In 2002, the FDA approved Suboxone, a new medication to treat opioid use disorder. Suboxone is a compound of two drugs that decreases one’s cravings for opioids while blocking their effects. It is safer and less cumbersome than methadone, which requires daily or weekly visits to a clinic, and more effective than any abstinence-based treatment, which requires people to withstand cravings and suppress physical discomfort. In clinical trials, Suboxone was shown to help opioid users avoid jail time and to decrease their mortality by over 50 percent. “You’d think that anything that can help save a heroin addict’s life would be seen as a good thing,” the writer and academic Michael Clune wrote in 2014, a year that marked an inflection point in an epidemic of fentanyl-related deaths. “So why, then, when I touted Suboxone at an Narcotics Anonymous meeting with a bunch of regulars did they look at me as if I’d gone insane?”
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