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FDA Approves Emergency Life Saving Treatment for Potentially Fatal Overdoses

Often people don’t seek emergency medical treatment for themselves or others following a potentially fatal overdose of heroin, for fear of arrest or prosecution. But the greatest threat is not criminal charges, its fatality.

Combating the Heroin Epidemic:  7 Heroin Facts; Statistics; Prevention and Treatment

Heroin Charges

According to the National Centers for Disease Control (CDC), overdoses of drugs in the USA have tripled during the last 25 years and are now the Number 1 cause of deaths. In 2010, they reported 38,329 overdose deaths in the U.S.A, and according to other reports, these numbers continue to rise in epidemic proportions. Accidental overdoses now exceed auto accident fatalities, in adults aged 25 to 64.

According to a recent analysis reported by Trust for America’s Health (TFAH), drug overdose deaths have increased 100 percent in just the last 10 years. One main drug responsible for this increase includes the drug, Heroin.

According to a recent Arizona Department of Health Services (ADHS) Heroine remained the number one illegal drug responsible for overdoses that resulted in deaths in 2013.

FDA Approves Life Saving Proven to Reverse Potentially Fatal Overdoses

We are about to see more police being equipped with a Life Saving Drug for Heroin Overdose Treatment to save lives as first responders.

On April 3, 2014 the U.S. Food and Drug Administration (FDA) announced its approval of a hand-held auto-injector for treatment of overdoes. The injector rapidly delivers a lifesaving drug into a victim who is suffering from a potentially fatal overdose of heroin or other opioid. It’s been approved for use by trained family members and caregivers for emergency treatment.

Evizo (naloxone hydrochloride injection) is the injector. The drug it injects is known by its brand name “Narcan”, also known as “Naloxone” by its generic name, being used by Police Agencies throughout the country.

Narcan or Naloxone is a drug that has proved to reverse heroin or opiate overdose almost immediately. Some police agencies are allowing specially trained officers to carry and administer it in several states around the country to overdose victims. One pilot program conducted by police agencies in Quincy Massachusetts, report that its’ officers administered naloxone 221 times where needed, and it reversed the overdoses 210 times, giving it a 95% earning it 95 percent success rate.

First responder police recently began administering the drug in the field as a result of the soaring numbers overdose casualties.  Generally, an opioid or heroin overdose causes a person’s breathing to stop. Narcan in many cases will revive the patient, if it’s administered early enough. The drug is said to keep the patient alive until paramedics arrive or until the patient can get the specialized medical assistance needed to treat the overdose symptoms.

Narcan has proven to be effective for heroin and other opiate overdoses only. It has not been effective t in reviving patients who have overdosed on other drugs such as cocaine or ecstasy.

Naloxone delivery system is through either inhalation, by inserting it into the nasal passage, or injection into the patient. The risks and adverse side effects are said to far outweigh the advantages or benefits of its use following a potentially fatal heroin or opioid overdose.

The FDA warns that Evizo is not a substitute for immediate medical care, it’s simply temporary until paramedics arrive, or until the patient can be taken to the Emergency Room or hospital for further care.

Common side effects include dizziness, weakness, skin flushing, and agitation. Reportedly rare and severe side effects include heart disturbances, neurological damage, lung fluid build-up, seizures, coma and death.

In response to the drug overdose fatality crisis, Evizo was granted “Priority Review” under the FDA’s Priority Review Program. This review is granted where the need is critical; and for those drugs that are proving to be effective, safe solutions, where no other alternatives exists. The benefits of the new drug should be far more significant than existing treatments in place. The product was granted a fast-track designation, and expedited processing by the FDA as they worked with closely with The White House White House’s Office of National Drug Control Policy’s National Drug Control Strategy since 2012.

The device is scheduled to be made available mid-June 2014 due to expedited processing, and will be available in pharmacies which will dispense by prescription.

7 Heroin Facts

(1)   Classification

Heroin is classified by the Federal Drug Enforcement Administration (DEA) as a Schedule I drug, out of five distinct categories. Schedule I drugs carry the highest potential for mental and physical addiction. They are considered the most dangerous classification of drugs. Heroin is identified by the DEA as having no current legally accepted medicinal use, and possessing a high risk of substance abuse and addiction. The U.S. Department of Health and Human Services (HHS) classifies Heroin addiction as a chronic brain disease.

(2)   Description

According to the National Institute on Drug Abuse (NIDA) Heroin is an “Opioid” and a depressant. It is made from Morphine alkaloid in opium, and is considered to be far more potent and addictive and dangerous than Morphine. The drug impacts portions of the brain and body that depress perceptions of pain, and which also impact vital life functioning such as blood pressure, alertness, and respiration. This is why overdosing frequently involves fatality. Overdoes of the drug can suppress or halt the critical breathing processes in body.

(3)   How it’s used:

It may be needle injected, inhaled, or smoked. All 3 delivery methods of heroin to the brain are fast, which contribute to its addicting nature, which causes changes in the brain that result in an uncontrollable dependence.

(4)   Impacts of heroin on the body

Users who inject heroin, users report feeling a rush at first. Then it is followed by dry mouth, skin flushing, a feeling of heaviness of the arms and legs, confusion, and an alternate wakeful to drowsy state. Habitual users experience brain function changes, which include tolerance. This causes more of the drug needed to experience the euphoric state, and to avoid adverse withdrawal symptoms. Effects associated with Heroin include fatal overdoes, infectious diseases such as HIV, and hepatitis, collapsed veins, heart lining infections, abscesses, GI problems, liver, and kidney diseases, pulmonary collapse, pneumonia, and other respiratory disorders, causing permanent damage or fatality.

(5)   Appearance, consistency and street names

Pure Heroin is a white powder, but is often cut with other illicit substances giving it a brownish tint. Another form of Heroin is known as “black tar” which is of sticky or tar-like consistencies, and varies in color from dark to black. Street names include but are not limited to “brown sugar”, “Smack”, “black tar”, “smack” or “junk”.

(6) Signs and Police Drug Testing for Heroin

Detection of Heroin in the body can be revealed by a urinalysis, for up to 24 hours after use. It can be detected by a blood test for up to 72 hours following use of the drug.

Environmental signs of possible use include injection supplies, or paraphernalia such as needles, cotton, towels, spoons, matches, bottle caps other equipment or supplies to heat the drug.

Physical signs include but are not limited to restlessness, drowsiness, diarrhea, nausea, vomiting, chills, involuntary movements of extremities, behavior changes, hyperactivity, disorientation, weight loss, marks, bruising, or scarring of arms and legs, and continued respiratory symptom.

(7)   Long Term Treatment for Heroin or Opioid Addiction

Specifically, heron and opioids require medication-assisted treatment (MAT) programs. One of those most effective MAT assisted drugs is buprenorphine used both in a specialty and noni-specialty treatment setting. Traditionally, effective treatment indicated for heroin or opioid addiction required in-patient specialty treatment and counseling.

But since 2011, years specialty in-patient hospital admissions had declined sharply due to a spike in increased outpatient treatment alternatives now available. Out-patient settings are less costly, and more convenient for patients. In 2012 it was reported that accredited physicians treated almost 900,000 patients on an out-patient basis with a combination of buprenorphine/naloxone therapy, in non-specialty treatment settings.

Substance Abuse and Mental Health Services (SAMHSA) oversees compliance of heroin and Opioid Treatment Programs (OTPs), provides certifications to operate. They work with state, local and federal agencies including the Drug Enforcement Administration (DEA) to accomplish their goals. There are currently 1,311 Specialty Opioid Treatment Centers (OTP) in operation in the USA.

Why More Users Do Not Seeking Long Term Treatment Options

U.S. Health and Human Services reported that in 2012 only 10.8 percent of individuals suffering from alcohol or drug abuse including heroin or opioid users, received specialty medical facility known to effectively treat their condition. Other studies showed that 94.6 percent of those who needed treatment did not receive because they refused it or denied their need for the substance abuse treatment. Another 3.7 percent felt they needed it, but did not seek it, due to affordability, lack of insurance or other barrier. Of some of the respondents who reported they needed it but did not seek it, 17.4 percent were worried about negative impacts such as fear of arrest and prosecution, negative impacts on their job, family, transportation, and the inconvenience.

Criminal Defense Attorney for Heroin or other Drug Charges in Phoenix East Valley AZ

Immediate medical attention is critical, and every moment counts.  The number one priority following an overdose is to seek immediate medical attention, and to call #911 if you feel a person has taken a potentially fatal overdose.   If criminal charges are brought against you, they can be dealt with after the ordeal.

Heroin and Narcotic charges carry some of the most severe penalties of all drug crimes under Arizona laws.  All heroin charges are brought as felonies.

If drug charges are brought against you, or you are arrested, you can then consult an experienced criminal attorney to defend the charges and protect your rights. In some cases a person may qualify for a drug treatment program in order to reduce the charges from a felony to a misdemeanor or to avoid incarceration. Not everyone qualifies, and it is not automatic. Your attorney will assist in the process if you meet the criteria. If you do not qualify for the program, other defenses may apply to your case that you may not be aware of.

If your rights were violated, or if the evidence against you is weak or unjust, it may lead to a dismissal of charges. The Law Office of James Novak, PLLC defends Heroin and other serious drug charges on a regular basis. James Novak is an experienced drug defense attorney, and former prosecutor. If retained, he will tailor a defense that best fits your circumstances and that has the potential for the most favorable outcome. Call today for a free consultation. James Novak, DUI and Criminal Attorney to discuss you matter in confidence and to obtain your defense options, if you have active charges in Phoenix, Mesa, Tempe, Chandler, Scottsdale, or Gilbert AZ.

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