Dr. Scott MacDonald, a physician with a background in harm reduction, discusses the use of prescription heroin and hydromorphone as treatment options for opioid use disorder. He shares his experience with the NAOMI Project, the first North American study on prescription heroin, and the challenges faced in implementing the program in Canada. Dr. MacDonald also highlights the success of prescription heroin programs in Denmark and the need for more treatment options in North America. He addresses the stigma surrounding opioid use disorder and the importance of providing accessible and practical care to individuals in need.
