it’s more complicated than that as it involves fucking with someone’s cognitive state without their consent, it’s not as simplistic as “blowing someone’s high”. if you look in Juno’s playlist they have a video mentioning that sending someone into withdrawal can sometimes be more dangerous than an overdose.

also, why risk sending them into withdrawal when you can do your due diligence instead?

I wonder how an article in a medical journal “Treating overdose without blowing a patient’s sweet high” would go.

you’re right, it would probably go horribly because most medics are fucking ghouls when it comes to substance users. they treat them like subhumans. and that’s exactly the reason why they’re lagging behind compared to street medics and harm reduction professionals. that’s what leads to doctors administering naloxone to punish patients even when they’re not ODing, just because they enjoy seeing them suffer.

that’s why you sometimes see people bragging about how they administered 2 doses at once instead of waiting because they’re more concerned with making the victim sober than keeping them safe.

it boils down to whether you respect substance users’ autonomy or you’re just doing it to be seen as a savior. ask around the people that have been woken up with nasal sprays versus IM and they’ll tell you why they fucking hate it

I would argue just like Juno did that the naloxone dose being too high has nothing to do with ease of administration as that’s already ensured by the spray being so easy to use. it looks more like severe negligence and ableism from the pharma companies to me.

as far as I understand, accounting for the nasal route only having 50% bioavailability, shouldn’t a nasal spray have a maximum of 0.8 mg of naloxone? Juno said that there are people working on putting lower doses on the market for general distribution.

they also mention that it’s possible to stop the overdose without ruining someone’s high but that probably requires more educated training than most harm reduction resources offer. sounds to me like people are shifting blame from themselves forcing someone into withdrawal to the substance user being “violent” (this is extremely rare and mostly a rumor started by copaganda and ableist healthcare workers).

I recommend watching Juno’s entire playlist on naloxone harm reduction. they’re a harm reduction educator and substance user and they have more intimate knowledge than the sterile pamphlets that medical institutions put out.

people often get agitated because you’re forcing them into acute opioid withdrawal by administering too much naloxone. the nasal type that most civilians have access to contains 4 mg vs the 0.4 mg intramuscular that EMS workers administer. this comes out to a 5 times higher dose than strictly necessary. source:

Based on a relative bioavailability of 50%, an initial 2 mg Naloxone Hydrochloride Nasal Spray dose would be considered equivalent to 1 mg IM dose and a 4 mg Naloxone Hydrochloride Nasal Spray dose would be equivalent to 2 mg IM dose, which corresponds with the maximum recommended initial dose in adult clinical guidelines.

I can’t say there’s an easy alternative but anyone who’s able should contact harm reduction orgs to get trained in administering intramuscular naloxone. nasal works too, but be mindful that the person you’re “helping” is gonna have probably the worst day of their life.

people should also be aware there’s a lot of seemingly helpful information out there influenced by copaganda warning civilians that substance users are dangerous/violent and to stay away/call the cops. this is a fucked up way to do harm reduction and really dehumanizing to substance users.

edit: replaced precipitated withdrawal with acute opioid withdrawal.

what’s the difference between the engine and the browser itself? is it similar to the Linux kernel vs the Debian user space?

WSL, Mac OS, Richard Stallman, GNU, the cloud

I need a source proving white people can experience racism. I doubt you have any

/s then I’m proud of being a racist by pointing out how white people can’t experience racism since this system was created by us to put us at the top of the hierarchy.

this is literally scientific consensus in sociology, claiming otherwise makes you look like the climate change deniers that say the climate is naturally warming up.

I’d also like to mention you haven’t cited a single academic source to prove me wrong

how can I be racist against my own race? are you okay?

please define racism, who created it, when it was created and why it was created

LMAO racism against… white people? when did we ever experience systemic oppression based on being white?

I think it’s a way for white Americans to distance themselves from the cognitive dissonance of being a settler by adopting an “embrace, extend, extinguish” strategy towards any term or cultural signifier that was made cool by Black people