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The requirements were dropped in December 2023, after the Justice Department and NBC News began investigating his case. He was sworn into the Tennessee bar in January and now works as a lawyer, primarily in criminal defense, while he continues to take his medication. In other cases, the Justice Department has sued entities that did not comply with its recommended reforms. Scott’s longtime doctor “emphatically” disagreed with the recommendations, according to the Justice Department letter and records reviewed by NBC News. He lost his job after he told his employer about the drug treatment program requirement, according to the Justice Department findings.

Persons: ”, Derek Scott, Scott, David Sinkman, Kaplan, Grady, “, ” Scott, Derek Scott “, ’ Scott, Thomas J, Jaworski, Elise Amendola, C.B, ” Jaworski Organizations: Department, Tennessee, Law, Drug Administration, NBC News, Justice Department, Justice, Department of Justice, U.S, Middle, Middle District of, ”, for Disease Control, The Tennessee, Assistance Program Locations: Tennessee, Middle District, Middle District of Tennessee, U.S, buprenorphine

His loved ones, who witnessed his drug and alcohol abuse for years, were heartbroken by what his mother later described as an unavoidable outcome. His mother spoke about processing her grief and teared up when talking about how powerless one can feel against a loved one’s struggles with addiction. In the months leading up to his death, Perry appeared to have turned a corner with his addiction, relatives said. Now, loved ones switch tenses from past to present to past again as they remember the complicated man who brought them so much joy. It’s a familiar story for the millions of people whose loved ones have addiction disorders and is a guiding principle for the foundation, the family said.

Persons: It’s, Matthew Perry, pickleball, ” Suzanne Perry, “ You’ve, ”, Perry, Chandler Bing, Gen Xers, Keith Morrison, David M, “, ” Keith Morrison, Caitlin Morrison, ” Emily Morrison, ” Caitlin Morrison, Suzanne Perry, ” Suzanne, Caitlin Morrison’s Organizations: NBC, Dateline, Los, Federal, Matthew Perry Foundation Locations: Los Angeles, Savannah Guthrie, Los Angeles County, London

The good news is that recent data suggests a decline in overdose deaths, the first significant drop in decades. Skyrocketing overdose deaths are nearly unavoidable, regardless of whether a state enforces tough penalties for drug possession or decriminalizes it. Since 2021, at least two-thirds of America’s 100,000 annual overdose deaths involved a synthetic opioid like fentanyl. Overdose deaths in the Northeast Deaths per 100,000 people Looking at regional overdose deaths shows this pattern clearly. It’s not coincidental that the exponential rise in overdose deaths has occurred in tandem with a profound increase in income inequality.

Persons: bartenders, skyrockets, didn’t Organizations: for Disease Control, National Forensic Laboratory Locations: East Coast, United States, America, East, Mississippi, Texas, Idaho, Oregon, New York City, Chicago, Rural West Virginia, Florida, West, U.S, Mexico

☆ Matthew Perry's death means hard questions for the ketamine movement
▼ + stars: | 2023-12-20 | by ( Anna Silman | ) www.businessinsider.com time to read: +10 min

AdvertisementWhen Charles Patti read that ketamine had been a major factor in the "Friends" star Matthew Perry's death, his heart sank. AdvertisementMultiple researchers told Business Insider that labeling ketamine as the sole cause of Perry's death is misleading. "Matthew Perry's ketamine overdose should be a lesson in expanded use of the dangerous drug," declared The New York Post. There's no data on how many people go from receiving ketamine treatment in clinics to using it without a prescription. Herzberg, the historian, said he's not particularly worried about Perry's death causing a moral panic.

Persons: Matthew Perry, —, Charles Patti, Matthew Perry's, Patti, Perry, Matthew, Joanna Moncrieff, Ryan Marino, Marilyn Monroe's, David Herzberg, Len Bias, Gerard Sanacora, it's, Chrissy Teigen, Elon Musk, We've, Herzberg, wasn't, Sanacora, I've, Sandhya Prashad, wouldn't, Keith Trujillo, Trujillo, he's Organizations: Service, Los, Business, New York, University of Buffalo, Yale, FDA, American Society, Physicians, Psychotherapists Locations: Florida, Los Angeles County, British, Swiss

Kalamazoo, a small city in Western Michigan, is a way station along the drug trafficking corridor between Chicago and Detroit. In its parks, under railroad overpasses and here in the woods, people ensnared by drugs scramble to survive. Dr. Helmstetter, who makes weekly primary care rounds with a program called Street Medicine Kalamazoo, carried medications to reverse overdoses, blunt cravings and ease withdrawal-induced nausea. Rachel, 35, her hair dyed a silvery lavender, ran to greet Dr. Helmstetter. She takes the medicine buprenorphine, which acts to dull her body’s yearning for opioids, but she was not ready to let go of meth.

Persons: Nic Helmstetter, Helmstetter, Rachel Organizations: Medicine Locations: Kalamazoo, Western Michigan, Chicago, Detroit, Medicine Kalamazoo

☆ Addiction Treatment Eludes More Than Half of Americans in Need
▼ + stars: | 2023-08-15 | by ( Noah Weiland | More About Noah Weiland | ) www.nytimes.com time to read: +4 min

Why It Matters: Opioid addiction affects every part of American society. Rural and white Americans were the likeliest to report personal or family opioid addiction, but significant percentages of Black, Hispanic, urban and suburban families did, as well. Overdose fatality rates among Black Americans have climbed substantially in recent years, the Centers for Disease Control and Prevention found in a study last year. A third of Americans fear that someone in their family will die of an opioid overdose, researchers discovered. Methadone, another opioid addiction medication that alleviates cravings, is heavily regulated and often difficult for drug users to access and use continuously, prompting repeated calls from addiction physicians and public health experts for easing restrictions.

Persons: KFF, “, —, ”, naloxone, David Fiellin, Biden Organizations: Centers for Disease Control, Yale School of Medicine, AIDS Locations: ”, Georgia, South Carolina

In blistering 100-degree heat one recent afternoon at Valley State Prison in California’s Central Valley, inmates crowded around small windows in a prison yard to pick up their daily doses of buprenorphine, an opioid addiction medication. At one window, Quennie Uy, a nurse, scanned inmate identification cards, then retrieved strips of the medication, slipping them through a sliding panel below the window. The daily ritual is part of a sprawling health experiment in California that aims to unwind the often lasting damage of opioid use before, during and after incarceration. The state’s efforts also reflect the beginnings of a potential transformation in the nation’s approach to treating addiction in a part of American society that is often neglected. “There’s this better understanding that if we’re going to treat the opioid overdose crisis, one of the high-target populations to treat is people in jails and prisons.”

Persons: ”, Justin Berk Organizations: Brown University, Rhode Island’s Department of Corrections, “ Locations: California’s Central Valley, California

☆ They Followed Doctors’ Orders. Then Their Children Were Taken Away.
▼ + stars: | 2023-06-29 | by ( Shoshana Walter | ) www.nytimes.com time to read: +3 min

The investigator asked why she had used Subutex, a form of buprenorphine, during pregnancy if she knew it could cause withdrawal symptoms, Carnahan told me. She asked Carnahan why she would be with such a person. Carnahan’s doctor had warned her that the hospital might call authorities, but many other women are caught completely by surprise. coming to that hospital,” says G.W., who had a baby while taking Subutex in Louisiana in 2019. After her son was removed, G.W.

Persons: Caitlyn Carnahan, Carnahan, ” Carnahan, ”, Carnahan’s, “, G.W, Caseworkers, Mary DeLancy, caseworker, DeLancy, ‘, they’ll, She’s, ” Blair Morgan, Dota, Massachusetts caseworkers, Morgan, I’m Organizations: state’s Department of Human Services Locations: Oklahoma City, Louisiana, South Carolina, “, Subutex, Massachusetts

☆ The telehealth services we all relied on during COVID are fading away — but telemedicine may be entering a new era as providers look to bring the clinic home
▼ + stars: | 2023-06-28 | by ( Natalie Rahhal | ) www.businessinsider.com time to read: +7 min

But it's exhausted the capabilities of asynchronous care, one healthcare expert told Insider. The answer may lie in in-home monitoring technology, healthcare experts told Insider, which could be the next phase of telemedicine. Another example of a telemedicine model that uses in-home monitoring to expand access to care is the startup Bicycle Health. But there are obstacles to getting this kind of care to patients, including doctors' resistance to telemedicine and federal and state regulation. "For one-quarter century, this has been the domain of states," Kyle Zebley, senior vice president of public policy at the American Telemedicine Association, told Insider.

Persons: it's, Alana Saltz, Saltz, Ateev, Mehrotra, Danny Nieves, Kim, Nieves, telehealth, —, Kyle Zebley, Zebley, that's Organizations: Healthcare, Morning, Harvard University, Technology, Health, Bicycle Health, American Telemedicine Association, McKinsey Locations: COVID, —

☆ Addiction Treatment Medicine Is Vastly Underprescribed, Especially by Race, Study Finds
▼ + stars: | 2023-05-10 | by ( Jan Hoffman | ) www.nytimes.com time to read: +2 min

Despite the continuing rise in opioid overdose deaths, one of the most effective treatments for opioid addiction is still drastically underprescribed in the United States, especially for Black patients, according to a large new study. Within six months following a high-risk event like an overdose, white patients filled buprenorphine prescriptions up to 80 percent more often than Black patients, and up to 25 percent more often than Latino patients, the study found. Rates of use for methadone, another effective treatment, were generally even lower. Noting that all the patients regardless of race encountered doctors roughly once a month, he said, “There are two mechanisms left that could explain disparities this large. One is where people of color get their health care, which we know is highly segregated, and another is racial differences in patient trust and demand for buprenorphine.“

☆ Getting prescriptions via telehealth may change soon
▼ + stars: | 2023-05-04 | by ( Kristen Rogers | ) edition.cnn.com time to read: +7 min

Patients will still be able to get prescriptions for non-controlled medications, such as antibiotics or birth control, via telehealth. CNN: What if you can’t see your telehealth provider in person? The other factor that’s significant here is we discussed all the proposed rules and the status at the federal level, but there’s also the state level. Let’s say the DEA puts out their final rule, and there’s some flexibility — some states might adopt the older Ryan Haight Act language from the federal level, so they might actually be stricter than what we’ll be seeing at the federal level. Khan: The DEA has indicated that the absolute requirement at the federal level is one in-person examination.

☆ The Fight Over a Drug That Is Great for Horses but Horrific for Humans
▼ + stars: | 2023-04-20 | by ( Jan Hoffman | ) www.nytimes.com time to read: +2 min

Josh Shapiro of Pennsylvania, where the Philadelphia neighborhood of Kensington is ground zero for tranq dope, announced that his administration was doing so. Since then, it has been used for procedures on sheep, deer, elk and even cats and dogs, as well as on horses and cattle. Earlier trials in humans had been shut down because the drug led to respiratory depression, so manufacturers never sought approval for human use. And unlike the protocols for opioids, those for reversing tranq dope withdrawal or managing rehabilitation have not been standardized. Schedule III includes buprenorphine and the anticonvulsant drug gabapentin.

☆ Planned Curbs on Telehealth Prescriptions Spark Backlash
▼ + stars: | 2023-04-17 | by ( Stephanie Armour | Liz Essley Whyte | ) www.wsj.com time to read: 1 min

Proposed telehealth rules call for in-person visit for online prescriptions of controlled-substance drugs such as buprenorphine, a medication for opioid-use disorder. WASHINGTON—A federal plan to resume tighter limits on the prescribing of controlled substances through telehealth has spurred a backlash from some medical and patient advocacy groups who say the requirements would create barriers to care. The organizations are urging the Drug Enforcement Administration to reconsider proposed rules that would let doctors remotely prescribe a 30-day supply of some drugs, including buprenorphine for opioid-use disorder, as well as ketamine and testosterone, but require at least one in-person visit for further prescriptions.

☆ Telemedicine Startups Wary of Regulatory Shift in War on Opioid Addiction
▼ + stars: | 2023-03-30 | by ( Brian Gormley | ) www.wsj.com time to read: 1 min

Telemedicine companies are facing a regulatory shift that many entrepreneurs say would undercut their ability to quickly prescribe medication that helps prevent opioid overdoses. During the Covid-19 pandemic, telehealth companies benefited from a waiver of the requirement that patients be seen in-person before receiving a telemedicine prescription for buprenorphine, a controlled substance used to treat opioid addiction.

☆ The government is cracking down on online prescriptions. Patients with addiction and the startups caring for them are caught up in the fight.
▼ + stars: | 2023-03-27 | by ( Blake Dodge | ) www.businessinsider.com time to read: +9 min

Proposed rules would limit online addiction treatmentIn February, the Drug Enforcement Administration, or DEA, published much-anticipated rules meant to set the record straight on online prescribing. The rules, if implemented, generally don't allow providers to prescribe controlled medications online if they don't see the patients in person. For buprenorphine and other drugs, there's an exception that would allow for initial 30-day prescriptions for online patients. Some patients are flights away from in-person careFor some patients, especially in rural areas, in-person appointments are hard to find. Last year, Alabama passed a new law prohibiting providers from prescribing controlled drugs to patients they hadn't seen in person within the past year.

☆ Adderall, OxyContin Prescriptions to Require In-Person Doctor Visit Under Biden Plan
▼ + stars: | 2023-02-24 | by ( Liz Essley Whyte | Rolfe Winkler | ) www.wsj.com time to read: 1 min

The ban on first-time online prescriptions for drugs such as Adderall was influenced by improper prescribing during the pandemic, the DEA said. The Biden administration proposed tighter rules for the online prescription of drugs including Adderall and buprenorphine, shrinking the scope of telehealth services that expanded dramatically during the pandemic. The Drug Enforcement Administration on Friday said the telehealth restrictions would take effect after the Covid-19 public-health emergency ends on May 11. The proposed changes affect prescriptions for drugs classified as controlled substances because of their potential for abuse.

The number of pregnant women and new mothers dying from drug overdoses grew dramatically as the pandemic took hold, reaching a record high in 2020, a new study finds. "It goes to an ever higher level of stigma among pregnant women." She does not work with pregnant women or those with substance use disorder, but did crunch the numbers for the new research. "Overdose deaths in general have increased, and pregnant women aren't immune to the effects of addiction," Wright said. A Biden administration report, released in October, called for broader access to opioid treatment medication among pregnant women and de-stigmatize addiction treatment during pregnancy.

☆ As overdoses soar in rural America, more clinicians are prescribing addiction medications
▼ + stars: | 2022-11-30 | by ( Tony Leys | Kaiser Health News | ) www.nbcnews.com time to read: +12 min

The Health Resources and Services Administration, which aims to improve health care for underserved people, offers many of these grants. But the use of methadone for addiction treatment is tightly regulated, due to concerns that it can be abused. Federal regulators approved Suboxone in 2002, opening an avenue for addiction treatment in towns without methadone clinics. Or a patient’s primary doctor could take over the buprenorphine treatment after an addiction treatment specialist stabilizes a patient. Storjohann said some health care professionals believe addiction treatment would lead to frustration, because patients can repeatedly relapse.

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