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It seems like this will be based on anecdotes? So I'll go with used to be more opiates on the East Coast and more meth on the West, but now they started adding fentanyl to our meth so less difference.
 
Yeah. Other than variation in local use patterns, what's really gonna be different? PCP is super common in one area I trained and almost unheard of in the other. Things like that. Some places are trendsetters and so things will appear there earlier--xylazine for example. It'll be everywhere eventually but it started local.
 
clausewitz2 said:
I thought this was going to be a thread all about addiction medicine practices in ex-Soviet bloc countries and was getting all excited about the prospect of learning more about bizarre Russian pharmaceuticals. I am disappoint.
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I think half-distilled MIG fuel is the capsheaf of the Russian designer drug scene. Maybe with a little beet juice for color and flavor if you're dealing with the creme de la creme.
 
Cultural factors, substance use trends, healthcare policies, availability of resources (detox centers, rehabilitation facilities, addiction medicine/psychiatrists), and research/training opportunities all differ. I don't know if it's as general as "East vs West" but the differences may be more granular like asking what city you are in/near. Rural CA is going to look much different than the urban cities. Vancouver has it's safe injection sites. West Virginia is going to have much different addiction issues than DC.
 
There seem to be more for-profit methadone clinics on the East Coast, and there's much less tolerance of mixing opioids and cannabis. Those are the differences I see.
 
clausewitz2 said:
I thought this was going to be a thread all about addiction medicine practices in ex-Soviet bloc countries and was getting all excited about the prospect of learning more about bizarre Russian pharmaceuticals. I am disappoint.
Click to expand...
I don't think they have pharmaceuticals.. more like water boarding
 
clausewitz2 said:
I thought this was going to be a thread all about addiction medicine practices in ex-Soviet bloc countries and was getting all excited about the prospect of learning more about bizarre Russian pharmaceuticals. I am disappoint.
Click to expand...
Disulfuram implants are supposedly a thing in Russia. They probably dissolve after a couple of weeks, but doctors tell patients they last years and have their paitients do the 'ol drink alcohol after a tablet of disulfuram so they know what they're in for

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