1 Comment

I think there are two other high impact pieces of advocacy I'd be interested to see more work on:

1. over the counter availability of naltrexone - still pretty much the most popular and effective existing medicine, not really abusable, negative impacts from overuse, but afaik no worse than other over the counter medicines, chemically similar to naloxone which is already available over the counter and often for free. Still not great adoption and mixed effectiveness, but wider availability still seems like an easy win.

2. improved test strips-not an addiction treatment per say but valuable harm reduction. Either increased availability of anonymous local lab testing, or research into scalable strip testing that is sensitive to concentration and not just presence of fentanyl/xylazine.

Expand full comment