bird icon for twitter bird icon for twitter


Medications for so-called 'opioid-use disorder' are legion

it's just that we have outlawed them all

by Brian Ballard Quass, the Drug War Philosopher





April 24, 2025



The following is an open letter to Dr. Nabarun Dasgupta, senior scientist at the University of North Carolina in Chapel Hill.1

Dear Dr. Dasgupta,

I have just received your email from the DPA2 containing the subject line "I've Studied Overdose Deaths for 20 Years."

Discussion Questions

As someone who has written hundreds of philosophical essays about the Drug War, I would like to offer a comment or two on that email, specifically the link that reads

"What are medications for opioid use disorder (MOUD)? What are barriers to people getting them?"


I would like to suggest to you that medications for getting off of opioids are legion -- but that they are almost all outlawed. Mainstream medicine is blind to this fact because of the behaviorist-materialist approach to mind and mood medicine, which looks for answers to emotional problems under a microscope rather than recognizing psychological common sense. According to this philosophy, laughter and happiness do not count: only quantifiable data -- and so even if a person withdrawing from a drug is laughing their heart out, the materialist will tell him or her a la Dr. Spock of Star Trek that they are not "really" treating their addiction. But this is just a metaphysical claim, presupposing the correctness of the non-holistic western approach to medicine.

Take me, for instance. I have had enormous trouble getting off of Effexor3, which my psychiatrist told me has a 95% recidivism rate for long-term users who attempt to stop the drug, worse than heroin 4 according to psychiatrist Julie Holland5. And yet what is recidivism but the result of a few hours of high-anxiety existential angst, often experienced in the wee hours of the morning? And those few hours could clearly be "gotten through" with the help of drugs that inspire and elate -- as, for instance, the use of the phenethylamines synthesized by chemist Alexander Shulgin6, or even the as-needed use of opium and coca or laughing gas . That latter substance inspires ecstasies and heavenly visions, as reported by William James, who conjured philosophers to use the substance to investigate the nature of perception and reality7. It is just psychological common sense that as-needed use of such substances could help one refrain from back-sliding in their attempt to get off an unwanted substance. They do not need materialist drugs that are custom-made for that purpose based on the reification of an opiate-related problem as a discrete "illness."

It is absolutely clear to me that I could get through the downsides of withdrawal -- easily -- with the strategic as-needed help of such substances as laughing gas and phenethylamines.

Consider these phenethylamine user reports from Pihkal8:


"I experienced the desire to laugh hysterically at what I could only describe as the completely ridiculous state of the entire world."

"Excellent feelings, tremendous opening of insight and understanding, a real awakening."

"I acknowledged a rapture in the very act of breathing."

Surely, materialists are gaslighting 9 us10 when they say that such medicines are of no use in fighting unwanted opioid dependence. And they are doing so, in my view, because they have "reified" opioid problems as a sort of "thing apart" in the disease-mongering DSM, as a discrete monolithic biochemical pathology that has nothing to do with everyday human life -- as if those attempting to withdraw from the drug were aliens from Mars and not amenable to the common-sense psychological incentives of "normal" human beings.

To answer your questions then:


Question: What are medications for opioid use disorder?
Answer: Almost all the psychoactive medicines that America has outlawed.
Question: What are the barriers to people getting them?
Answer: Drug prohibition.


Drug prohibition, which is based on the following anti-scientific idea:

that a substance that could cause problems for white young people when used at one dose for one reason, must not be used by anybody at any dose for any reason.

prohibition is the problem 11 , not drugs, but America will not see this fact as long as materialists connive in the Drug War lie that inspirational medicines have no positive uses, even when anecdote, history and common sense say otherwise.


Sincerely Yours


PS I feel strongly about this topic because Drug War ideology and materialist orthodoxy has deprived me for a lifetime now of godsend medicines that have glaringly obvious abilities to inspire and elate. Indeed, the Hindu religion itself was inspired by a drug that inspired and elated12 -- from which one fact alone it follows the drug prohibition is the outlawing of the religious impulse, to say nothing of our right to take care of our own psychological health as we see fit, without seeking help from a materialist medical establishment that profits from our distress.



Author's Follow-up:

April 24, 2025

picture of clock metaphorically suggesting a follow-up




"Opioid Use Disorder" is a victim-blaming epithet. The real disorder is Prohibition Disorder. It is prohibitionists who cause overdoses by refusing to educate, by refusing to ensure safe product, and by denying access to godsend alternatives that could keep an individual from obsessing over the use of one drug in particular and thus developing unwanted dependency.

And how odd it is that we would seek to end dependence on opiates by going to a mental health establishment that thrives on dependency, as seen from the fact that 1 in 4 American women take a Big Pharma drug every day of their life!!!

This is why progress has been so glacial in re-legalizing godsends and ending the War on Drugs. Even the good guys, the guys promoted by the Drug Policy Alliance, are bamboozled in their own way, namely, by materialist and behaviorist dogma. This will not change until Americans realize that it was always a category error to place scientists in charge of mind and mood matters in the first place. That move was predicated on an anti-indigenous and anti-holistic mindset that is patently inappropriate as seen by the fact that it leads to absurd results: namely, a world in which scientists pretend that drugs that inspire and elate have no obvious uses for the depressed, a world in which we behave as if suicide 13 and shock therapy were better than drug use. Hell, drugs that inspire and elate have inspired the creation of the Hindu religion. How can you sit there and tell me with a straight face that we have to do endless clinical studies -- for one "illness" at a time -- before we can tell if such substances can be of help? Clearly, such substances not only CAN be of help, but it is actually the outlawing of religion to keep them from anyone on the absurd grounds that scientists have not yet been able to quantify the effects for the purposes of creating a PowerPoint presentation for the FDA and Big Pharma 14 15 .



Discussion Topics

May 23, 2025

cartoon figures conversing

Attention Teachers and Professors: Brian is not writing these essays for his health. (Well, in a way he is, actually, but that's not important now.) His goal is to get the world thinking about the anti-democratic and anti-scientific idiocy of the War on Drugs. You can stimulate your students' brainwashed grey matter on this topic by having them read the above essay and then discuss the following questions as a group!


  1. Why is mainstream medicine blind to obvious treatments for so-called 'Opioid Use Disorder'?

  2. Explain how laughing gas 16 could help with withdrawal symptoms, albeit in a way that materialist science cannot seem to appreciate.

  3. Why does Brian say he feels 'strongly' about this topic?

  4. Why does the Philosopher say that the mental healthcare industry relies on dependency?

  5. Brian states that 'Opioid Use Disorder' is a victim-blaming epithet. Explain.

  6. What should 'Opioid Use Disorder' actually be called?

  7. How do prohibitionists cause overdoses?

  8. How are 'even the good guys' bamboozled, according to Brian?





*opium 17 *


Notes:

1: Nabarun Dasgupta, PhD, MPH UNC Injury Prevention Research Center (up)
2: Drug Policy Alliance (up)
3: How Drug Prohibition makes it impossible to get off of Effexor and other Big Pharma drugs DWP (up)
4: Lee Robins' studies of heroin use among US Vietnam veterans Hall, Wayne, National Library of Medicine, 2016 (up)
5: Psychedelic Medicine: The Healing Powers of LSD, MDMA, Psilocybin, and Ayahuasca Kindle Miller, Richard Louis, Park Street Press, New York, 2017 (up)
6: Scribd.com: PIHKAL: A Chemical Love Story Shulgin, Alexander, Transform Press, New York, 1991 (up)
7: Scribd.com: The Varieties of Religious Experience James, William, Philosophical Library, New York, 1902 (up)
8: Scribd.com: PIHKAL: A Chemical Love Story Shulgin, Alexander, Transform Press, New York, 1991 (up)
9: The Semmelweis Effect in the War on Drugs DWP (up)
10: How psychologists gaslight us about beneficial drug use DWP (up)
11: Drug Prohibition is the Problem, not Drugs: what the movers and shakers get wrong in the drug re-legalization debate DWP (up)
12: How the Drug War Outlaws Religion DWP (up)
13: Why Americans Prefer Suicide to Drug Use DWP (up)
14: How Drug Company Money Is Undermining Science Seife, Charles, Scientific American, 2012 (up)
15: Why Is Biopharma Paying 75% of The FDA’s Drug Division Budget? LaMartinna, John, Forbes, 2022 (up)
16: Forbes Magazine's Laughable Article about Nitrous Oxide DWP (up)
17: The Truth About Opium by William H. Brereton DWP (up)


Pharmacologically Savvy Empaths




In an ideal world, we would replace psychiatrists with what I call pharmacologically savvy empaths, compassionate healers with a vast knowledge of psychoactive substances from around the world and the creativity to suggest a wide variety of protocols for their safe use as based on psychological common sense. By so doing, we would get rid of the whole concept of 'patients' and 'treat' everybody for the same thing: namely, a desire to improve one's mind and mood. But the first step toward this change will be to renounce the idea that materialist scientists are the experts when it comes to mind and mood medicine in the first place. This is a category error. The experts on mind and mood are real people with real emotion, not physical doctors whose materialist bona fides dogmatically require them to ignore all the benefits of drugs under the belief that efficacy is to be determined by looking under a microscope.

This materialism blinds such doctors to common sense, so much so that it leads them to prefer the suicide of their patient to the use of feel-good medicines that could cheer that patient up in a trice. For the fact that a patient is happy means nothing to the materialist doctor: they want the patient to 'really' be happy -- which is just their way of saying that they want a "cure" that will work according to the behaviorist principles to which they are dedicated as modern-day materialists. Anybody could prescribe a drug that works, after all: only a big important doctor can prescribe something that works according to theory. Sure, the prescription has a worse track record than the real thing, but the doctor's primary job is to vindicate materialism, not to worry about the welfare of their patient. And so they place their hands to their ears as the voice of common sense cries out loudly and clearly: "You could cheer that patient up in a jiffy with a wide variety of medicines that you have chosen to demonize rather than to use in creative and safe ways for the benefit of humankind!" I am not saying that doctors are consciously aware of this evil --merely that they are complicit in it thanks to their blind allegiance to the inhumane doctrine of behaviorism.

This is the sick reality of our current approach. And yet everybody holds this mad belief, this idea that medical doctors should treat mind and mood conditions.

How do I know this?

Consider the many organizations that are out to prevent suicide. If they understood the evil consequences of having medical doctors handle our mind and mood problems, they would immediately call for the re-legalization of drugs and for psychiatrists to morph into empathizing, drug-savvy shamans. Why? Because the existing paradigm causes totally unnecessary suicides: it makes doctors evil by dogmatically requiring them to withhold substances that would obviously cheer one up and even inspire one (see the uplifting and non-addictive meds created by Alexander Shulgin, for instance). The anti-suicide movement should be all about the sane use of drugs that elate. The fact that it is not speaks volumes about America's addiction to the hateful materialist mindset of behaviorism.

More proof? What about the many groups that protest brain-damaging shock therapy? Good for them, right? but... why is shock therapy even necessary? Because we have outlawed all godsend medicines that could cheer up almost anybody "in a trice." And why do we do so? Because we actually prefer to damage the brain of the depressed rather than to have them use drugs. We prefer it! Is this not the most hateful of all possible fanaticisms: a belief about drugs that causes us to prefer suicide and brain damage to drug use? Is it really only myself who sees the madness here? Is there not one other philosopher on the planet who sees through the fog of drug war propaganda to the true evil that it causes?

This is totally unrecognized madness -- and it cries out for a complete change in America's attitude, not just toward drugs but toward our whole approach to mind and mood. We need to start learning from the compassionate holism of the shamanic world as manifested today in the cosmovision of the Andes. We need to start considering the human being as an unique individual and not as an interchangeable widget amenable to the one-size-fits-all cures of reductionism. The best way to fast-track such change is to implement the life-saving protocol of placing the above-mentioned pharmacologically savvy empaths in charge of mind and mood and putting the materialist scientists back where they belong: in jobs related to rocket chemistry and hadron colliders. We need to tell the Dr. Spocks of psychology that: "Thanks, but no thanks. We don't need your help when it comes to subjective matters, thank you very much indeed. Take your all-too-logical mind back to the physics lab where it belongs."

  • After the Drug War
  • After the Drug War part 2
  • After the Drug War Part 3
  • After the Drug War Part 4
  • Medications for so-called 'opioid-use disorder' are legion
  • Addicted to Addiction
  • Addiction
  • After the Drug War
  • After the Drug War part 2
  • Another Cry in the Wilderness
  • Assisted Suicide and the War on Drugs
  • Beta Blockers and the Materialist Tyranny of the War on Drugs
  • Brahms is NOT the best antidepressant
  • Case Studies in Wise Drug Use
  • Common Sense Drug Withdrawal
  • Declaration of Independence from the War on Drugs
  • Drug Use as Self-Medication
  • Drugs are not the enemy, hatred is the enemy
  • Ego Transcendence Made Easy
  • Elderly Victims of Drug War Ideology
  • Getting off antidepressants in the age of the drug war
  • Goodbye Patient, Hello Client
  • Harold & Kumar Support the Drug War
  • Heroin versus Alcohol
  • How Cocaine could have helped me
  • How drug prohibition destroys the lives of the depressed
  • How Drug Prohibition Leads to Excessive Drinking and Smoking
  • How Psychiatry and the Drug War turned me into an eternal patient
  • How the Drug War Blinds us to Godsend Medicine
  • How the Drug War is a War on Creativity
  • How the Drug War Killed Amy Winehouse
  • How The Drug War Killed Andy Gibb
  • How the Drug War Punishes the Elderly
  • How the Myth of Mental Illness supports the war on drugs
  • How to Unite Drug War Opponents of all Ethnicities
  • Hypocritical America Embraces Drug War Fascism
  • In Praise of Doctor Feelgood
  • In Praise of Drug Dealers
  • In Praise of Thomas Szasz
  • Let's Hear It For Psychoactive Therapy
  • Medications for so-called 'opioid-use disorder' are legion
  • Notes about the Madness of Drug Prohibition
  • Open Letter to Dr. Carl L. Hart
  • Open Letter to Erowid
  • Open Letter to Gabrielle Glaser
  • Open Letter to Lisa Ling
  • Pihkal 2.0
  • Replacing 12-Step Programs with Shamanic Healing
  • Replacing Psychiatry with Pharmacologically Savvy Shamanism
  • Science is not free in the age of the drug war
  • Shannon Information and Magic Mushrooms
  • Someone you love is suffering unnecessarily because of the war on drugs
  • Thank God for Erowid
  • Thank God for Soul Quest
  • THE ANTI DRUG WAR BLOG
  • The Drug War and Armageddon
  • The Great Philosophical Problem of Our Time
  • The Mother of all Western Biases
  • The Muddled Metaphysics of the Drug War
  • The Myth of the Addictive Personality
  • The New Age of Pharmacological Serfdom
  • The Origins of Modern Psychiatry
  • The Philosophical Idiocy of the Drug War
  • The real reason for depression in America
  • Using Opium to Fight Depression
  • What Jim Hogshire Got Wrong about Drugs
  • Why America's Mental Healthcare System is Insane
  • Why Americans Prefer Suicide to Drug Use
  • Why Louis Theroux is Clueless about Addiction and Alcoholism
  • Why Scientists Should Not Judge Drugs





  • Ten Tweets

    against the hateful war on US




    We need a few brave folk to "act up" by shouting "It's the drug war!" whenever folks are discussing Mexican violence or inner city shootings. The media treat both topics as if the violence is inexplicable! We can't learn from mistakes if we're in denial.

    Scientists cannot tell us if psychoactive drugs are worth the risk any more than they can tell us if free climbing is worth the risk, or horseback riding or target practice or parkour.

    Rick Strassman isn't sure that DMT should be legal. Really?! Does he not realize how dangerous it is to chemically extract DMT from plants? In the name of safety, prohibitionists have encouraged dangerous ignorance and turned local police into busybody Nazis.

    I'm told antidepressant withdrawal is fine because it doesn't cause cravings. Why is it better to feel like hell than to have a craving? In any case, cravings are caused by prohibition. A sane world could also end cravings with the help of other drugs.

    I just asked New York Attorney General Letitia James how much she was getting paid to play Whack-a-Mole. I pointed out that the drug war created the gangs just as liquor prohibition created the Mafia.

    Our tolerance for freedom wanes in proportion as we consider "drugs" to be demonic. This is the dark side behind the new ostensibly comic genre about Cocaine Bears and such. It shows that Americans are superstitious about drugs in a way that Neanderthals would have understood.

    Of course, prohibitionists will immediately remind me that we're all children when it comes to drugs, and can never -- but never -- use them wisely. That's like saying that we could never ride horses wisely. Or mountain climb. Or skateboard.

    Check out the 2021 article in Forbes in which a materialist doctor professes to doubt whether laughing gas could help the depressed. Materialists are committed to seeing the world from the POV of Spock from Star Trek.

    I will gladly respect the police once we remove them from Gestapo duty by ending the war on drugs. Police should also learn to live on a budget, without deriving income from confiscating houses and dormitories, etc.

    It is consciousness which, via perception, shapes the universe into palpable forms. Otherwise it's just a chaos of particles. The very fact that you can refer to "the sun" shows that your senses have parsed the raw data into a specific meaning. "We" make this universe.


    Click here to see All Tweets against the hateful War on Us






    Take this Drug Test
    A Philosophical Review of 'The Varieties of Religious Experience'


    This site uses no cookies! This site features no ads!



    Thanks for visiting The Drug War Philosopher at abolishthedea.com, featuring essays against America's disgraceful drug war. Updated daily.

    Copyright 2025, Brian Ballard Quass Contact: quass@quass.com


    (up)