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700Flub
Anyway, no drug, not even alcohol, causes the fundamental ills of society.
If we're looking for the source of our troubles, we shouldn't test people for
drugs, we should test them for stupidity, ignorance, greed and love of power.
P.J.O Rourke

Dung flies
Naturally occurring dung flies. The adults
 prey on house flies and other adult insects;
the larvae feed on dung.
If you ever walk past the manure pile or a wheelbarrow
 full of manure and a swarm of golden, fuzzy, sometimes
red-eyed, bee-like insects are swarming around the
 manure, don't disturb them! They are dung flies,
beneficial insects that prey on pest flies and other adult
 insects. They seek out manure, lay their eggs in it and
the larvae will tunnel down into it feeding on the dung as
 they go. Dung flies may resemble bees in appearance,
 but they leave man and animal alone. And they are not
toxic to the environment.

Spiders are not the only beneficial insects.

Wouldn't you love to say good-bye to biting, stinging,
 pesty flies? And mean it? Better yet, wouldn't you love
to never have to say hello to them? I would. Flies are a
part of the horse world – where there is a horse, there
 is manure, and where there are horses and manure,
there are flies. Flies such as house flies, horn flies,
stable flies, greenhead flies, deer flies, snipe flies,
black flies and whatever other unfavorites you can
 think of breed in the manure and feed on the horse's
(and your) blood. Flies are annoying and can cause
many problems. There is no escaping them – or is
there?

"The Democrats are the party that says government will
make you smarter, taller, richer, and remove the crabgrass
 on your lawn.
The Republicans are the party that says government
doesn't work and then they get elected and prove it."
Buyer Beware!!!
Rush is Falling on his sword in public,but receives his golden parachute and creates a very useful media flap and  Republican smoke screen...
Most current illicit drug users are white LIMBAUGH I AM. Like Arnold on streoids,which leads to kedney  failure & life long diolisis just like Osama Ben Ladil... But It's not true Arnold Schwarzenegger has end-stage kidney disease (ESRD) as was rumored a result of his abuse of Illegal Steroid Druggs...
"In the name of Dorthy Killgallen & Jeanne Davies..."
 LIMBAUGH: 'I AM ADDICTED TO
 [Illegal Perscription]
"PRESCRIPTION" PAIN MEDICATION'...
[for years spent hypocritically mocking others, Bob Downey & Jerry Gircia junkies like myself ]
 
'WILL ENTER 30-DAY TREATMENT CENTER'...
'I TAKE FULL RESPONSIBILITY FOR MY
PROBLEM'...[ Because someone ratted me out! ]

[after hiding it and lying about it for years like Hitler's Dr. Joseph Gerbils ]
 'I WANT TO ASK FOR YOUR PRAYERS'...
[To further the illusion of respectability & mock your gullibility...But don't bother I have insurance ]...

 Some think it's The first crack in the 'egg'.... developing... Like Humpty
Jumpty Dumpty ... Or not... They don't link Rush to the stories linked
below ... Its the Same old Hummer like that Monica BJ  but it's the so-
called Media scamming us again it's perhaps designed to cover up the
Arnold- Enron give back deal & the Demo-Repubc-Rat amendment  in
the offing allowing foreign born Republicans to be President of the
USA...

 "Anyway, no drug, not even alcohol, causes the fundamental ills of
society. If we're looking for the source of our troubles, we shouldn't
test people for drugs, we should test them for stupidity, ignorance,
 greed and love of power..."
       P.J. O Rourke  http://www.quotemeonit.com/orourke.html

"Anyone who has ever looked into the glazed eyes of
 a soldier dying on the battlefield will think hard before starting a war." Otto Von Bismark
 According to the federal Household
Survey:According to the federal Household Survey,"Most current illicit drug users are white.
There were an estimated 9.9 million whites (72 percent of all users),
2.0 million blacks (15 percent), and 1.4 million Hispanics (10 percent)
who were current illicit drug users in 1998." Check Google>*<   
update
 Most current illicit drug users are white non-Hispanics, a group
that accounts for 74 percent of all users. However, the ...

And yet,blacks constitute 36.8% of those arrested for drug violations, over 42% of those in federal prisons for drug violations.

African Americans comprises almost 58% of those in state prisons
 for drug felonies; Hispanics account for 20.7%.
 
              Junkies 2004                                                                                                                   Copyright © 2003 by Mingus Designs.
Source: Substance Abuse and Mental Health Services Administration,
National Household Survey on Drug Abuse: Summary Report 1998
(Rockville, MD: Substance Abuse and Mental Health Services
Administration, 1999), p. 13; Bureau of Justice Statistics, Sourcebook
of Criminal Justice Statistics 1998 (Washington DC: US Department of
Justice,August 1999), p. 343, Table 4.10, p. 435, Table 5.48, and p. 505,
 Table 6.52; Beck, Allen J., Ph.D. and Mumola, Christopher J., Bureau of
Justice Statistics, Prisoners in 1998 (Washington DC: US Department
of Justice, August 1999),p. 10, Table 16; Beck, Allen J., PhD, And Paige
M. Harrison, US Dept. ofJustice, Bureau of Justice Statistics
(Washington, DC: US Dept. of Justice, August 2001), p. 11, Table 16.
P.S. Afghanistan is world’s largest producer of
HEROIN
 
Junkies 2004                                                                                               Copyright © 2003 by Mingus Designs.   

.
 Most current illicit drug users are white non-Hispanics, a group
that accounts for 74 percent of all users. However, the ...

... With respect to absolute numbers, most current illicit drug users
are white. There were an estimated 9.9 million whites (72 percent ...


... The rate for Hispanics was 6.2 percent. Most current illicit drug users
were white. There were an estimated 8.7 million whites (74 ...

... 8.6 percent of part-time workers are current illicit drug users. 8; Alcohol
 is the most widely abused drug ... of heavy drinking and current illicit drug
use are ...
... This racial/ethnic group is comprised mainly of Asian Americans, Pacific
Islanders,and Native Americans. Most current illicit drug users were white. ...

... According to the federal Household Survey, "most current illicit drug users
 are white. There were an estimated 9.9 million whites ...

Race, Law Enforcement & Prison. printer friendly version. According to the
Federal Household Survey, "most current illicit drug users are white. ...
Race, Law Enforcement & Prison. According to the Federal Household
Survey, "most current illicit drug users are white. There were ...

... high school. The National Household Survey on Drug Abuse of 1998 found
that "most current illicit drug users are white. There were ...


... followed by sniffing drug, were the most easily available to current illicit drug
users, as shown in figure 10.2. Rural respondents, students, white collar job ...


Racism is Global
... It provides preferential access to the US market to ... Institute, reports that despite
claims by farm lobbyists that ... per cent of US farmers do not get subsidies. ...

... nation's health: > >* Congress should eliminate preferential subsidies for fatty ... a
>disproportionate >share of American agricultural subsidies. ... >FARM can be ...

                         Farm Subsidies Are Unfair

 I say they are racist Affirmative Action and should be eliminated with all
color privileges! America Stop poisoning blacks with so called legal drugs.

America doses addicts with addictive drugs! We should use Naltrexon or Clonidine instead of Addictive Methadone  at $00.10 a Dose!!

Naltrexon or Clonidine instead of Addictive Methadone ) Methadone forces the "Addict to
Stay in the Inner City" instead o Constructing a "real life " as a Land owning American Farmer with Government Grants  & preferential farm subsidies (Talk about whites abusing color privilege vesres Afermitive Action abuses ) for them and there children and Professional Healthcare Workers & Therapist to aid  in there recover  in some Heart Land State of there choice instead of Locking them in the “Inner city” Concentrating on How little
 of the American Dream they actually have access to .           
                                      See the map Of the US  at CIA Fact Book

Scientist suggest that  Naltrexon or Clonidine may be used  in sequence to first effect a nearly painless Withdrawal  from Heroin and  then to maintain  the ex-addict in a prevention program. (Perhaps creating a Patient specific patch design for the former addict to ware ) Neither substance is addictive-- giving them a significant advantage over the very Addictive Methadone  ( which  being sold as an illicit drug on the street at this writing )

According to Panacea & Pious News “All of the [Withdrawal] symptoms ended within a two
hour period “ Dr. Old told Pious News , It appears to be “quite effective” treatment for “Acute
opiate withdrawal ” he said Clonidine, given twice daily over a one week period effects the
Locus Ceruleus portion of the brain- The same aria affected  by morphine . ( and
Government Subsidies ) But contrary to the action of Morphine and Heroin , Clonidine
works  on the Non- Opiate receptors in the Brain Region ,according to Dr. Old . Naltrexon and its derivative CNA work on receptor sites in the brain  to block the attachment  of Narcotic Molecules. While they are cautious that tests are  still in the animal stages the result would  be a “Prophylactic “much longer acting than any thing yet developed!!

Freeing significant funds for many legal settlements resulting from Sweat Equity Law suites deriving  the many years of Grants and Virtual-Welfare checks paid out to so many in so called Middle  America of the so called heartland's moral majority that were actually the proxy for the Drug trade of  the so called Inner City. " We've got  to rehabilitate ALL OF Our HUMAN RESOURCES  itsa hole  new ball game, 911 means we must expend whatever resources required to create a Level playing  field for ALL of AMERICA, Its Opportunity Knocking That's what this country IS ALL about We cant Afford not to All we can and then some!. Lets Get Rolling America !!! Live the Dream!!
ED
Darleen Zerafa


Introduction
Naltrexone is a pure long-acting opioid antagonist.
 It is used in the treatment of opioid addiction to prevent relapse.
Extensive clinical trials have shown that naltrexone has very low toxicity and no euphoric effects, does not cause physical dependence and consistently blocks the effects of customary amounts of heroin and other addictive opiates 1.
If a patient taking naltrexone tries to inject or smoke heroin (or any other opiate), there will be no euphoria or relaxation 2.
Naltrexone was later combined with clonidine to improve and refine the medical approach of the detoxification 3.
Compared with standard in-patients detoxification programs, the naltrexone-clonidine combination has a number of advantages. Effectively, the withdrawal symptoms are compressed into 2 or 3 days .
Locally the with clonidine was introduced in June 1996 at Dar l-Impenn to detoxify heroin addicts.
Aims
To evaluate current treatment of heroin addiction using naltrexone and clonidine and to determine its therapeutic outcome.
Objectives
1. To evaluate the treatment using naltrexone and clonidine being given at Dar l-Impenn.
2. To study the information that is being given to the patients and carers to prepare them for this treatment and after care.
3. To study patient’s characteristics and to analyze what is motivation them to seek this particular treatment.
4. To evaluate the therapeutic outcome six months after detoxification.
5. To determine the pharmacist’s role as part of the health care team in the treatment of opioid addicts using naltrexone.
6. To propose a protocol for the dispensing of naltrexone from community pharmacies to these patients or their carers.
Methodology
Study 1
1. Patient’s biodata and treatment given at Dar L-Impenn was evaluated by studying the treatment charts (medical records) of 116 patients who had been admitted at Dar L-Impenn for detoxification between 6th June 1996 and 6th June 1997.
2. Patients (total of 116) that underwent detoxification by naltrexone over the period June 96-June 97, were contacted six months after being detoxified and invited to participate in the study. During an interview conducted personally these patients were asked about their experience while undergoing detoxification, what are their views about naltrexone, and how this treatment effected their lifestyle. During this interview patient’s quality of life and the therapeutic outcome was determined. The quality of life was determined by using a questionnaire devised by Dr C. Bradley. It is subdivided into depression, anxiety, positive well-being and energy.
Study 2
A questionnaire was given to all practicing community pharmacists. Pharmacists were accessed whether they are informed about the treatment of opioid addicts using the naltrexone-clonidine combination and asked if they are willing to participate in the dispensing of naltrexone.
Results
Study 1
Subjects
Between 6 June 1996 and 6 June 1997, 116 opiate dependent patients were admitted at Dar L-Impenn to undergo rapid opiate detoxification. 93.97% of the patients were males. 42.24% of the patients were in the range of 21 to 25 years.
Subject Characteristics
Sex
Male
93.97%
Marital Status
Single
Married
Cohabiting
Separated
68.97%
14.66%
7.76%
9.48%
Educational level
Primary
Trade school
Secondary
Post secondary
Cannot read or write
5.17%
25.86%
49.13%
9.48%
11.20%
Development of treatment
Over one year period treatment was modified to improve outcome. Over the first few months naltrexone was administered on the first day of admission and was given over a four day period in increasing doses, as a single morning dose in combination with clonidine.
Treatment was then modified with clonidine being administered on its own for the first two days to control withdrawal symptoms after which the naltrexone-clonidine combination is introduced in the same therapeutic regimen as before.
Treatment Outcome
78.81% completed detoxification successfully. Success rate from methadone treatment is in the region of 30 %4. This improved outcome obtained from detoxification by naltrexone was probably due to shorter duration of in-patient treatment.
60.34%(n=70) of the patients accepted to be interviewed. Out of these 22.86% (n=16) were on naltrexone and were attending group therapy. The other 75.7% had relapsed and were on methadone. General well-being and quality of life were found to be directly related to treatment outcome, stability within family and at work. 37% (n=26) claimed to have a good quality of life. Most of these patients were attending group therapy.
Study 2
A questionnaire was given to 200 practicing community pharmacists. A response rate of 63% (n=126) was obtained. 56.35% were females, 42.24% were between 25 and 35 years.
8.73% indicated that they are willing to dispense naltrexone to patients or their carers on a daily basis. 24.6% would do so on a weekly basis and 42.86% are not willing to dispense naltrexone. 23.81% gave no response. The reasons given were mainly due to lack of time, unavailability of adequate place and security of the pharmacy. Only 15.87% of the pharmacists said that they were informed about the subject and 63.5% said that they are willing to attend a seminar.
Conclusion
Todate pharmacists do not form part of the health care team involved in the treatment of opioid addicts. This study would identify what the role of the pharmacist in this treatment is, and propose a protocol for the dispensing of naltrexone.
References
1. Brewer C.; Naltrexone: helping ther heroin user to get clean and stay clean; British Journal of Hospital Medicine 1986; 401.
2. Robert E.Willette; Narcotic Antagonists, American pharmacy 1982; vol. NS22, no.8; 450-455.
3. Gold M, Dackis C, Washton A; The sequential use of clonidine and naltrexone in the treatment of opiate addicts; Conseptual Issues in alcoholism and Substance Abuse 1984; 19-39.
4. Camilleri M.; Rapid opiate detoxification and beyond; The Malta experience, May 1997.