3 ms·
>I have read, I can't remember where, that actually going cold turkey for hard drug (heroin, crack, etc.) addictions is a lot more effective than gradual decrea
by cc-d 8y ago
>I have read, I can't remember where, that actually going cold turkey for hard drug (heroin, crack, etc.) addictions is a lot more effective than gradual decrease in use
You can't just group all "hard" (what exactly does this mean anyway? Is diamorphine "hard" but morphine not? Codeine? Tramadol?) drugs under one umbrella. You ESPECIALLY need the appreciate the differences between, for example, benzodiazepine (are these "hard"?) withdrawals and crack withdrawals. An addict withdrawing from crack/coke mainly needs sleep and nourishment, "cold Turkey" is a realistic option. An addict who is physically dependent on benzodiazepines will have a grand mal seizure and die if you attempted to force them to "cold Turkey". Gabaergic withdrawal (alcohol/ benzodiazepines/barbiturates/GHB) is a death sentence, opioid withdrawal (diamorphine/morphine/ methadone) sincerely feels like a death sentence but is very rarely lethal (and then almost always a result of dehydration), stimulant withdrawal (meth/coke) is never lethal. I've oversimplified greatly, but I think you get the point.
Also note how alcohol withdrawals are often lethal. Very few people classify alcohol as a "hard" drug comparable in seriousness to heroin, but from a physiological perspective alone, alcohol dependency is far more damaging to the user than heroin dependency. A dependent user could use opioids every day of their life and die at a normal age, completely healthy (the negative health effects from opioids are almost entirely a result of users being forced to turn to a black market). This cannot be said for alcohol.
Before advocating for any policy in regards to a serious public health issue, please at minimum read up on the literature regarding physical drug dependency, the differences between the major classes of commonly abused drugs, and which (humane) approaches other countries have tried which have yielded positive results.