Help Sitemap Home Skip Navigation Contact Us Disability Statement


Drugs rethink over quick methadone fix

Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image

Published Date:
22 July 2007
A MAJOR overhaul of Scotland's war on drugs will be unveiled this week as a report reveals a shocking rise in the number of addicts being 'parked' on heroin replacement drugs.
The NHS paper says 21,000 people in Scotland are being prescribed methadone by their GPs, a rise of more than 10% over the last three years.

The rise comes despite research which shows that only a tiny minority of addicts manage to kick their her
oin habit despite being given the replacement drug.

SNP ministers are expected to act on a separate report, also due out tomorrow, which will demand a major increase in programmes designed to get addicts off drugs while they are being given methadone.

Ministers say they want to provide an "exit strategy" to addicts so they are able to shake their habit.

The reports were commissioned by the former First Minister Jack McConnell following the death of two-year-old Derek Doran, from Elphinstone near Tranent, after he drank the methadone which had been supplied for his parents.

McConnell commissioned a policy review, amid growing complaints that methadone was failing to stop the growth in drug abuse and was putting addict's children at risk.

New drugs minister Fergus Ewing will announce this week that the methadone programme will stay, but he will also pledge to increase rehabilitation services. Ewing, who was suspended from Loretto School in Musselburgh when he was 16 for smoking cannabis, said: "There is a recognition that we need to do more to provide an exit strategy. There is no simple solution. Residential care, non-residential care, gradual reduction, total abstinence - we will need different solutions to different types of people."

He added: "It is no use governments saying 'Give it up, you must stop'. If we withdraw methadone then many will go back to heroin."

The move follows calls by the Conservatives to spend £100m a year on rehabilitation for drug addicts. Figures show £32m is currently being spent. Ewing said: "There is an argument for more funding too, and we will be hoping to discuss that with other political parties."

The NHS report tomorrow will increase concerns about a repeat of the Doran tragedy, revealing that a third of the 21,000 people taking methadone have children under the age of 16 living with them.

Ewing said he would be taking a "hawkish" approach to methadone prescription, hinting that more addicts will be asked to take the drug at a pharmacist rather than at home.

While backing methadone, the Scottish Advisory Committee on Drugs Misuse will also criticise the limited availability of treatment to addicts, aside from the drug.

More than 50,000 Scots, or 1% of the population, are now thought to be problematic drug users - a far higher proportion than in England.

Ewing will meet experts from the committee, led by consultant psychiatrist Dr Brian Kidd, on Tuesday to discuss the options.

Committee member Tom Wood, the former deputy chief constable of Lothian and Borders Police, said: "Methadone can never be and has never been designed to be a single response. Methadone has been left to the job on its own, which it wasn't designed to do."

A spokesman for the Scottish Conservatives added: "Some people are waiting more than a year or two years to get treatment for addiction. We have never had a true handle on the true extent of the problem and we have been parking people on methadone, which was never the right solution."



Page 1 of 1

  • Last Updated: 21 July 2007 6:38 PM
  • Source: Scotland On Sunday
  • Location: Scotland
  • Related Topics: Drugs policy
 
1

Lars Lee,

Braemar 22/07/2007 00:46:36

At long last some sense being spoken. You don't stop an alcoholic from drinking overnight (you wean them off) but heroin addiction is easier to kick. I've seen enough people tough the withdrawal out.

Now methadone - that's quite another kettle of fish. As its profit making manufacturers designed it with such a long "half life" that kicking is darn near impossible - takes months.

More people get off heroin than ever do methadone. Once patients realise they were duped some transfer back to heroin so they can wean off easier -the alternative is cruel.

This is simply a case of pharm companies muscling in on drug dealers profits with no thought to the addicts lomg term survival - let alone their kids safety and well being.

2

Richardinho,

22/07/2007 02:54:19

main difference is 'methadone' isn't called 'heroin' so the authorities can pretend it's a medicine rather than a nasty 'DRUG'!

3

Citylocal Fife,

Citylocal Fife News Room 22/07/2007 06:24:43

Cold turkey!

Says it all!

Do it now!

4

fife runner,

22/07/2007 07:18:22

I have a relative who is a GP and has been saying this for years. She took some stick but refused addicts methadone. She has perhaps been proved right.

5

Cadgers,

Perth 22/07/2007 07:48:55

Lots and lots of padded cells and they don't get out till they stop clucking, does a turkey cluck?

6

Richardinho,

22/07/2007 08:39:53

'Lots and lots of padded cells and they don't get out till they stop clucking, does a turkey cluck?'

Problem with that is; 1. the 'experts' would denounce it as 'cruel'-(as opposed to keeping addicts strung out on methodone indefinitely, presumably), and 2. Same experts would say it 'wouldn't work' when 1 out of 10 addicts failed to come of it, as opposed to their succes rate which is probably around 1%.

Apologies for abscence of facts in this post, as opposed to prejudices and assumptions based on bitter experience of reality.

7

eric,

22/07/2007 08:41:10

My younger brother has been on Methadonew for 8 years,he says its more addictive than heroin,and tougher to come off,The only positive thing is his crime stopped 8 years ago to feed heroin habit,
The help would be very welcome to get him off methadone.But even he agrees that cold turkey is the only way.maybe with more support he can do it.

8

Richardinho,

22/07/2007 08:48:23

if heroin were legal, then he could buy heroin and not have to resort to crime to pay for it.

9

eric,

22/07/2007 08:54:01

On tax payers benefits .yes that would go down well!

10

nell from falkirk,

22/07/2007 09:34:26

To me, the most chilling phrase in this article is

"growing complaints that methadone was failing
to stop the growth in drug abuse and was putting addict's (sic) children at risk..."

(We'll try to ignore the sad misplacement of the apostrophe.)

WHY are children left with drug addicts?
What sort of society are we that we fail to protect the most vulnerable?

I've seen children of heroin addicts, and it would make a rock weep. They are abused in many ways; they have no chance of a normal life from day one.

Children should be removed from the care of drug addicts, who should then be sterilised to prevent more youngsters landing in the same plight.
THEN we can start worrying about what to do about those already lost.

11

Autism Rights,

Ayrshire 22/07/2007 12:27:43

Although I would support the most effective method - seemingly not methadone - to help addicts off heroin and other drugs, what about the rationing of drugs to people who need healthcare that is NOT brought about through self-abuse?

Currently, there is a refusal to give healthcare to people with autism on an equal basis with others. There is also an absence of standards in all `services`, however basic they are - such as school education. For further information on the kind of abuses taking place, please visit this link:-
http://www.autismrights.org.uk/BriefingPaperIndex.html

For some further background on the shoddy nature of current educational provision for children with autism, please visit:-
http://sundayheraldsalon.com/salon/2006/11/pupils_with_au...

I do have sympathy with those who have found themselves ground down over the years by the way this country has been run, but at the end of the day, there are plenty of people who have not fallen into this most obvious of traps, and who deserve proper healthcare, education and social support - and they see no hope of getting it.

12

Draco Was a Wimp,

Edinburgh 22/07/2007 15:06:05

#8 Richardinho

I always wonder why governments are so reluctant to provide drugs on demnd to those who are so stupid enough to take them. Yet they happily take the tax revenue from fag and booze addicts. What's the difference? The government should buy the opium production direct from Afghanistan and divvy out heroin to those that want it. There are no downsides as far as I can see.
1. Gives money to poor farmers thus making them less likely to support the Taliban and keep our soldiers safer.
2. Does the legs of dealers all down the supply chain and removes the need for addicts to commit crime to feed their habits.
3. Ensures then quality of supply so addicts less likely to OD (OK there is a downside here)

As long as they do as Nell #10 suggests and take their bairns off them at birth then no-ones the loser.

13

zenith,

USA 22/07/2007 16:57:31

This article states that only a tiny minority were able to kick their heroin habits--that is NOT TRUE and is simply a mis-understanding of the outcome of the study. What the study showed was that only 3% were off all drugs INCLUDING methadone in 3 years' time. If you were still on methadone, doing great, free of all other drugs, you were considered a treatment failure by this study's standards. The author here is assuming that the study meant only 3% were able to kick their heroin habits, but that is NOT the case.

Studies in the USA show that when adequately dosed (something that does not occur most of the time in the UK, sadly) patients show a very high level of abstinence from illicit drugs--anywhere from 65% to 90%, depending on the clinic.

As for being "parked" on methadone, the misunderstanding of how the drug works boggles the mind. Many long term heroin or opioid addicts have done permanent damage to their natural endorphin systems. As a result, when they are abstinent (even after years of abstinence) they feel deeply depressed, unable to experience normal joys and pleasures,lethargic, anxious, and beset with cravings. NO AMOUNT of group therapy or traditional rehab can fix this--it is a biophysical, medical condition. In fact, quite a few of these folks were actually born with a very low functioning endorphin system and suffered lifelong depression and misery which was only relieved by opiates. Others had a normal system to begin with but after many years of opioid use, shut down the system permanently. For this particular subset of opiate addicts, methadone restores their brain chemistry to a balance that is very close to normal. They are not "high" as they would be on heroin, Vicodin, etc--they feel completely normal. They are able to go about their daily lives, work, care for family members, drive, etc as well as anyone else. However, when the medication is removed, there is a 90% relapse rate, because this is a CHRO

14

Clive R,

USA 23/07/2007 06:23:46

zenith wrote
>>Studies in the USA show that when adequately dosed (something that does not occur most of the time in the UK, sadly) patients show a very high level of abstinence from illicit drugs--anywhere from 65% to 90%,<<

Not quite true. The study to which you refer showed that when put on a high enough dose of methadone, 65 to 90% stopped using *opiate* drugs. This is not surprising because at a high dose they can't get high from opiates anymore.

The truth is when the opiate high is no longer there, most addicts start taking something else. Huge numbers of methadone addicts use benzos, and drink alcohol along with their dose.

There sure is a lot of misunderstanding about addiction among people who haven't lived with it. I cringe when I read some of the comments because I was once a heroin addict. But methadone is not a treatment, and the ridiculous theories about "endorphin deficiencies" sound made up from whole cloth.

People on high dose methadone languish on it. They gain huge amounts of weight, and have no sex drive at all. No they don't get real high from it, but they get "straight" - they have a powerful opiate affecting them 24 hours a day. "Close to normal"? I don't think so - I think people addicted to methadone have forgotten what normal is.


 

Comment on this Story

 

In order to post comments you must Register or Sign In

 
 
 
 

Today's Vote

Should needles continue to be handed out to drug addicts?
Yes, it’s better than re-using old needles
Yes, but only if used needles are returned
No, this just keeps addicts hooked on drugs


Sister Newspapers:
Press Complaints Commission

This website and its associated newspaper adheres to the Press Complaints Commission’s Code of Practice. If you have a complaint about editorial content which relates to inaccuracy or intrusion, then contact the Editor by clicking here.

If you remain dissatisfied with the response provided then you can contact the PCC by clicking here.