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December 6, 2018 – The report authors also talked to researchers and public health officials in countries that tried the practice, as well as officials, doctors, and sheriffs in Ohio and New Hampshire with high overdose death rates. The big hurdle to prescribing heroin this way is its illegal status in the US, they concluded, even more restricted than often-abused drugs such as cocaine or strong opioid painkillers such as hydromorphone. For that reason, Kilmer’s team recommended trying the prescription heroin approach in medical studies in a few cities, the only currently legal way to provide it to people in the US.
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