Doctor insights on:
Nucynta Withdrawal Treatment
For someone who has just started Suboxone in a treatment facility, today being day 1, when will withdrawal happen?
It already has: You have to be in withdrawal already when starting Suboxone and then it quickly relieves many symptoms. Depending on the opiate usually 12-24 hours is recommended from last use to starting suboxone, degree of relief depends on factors such as amount and type of opiate used and amount of Suboxone given. ...Read more
Not habit forming: Aspirin is not addicting in the classical sense of the concept. It is not a narcotic. It is, however, possible that stopping the medication will allow for pain or inflamation the Aspirin was suppressing to resurface. Other non steroidal anti-inflamatory drugs (nsaid's) are as effective as Aspirin and may be taken less frequently, and with fewer side effects. ...Read more
Treat symptoms: Suboxone withdrawal should always be planned, managed and closely supervised by your treating physician. Medications are provided to treat the symptoms of withdrawal. Sleep meds, medication for nausea, clonidine, non opioid pain medications. To minimize risk of relapse participating in an intensive out patient treatment program should be considered. ...Read more
There aren't any: In part because there is no true withdrawal syndrome. If people have been using methamphetamine, particularly in high dose binges, there is a "crash" that occurs after several days of use associated with fatigue, excessive sleep and overeating. It is self-limited and goes away after a couple days, followed by increasing craving for meth. Topirimate, a seizure drug, has helped to reduce craving. ...Read more
Supplement estrogen: If you mean as a result of menopause, estrogen replacement therapy would easily control the symptoms as well as providing long term benefits. If you mean PMS symptoms, you could take a lose dose estrogen during that portion of the cycle to minimize your symptoms. Finally, if you mean as a result of stopping current estrogen replacement - there are medications that can help - see your doctor. ...Read more
Go very, very slowly: Xanax (alprazolam) is extremely addictive and it's half-life very short so you should decrease your dose very, very, very slowly to reduce the likelihood of experiencing withdrawal anxiety. To tide you through the difficult days/weeks ahead, try temporarily supplementing with another anti-anxiety drug (like klonopin) that has a longer half-life so that you don't then keep going into withdrawal. Good luck. ...Read more
Support: Once you detox and are sober, you need to join a support group. Alcoholics anonymous and celebrate recovery are two excellent organizations that help people deal with alcohol addiction. I would suggest making arrangements to join a group as you are planning your entry into detox. They might be able to visit you in the detox center and help with your transition to home as well. ...Read more
Rx Xanax (alprazolam) withdrawal:
Better not tell you how to. See a good doctor as soon as you can.
Do not try to self resolve your problem. ...Read more
Steroid withdrawal: Patients on prolonged courses of steroids have a tendency to stop making a hormone known as cortisol. This results in "steroid withdrawal" or adrenal insufficiency. The most common treatment is a very slow taper off of steroids. Infrequently, patients will require lifelong steroids as a result. ...Read more
Not sure what u mean: After one day's treatment? That would not cause withdrawal. If steroids are used for more than a couple of weeks, it should always be tapered. Medrol (methylprednisolone) dosepaks are available that actually taper the dose on a very specific schedule, and are often used in people who have to be on a week or 10 days worth of steroids. Talk to whoever was prescribing the Prednisone to you - they can give best advice. ...Read more
What is the recommended dose of Valium per day for severe alcohol withdrawal? And how long should this treatment last usually?
Detox from alcohol: I think there are other drugs used for alcohol withdrawal. The benzos, especially valium is considered to be just another pill form of alcohol and are not a good fit for someone trying to get sober. I would hope you are in a medical setting and not attempting this at home. ...Read more
Taken off Nucynta (tapentadol) ER 100mgx2 and Nucynta (tapentadol) 50mgx3 and started on butrans 7.5. New meds is not helping much w/pain, +mild withdrawal. Any advice?
Please don't: Just change medications doses without speaking with your prescribing doctor. Medications like Nucynta (tapentadol) and Butrans and Nucynta (tapentadol) are both DEA controlled substances (III and II respectively). You don't want to mess around with these meds without guidance as it may lead to your doctor stop prescribing for you. ...Read more
Dr. Pappas, sorry if I seemed drug seeking I was only looking for hospitals for treatment for anxiety attacks. I don't experience withdrawals xanax (alprazolam)?
Anxiety treatment: The treatment for anxiety is multifaceted. Including counseling, desensitization, meditation and breathing exercises, medication. The medication should be one that prevents anxiety rather than react to it. Xanax (alprazolam) is a reactive not preventative medication with a decent risk of dependence. See your doctor or psychiatrist for appropriate treatment. ...Read more
I am currently going through detox and withdrawals, I have been placed on multi vitamin and ensure for weight loss. I start suboxone treatment tomorrow. I have been having a slight burn when urinating with a clean urine sample no infections. What could b
My 24 year old daughter is entering a alcohol treatment center this monday. They do not have a bed and this is their best estima tion of when one will be available. She experiences significant withdrawl symtoms when she abstains from alcohol completely. Sh
Don't: Don't know the specifics of "significant withdrawal symptoms" that you mention (such as seizure, visual hallucinations). From a safety perspective she would best be seen by a doctor (on this weekend the emergency room for that matter) to cater temporary treatment to your daughter given the circumstances for now. There is always the risk of a breakthrough seizure or other serious withdrawals from alcohol with or without the continued use of alcohol or xanax (alprazolam)-like medications because the are a couple of things to consider too (such as sleep problems, amount of alcohol used, duration of alcohol misuse) plus I wouldn't detox someone on xanax (alprazolam) being that it is a very short acting sedative. In essence, err on the side of safety when the risk is great. ...Read more
Am going to finish my 6month therapy of cipralex 10 mg and I should tapering my drug down to prevent the withdrawal symptoms. .. How I taper Down??
Hope you're better: OK. It's best to work w/ a Dr on the taper. That said, if you absolutely can't - as slow as possible is safest. Some say a drop of 10%/mth is great. With liquid cipralex you can do that. Otherwise, breaking tablets is ok but not easy. Best w/ help - Dr - or druggist - or as slow as you can. Glad it was short. Hope it was sweet! ...Read more
Leech therapy: There is a paucity of controlled scientific evidence of this form of therapy. If you have thromboembolic disease, I would be most careful about this decision. ...Read more
I'm facing anxiety last 2 years now im on smoke withdrawal anxiety level is down muscles moves by there self want to cure naturally?
Clarify: Hi, What kind of smoke are you withdrawing from? What do you mean your muscles move by themselves? Ask again, someone can help. ...Read more
Weened off morphine after switch back to percocet, withdrawals increased rls. 2wks later waking up at 3am by RLS everyday, why worse? Cure?
Being a IV heroin addict I used methamphetimine to cure withdrawal symptoms. It worked but I don't get high off the meth. Able to eat and sleep. Why?
No clue: But I wish you were more concerned with dealing with your addictions than blocking withdrawal symptoms. I have treated MANY people who used both heroin and methamphetamine, and none of them said that amphetamine did anything beneficial for their withdrawal, so it may be just your particular biology. Most use speed to stay awake for the heroin high, or use heroin to take the edge off the speed. ...Read more
How to cure or relieve stomach cramps after alcohol withdrawals? Any medicication or homwe remedy or juices suggested for this problem?
If you decided to quit drinking, you need to be supervised by a doctor who has experience to help people like you.
Pain in stomach in heavy drinkers might improve if you take otc prilosec. ...Read more
Post chronic lithium toxicity and withdrawal left me with terrible crawling sensations all over my body. Is it temporary and is there a treatment?
Unfortunately: I can't be terribly encouraging about this. Typically with chronic lithium poisoning there is a large body burden of lithium that is difficult to treat. Often this discovered with time or a new medication that alters kidney function or causes dehydration, causing the lithium level to rise. The symptoms you describe are not unusual. Treatment is symptomatic as for other peripheral neuropathies. ...Read more
Is there withdrawal symptoms from stopping the use of a nebulizer treatment? I don't feel the greatest and I am wondering if its from stopping them.
Yes!: Worsening of symptoms like you are experiencing. Discuss with prewscribing physician. Why did you stop? ...Read more
Patches, Gum, or wai: If you are too uncomfortable to wait a couple of days for the symptoms to subside, you may use otc nicotine patches or gum to withdraw gradually. Be aware that a desire to smoke will occur from time to time long after nicotine withdrawal because smoking has been a habit. ...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 more
This is up to YOU: There is no easy treatment for alcoholism. This disease is more common than you think. The first step towards recovery is as simple as you deciding you are ready. Seek help, support, and camaraderie from others (who have been there) in a group, such as aa. If 12 steps are not for you there are plenty of other options (save our selves, lifering, women for sobriety). Make the call, and good luck! ...Read more
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