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Dr. Leonard Spishakoff

Addiction Medicine
romeoville, IL
male

Locations

Dupage Medical Group/ Institute of Personal Development

romeoville, IL

Address

1239 Windham Pkwy, Romeoville, IL 60446 ·, romeoville, IL, United States
Directions

Practice website

Insurances accepted

Bankers Life and Casualty Company

Aetna Life Insurance Company

UnitedHealthcare

UNICARE

Tricare

Medicaid

Medicare

BCS Insurance Company

About

Bio

Board Certified Addiction Medicine Dupage Medical Group/ Institute of Personal Development Castle Connolly Top Doctor Chicago and America Top Doctors Patient Choice Award

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Addiction Medicine

Doctor Q&A

124 Answers
2 Agrees
The number of answers this doctor has agreed with.
A 44-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Look for help: Alcohol can be difficult to handle especially because of risk of complications in your case you can experience protracted withdrawal which is common a... Read More
A 50-year-old female asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No : Phenteramine and zoloft (sertraline) taken at high doses and together can be counterproductive the use of vicodin besides being cbs depressant can i... Read More
A 20-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: No but theoretically they can happen as they are CNS depressant.
A 30-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Varied: Nicotine does not cause withdrawal symptoms per se but does cause low birth weight and has been associated with a increased association with adhd.
A member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Not really: It depends on the use of the mother.
A 46-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Talk to your dr: Sex addiction like all addictive disorders has a basis on reward talk to your doctor for referral for counseling or to 12 step programs geared for sex... Read More
A 32-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Taper: A slow decrease from antipsychotics and care ful observation from your physician is imperative.
A 40-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Days: At minimum (3 days).
A 50-year-old female asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Alcohol is well known to cause reflux and hydrocodone slows gastric transit thus making reflux and esophagitis more likely the other risk is both alc... Read More
A 29-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
do not recommend more important seems like you are still struggling talk to your physician there are some therapies that can be of help in curtailing ... Read More
A 32-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Unknown: Because one cannot do trials on newborn we may never know but if you extrapolate data from adolescents and the cognitive damage and changes in the bra... Read More
A 33-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Vasoconstriction: Cocaine constricts the blood supply and over time tissue dies from lack of blood and thus a hole develops.
A 31-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Time and criteria: Traditional definition is the prescence of disease that affects in the area of compulsion, craving, unable to cut back, having consequences, and incr... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Self care: Enjoy what you do, exercise, diet, maintain a proper weight, most importantly laugh and laugh at yourself from time to time to keep yoursef honest an... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Various medications can be used such sildefanil and other related medications, as also immunosuppressive therapy and smoking cessation, omega 3 fatty ... Read More
A 27-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Physical dependence involves use to avoid withdrawal both physiologic and substance dependent without compulsive, lack of control behavior. You can ha... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Hypotension: Sepsis is associated with hypotension and tissue hypoperfusion including cellular injury which can lead to death.
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Have social services: Have social services in place, visiting nurse, support groups for caregivers, regular follow with your physician and family involvement.
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: However if a concomintant mental health history along with a family history of chemical depndency one must be aware you can screen with a dast questio... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Best example if one exposes to HIV knowlingly and no use of protection or informed consent is given. Others are gonorrhea, syphillis and so forth . Ul... Read More
A 41-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Anticraving: While in detox you will get Valium , thiamine and other adjuvant medications upon going home support groups are essential, and follow up with your add... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Use of alcohol in a inappropiate manner, such as continous alcohol dependency has been found to increase the chances of developing breast cancer.
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Shorter: Even tight control cannot deter wear and tear to kidney, other factors are age, use of nephrotoxic agents ( ibuprophen etc. ) high blood pressure and ... Read More
A 29-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Medications: Although the effect of Cocaine and ecstasy are different on the body when used the mainstay is sedatives and medications to slow the heart rate genera... Read More
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Yes and no as it does create addictive behavior, if you find that it is hard to cut back, increase amount used, you experience unwanted symptoms after... Read More
A 31-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: No but the effect on the liver will. It causes damage to it thus proteins formed by the liver are depleted which predispose to easy bleeding.
A 21-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: There is no role for acupunture, only antibiotics and close monitoring. Perhaps where acupunture might be of help is for decreasing anxiety but one mu... Read More
A 31-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Varies: It may vary depending on length of dependency, alcohol level upon admission and co-morbidities. Intervention in symptom management as soon as possibl... Read More
A 33-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Unknown: Short term sedation including respiratory depression may require intubation, long term effects are unknown since prospective data are needed. But it c... Read More
A 41-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: Acamprosate has not been fda approved for treatment of other substance abuse problems.
A 38-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Many: Cardiovascular, pulmonary, gasrtrointestinal, neurological , psychiatric , obstetric . Can cause mi, hypertension, hemoptsis, pneumomediastinum and pn... Read More
A 33-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Calming effect: Nicotine (smoking) xauses release of Dopamine and activation of GABA receptors which has a calming effect. Before trying to cut down smoking control ... Read More
A 37-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Time: On average the body namely the breakdown and consumption takes time. A person is able to metabolize 10-15 mg/dl/hr example if blood alcohol level is ... Read More
A 34-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Compassion: In detox medications are used to avoid complicationss and keep you comfortable. Once out of detox follow up with a addictionolgist or your family doc... Read More
A 39-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Depends : Depending on amount taken it can alter your mood perception disinhibit and if taken excessively cause death. Exception there is condition known as idi... Read More
A 38-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Depends : Depending on amount taken it can alter your mood perception disinhibit and if taken excessively cause death. Exception there is condition known as idi... Read More
A 42-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes and no: Both do harm to the body in different ways, nicotine is implicated with cancer , weed also has implicated with cancer in a recent study an increased i... Read More
A 43-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Talk to your doctor: Binge drinking like any behavior has triggers of reinforcement. Your doctor can help you with medications, counseling and can refer to aa meetings etc... Read More
A 23-year-old female asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
yes it is possible as there is a condition known as globus hystericus however it is a diagnosis of exclusion may consider referral to a gi doctor or r... Read More
A male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
concern is for neuromodulatory changes and neuroadaptive changes in the young brain more importantly assuming that you where diagnosed with a traumat... Read More
A 23-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No: campral does not repair the damage it works as a anti-craving medication. Also has some effect on anxiety which leads to relapses. Thiamine or Vita... Read More
A 55-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
No evidence: Dopamine is increased by smoking however although in theory a good question not used options are nicotine replacements varencline nortriptine buprop... Read More
A 35-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Not common : It could happen however if structural damage exists and if alcohol is overused a underlying cause of cardiomyopathy could be hastenend. In most likeli... Read More
A 28-year-old male asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
As it describes: It is the process of examining body fluids or tissue for evidence of chemicals taken or not taken. It does not diagnose addiction however this a comb... Read More
A 31-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: Yes but this is contingent on sobriety I have taken care of patients who where sober and received a organ and managed to stay sober. But on the flip ... Read More
A 22-year-old female asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Anxiety : Withdrawal from cyclobenzaprine caqn cause anxiety and insomnia akso it can cause abnormal dreams . Because it has a tricyclic structure it can cause ... Read More
A 35-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Flashbacks: Flashbacks have been described after use of lsd years later I am not aware of any studies looking at the effect of lsd that long after having used it.
A member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
1 week: You need to stop smoking as this is never a good choice. But for practical purposes you need to remain 1 week at minimum without smoking.
A 38-year-old female asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Yes: On average it will be eliminated from the urine before 7 days.
A 45-year-old member asked:
Dr. Leonard Spishakoff
Specializes in Addiction Medicine
Weed withdrawal: Can be associated with GI symptoms including stomach problems a person can be agitated depressed etc and this also be due weed currently no treatme... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
563
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Spishakoff is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Spishakoff is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
It had been occurring for 8 days It radiates around the front and into the front of my hip and thigh. No constipation.
HealthTap member
Your answer made me feel good! Thanks :) made me feel more sensible & responsible :) thank you!
HealthTap member
Your answer made me feel good! Thanks :) Thank you so much, this really made a difference

Education & Training

Medical/Graduate school

Autonomous University of Nuevo Leon Faculty of Medicine, Mexico
MD

Awards

Castle Connolly Top Doctors: Chicago: 2000 — 2003,Patients' Choice Award, 2008 -2010 Compassionate Doctor Recognition, 2009
HealthTap Founding Doctor

Affiliations

american board of addiction medicine
american academy of family physicians
Dupage Medical Group
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less