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I am the Associate Medical Director of the Kolmac Clinic. We are located in DC, Silver Spring, Gaithersburg, Columbia, Baltimore, Towson. We offer Intensive Outpatient treatment for Addiction. I supervise outpatient detoxification of alcohol, benzodiazepines, opiates and other addictive substances.
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.
Psychiatry
Addiction Medicine
Doctor Q&A
19 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 37-year-old member asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
No: Both are eliminated from the body the same way. It does not matter how they get in. The effects are related to how fast Cocaine gets in ; out the brai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
This is a BZD wd!: Nitrazepam is a benzodiazepine. The withdrawal can be very difficult and prolonged. It is better to do this under medical supervision. It looks like i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Side effect: Speak with your physician. This is not a normal reaction to strattera (atomoxetine). When it happens, it happens early in treatment. Some patients can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
A known unknown: We know the atd initial actions, but the brain transmitters and circuitry adapt in a complex manner. Some people relapse, some do fine when they stop.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Clear limits: I can't answer if the pain requires an opiate. However, i can say that from an addiction perspective, i tell patients that they must make it public (i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Suboxone is helpful: Suboxone (buprenorphine + naloxone) will decrease cravings for opiates and the risk of relapse. It is very helpful to treat withdrawal from opiates. D... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
No: It is difficult to predict the severity of alcohol withdrawal syndrome. It may cause increase of heart rate, blood pressure, sweating, confusion, and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Better avoid: If the psychodelics destabilize your bipolar, there is no guarantee it will be back to the way it was before. Bipolar disorder is strange, it does not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Meditation Practice: Once a week in a group, daily or twice a day x20 minutes. Look at the book zen mind beginnners mind.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
The last dose: Depending the duration of use, the withdrawal is likely. Sometimes things get really bad after stopping the last dose. You should do this under medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
No: Buspar (buspirone) only works if taken in a steady manner.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Yes: Congratulations! cigarettes are worse on the lungs than marijuana. The main negative effect of marijuana is in the brain. Pot smokers literally become... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Nothing: Don't waste your money on these kind of tests. It is how you feel, how you think, how you take care of yourself that matters.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 49-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Let go the thoughts: Careful with lorazepam. It can cause ups and downs of anxiety and physical dependence. Antidepressants are the best choice for anxiety. Cognitive ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
No fear: Don't be afraid of the medication. Be honest with family and friends as well as with the physician. You can always stop a medication that you don't li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
See a psychiatrist: Many people with memory problems do not have alzheimer's. It is a common complaint of people with depression, for example. Chronic stress can also cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
It is safe: It is safe to cut the films. Cover them after cutting. If you expose them to air, they may lose their effect.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 54-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
How to stop xanax (alprazolam): The withdrawal from xanax (alprazolam) is difficult and can take weeks. You can either convert to a long acting benzo or substitute xanax (alprazolam)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Paulo Negro Jranswered
Psychiatry 35 years experience
Addiction: In the current diagnostic code, "abuse" is reserved for a milder form of addiction than the diagnosis of dependence. Just think of addiction as an abn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >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.
3
Recommendations
41
Thank you notes
Aug 25, 2013
DR. NEGRO IS EASY TO AGREE WITH. I'M COMFORTABLE WITH HIS OUTLOOK.
HealthTap member
Mar 31, 2015
Dr. Negro Jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Negro Jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful!
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
University of Sao Paulo Faculty of Medicine, Brazil
Graduated 1988MD
Medical/Graduate school
University of Sao Paulo Faculty of Medicine, Brazil
Graduated 1999MD
Residency
University Texas Health Science Center at San Antonio
Residency
Institute of Psychiatry, HC-FMUSP, Brazil
Affiliations
Fellow of the American Psychiatric Association
Publications
Do Religious Mediumship Dissociative Experiences Conform to the Sociocognitive Theory of Dissociation?
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