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Doctor insights on: Meaning Of Step Two In Narcotics Anonymous

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What is the aspect of sex addiction & hyper religiousity that keeps people in aa sober?

What is the aspect of sex addiction & hyper religiousity that keeps people in aa sober?

Wow - generalization: Alcoholics anonymous is a program that incorporates spirituality (not religion). Although there are some alcohol dependent individuals who also have sexual addictions - that is by no means the majority. People come back because it provides hope. It helps to keep them alive and helps to keep them sane. ...Read more

Narcotic (Definition)

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


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What is the rationale of bulpurphine in management of opiod dependence?N its combination with naloxone

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 more

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What are your thoughts on drug and alcohol addiction in employed people in america?

What are your thoughts on drug and alcohol addiction in employed people in america?

Drug alcohol addicit: This is a serious problem. It seems that we have one of the highest rates in the world. Illicit/illegal drug use is a problem of society and family structure. Breakdown of the family structure results in deviant behavior. Alcoholism is no different. These deviant behaviors appear generation after generation. Correction lies with the family unit which has to be strong and supportive. ...Read more

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What are the consequences of using morphine at end of life?

What are the consequences of using morphine at end of life?

End of life morphine: Morphine is used to make the dying patient more comfortable. It not only reduces pain but also reduces the "air hunger" associated with people dying from respiratory failure, a wonderful thing. ...Read more

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Is there a different kind of aa meeting for people addicted to opiates?

Is there a different kind of aa meeting for people addicted to opiates?

Narcotics Anonymous: Is a 12 step program that is based on the same philosophy as alcoholics anonymous. In some small towns there might only be aa meetings - in that case attend aa (you can also do more specific narcotics work on -line). ...Read more

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Are control and power issues typical for alcoholics/adult children of said alcoholics?

Are control and power issues typical for alcoholics/adult children of said alcoholics?

The basic issue: Severe anxiety is what drives the alcoholic to drink alcohol (a potent anxiolytic). Sometimes anxiety is expressed as "control issues", and inflexibilty, and an inability to "go with the flow". Anxiety has been shown to run in families. So, the answer is yes. If you live with someone who suffers from alcoholism, get to al-anon, or go to aa meetings that are "open meetings". ...Read more

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What is a good step down from oxycodone in terms of pain relief?

What is a good step down from oxycodone in terms of pain relief?

Several options: You could simply reduce the dose of dosing frequency. You could try hydrocodone or tramadol in place of oxycodone. ...Read more

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Can EPO abuse stop the kidneys from producing their own EPO once drug use is ended i've read plenty of research about erythropoietin abuse by athletes, and there is consensus that one of the big risks is polycythemia and the possibility of strokes, hypert

Can EPO abuse stop the kidneys from producing their own EPO once drug use is ended i've read plenty of research about erythropoietin abuse by athletes, and there is consensus that one of the big risks is polycythemia and the possibility of strokes, hypert

Yes, : Yes, once exogenously administered erythropoietin is stopped, assuming that the patient's kidneys are normal (where erythropoietin is primarily made), they should resume making erythropoietin on their own. Erythropoietin also known as epo, is a hormone that controls erythropoiesis, or red blood cell production. ...Read more

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In drug trials, is a placebo used to avoid harming some of the volunteers?

In drug trials, is a placebo used to avoid harming some of the volunteers?

A placebo: Is a preparation made as much as possible just like the drug under test except missing the ingredient being tested. Ideally neither the patient nor the doctor knows which each patient is given. After a period of time, the results are evaluated to see if the drug group got a significant improvement over the control (placebo) group. Hopefully neither group is harmed. ...Read more

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Do the twelve steps of recovery work for alcoholics?

Yes, absolutely: Why else would people be hanging out in those rooms for over 70 years, it works without a doubt. It takes a lot of work though, 1-2 meeting is not a cure. People who listen to others go to lots of meeting, 90 in 90 days, do the steps and get a sponsor have amazing results. Its not the only answer and others find excellent recovery in other ways this is true, but it does work. Its also free! ...Read more

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What are the negative affects of taking tramadol in my elderly mother. Confusion? No recollection of the day. Odd behavior. No answer from drs.

What are the negative affects of taking tramadol in my elderly mother.  Confusion? No recollection of the day.  Odd behavior. No answer from drs.

Possible: One cannot predict the effect of a particular drug with certainty and older people are more vulnerable if you stop the medication and the side effects stop and restart with resumption of the drug they must be related!? ...Read more

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Is there a legal alternative to steroids in the pursuit of extra muscle growth? . (i also already understand the importance of a healthy diet)

Is there a legal alternative to steroids in the pursuit of extra muscle growth? . (i also already understand the importance of a healthy diet)

Body Building: Please know that steroids will cause you significant disease, earlier death, complications such as joint disease, diabetes, liver damage, shrunken testicles and penis. I know of no good or healthy outcomes in men who take Anabolic steroids for body building. ...Read more

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Is it normal to not like one type of meeting in aa (speaker, big book, living sober, 12&12, etc.)?

Yes: You don't have to like everything in aa, just enough to keep you going back, focus on the positive, keep an open mind, and remain willing. Crazy thing about aa is if you stick with it, what you don't like now you may love in the future. But maybe not, plenty of meetings to choose from. ...Read more

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What are some of the topics covered in an aa meeting?

What are some of the topics covered in an aa meeting?

Dealing with life!: Topics pertain to everyday life issues that somebody with alcoholism struggles with on there own and causes them to drink. Dealing with feelings toward others, feeling of anger, loneliness, resentment, the list goes on. Learning how to forgive, relax without alcohol, letting go of problems and issues you don't have conrol over. It is a spiritual program, but not religious. Give it a try! ...Read more

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Is there a doctor who prescribes canibus in exeter nh for pain instead of opiates?

Is there a doctor who prescribes canibus in exeter nh for pain instead of opiates?

Probably not yet: New hampshire passed legislation legalizing medical marijuana on 7/23/13 but one can only get it from state-licensed facilities and it may take up to 2 years for such facilities to be established. When they are i hope you will be able to find a doctor who can help as cannabis can be a very helpful alternative. See http://norml.Org/legal/item/new-hampshire-medical-marijuana. ...Read more

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Why second generation histamine h1 antagonist are the drug of choice in treatment of chronic allergy? Explain please!

Why second generation histamine h1 antagonist are the drug of choice in treatment of chronic allergy? Explain please!

Best allergy medicin: Second generation antihistamines generally have fewer side effects (ie. Sedation and dryness), longer durations of action, and little tachyphlaxis (loose effectiveness with use) than older antihistamines. However for chronic nasal allergies, evidence based medicine places topical nasal steroid sprays as first line therapy ahead of antihistamines, oral or topical. ...Read more

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I've tried all different meds for my idiopathic leg pain. No one can find the source. If opiods are the next step, is Tapentadol a good choice ?

I've tried all different meds for my idiopathic leg pain. No one can find the source. If opiods are the next step, is Tapentadol a good choice ?

Neuropathy: after dealing with thousands of cases of "leg pain", my guess is that you have a neuropathy. the problem I have seen is that when the testing comes back normal, i.e. nerve conductions studies and EMG, they assume nothing is wrong. The testing doesn't have to be abnormal to have a neuropathy, i.e. sensory neuropathy. yes, I really like nucynta (tapentadol) for neuropathic pain. ...Read more

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A number of my friends engage in detoxification periodically. Is this necessary?

A number of my friends engage in detoxification periodically. Is this necessary?

"junk" science: There is little or no evidence that human beings require any such thing. Our lungs, skin, kidneys, liver and gastrointestinal systems remove toxins quite effectively and excrete them from the body. In addition, I haven't seen a SINGLE randomized controlled trial looking at the effects of these "detox" regimens on human health. Some of them can be quite harmful, even life-threatening. ...Read more