Doctor insights on:
Opiate Addictions, Birth Defects And Autism
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
No: No vidence for either.Get a more detailed answer ›
Antiepileptic: Yes, this is something you need to discuss with your ob. Monitoring can be done, to help determine if there are any anomalies. Do not just stop the medication though, because seizures can cause a bigger problem for the fetus. ...Read more
I live just over the border in Vancouver BC. However my father is American & lives there. I know Canada & the United States offer different treatment options in some areas. So my question is about Opiate Addiction & what treatment options, new & old u can
suboxone, methadone are substitutes.
Long acting injectible blockers prevent getting high.
Then, there's outpatient (suboxone/blockers). Specialized clinic (methadone) and inpatient and/or residential settings. And 12 step programs.
You might want a directed question to me; I am board certified in addiction. ...Read more
What do you advise if I'm looking for a name of a birth defect similar to autism or ADHD but starting with the letter "n"?
Autistic Spectrum: Disorders & the 3 types of ADHD are neurodevelopmental disorders. Each categorical diagnosis is made by specific criteria including history of a specific neurobehavioral pattern & presence of specific observable behaviors for which the etiology may be genetic/ other medical issues or unknown. Another neurodevelopmental disorder is Non-verbal Learning Disabilities (NLD). ...Read more
10 wks pregnant. Just got a flu. Will it harm the baby? Read about autism, birth defects? What can I do at this point? Please help! Stressed out!!
Things to ponder: You can do nothing at this point other than try to maintain a healthy diet, get proper rest & prepare for the work ahead. Every pregnancy has a 4% risk of some unexpected outcome, including all forms of birth defects, prematurity, infection, etc. Emerging data on autism suggest a curious change in genetic information present at conception, not induced by flu or other agents later. ...Read more
Late 30s couple ttc for 1st time. No family history of autism/downs & both fit & healthy. What is % of risk for autism/birth defects?
If you'll be 39 at: Delivery, the chance to have a child diagnosed with Down syndrome at birth is 1 in 137 (a little < 1%); the chance to have a child diagnosed with any chromosome abnormality (including down syndrome) at birth is 1 in 83 (slightly > 1%). Autism risks? With paternal age, low maternal folate (folic acid) levels esp. At conception-10 wks. & some prenatal infections like rubella or flu. Ask your OB @ screening. ...Read more
Does roaccutane (accutane) medication for acne cause birth defects in a child if the father is taking it, not the mother?
Can a father's drug use during conception cause birth defects - for example cocaine, opioids, depressants, stimulants, LSD/Ecstacy?
Major drug abuse: A history of major drug abuse can cause damage to male reproductive health - but it would not be from a single use at the actual time of conception. I'd also think hard about the maturity and responsibility toward a potential child that you might expect from a man who abuses drugs enough to cause harm to his body. Creating a Life is serious business - even more than sex (which is too!) Be safe. ...Read more
Yes: And beyond that, any drug addition will cause a decrease in all desires, other than the desire to use more drugs. ...Read more
If the father takes antidepressants at conception can the unborn baby be affected or be born with birth defects?
Not likely!: It is highly unlikely that a father taking antidepressants when his wife conceives, would expect any effect on the developing fetus. A large review of women taking antidepressants before and during pregnancy failed to find any major adverse effect. Consider what the effect of a clinical depression, in either mother or father, might have on a developing fetus. Many "self-medicate" w/alcohol, etc. ...Read more
Is it true if a parent that has schitsophrania has a baby, the baby can be born with birth defects? Such as a hole in the heart or baby as vegetable?
Not true: She has a chance to have a normal baby like anyone else. ...Read more
Is withdrawalease, a substance used for relief of opiate addiction a sham or does it really have beneficial qualities?
No clear evidence: There is no published evidence that it works. ...Read more
Buprenorphine helps: Buprenorphine (suboxone) is used as a medication for detoxification and/or maintenance for opiate addiction. It works by binding to the opiate receptors, providing partial stimulation to these receptors, but not causing a high. Buprenorphine also blocks other opiate medications from acting on the receptor, so the addict is not able to get high while taking this medication. Mutual support helps. ...Read more
Opiates: I am not aware of particular nutrient deficits caused by opioid addiction other than often patients with addiction to drugs/alcohol have a poor nutritional state primarily due to poor diet and self care. Cessation of chronic addiction behavior and resumption of a healthy diet and lifestyle will have the desired effect of improving overall health and mental well-being. ...Read more
Yes: They doGet a more detailed answer ›
I have no energy after detox 2 weeks ago for suboxone! I was on Suboxone for 18 months after a 6 year opiate addiction! My energy levels are depleted, even non existent! I take b12, per my physician but feel nothing. What can I take or do to help with my
Lifetime: If the addiction was acquired during a painful illness, recovery can be very fast aided by humane protocols such as used by the military in burn units. If it was a recreational use or from ill-advised prescribing, the person will never be fully normal or able to approach opiates again without having terrible things happen in the mind. ...Read more
Apparently: Opioid dependence lowers the pain threshold over time. So less and less pain stimuli are perceived as greater and greater pain. This is a form of opioid seeking originating in the pleasure area of brain. After detox and sobriety, pain thresholds increase slowly to preaddiction levels. Perfeption of pain is one of the major reasons that opioid users have difficulty getting off them. ...Read more
Yes it works, but: Whether it is worth the money depends on many things. For alcohol abuse, the results have been extremely good, with marked reductions in relapse, and much longer periods of sobriety, even in the homeless alcoholic population. For opioids, it's not as clear, but several russian studies showed success, and us studies are beginning to show some promise. It does have side effects (depression), + cost. ...Read more
I recently started subutex for opiate addiction. At my initial visit I was also prescribed adderal for adhd. Should I be on adderal? I'm a addict.
You are right to be: Cautious. But your prior history, doesn't mean u can't take it. It does mean that u should be monitored extra carefully. There are those that would claim your addiction was the result of your untreated adhd. I've seen that situation many times. Some say that when the ytake the adhd meds that is the best they have functioned for years. Be upfront with your dr. Maybe give it a trial. ...Read more
Is it ok to put Neosporin on anus due to sore and bloody feces due to constipation from being on suboxone and from opiate addiction?
See your doctor: Constipation can be a serious side effect of Suboxone therapy. This can be treated with a high fiber diet from fresh fruits and vegetables. Dulcolax tabs can be taken at bedtime. A couple bottles of magnesium sulfate taken an hour apart when things get really stopped up. Sit in a tub of warm soap water. "Recticare" is great for pain. See your doctor for additional recommendations. ...Read more
Many options, but...: Naltrexone, methadone and suboxone are the drugs used to treat opiate addiction. However, these drugs merely buy u time by lowering ur risk of relapse while you engage in the core work of recovery - which is disengaging from using friends, building new rituals to replace those of addiction, going to NA, working with a sponsor, going through an (usually outpatient) treatment program. Good Luck! ...Read more
Many: Ways to help someone get off the opioids. I would talk to your doctor and get on a weaning program. Also there are non addicting meds to help with the withdraw symptoms. Ask questions so you are prepared for what will happen. Good luck ...Read more
Firstly, I admire you. It may be easier (or harder) than you expect, but it's a good thing to do in any case. There are resources to help. Withdrawal can be serious and it's wise to have medical support thru that stage. Maintenance is also easier with support. There are groups as well as individual therapists for that. Best wishes on this effort. A good link:
http://www. Addictions. Com/opiate/. ...Read more
Various ways: Short-term detox with methadone, Buprenorphine or Clonidine can be effective, especially when combined with an intensive treatment program, but the relapse rates are high. There are "blocking" agents like naltrexone, also available as a long-acting injection (vivitrol), which protects the person from "getting high" on opioids. Maintenance therapies with methadone/buprenorphine have best results. ...Read more
Yes but not safe: It is possible to withdraw from opiates cold turkey, but not advise able. There can be serious and sometimes life-threatening physical side effects from withdrawal. It is best done with medical supervision. ...Read more
After a 6-8month opiate addiction, would you recommend prescribing a benzo for anxiety to help after you have quit the opiates?
Detox slowly: The safest way is just a very slow taper of the opiate, ie just reduce the dose by 10% every third or fourth day...Example go from ten oxy a day to nine and then keep at that level for 4 days then go to 8 and so on. Most people can cut their consumption in half but then run into a plateau. At that point, some Clonidine and some xanax (alprazolam) can some things out. Big problem is not getting hooked oxana. ...Read more
Can you please help me to understand how buprenorphine works with your bodies receptors for pain control, not opiate addiction?
Buprenorphine: Buprenorphine, as marketed as butrans, is a potent opiod analgesic medication with the analgesic effect coming from partial agonist activity at mu opioid receptors. It is also an antagonist at kappa opioid receoptors, an agonist at delta receptors, and a partial agonist at orl-1 (nociceptin) receptors. Its binding affinity to the mu recetors is very high, and overdose cannot be easily reversed. ...Read more
ASD are a spectrum of disorders of varying degrees that are characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. Autism statistics from the U.S. Centers for Disease Control and Prevention (CDC) identify around 1 in 68 American children as ...Read more
A neurodevelopmental disorder affecting three areas: abnormal socialization, communication, and restricted interests with repetitive patterns of behavior. It is usually detected in the first two years of life. Cause is unknown but strong evidence points to an interplay between ...Read more
- Talk to a doctor online
- Can pelvic inflammatory disease cause birth defects?
- Can placenta previa cause birth defects?
- Does taking adderall cause birth defects?
- Chemicals that cause birth defects in red river tobacco
- Birth defects
- Defect birth
- Kick opiate addiction
- What birth defects can methadone use cause?