Doctor insights on:
Failure Of Addiction Treatment For Cannabis
Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more
Addiction=addiction: Addiction treatment centers used to not address smoking. Many people still resist being asked to stop smoking when they stop drinking or using other drugs. However it lights up the same reward pathways in the brain. Many treatment programs now strongly encourage quitting smoking @ the same time. It is a good idea. Those that continue to smoke have higher rates of relapse to the other substance. ...Read more
What is the medical term for the mental problems of codependency/adult child of alcoholic/para-alcoholic?
There isn't one: Since each person may experience a situation differently, many outcomes are possible. If pathology is there, it might be diagnosed differently. "codependent" is a common term, but it isn't a medical one. Depression and anxiety are frequent in people with such backgrounds. Sometimes they can also end up with compulsive personality features. Many other possibilities also. ...Read more
Related but no cause: Tobacco & alcohol r both addictive. Many people w/ alcohol dependence also smoke tobacco & r addicted. However, it is a stretch to say that tobacco use "causes" alcohol addiction. Smoking cessation classes r a form of substance abuse treatment. If u r alcohol dependent it's important to be assessed to see if u need detox meds to avoid dangerous withdrawal symptoms. Aa & treatmt r also very helpful. ...Read more
Avoiding Withdrawal: The best thing to do is to avoid opiate withdrawal symptoms in the first place by seeing a doctor who can prescribe suboxone, then establishing a taper plan whereby you take smaller and smaller doses each day until you can be weaned off completely. You can find a suboxone provider by googling "the Buprenorphine physician locator" on the web. Good luck. ...Read moreSee 1 more doctor answer
What are the possible pharmacological basis of a patient's complain of non response to Sildenafil recommended for management of sexual dysfunction.
Other illness: When a medication for erectile dysfunction doesn't work, assuming the person took the medication as directed, it may be because there are other medical illnesses. Diabetes, high blood pressure, alcohol dependence, or other medications interfering with the sildenafil. Discuss all of this with your treating physician to determine the cause, and you should be able to get this cleared up. ...Read more
No significant: Insulin is a natural hormone. It is very rare to have allergic reactions to insulin. Occasionally one can see thickening of the skin after years of injecting Insulin into one area. There are no adverse long term effects of insulin, whereas there are many severe long term effects of poorly treated diabetes. Of course, you need to take the correct amount in order to control sugars without low sugar. ...Read more
Alternative tx?: I don't know what you mean by "alternative treatments for schizophrenia". It you can tell me what they are - i will try to comment on each. Schizophrenia requires life-long treatment with use of atypical antipsychotics as the mainstay. Conventional neuroleptics are an option. Psychosocial treatments that go hand in hand with meds include: family therapy, social skills training & voc rehab. ...Read more
Beside dependence/addiction & testosterone and hormone decreases what are the dangers/side effects of long term opiate use for chronic pain?
You hit the majors: There are also long term effects on the liver and kidneys. Long term use can also affect cognition and often lead to constipation that can lead to diverticulosis. Unfortunately these medication have a bad profile for long term use but are the only option for many patients. If the meds do not improve function and quality of life then the risks are too great. ...Read moreSee 1 more doctor answer
Treat Alcoholism: Definitely. I would recommend a cognitive-behavioral therapist (cbt) who specializes in substance abuse and is familiar with motivational interviewing. This treatment is the most research-supported. However, initial detoxification in a hospital may be necessary (to prevent life-threatening withdrawal symptoms) and the person should seek an evaluation for this as a first step. ...Read moreSee 3 more doctor answers
Will Medical Marijuana CBD strain with no THC help for anxiety/depression caused by lymphoma and chemotherapy treatment? No luck with ssri and benzos
It could : Dear Cesar: yes, CBD could help with anxiety although THC could also help with mild depressive symptoms. There are no clear guidelines here and you will have to try different mixes. There is a brand called care by design (CBD) that makes sprays with different percentages of CBD/THC. I usually recommend my patients to try both CBD and THC and see what works for them. All the best, Ariel. ...Read more
INTERESTING!: The goal for the justice system for addiction treatment is just what you might imagine, stay out of the justice system! so there is a bit of a different goal of just trying to reduce recidivism. Forced treatment by the legal system has not been very successful in the long term. ...Read more
Mind, body, spirit: Holistic treatment would provide what the individual needs in order to withdraw from the addictive agent, and change the mental, emotional, social, and spiritual environment in which the addiction formed. Detox, relaxation, meditation, prayer, 12step programs, nutrition, exercise, psychotherapy, acupuncture, medications might all be used in some cases. ...Read moreSee 1 more doctor answer
What is the rationale of bulpurphine in management of opiod dependence?N its combination with naloxone
For Opiate Addiction: Suboxone contains Buprenorphine plus a short acting opiate blocker called naloxone. Buprenorphine is a semi-synthetic partial opiate agonist. That means, it has very unique properties compared with other opiates like hydrocodone and oxycodone. Suboxone can take away the cravings for opiates so the addict can work on figuring out why he or she takes opiates in the first place. Suboxone saves lives. ...Read moreSee 1 more doctor answer
How to manage strong side effects of Corticosteroids pills for respiratory sarcodosis and also for long term treatment.
Steroids: there are non-steroid alternatives to steroids when needed to treat a chronic illness. Ask your doctor about these. Some include plaquenil, methotrexate, imuran, remicade (infliximab) and others. Long term use of steroids can cause many problems but should never be stopped suddenly or without medical supervision but there are alternatives. ...Read moreSee 1 more doctor answer
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