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Dr. Paul Pyles

Addiction Medicine
Biloxi , MS
34 years experience male

Locations

Gulf Coast Veterans Health Care System

Biloxi , MS

Address

400 Veterans Ave , Biloxi , MS
Directions

About

Bio

Board certified in Psychiatry and Addiction Medicine, Dr. Pyles treats adults suffering from opioid use disorder.

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

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 40-year-old member asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not likely: In order to screen positive for THC, you would have to actually smoke or ingest the cannabis. You don't screen positive from passive smoke.
A 36-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Ignore: Ask your doctor to check your thyroid, your kidneys and your liver function.
A 24-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes: Hemp oil containing THC will show on drug screening.
A female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not to worry: Dentists don't routinely screen for THC use. If you are a chronic user, it will take up to month for THC to clear from your urine. my best medical ad... Read More
A female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes it is safe: You didn't mention the size of your one alcohol drink or the type of alcohol (beer, wine, whiskey). Provided a standard size drink of 8-12 ounces, you... Read More
A 50-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Based upon your case as you have presented it deserves a retrial of Prozac (fluoxetine). Talk to your doctor. If it worked for you before, it should w... Read More
A 24-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Probably clear: Typically this drug is not detectable by the urine drug screen after 4 to 5 days. It depends on the condition of your liver and if other drugs are pre... Read More
A 25-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
It has it's benefits: Topamax (topiramate) is an anti seizure medication that has some mood stabizing properties. It may help prevent or reduce migraine headaches. It tends... Read More
A 20-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Cut back on CLA: Your anxiety is related to the CLA. You should reduce the dose by a half. If the anxiety continues, then stop CLA.
A 48-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Your body says NO!: You may have a problem with alcohol in that you should not drink it! Some people have trouble metabolizing alcohol and it is toxic for them. This may ... Read More
A 27-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : In your case, I would reduce the frequency with which you are checking your heart rate. The normal heart rate is a range and depends on your activity ... Read More
A 17-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor: It is always best to discuss any dietary changes first with your doctor. It is important to stay hydrated when you have a history of kidney stones.
A 50-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : It is my understanding that Latuda (lurasidone) is a good choice because of it's excellent side effect profile. It has an extremely low risk of diabet... Read More
A female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Ask your doctor : Stimulants can be toxic to the liver. This is especially true if used in high doses and if taken intravenously. One has to weigh the risk: benefit rat... Read More
A 20-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Typically Paxil (paroxetine) is started at 10mg per day and can be titrated up to 40mg per day over a few weeks. If Zoloft is used, it is usually star... Read More
A 39-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
It is possible : Usually people experience fatigue and increased sleep during the flu. It is possible to experience insomnia with the flu. Sometimes medication taken f... Read More
A 20-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor: It is possible to have sexual dysfunction associated with many psychiatric medications. These side effects include erectile dysfunction, delayed orgas... Read More
A 29-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : You should see your doctor for a discussion about your treatment options. There are other choices of medication available.
A 20-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : Drinking too much water can cause you to lower your sodium (called hyponatremia). A blood test can determine your sodium level. If your sodium is low,... Read More
A male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Strattera (atomoxetine) is a good choice for treating Attention Deficit Disorder. Talk to your doctor about your treatment options to include risks, b... Read More
A 36-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes: There are no major interactions reported between these substances.
A female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
No interaction : There is no reported interaction between Adderall (dextroamphetamine and racemic amphetamine) and Methadone. Talk to your doctor about your medicatio... Read More
A 35-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Discuss your symptoms with your doctor. You may have to reduce the dose of your Sertraline (start low and go slow). In some cases, short-term (2-8 wee... Read More
A 18-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Course of addiction : Typically drug addicts use drugs because of the way it makes them feel. Drugs of abuse are fast acting, hit the reward center of the brain and are thu... Read More
A male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not a good idea : Alcohol may reduce the effectiveness of your antibiotic. Best medical advice is to avoid alcohol while taking your antibiotic.
A 64-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes: If your sertraline is keeping you awake at night, you can try taking it in the morning. Sometimes sertraline can be stimulating. Always discuss your m... Read More
A 41-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes It Is Safe: This combination has no major drug interactions. See your doctor about your symptom of derealization. Ask your doctor about stopping the Vit D tempo... Read More
A 22-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Don't overdo it!: Your blood pressure reading is within normal limits.
A 27-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : Depression not responding to an SNRI requires careful evaluation. Lab test to rule out thyroid dysfunction is important. Your doctor may switch to ano... Read More
A 21-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : You may need a slower taper on this medication. Talk to your doctor about going back up to 225mg on your medicine to see if this helps. You may be exp... Read More
A 29-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : Picking at your moles actually increases your risk for malignant change. See your dermatologist to evaluate your moles and see a psychiatrist to help ... Read More
A male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not usually: It can actually constipate you.
A male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not FDA approved : Viagra (sildenafil) is not FDA approved for use in women. However, I have heard of some women taking it. I recommend you discuss this with your docto... Read More
A 45-year-old member asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Not recommended : Neurontin (gabapentin) is category C during pregnancy. This means the risk for its use cannot be ruled out. Women taking Neurontin (gabapentin) during... Read More
A 18-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : Given your age, I am thinking your symptoms are anxiety. Avoid the use of caffeine or energy drinks. If you smoke, quit. See your doctor for a check u... Read More
A 19-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Indigestion issues could be due to your medication used to treat your Bipolar Disorder. Don't stop taking your medicine. Talk to your doctor about you... Read More
A 18-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Pain during intercourse is a common problem and may be due to a variety of causes. See your doctor for an evaluation. The treatment will be based on ... Read More
A 23-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Prilosec can increase the blood level of Lexapro (escitalopram) and thus increase the risk of side effects. That being said, there are many patients ... Read More
A 17-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Balance is the key: Exercise and get plenty of rest. Set aside time to study. Also set aside time for fun. Moderation in all things....
A 22-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : There are many possibilities of what could be wrong. Please see your doctor for an evaluation. Get well!
A 34-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Two weeks to clear: It usually takes prozac (fluoxetine) two weeks to clear from the body. In your case, the prozac (fluoxetine) should be gone in about 9 more days. Hope... Read More
A 35-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
No: Having the APOE 4/4 places you at greater risk for late onset Alzheimer's. Just because you have this risk factor does not mean you will develop the d... Read More
A 43-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : Typically a slow taper down over several weeks is best to prevent withdrawal. Some people can tolerate a faster taper than others. For instance, some ... Read More
A 18-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Try not to worry : Ask a close friend to go to the doctor's office with you. Talk to an older woman like your mom or an aunt. Doctors are interested in your condition be... Read More
A 18-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
See your doctor : Your doctor can either switch medication or add a medication to help you rest.
A 53-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Talk to your doctor : You can take hydroxyzine. However, you can experience increased sedation from this combination. Be careful not to drive after taking the medication at... Read More
A 25-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Try not to worry : I've had to abruptly discontinue many patients off of Cymbalta (duloxetine) for one reason or another. Most of them did just fine. If you are unable ... Read More
A 66-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Yes: I have seen cases where the tremor in Parkinsons diminishes as the disease advances. Unfortunately dementia tends to go along with it and you may not ... Read More
A 41-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
AD vs ARCD: Typically the impairment of age related cognitive decline (ARCD) is not as severe as Alzheimer's (AD). Many cases of early AD are first diagnosed as a... Read More
A 29-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 34 years experience
Call 911: He needs to go to the ER. Overdose on xanax (alprazolam) and heroin can be fatal. Immediate medical attention is needed. Call 911 and have him taken t... Read More

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

7
Recommendations
464
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
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