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Fentanyl From the Government? A Vancouver Experiment Aims to Stop Overdoses

So she started offering street drug alternatives, first Delouded, then fentanyl patches, and now fentanyl capsules. Her project purchases fentanyl from a pharmaceutical company and a local pharmacy formulates dextrose and caffeine as buffers. The pills sell for $ 10 a hit and are priced to exactly match the street rate.

Dr. Sutherland writes a prescription for the drug and the patient buys it. If they cannot pay, the program will cover the cost.

When nurses enroll new participants in the program, they increase the dose over several days to find exactly what the patient needs to replace what they use on the street. Participants will initially use the drug under supervision to ensure that they have the amount needed to avoid withdrawal (and no further risk of oversold on the street). Then you can get rid of the drug-the site you use.

Chris has been using illegal drugs every day since he was a teenager. He receives 30,000 micrograms of fentanyl daily at the clinic. This is much more than killing non-users, and doctors usually prescribe about 50 micrograms temporarily to manage pain, but after years of use, Chris immediately feels euphoric. You need to feel and prevent withdrawal. He said he wanted to get back to work soon and then start buying from the program in a way that patronizes the liquor store.

Dr. Sutherland says patients like Chris aren’t worried about how to get the next hit to keep the pain of withdrawal (“dope disease”) away, so they can gradually reduce their usage. I expect to have sex.

Lisa James anthropomorphizes the expected benefits of such a program. 53-year-old James spent 18 years with heroin addiction. For his first eight days, the same tough cycle began every day. She went out in the morning to steal from her store and hand over her merchandise to her boyfriend. Her boyfriend resold it and used the money to buy heroin. He took it home, where she waited anxiously, she was already nauseated and cramped with Dope’s illness.

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