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

512Mr. McCoy. Yes; when you first come out 3-ou have to go contmuouslyfor 7 days a week until you earn credit days off and one nighta week you have therapy with a ps3^chiatrist up there.Mr. Steiger. Discussion.Mr. McCoy. That is right.Mr. Steiger. Mr. McCoy, you are aware, I suspect, that there arelots of ways to beat the urine sample. We have had testimony as to allkinds of devices for masking the urine—take bicarbonate of soda, usesomebody else's urine in a syringe.Mr. McCoy. Well, sir, at that point I would say that is highlyimpossible because of the way the thing is situated. You have mirrorson all sides of you and you have an attendant with you all the time,and he practically holds your private while you put it into the jug.Mr. Steiger. Incidentally, is the naloxone injected?Mr. McCoy. No; it is four tablets. You take them with a small cupof water.Mr. Steiger. When 3^ou had taken the naloxone, did you ever tryany speed or cocaine?Mr. McCoy. Never.Mr. Steiger. Or anything else?Mr. McCoy. Never had the urge for it.Mr. Steiger. Do 3^ou know of any other fellows on the programwho tried anything else, besides heroin?Mr. McCoy. Yes; they tried other things but they became ill. Theybecame ill. The}^ did not get any feelings from whatever they injected.Mr. Steiger. Thej did not get a high?Mr. McCoy. No; they did not. The only thing, the}^ became ill.As I previously stated, I had drugs in my system the night the\^ gaveme my first dose of naloxone and 5 minutes after that I became illand threw it all up.Mr. Steiger. Is that a typical reaction with naloxone as far asyou know, or ])erhaps Dr. Kurland could better respond to this. Inaddition to being unable to achieve a high, is there a generally nauseatingeffect if you have naloxone in the system and you take heroin?Dr. Kurland. It is a very interesting c^uestion that you ask, sir.One of the things we learned in the exi)erimentation is that thoseindividuals who were by])assing the 5-hour period, say, and taking thedrugs, if they continued to take drugs for a period of 3 or 4 daj^s, thenaloxone i)reci])itated a withdrawal reaction of moderate intensity inthe individuals and this was completely an unexpected finding fromour standpoint.Mr. Steiger. Even while they were on the drug they were gettingsome mild withdrawal symi)toms.Dr. Kurland. If they continued to take o])iates every day. Forexam[)le, if we gave the drug between 6 and 9 in the evening, whichwe always did, and they took the drug, say, the next morning theymight get a high but if they continuetl to take the drug every morning,say, for 3 or 4 da.ys, then a withdrawal reaction was ])r(>cipitated inwhich the}^ became nauseated, vomiting, chills, some persphation, feltjittery, and they identified it as a moderate withdrawal reaction.Mr. Steiger. Mr. McCoy, do you know of any illegal traffic innaloxone? Can you buy it on the street at all as far as you know?Mr. McCoy. No; I do not think >^ou can because it has not beenreleased to the general public for usage yd.