather than a purely punitive approach.

Other Impacts

But the policy impact is not just limited to mass incarceration, deaths, and violence. Those from low-income are denied public assistance and food stamps for past drug convictions. States like Florida and Texas suspend driver’s licenses for drug offenses that are not related to driving, and many other policies deny voting rights, child custody, loans, employment, and financial help to people with criminal records. In 2019, drug offenses came second as the most common reason for deportation, only after illegal entry.

As drug use becomes increasingly problematic in the US, we must rethink our approach and admit that mass incarceration isn’t working. We need to invest in alternative approaches like support services for those who want or need them.

This includes providing access to addiction treatment, harm reduction strategies, peer support, and recovery programs. Instead of criminalizing drug users, this approach aims to address the root causes of addiction and help individuals overcome their substance abuse issues. More Than Rehab offers addiction rehabilitation services to help those struggling to regain control of their lives.

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