A so-called “crack pen” could reduce the many harms of smoking cocaine. But will it work, and will people actually use it?
. Right now, he prescribes injectable hydromorphone, sold under the brand name Dilaudid, to about 70 patients, with plans to expand the program. The machines work using a touchscreen, biometric hand scanner, and participants can pick up the drugs several times a day.
The results have been promising thus far. Several patients have graduated out of the program, while many others have reduced their drug use or stopped buying off the streets entirely. But, Tyndall notes, “It's a drop in the bucket as far as need goes.” More than 1,500 people died from overdoses in B.C. between March 2020 and March 2021 —
from the same period in 2019. “Clearly what we're doing now, the incremental progress that we think we're making, is not making enough difference.”Tyndall has been kicking around the idea of an opioid e-cigarette, but like the cocaine pen, it’s just an idea. Tyndall estimates in B.C. around 30-40 percent of opioid users smoke heroin or fentanyl.
At least in some countries, it’s actually not that farfetched to imagine doctors prescribing a cocaine e-cigarette for problematic stimulant use. Still, safe supply is not a very popular idea yet. “In Germany, every physician could prescribe [heroin], but there are still only 10 practices in the whole country,” Steinmetz says.that safe supply led to the current opioid crisis, noting the high rate of prescription opioids that, more than a decade ago, fueled the first wave of the overdose crisis.
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