Showing posts with label Professor David Nutt. Show all posts
Showing posts with label Professor David Nutt. Show all posts

Sunday, 7 November 2010

All Drugs Are Not The Same

People love drugs … this is a fact.  And many people will use drugs. Another fact.

Some will overdose, some will get sick and some will want to go home, But the vast majority will get what they paid for … a hellava’ good time. Yeah, yeah, I hear you - drugs are bad, drugs can hurt you - but so can anal sex but that act is performed at least a million times a year without a lot of complaints. 

Funny enough, the same people who complain about others having anal sex also complain about drugs.  You know the type I mean. Arrogant, conservative, self-righteous, self-important, self-appointed guardians of all things moral. They use jargon like “family values”, “personal responsibility”, “do the crime … do the time” or remind us that things were different in 1956. They were once called wowsers. 

Wowser
[noun] Austral./NZ informal - a person who is publicly critical of others and the pleasures they seek; a killjoy

One common mistake made by wowsers / the media / the government / anti-drug zealots / the police / moral crusaders etc. is lumping all drugs together under the one umbrella. You often hear the police blame someone’s actions on being “under the influence of drugs” or the media describe erratic behaviour due to drugs. On Channel 7’s, The Force - Behind the Line, I heard one police officer describe a suspect as showing typical signs of drug use - hyperactive, extremely restless, nervous and pinpoint pupils. What drug causes that? The victim was caught with speed which explains most of the symptoms except pinpoint pupils are typical of heroin use not speed. Amphetamines(speed) make your pupils bigger, not smaller. This is a classic example of how all drugs are lumped into one category. 

But, all drugs are not the same. Some people perceive them to be like different kinds of liquor. e.g. whisky, beer, wine, cognac. They all look and taste differently but the effect is the same … you get stoned. Drugs though, offer a rich variety of effects, some of which can be compared to activities in the physical world. Jumping out of an aeroplane might thrill the adrenaline junkies but it doesn’t even come close to what first hooked a heroin addict. Being as cool as James Bond involves years of practice, exercise and training but why bother when a line of coke can give you same confidence? What about sex? Option one - Seven years in India learning the Karma Sutra, four years of attending the gym followed by two years of studying Men are from Mars, Women are from Venus, The 5 Love Languages: The Secret to Love That Lasts or even A Couple’s Guide to Automobile Repairs. Option two - an ecstasy pill.

Another common misrepresentation is that unhappy people turn to drugs to dampen their emotional pain. That’s like saying all drinkers “hit the booze” to “drown their sorrows”. Of course, most drinkers indulge in alcohol because it’s enjoyable and it’s no different with drugs. And which “drugs” do they turn to? I find it hard to imagine that someone with a great burden on their shoulders will turn to ecstasy to block out the world. Or someone with suicidal tendencies overdosing themselves on pot in a half hearted attempt to end it all. I turned to heroin after the death of my wife when booze wasn’t killing me quickly enough or dampening the unbearable sorrow I was feeling. Before then, I had only used drugs like speed to enhance my night out or to experience the trippy pleasures of mushrooms, LSD and dope. The point is, I turned to a particular drug like heroin, not ice, weed or cocaine. Who knows what might have happened if I took up LSD instead of heroin?

What attracts people to different types of drugs? My experience is that people want certain drugs for different reasons. Alcohol is for socialising, dope is for chilling out, speed/ice/cocaine for partying, LSD/mushrooms for experimenting and heroin for multiple reasons. But according to many sources like the media, it’s irrelevant because … drugs are bad, mmkay!

This blanket approach to drugs has been enforced around the globe for the last 100 years. Now when any new drug appears on the market, it gets slotted under the “drugs” umbrella without any scientific examination or analysis of it’s social effect. Ecstasy(MDMA) is a classic example of how an over zealous organisation like the US Drug Enforcement Agency (DEA) ignored all input from medical / scientific groups and pushed for a schedule I drug classification. This was despite a court ruling that it should not be banned, advice from medical experts and the successful trials that showed it to be a possible treatment for PTSD, depression and other disorders. The DEA used it’s special authority granted by the government to override the court’s decision, ignore scientific advice and make it’s own judgement. MDMA was banned and classed as a schedule I drug.

US Schedule I Drug:
(A) The drug or other substance has a high potential for abuse.
(B) The drug or other substance has no currently accepted medical use in treatment in the United States.
(C) There is a lack of accepted safety for use of the drug or other substance under medical supervision

Many countries including Australia now just mimic any scheduling decisions made by the US and the UK. Not surprisingly, the only exception is when they lower the classification of a drug. It would have been interesting to see what happened if Proposition 19 in California was passed and cannabis became legal. If the example of how Australia managed the classification of UK legal highs or MDMA is any thing to go by, then we are doomed to retain only stricter scheduling of drugs but ignore any changes that reflect a loosening of restrictions.

But it’s not just government classifications that get the blanket treatment. The scheduling of drugs is also driven by how society views these substances. And this is where the sensationalist media and political rhetoric comes into action. These potent forces have been pumping disinformation into us for decades and now much of the public believes their spin. And why wouldn’t they? Just mention heroin or crack and watch instantly as normal, rational human beings turn into judgemental, irrational zealots. Try pointing out the facts and watch as disbelief overrides all evidence and reality. Listen up to the amazing array of myths that will used to attack your “extremist” views. Why is it is so damned hard to expose decades of propaganda from the government, anti-drug nutters and the media.

Just recently, Professor David Nutt was sacked from the the Advisory Council on the Misuse of Drugs (ACMD), who are a group of scientists, academics and doctors commissioned by the UK government to advise on drug policy. His crime was telling the truth. Prof. Nutt was simply providing evidence that some drugs like cannabis, LSD, mushrroms and ecstasy(MDMA) are much safer, and that alcohol is far more dangerous, than the official government position or the public’s perception. The UK Home Secretary decided that maintaining flawed information about drug harms was more important than the facts so he sacked Prof. Nutt claiming he was out-of-line for criticising government policy. Can you imagine any other scientific issue that would prompt a government to dismiss the evidence and remain fooling the public with flawed information? 

Professor David Nutt has since created his own group called, the Independent Scientific Committee on Drugs. Last week, they published a scientific paper in the respected Lancet medical journal that measured the rates of harm from illicit drugs, alcohol and tobacco. The results showed that alcohol is the most dangerous drug in the UK, overshadowing heroin and cocaine. At the other end of the scale, mushrooms, ecstasy and LSD were well down the list. As expected, the report has caused a frenzy of newspaper articles. 

Background
Proper assessment of the harms caused by the misuse of drugs can inform policy makers in health, policing, and social care. We aimed to apply multicriteria decision analysis (MCDA) modelling to a range of drug harms in the UK.

Methods
Members of the Independent Scientific Committee on Drugs, including two invited specialists, met in a 1-day interactive workshop to score 20 drugs on 16 criteria: nine related to the harms that a drug produces in the individual and seven to the harms to others. Drugs were scored out of 100 points, and the criteria were weighted to indicate their relative importance.

Findings
MCDA modelling showed that heroin, crack cocaine, and metamfetamine were the most harmful drugs to individuals (part scores 34, 37, and 32, respectively), whereas alcohol, heroin, and crack cocaine were the most harmful to others (46, 21, and 17, respectively). Overall, alcohol was the most harmful drug (overall harm score 72), with heroin (55) and crack cocaine (54) in second and third places.

Interpretation
These findings lend support to previous work assessing drug harms, and show how the improved scoring and weighting approach of MCDA increases the differentiation between the most and least harmful drugs. However, the findings correlate poorly with present UK drug classification, which is not based simply on considerations of harm.

Funding
Centre for Crime and Justice Studies (UK).



What this report doesn’t cover though, is how these drugs would rate in a world without prohibition. By far, most problems from drug use is attributed to our drug laws. It’s the illegality of these substances that causes more damage than the drugs themselves. Heroin, for example is basically non toxic and can taken for decades without much physical damage. Cocaine, speed and GHB taken occasionally will not greatly impact on your health unless of course, it’s cut with drain cleaner. Smoking naturally grown cannabis in moderation will not usually hurt any adult who doesn’t have a history of mental health disorders. Popping an ecstasy pill (pure MDMA) every few months is not going send most people to rehab. Although moderation is the best defence against the potential, nasty side effects of illicit drug use, prohibition is the real culprit. Prohibition removes all the safe guards that could be included with regulated sales of these drugs. Prohibition puts the safety of drug users in the hands of criminals and dealers who offer no quality control or age restrictions. Even that junkie stereotype is purely a result of drugs being illegal. It’s not the drugs that make junkies look skinny, dirty and homeless - it’s the desperation from dodging police, being maligned by the public and that never ending search for money that leaves very little for rent, food etc.

For many, their deep-seated views on drugs are not going to change anytime soon. Most of the population has never experienced a world without drug prohibition and after a lifetime of misinformation and the constant drone of anti-drug sentiment, the demonising of drugs has been very effective. Separating substances into groups based on their harm might go a long way to educating the public and hopefully provide some sanity in the drug debate. We don’t want a repeat performance of Liberal hack, Chris Pyne dribbling on about pot and heroin being equally as dangerous. These theatrical performances might appease dorks like Pyne but they do nothing to keep people safe. Nor does the popular trend of outing one’s self as having tried pot at university but declaring it’s now unsafe to do so because of the latest research. Over the last few years, we have had Australia’s top politicians admitting to smoking the evil weed but warning others not to follow suit. Julia Gillard, Tony Abbott, Wayne Swann and Malcolm Turnbull have all made this admission but it took the current US president to actually come clean. When asked if he “inhaled” - a reference to former US president who said he tried pot but didn’t inhale - Obama said, “that’s the point, isn’t it”.

We have to end the “drugs are bad … mmkay” mentality. All drugs have specific harms when abused but some, more than others. Inexperienced people shooting up hard drugs is not a good idea but overall, binge drinking causes more harm than intravenous drug use. Dozens of night-clubbers taking ecstasy in it’s pure form will not cause anywhere near the carnage inflicted by boozers in the same venue. Smoking pot each night for years on end will only produce a tiny group of dependant users compared to drinkers who consume similar amounts to achieve the same intoxication. And contrary to popular beliefs, methamphetamines like ice cause a fraction of the violence that alcohol bestows on the community each week. 

These facts need to be explained to the public along with the truth about legal drugs like alcohol, tobacco and prescription medication. Although it’s changing slowly, all illicit drugs are still seen as something that only desperate, low life druggies will consider while incredibly, booze is considered a safe alternative. The facts are out there but if our leaders and the media are not prepared to tell us the truth then the public will remain victims of deceit and agenda driven policy. We deserve better.

Sunday, 22 February 2009

UK Gov: How Dare You Tell the Truth about Ecstasy ... Apologise Now!

According to the British Government, telling the truth might not be the right thing to do. Last month, Professor David Nutt, chairman of the UK Advisory Council on the Misuse of Drugs (ACMD) wrote in a medical journal that “Taking the drug ecstasy is no more dangerous than riding a horse”. Although it’s a fact it still caused outrage throughout the UK including from the Home Secretary, Jacqui Smith.

She [Home Secretary, Jacqui Smith] demanded an apology and told the professor that his comments went beyond the scientific advice she expected from him. "I've spoken to him. I've told him that I was surprised and profoundly disappointed," Smith told MPs yesterday. She said they made light of a serious problem, trivialised the dangers of drugs, showed insensitivity to the families of victims, and sent the wrong message to young people.

Smith's attack on Nutt, the new chairman of the Advisory Council on the Misuse of Drugs, comes when this week it will publish a report expected to recommend downgrading ecstasy from class A to class B. Smith has made clear she will veto the council's view as she rejected its advice last year not to reclassify cannabis.

Lib Dem MP Evan Harris complained to the Speaker at Smith's attack, describing Nutt as a "distinguished scientist" unable to answer back in parliament for what was set out in a scientific publication. His article in the Journal of Psychopharmacology was written before he became chairman, but picked up in the weekend press.
-The Guardian - Drugs adviser says sorry over ecstasy article

This reaction from UK Home Secretary, Jacqui Smith is disgraceful on several fronts. First of all, the statement was part of an article published in the Journal of Psychopharmacology last month and was only recently reported in the news. Secondly, since when does a government official publicly criticise a professor for the contents of a scientific paper? More importantly, why was professor Nutt demanded to make an apology for telling the truth?

Professor Nutt did offer an apology but didn’t backtrack on his statement. He apologised saying he had 
"no intention of trivialising the dangers of ecstasy" and "I am sorry to those who may have been offended by my article. I would like to apologise to those who have lost friends and family due to ecstasy use". Some media reports jokingly questioned why Professor Nutt was not also made to apologised to those who had lost friends and family from horse riding.


According to Nutt, a Scottish study suggests that one reason for ecstasy's "peculiarly prominent place" within the media dates back to the 1990s, when every single ecstasy-related death was covered in detailed by the Scottish press while far fewer other drug-related deaths were reported.

The mental health effects are said to be relatively few in both the short and long term, with few people becoming dependent. The ACMD also concludes that those who take ecstasy are not commonly seen to become violent or engage in behaviour that leads to public order offences.
-The Guardian - Government criticised over refusal to downgrade ecstasy

To make matters worse, Home Secretary, Jacqui Smith declared she would veto the council’s recommendation of downgrading ecstasy from class A to class B even before the findings were officially released. This bizarre behaviour has raised many concerns about why the government has spent millions of dollars on a report they are going to dismiss if it doesn’t fit in with their particular ideology or current policies. For Jacqui Smith to declare that she was going to veto the report regardless of the evidence or the facts before she even reads it is shameful. Is this how the government was intended to be run?


The prime minister's strategy unit reported last year that current drug policy was failing - so the government sought to suppress the report. The independent RSA Commission, after two years painstakingly investigating drug policy, recommended more emphasis on harm reduction - and was ignored.
-
The Guardian - We need a sensible debate about drugs - but that's impossible while ministers float above it all

This is the second ACMD report commissioned by the UK government that has been tossed aside and rejected. The first report recommended that cannabis stay downgraded as a class C drug but that was rejected by the government after being implemented in 2004. With many fearing that cannabis use would explode when it was first downgraded, the level of use actually dropped whilst it was a class C drug. There was no reason what-so-ever for a reclassification back up to class B. In fact it should have been reason enough to accept more AMCD recommendations especially the down grading of ecstasy. With ecstasy use rising under the current A classification, what did they have to lose? The answer is irrelevant as we have seen evidence and facts have no bearing on government policy decisions. It’s the usual case of “sending the wrong message” being more important than people’s lives.


We don't need to see things with our own eyes to believe them; we're not Neanderthals. But we do need to be assured that advice is evidence-based, that the authorities haven't just ignored the evidence and gone ahead anyway. I contend that the negative consequences of this mummy-knows-best approach have already gone beyond the world of class C drugs. I bet this is why so many young people have stopped using condoms and are getting syphilis.
-The Guardian - Mum doesn't know best

What will happen to drug use levels as a result of the governments refusal to reclassify ecstasy? Remember that this recommendation is only to lower the classification of ecstasy not to legalise it. There would still be harsh penalties of up to 5 years jail for possession. By doing nothing, it seems logical that ecstasy use will continue on it’s merry way.


The Runciman Report of 2000, for example, suggested that ecstasy may be several thousand times less dangerous than heroin – despite both being class A drugs – with ecstasy users exhibiting little or no evidence of the withdrawal symptoms usually associated with physical dependency. The home affairs select committee's 2002 report The government's drug policy – is it working? estimated that fewer than 10 people died a year from taking ecstasy, 3% of the number of deaths attributed to heroin. Both reports recommended the downgrading of ecstasy from class A to class B, and both were rejected on the grounds that reclassification would be irresponsible.
-The Guardian - Severe side effects of drug policy


The UK continue with the dubious record of having the highest rate of illicit drug use in Europe along with some of the harshest penalties and toughest policing. It’s obvious their “tough on drugs” approach isn’t working but the UK government refuses to listen to alternative strategies recommended by experts. Government arrogance is nothing new but repeating the same old policies over and over expecting a different result is just stupidity. More importantly, it costs lives and creates massive suffering which appears to be overlooked by the media and the government themselves.


Related Links:
Top Drug Advisor - Ecstasy is Safe as Riding a Horse
Drugs adviser says sorry over ecstasy article
Government criticised over refusal to downgrade ecstasy
Severe side effects of drug policy
We need a sensible debate about drugs - but that's impossible while ministers float above it all
Home secretary rejects advice to downgrade ecstasy

Tuesday, 10 February 2009

Top Drug Advisor - Ecstasy is Safe as Riding a Horse

With the current hysteria over ecstasy in the MSM, it is refreshing to see some balanced opinion filter through. Professor David Nutt, chairman of the Advisory Council on the Misuse of Drugs (ACMD) in the UK has put some perspective on the much touted dangers of ecstasy(MDMA). It may seem hard to believe that the head of the UK’s peak body on illicit drugs has actually told the truth about ecstasy blowing apart the usual doomsday rhetoric.

Taking the drug ecstasy is no more dangerous than riding a horse
-Professor David Nutt, chairman of the UK’s Advisory Council on the Misuse of Drugs (ACMD)
MDMA was first produced about 100 years ago but it wasn’t examined for it’s potential until the 1960s. It took another 10 years before it’s promising future was realised when a Californian psychotherapist postponed retirement to study it and started introducing it to therapists in Europe and America. In 1985, the DEA stepped in and banned it after it started making the rounds the dance club scene. Without any investigation into whether MDMA was being used for research, an emergency classification was made to have it classed as a Schedule 1 drug - the most restrictive category for drugs with “a high potential for abuse” and “no currently accepted medical use”.

The
benefits of MDMA for Post Traumatic Stress Disorder (PTSD) have been known since the 1970s but with the worldwide restrictions and patent issues, many projects don’t get past phase II trials. MDMA has also been shown to alleviate some side effects of Parkinson’s disease treatment but again restrictions have buried any future trials. Research does continue though albeit slowly.

With many positive results for treating PTSD, SA Democrat Sandra Kanck
suggested that MDMA could be beneficial for survivors of the Eyre Peninsula bush fires in 2006. She was ridiculed by the SA government, anti-drug groups and the media, then called into explain her actions to party leaders. Again in 2008, Sandra suggested a trial of MDMA for war veterans with PTSD after trials in the U.S. and Israel had shown "excellent results". What followed was a disgraceful and abominable response from several politicians. The execrable, SA Veterans Affairs minister, Michael Atkinson said the Government would "not be supporting Sandra Kanck's latest rave" and "Vietnam Veterans are not laboratory mice for a left-wing social experiment". Has drug hysteria reached the point where legitimate drugs are only accepted for treating the ill according to how politicians perceive them? So much for our so called advanced society.

What about recreational use? Why is MDMA in the same class as heroin? Are the risks of MDMA so bad that users should be hunted down as criminals? Why is so much effort put into catching occasional MDMA users? The argument about the dangers is no longer valid so maybe we should be questioning the motives of those who oppose MDMA so aggressively.

The long term effects of MDMA are still not fully known but there has been plenty of research suggesting there is nothing especially dangerous about it. The short term effects are a different matter. Although MDMA receives much bad publicity in the media and from anti-drug campaigns, the actual harms are generally small. Like any drug, heavy abuse of MDMA is not going to be good for you but in moderation there is very little evidence of any harm at all to the general population. A few years ago, The British Home Office, concluded that consuming MDMA is safer than travelling on commercial airliners. This probably explains why millions of people take MDMA every week without a problem.

According to a
study published in a medical journal, The Lancet, MDMA is not even in the top 10 most dangerous drugs. The study had addiction experts, psychiatrists, police and legal professionals with scientific or medical expertise assigned a rating to a list of 20 drugs. The three factors were:

⁃ Physical harm to the user

⁃ Addictive potential of the drug

⁃ The drug's overall impact on society

Ecstasy or MDMA was rated at number 18 out of 20.

Statistically, more people die from bee stings than MDMA use. The main cause of death associated with ecstasy use is from external factors like overheating and dehydration, contaminates/substituted chemicals and combining other drugs especially alcohol. MDMA in it’s pure form has very little danger if taken in moderation. Under prohibition, ecstasy is often cut or the MDMA is replaced with another drug in an effort to increase profits for illegal drug manufacturers and dealers. Without knowing what’s in the ecstasy pills, the potential harms increase significantly. This is the real danger of ecstasy use today - not MDMA but the lack of it.

SA Democrat, Sandra Kanck, again put her head on the chopping block and recommended pill testing at raves but she was heavily criticised by SA independent, Anne Bressington and other self righteous pollies. Some groups were already providing pill testing services at raves but were then threatened with legal action by police. The pragmatic approach of pill testing by medical professionals was rejected for “sending the wrong message” and these groups reluctantly resorted to providing cheap testing kits. Surprisingly, this was also condemned by the government but it was out of their hands legally. Unfortunately the government’s rejection stopped another important aim of pill testing programs by allowing drug and alcohol professionals having face time with active users. Again it seemed that “sending the right message” was more important than people’s lives.

We saw more bungling with the death of Gemma Thoms last week at the Big Day Out in Perth. In a panic about being caught by police sniffer dogs, Gemma swallowed her day’s supply of ecstasy. A NSW report in 2006 warned of this very situation but had been ignored by police in all states. To top it off, WA police tried to
squirm around the blame by down playing the actual positioning of the sniffer dogs. Even the WA premier, Colin Barnett tried to dodge any blame and incredibly gave a "drugs are bad" lecture. A horrible case of public scare tactics and drug hysteria going horribly wrong.


Ecstasy 'Not Worse Than Riding'
BBC

Taking the drug ecstasy is no more dangerous than riding a horse, a senior advisor has suggested.

Professor David Nutt, chairman of the Advisory Council on the Misuse of Drugs (ACMD), outlined his view in the Journal of Psychopharmacology.
The council, which advises the government, is expected next week to recommend that ecstasy is downgraded from a class A drug to a class B one.

Ministers have outlined their opposition to any such move.

Professor Nutt wrote: "Drug harm can be equal to harms in other parts of life. There is not much difference between horse-riding and ecstasy."

Organ failure
The professor said horse-riding accounted for more than 100 deaths a year, and went on: "This attitude raises the critical question of why society tolerates - indeed encourages - certain forms of potentially harmful behaviour but not others such as drug use."

Ecstasy use is linked to around 30 deaths a year, up from 10 a year in the early 1990s. Fatalities are caused by massive organ failure from overheating or the effects of drinking too much water.

The ACMD last night distanced itself from Prof Nutt's comments.

A spokesman for the body said: "The recent article by Professor David Nutt published in the Journal of Psychopharmacology was done in respect of his academic work and not as chair of the ACMD.

"Professor Nutt's academic work does not prejudice that which he conducts as chair of the ACMD."

'No safe dose'
David Raynes, of the National Drug Prevention Alliance, told the Daily Telegraph: "He is entitled to his personal opinion, but if his personal view conflicts so very strongly with his public duties, it would be honourable to consider his position.

"If he does not, the home secretary should do it for him."

Last September a Home Office spokesman said the government believed ecstasy should remain a Class A drug.

"Ecstasy can and does kill unpredictably. There is no such thing as a 'safe dose'," he said.