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Vaccine Could Cut Heroin Addiction
JumperCable writes "Scientists at Mexico's National Institute of Psychiatry are working on a vaccine that makes the body resistant to the effects of heroin, so users would no longer get a rush of pleasure. The researchers say they have successfully tested the vaccine on mice and are preparing to test it on humans. Mice given the vaccine showed a huge drop in heroin consumption. 'It would be a vaccine for people who are serious addicts, who have not had success with other treatments and decide to use this application to get away from drugs.'"
No. A heroin vaccine, like the cocaine vaccine, is designed to train the immune system to launch a very targeted attack against a specific molecule surface. Not by altering or interfering with pathways or receptors or neurotransmitters. Generally the target region for the antibody is not the same as the portion of the molecule that triggers receptors.
Also, we damn near force babies and small children to get vaccinations. Chances are if we don't give the injection to addicts, we'll be giving it to kids as a form of prevention.
The world is made by those who show up for the job.
Since the active compound in Heroin, codeine, and morphine is morphine (the first two are converted into it in the brain), those are right out. Semisynthetics may or may not be affected.
Methadone is typical for people so addicted that cold turkey would kill them
This is not true. No one dies from opiod withdrawal. Oh sure you FEEL like you're going to die, and I'm sure some have comitted suicide because of this. But the withdrawal itself is relatively harmless unless you already have severe circulatory problems (some patients can develop hypertension in the first few days).
Benzodiazepine (like valium, ativan, etc) (seizures), alcohol (seizures, hypoglycemia, arrhythmias) and cocaine (long QT syndrome leading to fatal arrhythmia) withdrawal can all kill you. But not opioids. Your whole body will ache, you will have the shits, you will feel like you are on fire, your head will feel like it is exploding and you will feel like you have a cold and be coughing like crazy. But you won't die.
Seven puppies were harmed during the making of this post.
The idea behind methadone is that you're not supposed to keep using it. You use it when detoxing to gradually step down, but surprise surprise, heroin addicts don't use it as intended.
The term generally used is 'methadone maintenance therapy' - the key being the 'maintain' part of it. While some people do wean themselves off it the drug entirely, that's considered an added benefit. That's why they are set up as 'clinics'. The theory behind MMT, is that methadone doesn't give the INTENSELY EUPHORIC rush of heroin because you can't (safely) inject or snort it. Thus, the intense craving for another hit of heroin is diminished as well as the societal issues surrounding getting that hit. You do become physically addicted to the methadone and will go through withdrawal without it. But it's long enough acting that once a day dosing is sufficient for most people. Thus, the addicted person can maintain a much more normal life that the typical free range heroin addict.
With the rise of methadone on the street (it's really impressive on how many people have methadone in their urine toxicology screens in the ER), it's become apparent that this part of society has come up with new uses for an old drug (this is America! Innovate!). Aside from it's value in chronic pain - and a subset of people who get addicted to narcotics started out with chronic pain - it does blunt withdrawal symptoms. So if you have a bad, say, oxycodone habit but can't get the pills, you can take a methadone and chill out for a day or two or twenty. Then switch to the short acting drug that give you the real high when you can get it. You just can get a good dealer anymore.....
Then there are those folk that find that they can get a buzz with methadone. Usually you have to mix it with something else, but hey, that's not a problem. Actually it is - most of the methadone deaths are usually where you have a combination of psychoactive drugs on board. While you might be able to guess at the lethal dose of a particular drug, when you combine them it gets much more complicated.
You can have some interesting conversations with ER patients once you take out the endotracheal tube.
Faster! Faster! Faster would be better!
Yes, methadone is more addictive and harder to kick than heroin. it is basically synthetic heroin so why not "improve" on those qualities? Methadone is just the substance used by clinics to keep their patients from having to go out and score real dope, and all the crime that goes with feeding that habit. Someone who was doing $80 of heroin a day can now take about $10 worth of methadone and not be sick.
And to anyone who hasn't tried heroin - don't bother. Yes it makes you feel incredible, but that is a short honeymoon. Messing with heroin only ends in three ways - death, jail, or kicking the habit. Two of them are no fun at all, and the only option left gets you back to where you started. It isn't cool or glamorous at all.
"But this one goes to 11!"