Liquid handcuffs shackle addicts
Miranda Devine •
The Sunday Telegraph •
March 09, 201412:00AM
LEO DiCaprio and Jonah Hill make drug use seem hip and hilarious in The Wolf of Wall Street.
Addiction is anything but.
Take the case of Tamworth couple Brett Johnston and Rachelle Kealy, former heroin addicts who have been hooked on methadone for 14 years.
When they finally decided they’d had enough, the medical establishment which had fed their addiction abandoned them in their hour of need.
Like 50,000 other methadone users in Australia, the drug that was supposed to wean them off heroin had become a prison.
Condemned to a twilight existence of zombie addiction on welfare in Tamworth — with rotting teeth, sleep problems, depleted sex drive, diminished sense of taste or smell — they were locked into daily visits to the local chemist for their fix.
But 41 days ago the couple went cold turkey. They have nursed each other though the agonies of withdrawal.
Leonardo DiCaprio is Jordan Belfort and Jonah Hill is Donnie Azoff in The Wolf of Wall Street.Source: Supplied
“It was like being run over by a train,” says Rachelle, 44, who started smoking marijuana and moved to heroin in her early 20s.
“Emotionally, you’re crying all the time, you’re throwing up. It feels like someone shoving knives in your bones.”
Methadone is supplied by the taxpayer to addicts so they can function without going through withdrawal agonies.
But rather than being a short-term crutch, it just substitutes one opiate addiction for another. The “liquid handcuffs” are a form of social control.
Brett, 41, had swapped to methadone substitute buprenorphine but found it didn’t work. He was getting withdrawal symptoms anyway, so they decided to kick the habit.
For the first 26 days, they say, they were “abandoned” by doctors and the local drug and alcohol service.
Rachelle claims when they begged for pain relief they were advised to use methadone. “They are trying to force us to stay on methadone,” she said.
Hunter New England Health’s drug and alcohol service has defended its program, claiming that “treatment teams” work with drug users.
But Brett’s 76-year-old father Keith told The Northern Daily Leader the couple had been left to their own devices.
“They need support and counselling and they’re just not getting it”
“They need support and counselling and they’re just not getting it,” he said.
Tamworth councillor and anti-drugs campaigner Warren Woodley, who meets with the couple regularly, said last week he was “pretty disgusted at the way the whole thing is handled. It doesn’t appear that there is any compassion for methadone users.”
The couple did manage to get a prescription for pain relief drug MS Contin, which they can use to combat the worst aspects of withdrawal.
But this is the problem with methadone. Spruiked as a way for heroin addicts to live normally again, it condemns them to indefinite addiction.
“There was never any intention to get them off methadone,” says retired pharmacist Phil O’Grady, who recalls zombies lining up for their fix in Fairfield in the 1990s. “We don’t give them the opportunity.”
While methadone had been around since 1969, it took off in the mid-1980s as a way to reduce drug crime.
The Australian Drug Law Reform Foundation, told a US conference in 1992 one of its greatest achievements was that: “We still can’t supply enough methadone to keep up with demand; capacity is growing around 10 per cent per annum. We now have more people on methadone per capita than in the US.” Some achievement.
But there is an alternative: naltrexone. Instead of substituting one addiction for another, this drug blocks the opiate receptors in the brain.
The hero of naltrexone is Perth gynecologist Dr George O’Neil, who developed a long-lasting implant as a way to help heroin-addicted mothers.
The detoxification process can be dangerous if not done properly but O’Neill has successfully weaned thousands of addicts off heroin, amphetamines and alcohol.
He told a NSW parliamentary inquiry into drug treatment last year that his naltrexone clinic had a success rate of 90 per cent in the first four months, and 85-90 percent in the second four months. Hard-core users need implants every 18 months for four or five years. Every year 40 to 45 patients travel to Perth for treatment. Despite his successes, O’Neil is attacked by methadone advocates. His argument is that methadone is for people who want to continue as addicts. Naltrexone is for people who want to be free of drugs.
The great failure of the harm minimisation system pushed by drug legalisers is that it does not support people who want to be free of addiction.
http://www.dailytelegraph.com.au/news/nsw/liquid-handcuffs-shackle-addicts/story-fni0cx12-1226849094746