Doctor insights on:
Suboxone Opiate Addiction
Son was prescribed Suboxone for opiate addiction & lexipro for mood. He's having bad nightmares. He has a health phobia & is worried about dreams.
Possible side effect: Both Suboxone and lexipro are reported to cause nightmares in about 1% of those taking them; it seems to be a bigger issue for those on lexipro. It is possible that it is also a coincidence as many not on meds also have nightmares. Your son should discuss this with the doctor who prescribed these meds and explore alternatives- i'd try a different antidepressant first. Counseling may help too! ...Read more
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
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
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
Should my boyfriend get prescribed suboxone? My boyfriend wants to start being prescribed Suboxone for his opiate addictions. Personally I don't think he has an addiction. He does do opiates on occasion and at one point was addicted to heroin. When he
Sounds like an addic: To me. It's not up to you to decide if he has a problem. This is about him. Sounds like he does. Suboxone is no panacea. He will not feel high. People fail therapy if not motivated. Drug addiction kills people. Every day. Support him and help him get help if he needs it. Go to meetings with him. Suboxone is a way to get off opiates. Then get off the suboxone. Get into a good life. Be well. ...Read more
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
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: And beyond that, any drug addition will cause a decrease in all desires, other than the desire to use more drugs. ...Read more
Opiate withdrawal: "thomas recipe" appears to be a protocol developed by non-physicians (named "thomas") to withdraw from opiates. It involves benzodiazepines (which don't have cross-tolerance with opiates), certain nutrients, imodium, (loperamide) etc. You would probably be safer treated by physicians trained in addiction medicine. ...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
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
Detox vs rehab: Depends on program. Some will want to detox you from all addicting meds, most will appreciate that meds like Klonopin (clonazepam) need more gradual taper. You should ask first. Most programs recognize the need to treat coexisting depression, bipolar and anxiety disorders, but would select meds that are less prone to abuse. Discuss with rehab program and ask if they have a consulting psychiatrist. Rehab is mostly done outpt now and realize pts can't stop all meds. ...Read more
After a 6-8month opiate addiction, would you recommend prescribing a benzo for anxiety to help after you have quit the opiates?
I've struggled for 5 years with a bad opiate addiction. Clean 6 days now, and I'm determined to stay clean. The emotional withdraws, how long til relief?
All my best wishes!:
You've done a great thing and you are past the worst phase. This article will really help w/ the 2nd & 3rd phases. Http://www. Alltreatment. Com/heroin-withdrawal-timeline
Here is also a link to my personal website where you can leave a message as a reply. I'm very near Rolla and may be able to offer some support in your efforts. You can succeed. Be both firm and gentle w/ yourself. ...Read more
Multiple strategies: First step is safe detox. Then, often in early stage of recovery Methadone or Suboxone maintenance or natlrexone can play a role. Delete phone numbers of all your using friends from your phone contacts. Change your phone number so that they can't call you. Get involved with na. Find something that will replace your habits and rituals surrounding the addiction. Talk to your doctor. Good luck. ...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
There are levels:
There is narcotic replacement. Methadone and suboxone are the two best.
There is damping the symptoms. Clonidine blocks stress hormone responses (shakes), imodium is quite good with the diarrhea (it is a narcotic). Mostly the main symptoms are not well treated except by narcotics.
But then, there is getting used to the symptoms. This occurs with repeatedly going into mild withdrawal. ...Read more
By a specialist:
This is a sophisticated specialty that is always advancing with newer drugs to help with withdrawal.
Your local er or narcotics anonymous should be able to guide you--and your family doctor might be a good resource too. ...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
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
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
I'm on day six of withdrawling from an opiate addiction and I haven't slept for the past three nights, why is that and how long will it be until I can?
Hyperarousal: Opiate withdrawal causes autonomic system hyperarousal. This includes increased heart rate, blood pressure, insomnia, etc. Sleep disturbance of some degree can continue for weeks. Not sleeping for several days, in addition to being uncomfortable, may lead to increased vulnerability to re-starting opiate use. If you are trying to stay away from opiates, help from a doctor will increase success. ...Read more