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I went to a conference where virtually every public and community health agency in the area where I live was represented. There is a change...

What Are OPIOIDS?

First......From SAMHSA site Opioid Prevention Toolkit:

"WHAT ARE OPIOIDS?
Opioids include illicit drugs such as heroin and prescription medications used to treat pain such as morphine, codeine, methadone, oxycodone, hydrocodone, fentanyl, hydromorphone, and buprenorphine. Opioids work by binding to specific receptors in the brain, spinal cord, and gastrointestinal tract. In doing so, they minimize the body’s perception of pain. However, stimulating the opioid receptors or “reward centers” in the brain can also trigger other systems of the body, such as those responsible for regulating mood, breathing, and blood pressure. A variety of effects can occur after a person takes opioids, ranging from pleasure to nausea and vomiting, from severe allergic reactions (anaphylaxis) to overdose, in which breathing and heartbeat slow or even stop. Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription opioid or an illicit drug such as heroin. Also at risk is the person who takes opioid medications pre- scribed for someone else, as is the individual who combines opioids—prescribed or illicit—with alcohol, certain other medications, and even some over-the-counter products that depress breathing, heart rate, and other functions of the central nervous system5. PREVENTING OVERDOSE If you are concerned about your own use of opioids, don’t wait! Talk with the health care professional(s) who prescribed the medications for you. If you are concerned about a family member or friend, urge him or her to talk to whoever prescribed the medication. Effective treatment of opioid use disorder can reduce the risk of overdose and help a person who is misusing or addicted to opioid medications attain a healthier life. An evidence-based practice for treating opioid addiction is the use of United States Food and Drug Administration (FDA)approved medications, along with counseling and other supportive services. These services are available at SAMHSA-certified and DEAregistered opioid treatment programs (OTPs).28,29 In addition, physicians who are trained to provide treatment for opioid addiction in office-based and other settings with medications such as buprenorphine/naloxone and naltrexone may be available in your community.30
SUMMARY:
HOW TO AVOID OPIOID OVERDOSE
1. Take medicine only if it has been prescribed to you by your doctor. 2. Do not take more medicine or take it more often than instructed. 3. Call a doctor if your pain gets worse. 4. Never mix pain medicines with alcohol, sleeping pills, or any illicit substance. 5. Store your medicine in a safe place where children or pets can- not reach it. 6. Learn the signs of overdose and how to use naloxone to keep it from becoming fatal. 7. Teach your family and friends how to respond to an overdose. 8. Dispose of unused medication properly. "  see htttps://SAMHSA.gov

HOW DO YOU KNOW WHAT YOU ARE BUYIG?
 ANYTHING bought on the streets is altered. People already know not to trust the heroin they buy since it is easy to mix some powder with the heroin, work some magic and it looks the same. It is cheaper to sell so the dealer makes more profit. Well, a tablet might look like your previous prescription pill but it could be part pain med and part animal tranquilizer or something else ....cocaine, xanax, baking soda, Comet, insecticide etc...Ingredients are mixed together and placed in a mold to be the color and shape you recognize. If the tablet is without the little numbers and letters you are used to seeing then IT IS FAKE AND DO NOT TAKE! If  it usually has a line in the middle and this tablet doesn't IT IS FAKE AND DO NOT TAKE! Do not trust anyone, even your usual dealer. They don't care. This is just a job; it is an income for them. Last year the blue 1 mg tabs of xanax were being crushed and mixed with a cheap elephant tranquilizer to make more profit. These looked the same at a glance but didn't have the line etc...I am sure some addicts were harmed and some might have died. Tranquilizers for animals are manufactured according to size.....even a baby elephant is huge.... so you see the problem!

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