Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

507discovered if we iiad taken the same dosage and given this total dosagejust as those points in time when these individuals had experienceda stress—resorted to drug usage—it would perhaps been moremeaningful to have used the naloxone in a manner similar to thatused for penicillin.When an individual resorted to opiate usage, as revealed by dailymonitoring, and this extended over a j)eriod of 2 or 3 days, the blockadewould be carried out with an administration of high dosage, 2,500milligrams, until he once more became abstinent. Usually this couldbe anticipated to occur within a period of 2 or 3 days, with the individualonce more continuing his abstinent course.We feel that with adequate supplies of this drug that we couldapproach this disorder on the same basis we deal with an infection;that is, as the individual reached a point where he was exposing himselfto drugs he would, at this time, be administered sufficient naloxoneto provide him with total blockade and the naloxone discontinuedwith the return to abstinence. Following this, there might be anotherperiod of weeks or months before reexposing himself again. You mustremember, we are dealing with a chronic disorder which, as yet, wedo not know how to treat effectively, nor do we know what causesthis disorder.With that brief introduction, sir, I would like to turn to some ofthe gentlemen accompanying me who have been kind enough to volunteerto express their thoughts and feelings.Chaimian Pepper. Would you care to give their names or wouldthev i)refer not to?Dr. KuRLAND. They indicated a willingness to present their nameand identify themselves. I w'ill start with the gentleman on my rightand this is Mr. McCoy.STATEMENT OF WILLIAM McCOYMr. McCoy. My name is WiUiam McCoy and I have been anaddict for over 25 years. I have been in and out of different institutionsgoing back to the year 1939. And up until recently I have never beengiven a chance on parole or anything of that nature as far as helpingme or having any ideas of wanting to help myself. Dr. Kurland andhis program started the thing about taking addicts out of the institutionson an outpatient basis, and I was accepted on this becauseof the fact that I showed potentials of wanting to leave drugs alone.Now, when I first came home, for the first month or two, I did verygood and then an incident happened about a friend of mine that gotkilled and I went back into a rut and for about a period of 3 or 4months I went back to drugs.Then I volunteered for this naloxone program and I stayed on thatfor a period of 6 months and as of the present date I have been drugfree for over a period of a year and have not had the urge to takedrugs nor do I want drugs any more. And personally s])eaking, I saythat this medicine, naloxone, has shown to me that it is a good deterrentfor the usage of the drugs because the first night I had takenthe naloxone I had drugs in my system and 5 minutes after I hadtaken it, it made me ill. I threw up all the drugs, brought the drugsout of my system, and I began to realize if I were to continue to take