Synthetic Drugs You Never Knew Existed

Synthetic Drugs You Never Knew Existed

Are you curious about the hidden dangers lurking in the world of synthetic opioids? In this episode of "Cracking Addiction," Dr Ferghal Armstrong sits down with the incredible Prof. Suzanne Neilsen, Deputy Director of the Monash Addiction Research Centre, to dive deep into the chilling rise of nitazenes in Australia. As high-potency synthetic opioids, nitazenes are causing waves of concern, and their impact could be closer to home than you think.

What's a nitazene, you ask? These potent synthetic opioids came into existence through pharmaceutical research in the 1950s but are now making a perilous comeback in the illicit drug scene. As Suzanne and I chat, we unravel why these forgotten compounds are suddenly re-emerging and the harrowing effects they have, particularly respiratory depression. Also, did you know that nitazine contamination could be lurking in various recreational drugs like MDMA or ketamine, posing a lethal threat unexpectedly?


But don't just take my word for it—watch the video and have your questions answered by one of Australia’s leading experts in addiction research. Prof. Neilsen steps us through the nuances of these dangerous compounds, their presence in recreational drugs, and the life-saving importance of naloxone for overdose reversals.


**Learning Outcomes:**


1. **Understanding Nitazines:**


- Learn about Nitazenes, their chemical structure, and why they are considered highly potent opioids.

- Suzanne reveals that although they were initially developed for potential therapeutic uses, their severe side effects, including significant respiratory depression, halted their progress.

- Discover the historical context that has led to their re-emergence in the illicit drug scene.

- Recognise the distinction between different types of Nitazenes and their varying potencies and half-lives.


2. **Risk Awareness and Harm Reduction:**

- Understand the risks associated with Nitazene contamination in various illicit drugs, such as MDMA, ketamine, and cocaine.

- Gain insights into how synthetic opioids like Nitazenes and fentanyl increase the danger of overdose due to their potency and rapid onset.

- Develop awareness of the “sloppy drug dealer” theory and its implications for contamination.

- Learn about the broadening need for harm reduction initiatives that address not just opioid users but anyone using illicit drugs.


3. **Importance of Naloxone:**

- Comprehend the role of naloxone in reversing opioid overdoses, even caused by potent synthetic opioids like Nitazenes.

- Learn about the potentially higher doses of naloxone required to reverse nitazene-induced overdoses.

- Understand the importance of having multiple doses of naloxone on hand and the implications for stocking it in harm reduction services.

- Recognise the balance needed in administering naloxone to avoid severe withdrawal symptoms in patients.


**Actionable Takeaways:**


1. **Increasing Awareness and Education:**

- Educate yourself and your community about the dangers of synthetic opioids like nitazenes.

- If you’re in a position to influence policy, advocate for expanding drug-checking services to help identify contaminants before use.

- Spread the word about the importance of having naloxone readily available, especially in communities at risk.

- Support initiatives that provide harm reduction training to a broad audience, including those who might not identify as opioid users.


2. **Advocating for Harm Reduction Services:**

- Push for the establishment and funding of drug checking services in all states and territories, not just limited areas.

- Encourage local governments and organisations to support evidence-based harm reduction services.

- Participate in or initiate community...

Avsnitt(218)

Special circumstances in OST Part 2

Special circumstances in OST Part 2

In episode 34 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including OST in renal and hepatic impairment, managing polypharmacy complications with OST and managing acute pain whilst a patient is on OST.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

6 Apr 202218min

Special circumstances in OST Part 1

Special circumstances in OST Part 1

In episode 33 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including vomiting of doses of OST, dealing with intoxicated patients, overdoses of OST and transitioning between Methadone and Suboxone and vice versa.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Naloxone

Naloxone

In episode 32 of Cracking Addiction we discuss the harm reduction intervention of Naloxone and when to consider prescribing this medication, the benefits of take home naloxone and how it saves lives!Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Harm Reduction

Harm Reduction

In episode 31 of Cracking Addiction we discuss the harm reduction interventions that we can implement for people who inject drugs to decrease the risks of morbidity and mortality.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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Suboxone Part 2

Suboxone Part 2

In episode 30 of Cracking Addiction we discuss the different opioid receptors buprenorphine acts upon and the nature of these effects, the difference between agonists and antagonists, how to start a patient on Suboxone and how to monitor patients on Suboxone and adjust doses.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

9 Mars 202222min

Suboxone Part 1

Suboxone Part 1

In episode 29 of Cracking Addiction we discuss Suboxone and talk about the components of Suboxone as well as the pharmacology and pharmacokinetics of Suboxone.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

2 Mars 202218min

LAIB - Top Tips

LAIB - Top Tips

In episode 28 of Cracking Addiction we discuss our practical tips, advice and experience in managing patients on LAIB and share what we have learned.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

23 Feb 202219min

LAIB The Patient Arc

LAIB The Patient Arc

Episode 27 of Cracking Addiction discusses the patient journey on LAIB and how to adequately deal with and manage adjusting doses of LAIB, commencing and ceasing LAIB and ensuring that patients are maintained on LAIB therapyDiscussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

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