Chapters Capistrano Blog

June 5, 2019

Opioid-free Pain Management is Possible

It is hard to put the genie back in the bottle. So too, with the opioid epidemic. Opioids used to be mostly prescribed for short-term acute pain or cancer patients. Then the big pharmaceutical companies lobbied hard for their newer, supposedly “safer” opioids to be prescribed more freely, including for […]

May 29, 2019

Buprenorphine Should Be Easier to Prescribe in All Its Forms

We need more options for drug addiction treatment and less expensive options. So the Food and Drug Administration should not be buying into large pharmaceutical companies’ claims that restrict the release of new treatments or drive up the price by awarding them sliding monopolies that continue long after the patent […]

May 22, 2019

Drug Relapse Overdose Kills Columbine Survivor

Twenty years after the Columbine school shootings, the tragedy has taken another life. Austin Eubanks, 37, died of an opioid overdose last week. Eubanks was in recovery from injuries suffered in the shootings, the trauma of seeing his best friend killed, and opioid use that he used to numb both […]

May 15, 2019

Substance Use Rehab Takes Backseat to Profits for Big Pharma, Generics

The cost of medication-assisted treatment (MAT) for drug addiction may be going down as two generic versions of the popular Suboxone sublingual film were approved for sale in February. That’s not guaranteed in the long run. Generic drugs are drugs whose patent has expired so no one drug company has […]

May 8, 2019

Mental Health Problems and Substance Use Disorder Go Hand-in-Hand

This month is the Mental Health America nonprofit’s 70th annual Mental Health Awareness Month. Not to high-jack this special month, but it may as well be substance use disorder (SUD) awareness month as well because SUD is a mental illness and because SUD and other mental illnesses co-occur so frequently […]

May 1, 2019

Fentanyl Can Kill, But Not By Touch Alone

Fentanyl is a synthetic opioid, up to 50 times stronger than heroin, 100 times stronger than morphine. It can be a useful anesthetic and painkiller for certain patients who are undergoing major surgery, are opioid-tolerant, or have excruciating pain from terminal cancer. It is often prescribed in the form of […]

April 24, 2019

Rehab and Harm Reduction Reduced OD Deaths in France

In 2018 alone, the US spent almost $3 billion total on the drug crisis, including grants to states and the federal government’s “main drug treatment, recovery and prevention program” but the opioid public health emergency continues to worsen. In fact, we are an outlier among wealthy nations. There is “some […]

April 17, 2019

Anti-Addiction Vaccines

Addiction is a disease, it is often said. Since that’s the case, vaccines may be one way of preventing it. That’s not just hyperbole. The idea isn’t that far-fetched. Researchers have been working on anti-addiction vaccines for decades. It involves immunopharmacology. President Donald J. Trump’s first secretary of Health and […]

April 3, 2019

Addiction Treatment Coverage Threatened If ACA is Unconstitutional

With the Patient Protection and Affordable Care Act (ACA or, if you prefer, ObamaCare) again threatened with repeal—including its provisions for requiring coverage for people with pre-existing conditions and 10 essential benefits, which in turn include treatment for substance use disorder—it’s a good time to reflect on the past and […]