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H - The surprising truth about heroin and addiction

reason.com

11–20 of 90 posts

Re: H - The surprising truth about heroin and addiction

#12

>If heroin really is "so good," why does it have such a tiny share of the illegal drug market? Marijuana is more than 45 times as popular. One possible reason is that people are squeamish about needles and uncomfortable consuming drugs intravenously.

Seeing as you can totally smoke heroine, I think it has less to do with the needles and more to do with the fact that it is one of the most addictive substances in the world and people regularly die from overdose.

Also, nearly all "normal" tasks can be done stoned on pot but you can hardly talk when you're on heroine.

Re: H - The surprising truth about heroin and addiction

#13
post #2

As someone in the medical field, this article does a very good up job of restoring the balance and correcting some preconceptions regarding substance dependence and addiction - ie. that not all substances are going to lead to lifelong dependence and addiction, and in fact it only occurs to a small percentage. This is established medical fact and is taught in all medical schools now. However I worry that it might make…

A couple comments:

1. Is chronic methadone usage really that bad? It's never great to be dependent on a substance to function, but if all it takes is a trip to the methadone clinic for your daily dose, but the rest of your life is relatively normal, is that so bad considering the alternative?

2. I've heard methadone withdrawal is much worse than withdrawal from heroin. Heroin WD symptoms are very intense, but last about a week. Methadone WD symptoms aren't that intense, but they last for months. It take an impressive amount of willpower to put up with being tired, weak and "sick" for months.

Re: H - The surprising truth about heroin and addiction

#14

According to this article[0] the street price of a dose of heroin is $10-$25 dollars. However, that street place is suffering 40-50 times inflation[1]. If heroin were relieved of price inflation, a dose would cost between 20 cents and 63 cents. Compare that to cigarettes. I once heard from a foreign cigarette manufacture that the cost of manufacture for a pack of cigarettes if 50 cents. A pack of cigarettes contains…

>These look like two industries that are ripe for disruption.

Please go on— how would one disrupt these industries?

Re: H - The surprising truth about heroin and addiction

#15
post #3

i think this quote really sums it up, "I try very hard not to use when I'm miserable, because that's what gets me into trouble." it all depends on your personality. if you can get high and be responsible you can probably cope with using in moderation. unfortunately, i imagine a majority of people are not like that. i know several friends that have very addictive personalities and getting into junk would have ruined t…

I think the problem that a lot of people get into is that your ability to maintain moderate use is not static.

If your life is going well and your not under a lot of stress, I could see certain people who could use heroin recreationally. Now have those same people lose their job, get divorced or have a depressive episode and watch their drug use spiral out of control. I've seen it before.

Re: H - The surprising truth about heroin and addiction

#18
Addiction is a weird beast. As I understand it is has two parts:

1. Physiological dependence as evidenced by tolerance and withdrawal symptoms; and

2. Psychological addiction.

(2) can manifest itself in many ways that go well beyond drugs--gambling, adrenalin junkies, even Farmville.

The danger of some hard drugs is that they can, for some unfortunate segment of the population, be a potent mix of (1) and (2).

Further to (1) is that genes seem to play a role [1]. My personal view is that like many complex "traits", genetics will give certain people a predisposition to addiction.

The real danger of certain hard drugs (IMHO) is that you often don't you're predisposed to something until it's too late. It's almost certainly the exception rather than the norm but (I believe) you can get addicted to certain drugs very very quickly.

You may be able to use them just fine and not get addicted. Or you may not. Is it really worth the risk in case you turn into one of those people who spends the rest of their (much shortened) lives chasing that initial high?

[1]: http://learn.genetics.utah.edu/content/addiction/genetics/

Re: H - The surprising truth about heroin and addiction

#19
Never tried heroin, but I had to come off oxycodone cold turkey (from about 40mg a day). My pain doctor was trying to slowly bring my down from a peak in the hospital of 150mg of Demerol every 4 hours. It was going too slowly for my patience, so (out of the hospital) I just stopped. The withdrawal sucked--about 4 days of sweats, shaking, tachycardia, and a real hard time sleeping. I ended up using pot to help get me through it.

But ultimately, despite the physical dependance, it was easy to quit because I wanted to. Most people that fail to get off opiates fail because they don't entirely want to get off. They may think they want off, or think the need to get off, but at some level they still want the drug, and that is the essence of addiction.

Re: H - The surprising truth about heroin and addiction

#20
I can't see any good reason why someone would go to so much trouble to defend heroin, other than to assume that this is some kind of PR requested by establishment and/or intelligence groups which profit from heroin grown in places like Afghanistan (or, in the previous era, India).
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