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    Flexibility of treaty provisions

    • UNODC Legal Affairs Section
    30 September 2002

    In a confidential and authoritative memorandum to the INCB, UNODC legal experts argue that most harm reduction measures are in fact acceptable under the conventions. According to the Legal Affairs Section "it could easily be argued that the Guiding Principles of Drug Demand Reduction provide a clear mandate for the institution of harm reduction policies that, respecting cultural and gender differences, provide for a more supportive environment for drug users."

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  2. publication

    Reviewing legal aspects of substitution treatment at international level

    • European Monitoring Centre for Drugs, Drug Addiction (EMCDDA)
    01 August 2000

    Treatment for drug addiction was seen as a measure to reduce drug abuse as early as 1961 when the UN Single Convention was signed. However, the only recognised concept of drug treatment mentioned by the Convention concerned the detoxification of the individual through ‘drug-free treatment’. Therapeutic measures aimed at treating drug addictions through maintenance and related distributions of alternative substances are not expressly mentioned by the UN Conventions of 1961, 1971 and 1988.

  3. Characterization of the crack cocaine culture in the city of São Paulo: a controlled pattern of use

    • Lúcio Garcia de Oliveira, Solange Aparecida Nappo
    01 July 2008

    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 Sole use of crack has overwhelmingly been replaced by associations between crack and other drugs, thus characterizing users in the city of São Paulo as multiple drug users.

     

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    Crack Heads and Roots Daughters

    • Melanie Dreher
    01 January 2002

    publicationAn 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.

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  5. publication

    Therapeutic Use of Cannabis by Crack Addicts in Brazil

    • 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.

  6. The Dutch treatment and social support system for drug users

    • 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.

     

  7. Randomized controlled trial of dexamphetamine maintenance for the treatment of methamphetamine dependence

    • Marie Longo, Wendy Wickes, Matthew Smout, Sonia Harrison, Sharon Cahill, Jason M. White
    18 June 2009

    This study tested the impact of a long-acting form of amphetamine as medication to help control dependent use of the closely allied stimulant, methamphetamine. Prescribed usually for the treatment of pathological sleepiness or attention deficit/hyperactivity disorder, effects of the amphetamine tablets prescribed in the study take several hours longer to emerge than normal amphetamine and last three to six hours longer, giving it a 'smoothing' profile similar to methadone for heroin users; non-rapid onset make it less intensely pleasurable, and longer duration suits it to once-daily administration.

     

  8. coca-leaf-cocaine-maintenance

    Coca leaf chewing as therapy for cocaine maintenance

    • Jorge Hurtado Gumucio
    30 September 2000

    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.

  9. Cocaine addiction treatments to improve control and reduce harm (CATCH)

    • 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.

     

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    The standard low dose of oral cocaine

    • Teobaldo Llosa
    31 December 1993

    publicationCoca 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.

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    Substitution therapy for amphetamine users

    • James Shearer, John Sherman, Alex Wodak, Ingrid van Beek
    31 May 2002

    publicationThe 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.

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    Randomized controlled trial of dexamphetamine maintenance for methamphetamine dependence

    • Marie Longo, Wendy Wickes, Matthew Smout, Sonia Harrison, Sharon Cahill, Jason M. White
    31 May 2009
    Paper

    This study tested the impact of a long-acting form of amphetamine as medication to help control dependent use of the closely allied stimulant, methamphetamine. Prescribed usually for the treatment of pathological sleepiness or attention deficit/hyperactivity disorder, effects of the amphetamine tablets prescribed in the study take several hours longer to emerge than normal amphetamine and last three to six hours longer, giving it a 'smoothing' profile similar to methadone for heroin users; non-rapid onset make it less intensely pleasurable, and longer duration suits it to once-daily administration.

  13. Cannabis as a substitute for alcohol and other drugs

    • 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.

     

  14. Image of UN Flag

    A Russian Drug Czar for the world?

    Tom Blickman
    06 July 2010
    Article

    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.

  15. Russia: Government shuts HIV-prevention group’s website

    Press Release
    08 February 2012
    Article

    The Russian government’s anti-drugs agency has ordered the blocking of the website of a public health organization, the Andrey Rylkov Foundation, for discussing the addiction medicine methadone, human rights groups said today. The move is an assault on freedom of expression in the midst of pro-democracy protests, the groups said.

  16. injection

    Doctors say UK drug policy should focus more on health

    15 January 2013
    Other news

    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.

  17. Cannabis to substitute crack

    Tom Blickman, Amira Armenta
    22 April 2013
    Article

    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.

  18. Federal government set to crack down on drug courts that fail addicts

    04 February 2015
    Other news

    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. 

  19. UN: Nearly 100 drug users died in Crimea after Russia closed methadone program

    20 January 2015
    Other news

    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