Dr. Paul Pyles
Addiction Medicine
Biloxi , MS
35 years experience male
Locations
Gulf Coast Veterans Health Care System
Biloxi , MS
About
Bio
Board certified in Psychiatry and Addiction Medicine, Dr. Pyles treats adults suffering from opioid use disorder.
SpecialtiesDoctors 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.
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
Psychiatry
Licenses
United States: Georgia, Mississippi, Ohio, Tennessee
Languages spoken
English
Doctor Q&A
550 Answers
1.0K Agrees
The number of answers this doctor has agreed with.
A 46-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Yes : Be sure the lab sends the sample to undergo definitive testing by gas chromatography and mass spectrometry. This will clarify the results.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsAnswered >2 years ago
A 57-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
4-7 days: It takes 4-7 days for oxycodone to clear from the urine. I'm more concerned about you injecting oxycodone. Please consider going into treatment.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Myth: Bipolar Disorder can't be diagnosed until age 18.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Racing thoughts abound; Pressured speech, insomnia; Mood stabilizer.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Conditions that often co-exist with Asperger syndrome include ADHD, Tourettes, OCD, and Depression.
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Memory loss may be a symptom of depression. Memory can improve with treatment of depression.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Patients with ADD/ADHD are at greater risk of motor vehicle accidents. Don't multitask while driving.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Not appropriate : Typically observed drug screens are done in the presence of same sex observers. You may want to consult an attorney about your legal question.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
No: Prozac (fluoxetine) is not tested for on routine drug testing.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsAnswered >2 years ago
A male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Poppy seeds: Poppy seeds can give a false positive for opiates.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : See your doctor. Confirm the diagnosis. Take your medicine as prescribed and avoid use of alcohol. Don't try to multitask while driving.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : Your are on a hefty dose of Effexor (venlafaxine). Talk with your doctor before making any changes. I have seen some patients lose weight on their me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : Assuming You are taking Xanax (alprazolam) 0.5mg and not 5mg, yes you can add Ambien. Talk to your prescribing physician.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : The benzodiazepines can be disinhibiting. You may have Bipolar Disorder. See your doctor for an evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Not likely : If you smoke weed daily for a long time and then quit. It will take at least a month to clear. Hair analysis is a different story. Depending upon the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : You need to be evaluated. You may need an xray and a doppler scan to rule out a fracture or a blood clot.
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : It is common for this medication to have this side effect. Some psychiatrists may suggest to give it more time to see if these symptoms improve. On th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Odds in your favor : Valium is a long acting benzodiazepine with active metabolites. It gets metabolized by the liver. It's clearance from the body depends on the conditio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
It's appropriate : Should be done routinely and at random for careers in which the public safety is a concern: i.e. Doctors, nurses, airline pilots, public transit driv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Ignore: Stay on your medicine and keep your appointments with your doctor. Avoid alcohol and illicit drugs.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Not recommend : In general, it is not a good idea to combine alcohol with medication whether it be prescribed or over-the-counter.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Loss of brain cells: This is a finding on either a CT scan or MRI of the brain. It is commonly seen in the elderly and can be a normal finding as we age. We tend to lose n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor: It is very rare for someone your age to have a heart attack. Talk to your doctor about your symptoms and appropriate treatment. Avoid the use of caffe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : See your doctor for an evaluation. It sounds like you have insomnia and anxiety symptoms. Your doctor can recommend treatment options to reduce your s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Great question : You will need an evaluation by your doctor to accurately diagnose your condition and make appropriate treatment recommendations. Adderall (dextroamphe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : There are many causes of erectile dysfunction. Alcohol use and medications can play a role. Diabetes can also be a cause. See your doctor to discuss... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : Sometimes Elavil (amitriptyline) helps with headaches. In your case, it sounds like you are experiencing some side effects. Talk to your doctor about ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 32-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : Ask your doctor if this CEA level is significant for you. Smoking can cause an elevated CEA. Your doctor may want to re-evaluate. Try not to worry. It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : This is a good combination of medication. These meds are usually well-tolerated. Talk to your doctor about the risks, benefits and side effects of yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor: You have some options. You could try the immediate release Wellbutrin (bupropion) and a lower dose. If this kept you awake, you could add Trazodone at... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 49-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : The best advice I can offer is that you work with your doctor while switching from one medication to another. There are potential risks involved for w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
It Depends: If your medication makes you feel drowsy, then you may want to take it all as one dose before you go to bed. Otherwise, taking a dose in the morning a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 49-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Yes: Although these medications are not notorious for causing hair loss or alopecia, it is quite possible. Of the three medications you mentioned, I would ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Be Cautious : This combination of medication is very sedating. You should discuss risks, benefits and side effects with your doctor. Always take your medicine as pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Great question : I have seen people develop mood disorders after having undergone general anesthesia for surgery. I'm not sure what caused this. They may have been pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : Dysuria is a painful sensation when urinating. The most common cause of this is an infection (urethritis). See your doctor for a physical exam and la... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : It's probably a recurrence of your anxiety. However, it is always best to rule out medical conditions such as SVT (supra ventricular tachycardia) or t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Depends on who u ask: I found a study done in Turkey in 2013 which found that patients treated with aripiprazole spent less time in their major depressive episode compared ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : Wait about a week and check a urine home pregnancy test. If you are positive or unsure, go see your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 68-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Not much : There are better choices for treating peripheral neuropathy. Medication options include Neurontin, Lyrica, (pregabalin) and Cymbalta. These medication... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : Avoid the use of narcotic analgesics. Consider an antidepressant such as Effexor (venlafaxine) or Cymbalta. Neurontin has helped in some cases. See a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Not likely at 17: Barring any major health issues such as severe heart disease or a brain aneurysm, this activity is safe. If you have questions, you can ask your docto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Try not to worry: It is important to keep the blood pressure under control. Having regular check ups and staying on your medicine is important. Also, plenty of rest and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : When the SSRI's are initiated, sometimes they trigger a worsening of anxiety symptoms due to stimulation. Over a period of a few weeks, the anxiety im... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : It might be helpful to consider a second opinion. If you have not had a complete work-up, it may ease your mind to get one. A head CT or MRI of the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
About 48 - 72 hours: You should not use an extended release form of any drug if you are sensitive to meds. A low dose of an immediate release form of the medication is bet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 50-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Talk to your doctor : The answer to your question is "yes" you can take clonidine to alleviate opiate withdrawal symptoms precipiated by Suboxone. You can also take additi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 42-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See a psychologist : Start with an evaluation and possible psychotherapy with a psychologist. If symptoms persist, medication can be added later. Best wishes!
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
Great question!: Sometimes the symptoms can overlap. Hyperthyroidism can manifest with increased heart rate and palpitations along with excitability and agitation. You... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Paul Pylesanswered
Addiction Medicine 35 years experience
See your doctor : Your symptoms could be due to a mood disorder such as Bipolar Disorder. The use of excessive caffeine or stimulants can do the same thing. Racing thou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
7
Recommendations
467
Thank you notes
Apr 22, 2015
Dr. Pyles' answers are brief, accurate, knowledgable, and to the point, in short, very helpful. It's not surprising he has received many thank you's and accolades.
May 30, 2015
Your dedication and commitment to providing quality health consultation on HealthTap is greatly admired and a true benefit to your patients. Keep up the good work.
May 29, 2015
Dr.Pyles is a leading authority in Psychiatric medicine. He is well respected in his community and with that, he has my highest recommendation.
HealthTap member
This made me feel good. Thanks! Thank you sometimes no matter how silly a question or concern may be for a pregnant woman just some reassurance goes a long way... thanking you :)
HealthTap member
This was very helpful. Thanks! Thank you, I was in process of weaning off them but due to bereavement they got increased. I suffer with M.E. and think they make it worse.
HealthTap member
This made me feel good. Thanks! Thank you so much- it's nice to know this isn't abnormal. I already feel abnormal as it is. I appreciate your advice so much kind sir :)
Education & Training
Medical/Graduate school
The Ohio State University College of Medicine, OH
Graduated 1988MD
Residency
Harding Hospital
Residency
RIVERSIDE METHODIST HOSPITAL
Awards
Tulane
University of South Alabama
Most Loved Doctor, First Place, National - Winter
2015
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