Eliseu Labigalini Jr, Lucio Ribeiro Rodrigues, Dartiu Xavier Da Silveira
01 October 1999
This study ensued from clinical observations based on spontaneous accounts by crack abusers undergoing their first psychiatric assessment, where they reported using cannabis in an attempt to ease their own withdrawal symptoms.
In the city of São Paulo, the culture of crack use has undergone considerable changes over these 11 years since it was first described. The sociodemographic profile of the users is practically the same and most use is still compulsive, with significant physical, moral and social impairment among them. Sole use of crack has overwhelmingly been replaced by associations between crack and other drugs, thus characterizing users in the city of São Paulo as multiple drug users.
An ethnographic study of women and drug use in inner city neighborhoods in Kingston, Jamaica, revealed that cannabis is commonly used in conjunction with crack cocaine to minimize the undesirable effects of crack pipe smoking, specifically paranoia and weight loss.
A top Russian diplomat, Yuri V. Fedotov, has emerged as the front-runner in the race to become the Executive Director of the UN Office on Drugs and Crime (UNODC) – the world's new drug czar, according to Colum Lynch, a longtime Washington Post correspondent who reports on the United Nations for Turtle Bay.
The federal government is cracking down on drug courts that refuse to let opioid addicts access medical treatments such as Suboxone, said Michael Botticelli, acting director of the White House’s Office of National Drug Control Policy.
Although illicit drug use has been declining in the UK, long-term problem drug use and drug-related deaths are not decreasing, says the British Medical Association. Its Board of Science says evidence shows the current prohibitive approach to drug use is not working. It says doctors should inform drugs policy to put patients' needs first.
BBC Mundo reports that Bogotá is planning a system of "controlled consumption centers," where addicts could be weaned off more hard-core drugs, such as heroin or crack (bazuco), and slowly introduced to pot. Because of its continued prevalence, as well as its toxicity, bazuco will be one of the drugs targeted by Mayor Gustavo Petro's planned treatment centers. The treatment centers are part of a larger movement in Colombia to classify drug addiction as an issue of public health rather than crime.
Marcus Day of the Caribbean Drug and Alcohol Research Institute believes the time has come for regional governments to legalise marijuana to counteract the spread of HIV. "We encourage the crack smokers that we work with to substitute their crack for cannabis and to smoke cannabis instead. Even though it's probably not the best thing, it's much better than crack smoking."
The legal status of kratom is under review in Thailand. Options include making kratom available only by prescription, decriminalizing small amounts and total legalization. “There’s never been a single death associated with kratom,” said Pascal Tanguay, who investigated kratom use for the Transnational Institute. “People have been chewing this for thousands of years with no cases of overdose, psychosis, murder, violent crime. Never in all of recorded history.”
The cocaine base, or “pasta”, may be seen as a type of South American crack. Its obligatory method of administration is smoking. A primary condition of the “pasta” smoker is compulsive drug-search behavior and addiction to cocaine base destroys emotional and mental balance. Socio-economic maladjustment is the norm amongst “pasta” addicts. Since 1984 I have recommended the chewing of the coca leaf, between 100 to 200 grams of coca leaf per week for the treatment of cocaine dependence.
Marijuana has long been accused of being a gateway to deadlier vices. But could cannabis be a swinging door that might also lead people away from hard drugs? That’s what this capital city is trying to find out. In coming weeks, Bogotá is embarking on a controversial public health project where it will begin supplying marijuana to 300 addicts of bazuco — a cheap cocaine derivative that generates crack-like highs and is as addictive as heroin.
Research being conducted by a former Victoria city councillor is poking holes in marijuana’s reputation as a gateway drug. According to an academic paper authored by Philippe Lucas, marijuana may be an effective substitute for prescription drugs or alcohol, similar to the way methadone is used to treat heroin addicts. “The evidence suggests that cannabis is a potential exit drug for addiction,” Lucas said.
Eberhard Schatz, Katrin Schiffer, John Peter Kools
15 January 2011
This paper, written in collaboration with the Correlation Network, briefly describes the history and the basic elements of the Dutch drug dependence treatment policy, including recent trends in drug use and the current drug treatment system implemented in the four largest cities in the Netherlands. Building on more than 30 years’ experience, the Dutch approach focuses on an integrated treatment system, which provides comprehensive support and services to the most vulnerable groups, including homeless people, problematic drug users and chronic psychiatric patients. At the same time, a strong emphasis is given to public order and crime reduction.
The United Nations' AIDS envoy sounded the alarm over an impending health catastrophe in Russia's newly acquired Crimean Peninsula, where nearly 100 recovering heroin addicts have died as a result of Russia's abolishment of a methadone program.
The mayor of Bogota has recently proposed a pilot scheme with crack cocaine addicts to explore the substitution of crack made of cocaine base paste (or bazuco as it is called in Colombia) by marijuana. The substitution treatment plan will include 15 problematic users from the marginalized Bronx area who are already receiving health assistance of the CAMAD operating in that sector of the city. The treatment will last approximately eight months, after which the results will be evaluated.
Mascha Nuijten, Peter Blanken, Wim van den Brink, Vincent Hendriks
18 August 2011
Cocaine, particularly in its base form ('crack'), has become one of the drugs of most concern in the Netherlands, being associated with a wide range of medical, psychiatric and social problems for the individual, and with significant public order consequences for society. Available treatment options for cocaine dependent users are limited, and a substantial part of the cocaine dependent population is not reached by the addiction treatment system.
James Shearer, John Sherman, Alex Wodak, Ingrid van Beek
31 May 2002
The illicit use of amphetamines continues to be a growing problem in many countries around the world, yet treatment responses remain in need of further development. This is particularly true with regards to pharmacotherapy for amphetamine dependence. In this Harm Reduction Digest four authors who bring together considerable research and clinical experience in this area describe the nature of amphetamine-related problems and consider the role of amphetamine agonists in substitution therapy for amphetamine dependence.
There is a growing body of evidence to support the use of medical cannabis as an adjunct to or substitute for prescription opiates in the treatment of chronic pain. When used in conjunction with opiates, cannabinoids lead to a greater cumulative relief of pain, resulting in a reduction in the use of opiates (and associated side-effects) by patients in a clinical setting. Additionally, cannabinoids can prevent the development of tolerance to and withdrawal from opiates, and can even rekindle opiate analgesia after a prior dosage has become ineffective.
Philippe Lucas, Amanda Reiman, Mitch Earleywine, Stephanie K. McGowan, Megan Oleson, Michael P. Coward, Brian Thomas
19 November 2012
This article examines the subjective impact of medical cannabis on the use of both licit and illicit substances via self-report from 404 medical cannabis patients recruited from four dispensaries in British Columbia, Canada. The aim of this study is to examine a phenomenon called substitution effect, in which the use of one product or substance is influenced by the use or availability of another.
Coca tea has been used for the treatment of cocaine dependence. Two previous reports found that treatment that includes coca tea can be successful in controlling relapse to cocaine dependence. In the current study, coca tea plus counseling was used to treat cocaine dependence in 23 cocaine-addicted coca paste smokers seeking treatment at an outpatient clinic in Lima, Peru.