Dr. Paul Pyles

Addiction Medicine
Biloxi , MS
35 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 39-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Sinus tachycardia refers to a fast heart rate i.e. Over 100 beats per minute. This is normal after exercise. Some people have a rapid resting heart ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Top Rated: This facility is top rated and one of the best in the nation.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Great question!: Lack of sleep is harmful to the brain. You may not necessarily die from lack of sleep directly. However, you can die in a motor vehicle accident if yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : You need an evaluation by your doctor to find out the cause of your pain. It could be infection, vascular, trauma, a kidney stone, etc. Seek evaluati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Dystonia: Acute dystonic reactions involving the tongue can be brought on by certain medications. An evaluation of your medication is needed. There are medicati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
False positives : Are very common when it comes to drug screening. Gas chromatography and mass spectrometry, however, don't lie. Ask to have the sample sent for definit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
No: BUN stands for blood urea nitrogen and is a test of renal function. It used in conjunction with the creatinine level to evaluate the functioning of th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Not unusual : Menstrual irregularities can be due to anxiety. With your anxiety reduced by the Ativan, (lorazepam) your menstrual cycle normalized.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : There are no significant dietary restrictions with this combination of medications. Barring any other health issues that you may have, you can eat wha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Cause Unknown : There are several possibilities ranging from psychological to physical. Can be due to anxiety or relationship issues. Can also be caused by inflammati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
No: According to Dr. James Golden from the Betty Ford Center, Kratom is an opiate that can affect thyroid function. Based upon my own exhaustive review of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Nothing unusual : This medication is a great antidepressant and is usually well-tolerated. Sometimes migraines can be brought on by stress or depression. Your doctor st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Not likely: Post traumatic amnesia (PTA) is a state of memory impairment that occurs immediately following a traumatic brain injury. This memory loss can be retro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Yes you can: It is not unusual to experience a stimulating effect from antidepressants. Sometimes this wears off and sometimes it doesn't. Insomnia associated with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Passage of time: It depends on the sensitivity of the screening test. Urine can show positive for about a week after taking Xanax (alprazolam). There are other factor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Hope for Success: I don't think you will experience any withdrawal symptoms. Prozac has a long half-life and takes a couple weeks to clear from the body. It is common t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Not likely : Although there have been some case reports of hydroxyzine or Vistaril causing serotonin syndrome, this risk is extremely low i.e. 0.3216% Ref: factmed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Normal: This is unremarkable and nothing to worry about.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Xanax (alprazolam) is quicker acting but short-lived. It has a high addiction risk. An SSRI is preferred for long term use. Klonopin could be added fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : You could be experiencing side effects from switching your medications. Talk to your doctor about your symptoms. Possible EPS.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : You will need a thorough medical work-up. The differential diagnosis for your symptoms is quite broad. You may need referral to a neurologist. Start ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Unpredictable : This substance is a hallucinogen and is extremely dangerous. People can die from acting on their hallucinations. Behavior can become bizarre and unpre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to an adult: This could be a physical response to something psychologically stressful. Seek out a trusted adult such as a parent or your doctor to talk about your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : A single episode of near syncope may not adversely affect your driving privilege. If an understanding of the cause and remedy has been determined, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Odds are favorable : It depends on the sensitivity of the screening test. It also depends on your overall health, condition of your liver and whether or not other drugs a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Paul Pyles
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.
A 60-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Typically non-steroidals and rest is best. No heavy lifting. Conservative treatment over several weeks.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : Medications used to treat Attention Deficit Disorder can cause insomnia. You need an evaluation for a co-occurring mood disorder such as Bipolar Disor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Most likely yes: The metabolism of alcohol is fairly straightforward and follows a pattern of zero order kinetics which means it disappears at a steady state over time... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Chances are low: The chance of pregnancy under the circumstances you described are fairly low but not zero. The typical use of condoms is about 82 percent effective i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See a doctor : Your friend may have cirrhosis. This is an irreversible scarring of the liver resulting in a loss of function. Your friend needs to be evaluated by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Yes It Can: This medication can cause a decreased libido.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Jock Itch: Your symptoms sound like classic jock itch which is due to a fungus. You could try an anti fungal cream which you can obtain over the counter. If symp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Go to the ER : You may need to seek immediate medical attention. Go to an ER to be evaluated. The use of stimulants can cause vascular problems and you may be bleed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Wellbutrin (bupropion) is a very good antidepressant medication. It can take 2-4 weeks to work. Talk to your doctor about your specific situation. Yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Great Question : Methadone does have significant drug interactions. You do have alternatives. Effexor, Pristiq, (desvenlafaxine) Remeron are a few. Talk with your doct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor: This could be a chronic viral syndrome. Chronic fatigue syndrome comes to mind. Your doctor may want to do some additional tests. Lymes disease is als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Combining your medication with alcohol can have an additive sedating effect. For instance, having one glass of wine may be the equivalent of having tw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor: This is a low dose of Seroquel (quetiapine). Some people experience prolonged drowsiness even at a low dose. Talk to your doctor. Sometimes the sedati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : It is possible that your medications can make you feel "jittery". Also consider the possible role of caffeine. Some people are slow metabolizers. I w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : A rash in conjunction with starting a new medication is always concerning. Stop the medication and talk to your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Side Effects : You may be experiencing side effects to your medication. Contact your doctor as soon as possible.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See a therapist : You need to see a therapist for an evaluation and for psychotherapy. If you are having thoughts of harming yourself at this time, you need to go to th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
NOT the same: Crystal meth (methamphetamine)is an illicit stimulant manufactued and distributed illegally on the streets. Ritalin (methylphenidate) and Adderall (d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Great job!: Congratulations on your decision to quit smoking! Your body will thank you and your baby will thank you!
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Talk to your doctor about your options to help you quit smoking. There is the patch, gum, Chantix, Wellbutrin, (bupropion) e-cigarettes and recently a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Save your money : Don't combine the two. Having a seizure disorder is a serious matter and as long as your medicine works to keep you seizure free, you don't want to ad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Talk to your doctor : Either one alone or the combination of both medications can trigger irritability. Your doctor needs to know about this so appropriate evaluation and t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
See your doctor : Antivert (meclizine) is often prescribed. Sometimes a low dose of a benzodiazepine such as Valium 2.5mg is used. However, Valium can be habit forming ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Dr. Paul Pyles
Addiction Medicine 35 years experience
Not at all: Talk to your doctor. In my experience it is not necessary to stop this medication under the circumstances you have described. Best wishes for a good o... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
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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