Doctor insights on:
Can Prescribed Narcotics Be Bad For You
Yes: They can be harmful. There are risks with any treatment or medication. Risks of opioids (narcotics) are tolerance, dependence, addiction, decreased immune function, decreased testosterone levels, breathing problems, and death. Opioid related deaths now outnumber deaths related to cocaine, heroin, and methamphetamines combined. It's a serious issue in the US, as our prescriptions rate has skyrocket. ...Read moreSee 3 more doctor answers
A natural or synthetic alkaloid compound that has morphine-like qualities. Other examples are codeine, heroin, Meperidine (demerol). They are classified based on their intrinsic activity & where they interact in the central nervous system. They are involved in pain transmission ...Read more
Many possibilities: Speak to a psychiatrist about this. There are many medications forADHD. Some will be very activating such as Adderall, (dextroamphetamine and racemic amphetamine) while there are others which may help focus but not be too stimulating. You and your doc can figure out what the best choice would be for you. ...Read more
Depends: Usually medications in the stimulant family are prescribed as a first line treatment. Those include Vyvanse, (lisdexamfetamine) Adderall, Ritalin, Concerta, etc. Some doctors like to start with non-stimulants such as Strattera, Intuniv, Kapvay. It really depends on the individual, symptoms, and type of ADHD. ...Read more
Can I take Dilaudid and Percocet together? The Dilaudid alone is not working. I have a high tolerance to pain meds due to many chronic illnesses.
Dilaudid /percocet: In my opinion no. Both are short acting and it makes no sense to take two short acting medications together. I would ask why you are not on a long acting baseline medication given your chronic illnesses? ...Read more
Pain management : I am assuming that you are referring to Opioids or Narcotics when you mention addictive drugs. Research actually shows that they tend to be poor choices for chronic pain or for long term pain management (except cancer pain). Consult a Pain Management Center and I am sure there is a better option for your symptoms. ...Read more
They can be: Or they can be very helpful for the right people. Xanax (alprazolam) is a very rapidly absorbed, but short-acting tranquilizer, which makes it more abuse-prone, and some psychiatrists think it should be off the market, in favor of more slowly absorbed and longer-acting medications, such as clonazepam. Anxiety can be treated with psychological therapies and with antidepressants that are not addiction-prone. ...Read more
Can methadone be used to help someone get off pain pills? How does it work if methadone is also used for pain?
Can methadone be used to help someone get off pain pills, how does it work if methadone is also used for pain?
Yes: Methadone is very cheap and very potent. It has a complicated pharmocology so an expert should be involved in prescribing it. I more or less always use Methadone to detox patients off other opioid medications. It has a long fairly stable halflife so dosed 2-3 times a day with a slow taper should prevent most withdrawal symptoms. ...Read moreSee 1 more doctor answer
Can you please tell me if i will be arrested for getting prescription pain medication from different doctors?
Getting multiple RXs: For pain meds from multiple providers filled at multiple pharmacies is a big red flag. In my state, providers must pull the controlled substance database if rx for more than 5 day supply. It includes several other states as well. Physicians are advised to report patients suspected of " doctor shopping" to authorities. ...Read moreSee 2 more doctor answers
Many: There are many drugs used to treat CHF but everyone with CHF should be given an angiotensin converting enzyme inhibitor and a beta blocker as a minimum unless contraindicated or allergic. Other helpful drugs are a diuretic, an aldosterone antagonist, and a statin. Aspirin too if coronary disease is present. ...Read moreSee 1 more doctor answer
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read moreSee 1 more doctor answer
Can you tell me if someone can be an acupuncturist if they are on morphine (buprenorphine) for chronic pain?
Yes: Lorazepam can be addictive and can be very unsafe to withdraw from. While it is safe to withdraw from narcotics, benzodiazepines have to be carefully weaned to avoid seizures. Lorazepam can be a very safe and effective medication but it can definitely be addictive. Be cautious and share any concerns with your prescriber. ...Read more
Why would a pain mangment treat a person who used to be opiate dependent? Why would they still give them pain meds?
Not contraindicated: These patients can still be treated with opioids. An appropriate diagnosis and comprehensive treatment plan should be developed to try and avoid the need for these medications. If they are indicated then close monitoring of the patient along with counseling can provide safe use despite a history of abuse. ...Read moreSee 1 more doctor answer
Opioids and driving: This really depends if you have benn on opioids for a short or long time. I typically tell my patients to wait at least 24hrs. Those that have been on medication long term i will see them first after they have stopped the medication before i instruct them in driving. ...Read more
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