Pubdate: Sun, 07 Aug 2016 Source: New York Times (NY) Copyright: 2016 The New York Times Company Contact: http://www.nytimes.com/ref/membercenter/help/lettertoeditor.html Website: http://www.nytimes.com/ Details: http://www.mapinc.org/media/298 Author: Robert Heimer Referenced: http://www.mapinc.org/drugnews/v16/n517/a07.html TREATING HEROIN ADDICTS Naloxone saves lives after a heroin overdose, but does it also encourage addiction? To the Editor: In an effort to be balanced, the article notes that critics' opposition to naloxone is based on the premise that it gives drug users a safety net, allowing them to take more risks and seek higher highs, resulting in multiple overdoses. These claims are refuted by studies in New York, San Francisco and here in Connecticut of overdose risks, undertaken before widespread availability of naloxone, in which a strong predictor of an overdose was a previous nonfatal overdose. To date, no evidence has been presented that naloxone availability or use in response to overdoses increases risk-taking or overdose frequency. Instead, there is plenty of evidence that it saves lives and provides those individuals an opportunity to seek treatment. The critics' disparaging of the lifesaving benefits of naloxone is just another example of the stigmatization of those with the chronic disorder of opioid abuse that brands such individuals as unworthy of efforts to reduce their mortality. ROBERT HEIMER New Haven The writer is a professor at the Yale University School of Public Health. - --- MAP posted-by: Jay Bergstrom