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NRW. Medikus-Gruppe: Medizin für Körper und Seele – Die Philosophie der Heroinbehandlung

https://diamorphin.com/

In Essen gibt es neuer Ärger um Diamorphin-Ambulanz

In Essen gibt es weiter viel Diskussion um die geplante Diamorphin-Ambulanz. Drei Parteien haben sich zu Wort gemeldet. (Radio Essen, 04.11.2022)

https://www.radioessen.de/artikel/in-essen-gibt-es-neuer-aerger-um-diamorphin-ambulanz-1474602.html

Essen: Neue Anlaufstelle für Drogenabhängige geplant 

In Essen ist eine neue Anlaufstelle für drogenabhängige Menschen geplant. Die Abteilungen "Soziales" und "Ordnung" der Stadt Essen sehen darin gleich mehrere Chancen. (Radio Essen, 28.10.2022)

https://www.radioessen.de/artikel/essen-neue-anlaufstelle-fuer-drogenabhaengige-geplant-1468272.html

Essen Hbf. Widerstand gegen geplante Heroinambulanz wächst.

Essen.  Die Fraktionen von CDU und Grünen wollen keine privat betriebene Heroin-Ambulanz für Schwerstabhängige. Sie schlagen einen anderen Weg vor. 

Der Widerstand gegen eine geplante Heroin-Ambulanz in unmittelbarer Nähe des Essener Hauptbahnhofs wächst. (NRZ – Neue Ruhr/Rhein Zeitung, 03.11.2022)

https://www.nrz.de/staedte/essen/cdu-und-gruene-gegen-heroin-ambulanz-am-hauptbahnhof-id236814571.html

Schweiz. Erleichterte Heroinabgabe für Süchtige auch nach der Pandemie 

Menschen mit einer Sucht hatten während der Coronazeit besondere Regelungen bei der Abgabe des Heroins. Damit seien gute Erfahrungen gemacht worden, heisst es bei den Abgabestellen. (SRF – Schweizerischer Rundfunk, Schweiz, 05.11.2022, Text und Audio, 01:12)

https://www.srf.ch/news/schweiz/drogen-abhaengigkeit-erleichterte-heroinabgabe-fuer-suechtige-auch-nach-der-pandemie

UK. MPs call for funding for axed Middlesbrough heroin addiction clinic

A ground-breaking clinic for people with heroin addiction should be funded for the rest of the financial year, a prominent committee of MPs has said.

Middlesbrough's Heroin Assisted Treatment (HAT) programme is to close due to lack of money.

The Home Affairs Select Committee said it was "united in our disappointment" at the scheme's closure. 

It had reduced drug use, helped move addicts away from criminality, and disrupted organised crime, it said. (BBC, UK, 02.11.2022

https://www.bbc.com/news/uk-england-tees-63484563

UK. Pioneering Middlesbrough heroin addiction clinic to close

A ground-breaking clinic for people tackling heroin addiction is set to close because funding has run out.

The Heroin Assisted Treatment (HAT) programme in Middlesbrough was the first of its kind in England when it opened three years ago. (BBC, UK, 29.09.2022)

https://www.bbc.com/news/uk-england-tees-63065334

The subjective experience of heroin effects among individuals with chronic opioid use: Revisiting reinforcement in an exploratory study. 

Martinez S, Brandt L, Comer SD, Levin FR, Jones JD. 

Addict Neurosci. 2022 Dec;4:100034. doi: 10.1016/j.addicn.2022.100034. Epub 2022 Aug 28. PMID: 36120106; PMCID: PMC9481059.

https://www.sciencedirect.com/science/article/pii/S2772392522000293

UK. Commissioning Cracks: The Costs of Defunding Heroin Assisted Treatment 

(…) The DAT program in Middlesbrough provides synthetic medical grade heroin (as diacetylmorphine) for supervised self-injection twice daily, under medical supervision in a clinical environment. This was the first service implemented outside of a research trial in England. The service started in 2019, with an initial maximum capacity of 15 people who had used opioids long-term and for whom the existing treatment model (through methadone provision) has not been beneficial (estimated at around 5-10% of the current population of opioid users). (Talking Drugs, UK, 29.09.2022)

https://www.talkingdrugs.org/commissioning-cracks-the-costs-of-defunding-heroin-assisted-treatment

UK. Heroin Assisted Treatment: James' story (Audio)

Middlesbrough's Heroin Assisted Treatment clinic is set to close. Adam Clarkson meets a former patient to hear about the life-changing effect of treatment. (BBC, UK, 30.09.2022, Audio, 08:00)

https://www.bbc.co.uk/programmes/p0d3sp5r

Intrathecal diamorphine for perioperative analgesia during colorectal surgery: a cross-sectional survey of current UK practice. 

Alderman J, Sharma A, Patel J, Gao-Smith F, Morgese C. 

BMJ Open. 2022 Aug 18;12(8):e057407. doi: 10.1136/bmjopen-2021-057407. PMID: 35981781; PMCID: PMC9394208.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394208/

Diamorphine-Assisted Treatment (module)

Diamorphine-assisted treatment is the prescription and provision of hygienic, medical-grade diamorphine to patients in a clinical set-up – patients attend a clinic and are dosed by a clinician once or twice a day depending on individual needs.

Drug-related deaths in the UK have risen significantly over the past 10 years, with a steep increase in preventable overdoses. Diamorphine-assisted treatment is a viable harm reduction strategy with great potential to alleviate this public health issue.

This module explains everything you need to know about Diamorphine-assisted treatment. (Drug Science, UK, 11.07.2022)

https://www.drugscience.org.uk/diamorphine-assisted-treatment/

Nasal administration of diacetylmorphine improved the adherence in a patient receiving heroin-assisted treatment. 

Meyer M, Westenberg JN, Strasser J, Dürsteler KM, Lang UE, Krausz M, Vogel M. 

Harm Reduct J. 2022 Jun 7;19(1):63. doi: 10.1186/s12954-022-00644-2. PMID: 35672825; PMCID: PMC9171487.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171487/

UK. Drug workers warn heroin treatment shortage will cost lives

An "unprecedented shortage" of a substitute for illegal heroin in England is putting hundreds of lives at risk, say drug workers. (BBC, UK, 11.06.2022)

https://www.bbc.com/news/health-61699960

Schweiz. Heroin made in Switzerland. 

Reines Heroin aus der Schweiz. Das gibt es ganz legal. Schon seit fast 30 Jahren. Der Produktionsort ist höchst geheim. Der Hersteller will anonym bleiben. Input Redaktor Samuel Emch hat den Schweizer Heroinproduzenten aufgespürt und mit Ihm über sein heikles Geschäft gesprochen. 

SRF – Schweizerischer Rundfunk, Autor:in: Samuel Emch, Moderation: Samuel Emch, Redaktion: Samuel Emch, 27.03.2022, 40:00)

https://www.srf.ch/audio/input/heroin-made-in-switzerland?id=12164789

Switzerland's Dependence on a Diamorphine Monopoly. 

Schmitt-Koopmann C, Baud CA, Junod V, Simon O. 

Front Psychiatry. 2022 May 9;13:882299. doi: 10.3389/fpsyt.2022.882299. PMID: 35615450; PMCID: PMC9125182.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125182/

UK. Pushed to the Brink

Three years ago, nine people in the South West of England were going about their daily lives, just as anyone else might, juggling jobs and family life with all the everyday ups and downs. 

Each of them was in regular receipt of a diamorphine (heroin) script, which was working well for them in managing their dependence on opiates and giving them a good quality of life.

Then came a letter from their treatment provider – the same letter to each of them, with just their names changed. In line with ‘best practice’ they must have their treatment changed. They needed to choose a different option – oral methadone, MXL (slow-release morphine tablets), or inpatient rehab.

Four of the nine patients decided they had to challenge the decision. Jill and Helen (not their real names) talked to us about what happened and how it affected them. (DDN – Drink and Drugs News, UK, 02.05.2022)

https://www.drinkanddrugsnews.com/pushed-to-the-brink

Sexual Dysfunctions in Patients Receiving Opioid Agonist Treatment and Heroin-Assisted Treatment Compared to Patients in Private Practice-Identifying Group Differences and Predictors. 

Meyer M, Brunner P, Geissmann L, Gürtler M, Schwager F, Waldis R, Vogel M, Wiesbeck GA, Dürsteler KM. 

Front Psychiatry. 2022 Mar 22;13:846834. doi: 10.3389/fpsyt.2022.846834. PMID: 35392381; PMCID: PMC8980546.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8980546/

Diamorphingestützte Behandlung in Deutschland

Gemeinsame Website der Ambulanzen und Praxen in Deutschland, die Diamorphin zur Opioidsubstitution anbieten. (Stand April 2022)

http://www.diamorphin-behandlung.de/

Schweiz. Situationsanalyse der heroingestützten Behandlung (HeGeBe).

Frey, Kathrin; Pestoni, Amélie; Häusermann, Marina (2021) 

Zürich: KEK – CDC.

https://www.bag.admin.ch/dam/bag/en/dokumente/e-f/evalber-ncd-sucht/2021-situationsanalyse-hegebe-schlussbericht.pdf.download.pdf/2021-schlussbericht-situationsanalyse-hegebe-d.pdf

Schweiz. Substitutionsgestützte Behandlung mit Diacetylmorphin (Heroin)

Die substitutionsgestützte Behandlung mit Diacetylmorphin (pharmazeutisch hergestelltes Heroin) richtet sich an Personen mit schwerer Heroinabhängigkeit und erfolgt in Fachzentren. 

Die diacetylmorphingestützte Behandlung (heroingestützte Behandlung, kurz HeGeBe) beinhaltet eine strikt reglementierte und kontrollierte Verabreichung von Diacetylmorphin, eingebettet in eine ärztliche und psychosoziale Betreuung. Sie wurde in der Schweiz 1994 im Rahmen einer Kohortenstudie erstmals durchgeführt. Nach positiven Ergebnissen etablierte sie sich als therapeutische Massnahme und wurde bei der Revision von 2011 im Betäubungsmittelgesetz verankert. 2020 wurden rund 1’600 Abhängige in 22 ambulanten Fachzentren und 1 Strafvollzugsanstalt behandelt. In der Schweiz erhalten rund 8 Prozent der Personen mit Opioidabhängigkeit eine substitutionsgestützte Behandlung mit Diacetylmorphin.

Bewilligungen, Aufsicht, Kontrolle und Information zu dieser Behandlung sind Sache des BAG (Bundesamt für Gesundheit, Anm.). (BAG – Bundesamt für Gesundheit, Schweiz, Themenseite, Stand 22.04.2022)

https://www.bag.admin.ch/bag/de/home/gesund-leben/sucht-und-gesundheit/suchtberatung-therapie/substitutionsgestuetzte-behandlung/heroingestuetzte-behandlung.html

Exploring why patients in heroin-assisted treatment are getting incarcerated-a qualitative study. 

Meyer M, Rist B, Strasser J, Lang UE, Vogel M, Dürsteler KM, Walter M. 

BMC Psychiatry. 2022 Mar 7;22(1):169. doi: 10.1186/s12888-022-03814-5. PMID: 35255853; PMCID: PMC8903629.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8903629/

N Diacetylmorphine Hydrochloride: PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION

Diamorphine hydrochloride for injection, Powder, 200 mg per vial, 5 g per vial, intramuscular and intravenous injection. British Pharmacopoeia. Opioid agonist

PHARMASCIENCE INC., 6111 Royalmount Ave, Suite 100, Montreal, Quebec; H4P 2T4, Date of Initial Authorization: February 14, 2022, Submission Control Number: 254850

https://pdf.hres.ca/dpd_pm/00064756.PDF

«One prick and then it´s done»: a mixed-methods exploratory study on intramuscular injection in heroin-assisted treatment. 

Meyer M, Eichenberger R, Strasser J, Dürsteler KM, Vogel M. 

Harm Reduct J. 2021 Dec 18;18(1):134. doi: 10.1186/s12954-021-00584-3. PMID: 34922561; PMCID: PMC8684658.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684658/

Kanada. B.C. doctors upset their ‘safe supply' of heroin going unprescribed during overdose crisis 

The doctors are asking the Ministry of Health to fund heroin-assisted treatment for 200 British Columbians at an average cost of $25 a day. (Vancouver Sun, Kanada, 15.12.2021)

https://vancouversun.com/news/b-c-doctors-upset-their-safe-supply-of-heroin-going-unprescribed-during-overdose-crisis

Fifteen years of heroin-assisted treatment in a Swiss prison-a retrospective cohort study. 

Liebrenz M, Gamma A, Buadze A, Schleifer R, Baggio S, Schwartz B, Schneeberger A, Uchtenhagen A. 

Harm Reduct J. 2020 Oct 13;17(1):67. doi: 10.1186/s12954-020-00412-0. PMID: 33046103; PMCID: PMC7552491.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7552491/

Australien. The case for an Australian heroin trial: strong then, even stronger now

By Alex Wodak, Bob Douglas and David McDonald

Pearls and Irritations, 08.11.2021

https://johnmenadue.com/the-case-for-an-australian-heroin-trial-strong-then-even-stronger-now/

Köln. Tagesthemen-Reportage aus der Kölner Diamorphin-Ambulanz

(Tagesthemen, Mittendrin-Reportage, ARD, 11.10.2021, Video, 25:52 – 31:07)

https://www.ardmediathek.de/video/tagesthemen/das-erste/Y3JpZDovL2Rhc2Vyc3RlLmRlL3RhZ2VzdGhlbWVuLzNjOGE2ODY4LTFmMzctNGZhMS1hYjJjLTU0MmFhNDc5OTRkZg/

The suitability of oral diacetylmorphine in treatment-refractory patients with heroin dependence: A scoping review. 

F Martins ML, Wilthagen EA, Oviedo-Joekes E, Beijnen JH, de Grave N, Uchtenhagen A, Beck T, Van den Brink W, Schinkel AH. 

Drug Alcohol Depend. 2021 Oct 1;227:108984. doi: 10.1016/j.drugalcdep.2021.108984. Epub 2021 Aug 28. PMID: 34482044.

Abstract

https://pubmed.ncbi.nlm.nih.gov/34482044/

Kanada. Vancouver clinic revokes 11 patients’ access to take-home heroin doses

Eleven patients who were permitted to take home doses of medical-grade heroin from a Vancouver clinic have had the permission abruptly revoked.

The patients were told last week that they can continue ingesting the drug (diacetylmorphine) under medical supervision at the Providence Crosstown Clinic, but would no longer be able to carry a daily supply off-site, according to four patients who spoke with The Globe and Mail. They were cut off from receiving take-home doses – called “carries” – by weeks’ end and were not given a reason for the discontinuation. (Globe and Mail, Kanada, 27.09.2021)

https://www.theglobeandmail.com/canada/article-vancouver-clinic-revokes-11-patients-access-to-take-home-heroin-doses/