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Health chiefs accused of blocking new therapy for heroin addicts

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Published Date:
04 February 2007
HEALTH chiefs are blocking a revolutionary treatment for heroin addicts because of their "obsession" with the replacement drug methadone, experts claimed last night.
Scotland on Sunday can reveal that officials are refusing to offer the treatment, known as neuro-electric therapy (NET) to Scotland's 20,000 addicts, claiming they need more proof that it works.

But organisers of an unprecedented trial of NET whi
ch took place last week, funded by artist and former addict Peter Howson, have now claimed their real reason is to save face over methadone.

They say methadone is ruining the lives of thousands of addicts across Scotland, condemning them to modern-day "slavery".

The row has broken out in the wake of the trial, held at a secret location in Scotland, which appears to have successfully weaned two hardened Scots addicts off heroin and methadone within the space of a week.

The men claim their lives had been ruined by having been put on the highly addictive methadone, and that only through NET had they managed to come off drugs.

NET works by sending electric pulses into the brain which help to release endorphins - the body's natural pain killers. Backers say it reduces the intense pain caused by withdrawal by as much as 80%.

Doubts over methadone re-emerged late last year after a new study showed that only 3% of heroin addicts had managed to kick their habits after being prescribed the replacement.

The concerns prompted First Minister Jack McConnell to ask health officials at the Chief Scientist Office to study NET as an alternative to methadone.

But any hope the treatment might be used has now disappeared. Scotland on Sunday has obtained details of a series of meetings held last year at which, according to NET backers, officials sought to obstruct their proposals.

First, the CSO declared that "insufficient information" was available to enable it to take it on. At a subsequent meeting in November, it then decided that NET should be trialled on nicotine - an exercise which backers say will be a waste of time because it will prove nothing about heroin. A large-scale trial is required before the NHS will adopt a new treatment, but the NET backers say the bureaucratic hurdles imposed by the CSO have left them with no hope of continuing.

Lorne Patterson - whose mother Dr Meg Patterson invented the treatment - said: "They are not a proactive organisation. If a research proposal is put to them then they consider it, but they are not going to go out of their way to find evidence."

Patterson added: "There is huge difficulty in getting them to accept that the responsibility is theirs to get this to start."

John Mullen, director of the Third Step charity, which organised the NET trial last week, said: "The people who talk it down are the very ones who promoted methadone. Methadone has been a complete disaster but those people behind it are not going to let their reputations be tarnished."

The two addicts who successfully completed the NET trial last week said that the therapy had helped them through the cold turkey phase.

One of the men, Alan Lindsay from Glasgow, said: "It has been tough but this is about 80% better [than cold turkey]. You don't get the cravings as bad as you do when you're not on the machine. Then you just can't control it. You are rattling - you would go through a brick wall to get a hit."

The other addict, Glenn Keys from Motherwell, who has been on drugs for a decade, added: "This week has got me over the withdrawals which I could never had done before. The therapy stops the worst withdrawals. I wouldn't be able to do anything if I hadn't had this box on."

Mullen added: "If we could keep this up, I believe that in six months' time, I could bring 100 former addicts to Edinburgh and show the MSPs: here are 100 people who have been brought off heroin."

A source close to the First Minister admitted that the health chiefs had the final say over the matter. "Part of the problem is that for this to be approved for widescale use, you have to go through trials in order for doctors to accept it. The First Minister has given it his political support, but we need more to get it used more widely," the source said.

But a spokesman for the Scottish Executive denied that the CSO was blocking the treatment: "We are not slowing down the evaluation process. Advice from experts was that small-scale preparatory studies designed to test the basic method might be the best starting point, possibly initially based on nicotine."

However, backers said they would not be giving up the fight.

Maxie Richards, a longstanding campaigner against drug misuse in Glasgow, said: "When you are on methadone, you can't work; you can't drive; it is a minor sedative so you can't work with machinery. You can't get away because you have to go to the chemist every day. I thought William Wilberforce got rid of slavery 200 years ago, but we have a whole new generation of slaves here in our midst."

On NET, she added: "Everything is being stalled. They [the CSO] are not prepared to act because the general public don't know the whole story. They are stalling. If they wanted a big trial they could."

'I believe it works because I have seen it work'


HE WAS sitting on the front steps, concentrating hard on his roll-up and not on the electrodes positioned behind his ears.

Ronald McLelland had had his last fix of heroin earlier that day and was feeling understandably nervous about his new role as medical guinea-pig in the trial of NET.

"I've been using eight years - three bags a day - and I have done everything an addict does to feed my habit," he said. "I have stolen off my parents and friends. I have held a knife to other addicts' throats to get their heroin. I have held knives to the throats of people in the street to get money to buy drugs. I have been to jail. I lost my brother to an overdose. So there is nothing I don't know about this life."

The 26-year-old from Ayrshire gestured to the battery pouch attached to his waist and the wires leading up to his ears.

"That's why I think this is my last chance of getting clean. I have a three-year-old daughter I haven't seen since she was eight months and I want to get my life back."

McLelland was one of the six hard-core addicts who last week volunteered to take part in the trial of NET at a Lanarkshire farmhouse.

They had been fitted with the equipment by Lorne Patterson, whose mother Meg developed the technique in the 1970s and is alleged to have treated rock star Eric Clapton among other well-known musicians of the era.

In the absence of large-scale medical trials, the technique has been kept alive by her family in isolated clinics around the world. Meg Patterson eventually settled in Lanarkshire before she died and a friend has now loaned his farmhouse for the trial.

The six male addicts who arrived last week - six women will be treated later this month - were individually fitted with the electrodes, held in place behind their ears with tape.

Although four of them, including McLelland, left the centre after a few days, the treatment is gradually gaining support. The theory is that a small charge of electric current from the battery pack will restore the balance of chemicals in the brain that have been severely disrupted by addiction.

The NET device is switched on constantly and all wearers feel is a slight tingling sensation. When drug cravings appear, the current is turned up and the sensation should subside. Supporters of the technique claim cravings are reduced by up to 80% over a period of six to 10 days as long as the device is worn and used throughout that period.

A Scottish doctor associated with the trial said: "I believe it works because I have seen it work. Putting people on methadone just gives them two addictions. But it isn't a cure.

"This works by reducing the cravings. It means that when an addict wakes up in the morning his or her first thought is not 'where do I get my fix?' It makes them much more amenable to counselling and finally breaking the vicious circle for good."

The addicts stay in the farmhouse, in a secluded location overlooking beautiful Lanarkshire countryside, for up to 10 days.

Their withdrawal from drugs is overseen by a medical doctor. All enter with the knowledge that however bad their cravings get, no drugs will be available. Part of the deal, if they stay the course, is that they will either live with their families in the immediate aftermath or enter a rehabilitation centre to ensure they stay off drugs.

John Mullen, one of the organisers. said: "There is no point in them going through this if we are just going to pitch them out alone on to the streets again. We want this to work and keep on working."



Page 1 of 1

  • Last Updated: 03 February 2007 7:02 PM
  • Source: Scotland On Sunday
  • Location: Scotland
  • Related Topics: Heroin , Drugs policy
 
1

Gnasher,

04/02/2007 02:11:52

Boo to the nasty fusty old-fashioned Health Chiefs! Yay to the super duper new cure!

Well that's what the story sounds like. Let's see the science first before the taxpayer shells out.

2

,

04/02/2007 02:40:38
Comment Removed By Administrator
Reason: Scotsman Import, Original comment id: 341381, Article id was mapped to record!
3

www.scottwebb.co.uk,

04/02/2007 03:17:32

Cures don't make pharmaceutical companies money......follow the money trail and you find the real reasons.......every time :)

4

Pete39,

Tassy 04/02/2007 05:44:03

Spot on Scottwebb, if there is no money in it why would you want to promote this approach as a cure.

5

,

04/02/2007 08:20:57
Comment Removed By Administrator
Reason: Scotsman Import, Original comment id: 341586, Article id was mapped to record!
6

Evie,

04/02/2007 10:42:30

Methadone is not a cure for coming off Heroin, it's more like an extra fix. Hopefully this new technique does work amd helps not just the hard core addicts, but all addicts come of drugs.
Once this has been achieved, The NHS can put the millions saved on methodone to more deserving areas.

Scotland can then make it's way to the top of the Healthy Man of Europe list as opposed to the top of the Unhealthy List.

7

,

04/02/2007 13:57:58
Comment Removed By Administrator
Reason:
8

,

04/02/2007 14:23:20
Comment Removed By Administrator
Reason:
9

Scaramouche,

04/02/2007 15:25:48

Is it worth the waiting for?
If we live 'til eighty four
All we ever get is aspi...rin!
Ev'ry day we say our prayer --
Will they change the bill of fare?
Still we get the same old aspi...rin!
There is not a pill, not a crumb can we find,
Can we beg, can we borrow, or cadge,
But there's nothing to stop us from getting our hugs
When we all close our eyes and imag...ine

Drugs, glorious drugs!
He...roine and cocaine!
While we're in the mood ....
Cold turkey's a real pain
Please let us have our pills!
We'll swallow them without question
One thing we'll never have is --
In-di-gestion!

Drugs, glorious drugs!
We're anxious to try it.
Three fixes a day --
Our favourite diet!

Just picture some great big bugs
Fried, roasted or stewed.
Oh, drugs,
Wonderful drugs,
Marvellous drugs,
Glorous drugs.

Drugs, glorious drugs!
What pills are more handsome?
Gulped, swallowed or chewed --
They're worth a king's ransom.
What is it we dream about?
What brings on a sigh?
Piled pies and cream .... NO!
A drug made high!

Drugs, glorious drugs!
What's on the menu.
Amphetamine's fine
All day I've sniffed glue to
Work up a new appetite.
In this interlude --
Quaaludes,
Once again, pills
Fabulous pills,
Glorious pills.

Drugs, glorious drugs!
Don't care what it looks like --
Burned!
Underdone!
Crude!
Don't care what the dealer's like.
Just thinking of going high --
Our senses go reeling
One moment of knowing that
Screwed-up feeling!

Drugs, glorious drugs!
What wouldn't we give for
That extra bit more --
That's all that we live for
Why should we be fated to
Do nothing but brood
On drugs,
Magical drugs,
Wonderful drugs,
Marvellous drugs,
Fabulous drugs,
Beau

10

neetsie,

usa 04/02/2007 17:25:54

i been on meth for 30yr i was 90lbs when i got on and now300lbs and my bones at the knees joints are eaten away and other problems i am not the only one who can not walk well from methdone my fault for being a slave the gov fault for not explaining the drug in 1970

11

,

04/02/2007 21:22:30
Comment Removed By Administrator
Reason:
12

zenith,

USA 05/02/2007 04:17:55

The recent "study" showing methadone helps only 3% was a ridiculous farce, based on an erroneous premise. Most people do not realize that the survey counts as failures even those patients who are doing great, working, taking care of their families, staying off illicit drugs, and obeying the law, if they are still on methadone after 3 years' time! This in spite of the fact that the MINIMUM recpmmended time to stay on MMT to have the best chance at success with abstinence is 3 years, and many people who have done permanent long term damage to their natural endorphin production by long term opiate use will need to be maintained on methadone for life. Methadone is NOT a cure--it controls the symptoms of endorphin deficiency that drive addicts to relpase again and again. Most see that study and think that it means only 3% stopped using illict drugs on methadone--but that is NOT so! They are counting as failures those people who have experienced great success with continued MMT, despite the fact that it's founders, Drs Dole and Nyswander, always intended it to be a long term treatment--not a quick way to "detox".

As for this new treatment--even if it does work to help with detox symptoms, these people are still left with whatever problem drove them to abuse drugs in the first place, be it a chemical imbalance in the brain, social or environmental problems, abusive pasts, poor associations, etc. This is no cure--just another quickie detox method like Ultra Rapid Opiate Detox (UROD), that leaves you detoxed but still with the disease of addiction. Nothing has been fixed.

Traditional treatment centers with a 12 step philosophy have abysmally low success rates, and AA itself has a less than 5% success rate by it's own triennial survey. Methadone has a much higher success rate (about 65%) when success is not judged by how fast you get off methadone but whether or not you quit using illicit drugs and become a productive member of society.

13

zenith,

USA 05/02/2007 04:23:00

I want to add--methadone is NOT used simply to avoid the pain of detox, as is believed by many. It is used to normalize the permanent chemical changes that occur in the brains of some opiate users. Some people are even BORN with a dysfunctional endorphin system and are particularly prone to abusing opiates, since lowered endorphins cause severe depression, and no antidepressants target endorphins.

Methadone IS "replacement therapy", but what most don't understand is that it is NOT replacing heroin, etc but instead it is replacing the chemicals no longer being produced in the addict's brain.

14

McKeganey,

Glasgow 05/02/2007 11:08:12

The comments from Zenith 13/14 show powerfully the refusal of the methadone proponents to consider any evidence other than that which supports their case. The Scottish study found a) that most drug usrs starting treatment wanted to become drug free and b) that those who did become drug free tended to have been provided with residential rehabilitation. The rehabit clients were no different to the methadone clients in their level of dependence and only slighlty more motitaved although not to a degree that would explain why nearly 30% of those recieving residential rehab were drug free compared to only 3% of those on methadone. The comments that methadone is a life long substitution is interesting because one wonders how many of the doctors prescribing this explain to their patients that they are now starting on a "treatment" that will last the rest of their life. If methadone is indeed being prescribed as a life long drug (much in the way that insulin is provided to a diabetic) then one would have to ask why it is that so many residential clients are able to come off drugs altogether and whether we should actually be starting addicts on methadone with the intention of their remaining on it for the rest of their life. Drug addiction, despite what Zenith has said, does not need to be a life long condition. If if becomes this it is in part as a direct result of the activities of those who are prescribing methadone as a life long treatment.

15

Jock MacGregor,

Glasgow 05/02/2007 13:47:36

Nice try Maxi, but wasn’t Wilberforce a daily user of opium for over 20 years. In fact some say he put his ability to speak out in public against slavery down to his use of the drug. One wonders if you would pay any attention to the views of this 'drug-addled' abolitionist if he were alive to day.
http://books.guardian.co.uk/print/0,,4326434-99937,00.html

16

zenith,

USA 05/02/2007 22:44:57

I never said or insinuated that ALL opiate addicts were unable to be drug free or even that most of them were. I simply stated that a certain number have permanently altered their brain chemistry. This usually tends to be those who have long term habits or heavy usage patterns, BUT not always, AND some people in that category CAN manage abstinence. There are many many studies and tests that bear out the permanent nature of these biochemical changes. Do you really seriously believe that people who have tried for 20 years or more to stop using opiates, who have been through rehab after rehab, seen the destruction of career, family, appearance, freedom, etc and know with a surety that if they use again they will die or be imprisoned for life are saying to themselves "But I just want to party, so I'll do it again!" They are SUFFERING from a SEVERE derangement of their brain chemistry that leaves them completely unable to feel any pleasure in life--a complete anhedonia. All many of them want is to feel normal--if they wanted to be high they's stick with heroin. No amount of religious indoctrination that comes with AA and 12 step based rehabs can change this--it is a medical, biochemical problem.

Of course most people going into MMT want to be free of drugs--that's what almost everyone who seeks treatment wants!! But if being free of drugs means, for some, severe depression, lethargy, and anhedonia, coupled with intense cravings 24-7 which never improve, then the option of taking a daily medication which controls and normalizes this condition, even if it is a lifelong medication, is prefereable to most people.

Many people are BORN with endorphin deficeincy. Not all addicts are addicted due to childhood traumas, codependency issues, or not confessing their character defects enough. Bill Wilson, AA's co-founder, met Dr. Dole and told him that he wished there were a similar medication available for alcoholics, to control their cravings. He knew ho

17

Paul J Glancy,

Glasgow Scotland 02/06/2008 16:07:56
Hi,just been reading these 'old post's',and Zenith,i've done 8 detoxes,and know my endorphins are destroyed,and you are the first person i have ever read posting anywhere the thoughts i have about my own self,keep on working on what you're saying,cause it made perfect sence to me,and always has,i've been right through the 'child care system',local authourity care too,like social work institutions/prisons/rehabs,man my life has been one big dictation,and now look at the end product.Yeah you are spot right on,and i'd like to hear some more from you,or you can get intouch with me.Your's Ever seeking...Paul J Glancy.
18

cologne,

cologne 30/09/2008 23:31:05
hi paul,
did you work for Babcock in 1983`?
gfkk@gmx.de
pls contact me.
george

 

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