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Pros and Cons of Suboxone

Problems with suboxone treatment, pros and cons of suboxone therapy


There has been an increase in prescription of opioid painkillers in the US, this phenomenon got me worried and backed up by a recent study that verified that the use of safer alternatives to pain management has been on the decline.

In recent years there has been a growing awareness in the medical community about the pervasiveness of pain. This awareness has corresponded to a sharp increase in the use of opioids and abuse with so many people involved in the use opioids for non-medical purposes.

One of the biggest disasters associated with this tremendous use of opioid painkillers is their potential to cause addiction.

Addiction to any drug substance be it medicinal or not is a very serious issue with extremely adverse socio-economic impacts in human populations all over the world. The move to try and help addicts recover from this societal demon is thus a noble one. Many addiction treatment centers have been set up in line with this move. Different medications are today in use in the world over and research is still ongoing with the aim of developing the most effective medication for addiction treatment. One such drug being used today in addiction treatment is suboxone.

What is suboxone?

Suboxone is a brand name for a prescription medication that is a combination of two drugs; buprenorphine and naloxone. Buprenorphine belongs to a class of drugs called opioid partial agonists which help relieve symptoms of opiate withdrawal. Naloxone on the other hand is belongs to a class of drugs called opioid antagonists which reverse the effects of narcotics. one of the most powerful narcotics isbuprenorphine is a narcotic, it is so powerful yet it has a potential o be addictive. it was approved for treatment of opioid addiction in 2002 in the United States.

This drug can be combined with naloxone to make Suboxone and be used to help addicts to fight opioids like vicodin, heroin, OxyContin, and hydrocodone. Naloxone has ability to block opioid receptors in the brain and trigger sudden withdrawal symptoms when injected. For treatment, Naloxone is added as deterrent to prevent addicts from injecting Suboxone. When taken as a pill, naloxone is not absorbed into the body.

Problems with suboxone therapy

When it was first released in 2002, suboxone was hailed as a major advance over methadone. But millions of but later there were millions of literature critiquing the use of this drug as it has faults as were thought earlier.

One of the biggest challenges associated with suboxone treatment is its being overprescribed and misused.

Over three million Americans with opioid dependence have been treated with Suboxone. This drug has been successfully used to help addicts but it has high potential of being abused.

A report by the Substance Abuse and Mental Health Services Administration (SAMHSA) found a ten-fold increase in the number of emergency room visits involving buprenorphine. Slightly over half of the 30,000 hospitalizations in 2010 were for misuse and abuse of buprenorphine.

How many died from buprenorphine overdoses is unknown, because medical examiners and coroners do not routinely test for the drug.

For a drug addict, the most uncomfortable, painful problem of their addiction is withdrawal. If they can somehow control their urge to delve back into the drug and endure the side effects of withdrawal, then they can successfully complete their addiction recovery and gain their freedom from use of drugs.

Suboxone is so popular with addicts that it has turned into a street drug – to be bartered or exchanged for money, heroin or other illegal drugs. According to one estimate, about half of the buprenorphine obtained through legitimate prescriptions is either being diverted or used illicitly.

Drug makers are well aware of the potential for misuse and abuse. Orexo, the maker of menthol flavored Zubsolv, is selling the tablets in single dose “blister” packaging designed to reduce accidental use by kids. Another maker, Reckitt-Benckiser took its Suboxone tablets off the U.S. market and currently sells Suboxone in individually wrapped film strips. However experts have it that no amount of preparation and packaging can outsmart a determined drug abuser.

The potential for abuse and diversion is however not reason enough to call for a stop in treating addicts with buprenorphine, according to a commentary published in the journal JAMA Internal Medicine that calls for a “balanced approach” to the drug.

The other major challenge associated with suboxone treatment is that it is causing its own epidemic of addiction. Patients undergoing suboxone treatment could overtime get addicted to the drug and show withdrawal symptoms when they try to get off its use.

Advantages of suboxone

One of the primary advantages of suboxone for addiction treatment is the fact that buprenorphine’s partial agonist quality prevents it from triggering respiratory depression -and thus overdoses.

Its other advantages include:

  • It isn’t met with stigma as with methadone.
  • It can often get to a stabilized dose within the first or second day.
  • It has a better safety profile.
  • It may be easier to come off than methadone.
  • It is longer acting than methadone so it may not require daily dosing.
  • Its side effects are less than those of methadone.


SuboxoneDisadvantages of suboxone therapy

Though suboxone is considered an advance in addiction treatment over methadone, it has its disadvantages. Some of these disadvantages include:

  • It may fail to fully satisfy cravings or inhibit withdrawal symptoms for those with high tolerance.
  • Dose adjustments may b more difficult.
  • It is also likely to cause a precipitated withdrawal.

Addiction is a societal menace for which support is required in fighting. That’s why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. It matters not what kind of addiction you are wrestling with, just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Problems with suboxone treatment, pros and cons of suboxone therapy

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Why are Stem Cells Important?

What are stem cells, and why are they important?

Stem cellStem cells are very special, powerful cells found in both humans and also in other animals. Stem cells are the precursors of all cells in the human body. What makes stem cells special is that they are regenerative and malleable. They have the ability to replicate themselves and to repair and replace other tissues in the human body. Some tissues, like skin, need constant renewal, which could not take place without skin stem cells. Other stem cells repair damage to the body’s tissues, for example, rebuilding damaged or degenerating muscle tissue. New research also indicates that stem cell malfunction or damage may be responsible for certain cancers and even muscular-degeneration diseases like Muscular Dystrophy.

Stem cells differ from other kinds of cells in the body. All stem cells have three general features that make them different from other body cells. These features are: they are capable of dividing and renewing themselves for long periods. They are unspecialized and they can give rise to specialized cell types. Stem cells are capable of dividing and renewing themselves for long periods. Unlike muscle cells, blood cells, or nerve cells which do not normally replicate themselves, stem cells may replicate many times, or proliferate.

The stem cells have a unique ability to divide and become more specialized cells forming cells like bone, blood, or muscle. It is this ability that makes them attractive agents in many areas of medicine. They can therefore be used to fight very many diseases in the regenerative medicine. Another advantage of stem cell therapy treatments is that autologous stem cell transport is made possible. This means that a person may be treated by doctors harvesting the stem cells from the patient and having the stem cells reimplanted into the same patient after finding out what was lacking in the patient. This reduces risks of infection as well as rejection which are helpful to the patient.

Importance of stem cells

the stem cells are very important cells in the body and have been since targeted for treatment of degenerative diseases. They have been called the center pieces of regenerative medicine. Medicine that involves growing new cells, tissues and organs to replace or repair those damaged by injury, disease or aging. there ability to proliferate into other cells of the body like the bone and muscle tissues have made them a priority in treatment of various degenative diseases like aging and even osteoporosis among others. here is how stem cells work in treatment of various diseases.

Rejuvenation– the stem cells can be used in rejuvenation process. through rejuvenation the bodies healing ability is boosted. Typically, the body is programmed to naturally repair itself that is why after you get a cut you can stay without going to hospital but still get healed within a very short time. However there other crucial organs that when damaged do not easily get repaired. When the body’s cells cannot get differentiated to give rise to new healthy cells and heal the damaged cell then there is a problem. According to Mayo clinic the cells that were once thought of as terminally differentiated including the heart, lungs and nerves which are more specialized are able to remodel as they possess ability to self-renew. However researchers are still working to come up with strategies through which the ability of these cells to self-heal can be enhanced.

Stem cellReplacement– here the stem cells can be used to replace the damaged cells.in degenerative diseases like osteoporosis the damaged tissues can be replaced with fresh stem cells that will proliferate into more functional bone issues and relieve the system of the damaged tissues. the stem cells can be transplanted in autologous manner where the stem cells will be harvested in the adipose or the bone marrow and be used to replace the affected cells in organ. with autologues stem cell transplant the issue of donor is not a problem neither are there issues of rejection nor the need for immunosuppression .

Regeneration- Through regeneration the stem cells are delivered to diseased tissues or organs, where they will ultimately restore tissue and organ function. This can be done through cell-based therapy or by using cell products, such as growth factors. Bone marrow transplants are an example of regeneration. Regeneration aims to awaken cells that are not functional or have malfunctions. With stem cell therapy there is hope for affordable healthcare solutions that heal the body whole without life threatening side effects.

Stem cells are a cutting edge

Stem cells are capable of self-renewing giving rise to several copies of themselves. They also have the capability of shifting shape and changing type, therefore they can be used to form the cells that are damaged and restore the functions of the damaged tissues. The stem cells can be used to replace the cells that have malfunctioned due to structural damage. The amazing part of the stem cell differentiation is that when a stem cell divides both the daughter cell and the parent stem cells have the potential to differentiate into different cells or to still remain as stem cells. Owing to this ability of stem cells to differentiate into more specialized cells, they can rebuild lost blood vessels, reverse scarring, regenerate damaged nerves, and bring back the healthy you.


Stem cell therapy has a lot to offer to patients, Visit us at AWAREmed Health and Wellness Resource Centre at Myrtle Beach, South Carolina. Dr. Dalal Akoury (MD) an expert in integrative and regenerative medicine will be able to help.

What are stem cells, and why are they important?



Antibiotics in Foods is a Health Risk

Are The Antibiotics In Your Food And Your Meet Destroying Your Health?

AntibioticsThe common adage that whatever you eat affects your health comes in handy here. we are supposed to be eating foods that help in building our bodies and laying a fortress that is not easily passed through by diseases, however with everybody having eyes fixed on the financial gains he can reap from the foods he grows it has become rather common to find that our foods are grown with enhancers that are at the end of the end of the day very dangerous to anybody eating them.

It is estimated that 99 percent of farmed animals in the US raised for food are raised in concentrated animal feeding operations (CAFOs). In fact, 80 percent of the antibiotics used in the US are used in agriculture. This enough to show you that the meet eaten in the US is highly concentrated in these antibiotics that eventually may turn out to be more dangerous than beneficial to us.

CAFOs are costly to your health

These foods may be easily available and priced affordable but when you take them after some time you will realize that the price at which these foods like pork, beef, egg, dairy and poultry are sold in the supermarket isn’t a true reflection of what they cost you. Most of these animals are raised like inanimate objects; they do not have even space to move, they do not see the sunlight, they do not get a gasp of fresh air and they have no clean place to sleep. theirs is to eat and eat until they are mature to be sold, eating boosters that they may mature faster, but after they are eaten for a long time is when the problems may set in.

The CAFOs are not very beneficial to you. if there is anybody who benefits from the CAFOs then only the farmers of these animals and the few involved in the industry are but the consumers stand at a loss and its quite unfortunate that while CAFOs have mastered the art of growing profits, they’ve overlooked the basic natural laws that govern growing animals and this culminates in huge health risks on those consuming these foods.

When antibiotics are used in an uncontrolled manner as has been used in the US agricultural sector they lead to an antibiotic-resistant disease. Approximately 25 million pounds of antibiotics are administered to livestock in the US every year for purposes other than treating disease, such as making the animals grow bigger faster. this are ways to maximize profits often hidden within these line ‘boosting food security ‘but the bitter reality is that those antibiotics, and even worse, antibiotic-resistant bacteria, are transferred to you via meat and even through the animal manure that is used as crop fertilizer.

According to Dr. Dr. Arjun Srinivasan, associate director of the US Centers for Disease Control and Prevention (CDC), there is even bigger problem than antibiotics simply being left behind in your meat as it’s a practice that is promoting the spread of antibiotic-resistant disease.

“The more you use an antibiotic, the more you expose a bacteria to an antibiotic, the greater the likelihood that resistance to that antibiotic is going to develop. So the more antibiotics we put into people, we put into the environment, we put into livestock, the more opportunities we create for these bacteria to become resistant.” Dr. Arjun advises.

The genes that make the bacteria resistant is often shared by other bacteria, therefore the drug resistant bacteria that contaminate your meat may share these genes with other bacteria in your body making you more susceptible to sickness. Drug-resistant bacteria also accumulate in manure that is used in the fields to grow crops and enters waterways, allowing the drug-resistant bacteria to spread far and wide and ultimately back up the food chain to us. Therefore we are exposed to this risk and it is now more than just eating the beef, the pork or the poultry.

CDC links antibiotic-resistance illnesses to food

AntibioticsIn America alone antibiotic-resistant bacteria infect 2 million people every year. these infections leads to death of 23,000 Americans every year but this is nothing in comparison to the estimation of the UK prime minister David Cameron that by 2050 antibiotic resistance will have killed 300 million people, with the annual global death toll reaching 10 million. This is really a big reason to worry.

CDC has also linked antibiotic-resistant illness to food. The CDC reports that 22 percent of those illnesses are caused by food especially the foods that are sourced from CAFOs.

The composition of your microbiome is somewhat like a fingerprint. It’s unique to you but, unlike your fingerprints, highly impressionable and constantly changing. As reported by Scientific American: “The ecology of the gut microbiome may trigger or contribute to a variety of diseases, including autoimmune disorders and obesity, research suggests. Factors such as early environment, diet, and antibiotic exposure have a lot to do with why people differ from one another in the composition of their microbiomes.”

Generally when your gut flora is unhealthy, then you will be predisposed to many health problems therefore eating these foods that may culminate into antibiotic- resistance illnesses are a big leap into a haven of illnesses that eventually causes many deaths. The CAFOs generally are harmful to your gut health and so are other foods that are genetically engineered to enhance growth and pump in more profits.

There is much more to the foods we eat than just getting full and equipping your body with the needed nutrients. The foods may also cause you diseases. These foods related illnesses need to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this. Call her on (843) 213-1480 for help.

Are The Antibiotics In Your Food And Your Meet Destroying Your Health?



Can Cosmetic Products Cause Cancer?

Cosmetic Products that Cause Breast Cancer

Cosmetic ProductsCosmetic products are made from various ingredients that are majorly given chemicals. These cosmetic products are largely used by women for the purpose of beautifying, promoting attractiveness, or altering the appearance. Some of the cosmetic products that are widely used by women include moisturizers, perfumes, lipsticks, fingernail polishes, eye and facial makeup, shampoos, permanent waves, hair colors, toothpastes, and deodorants. These cosmetic are part of our lives. not only women use cosmetic products, men too have their choice and preferences when it comes to the use of these cosmetic products after all we all have skins to take care of so if you find a man using some moisturizing lotion on his skin, it should not be a surprise to you.

Most if not all of the cosmetics have to be tested by various bodies to ensure that they are safe to be used on human beings. One of the bodies that test these cosmetics for safety before approving them is the food and Drug Act (FDA). however FDA may not be able to test all the cosmetic products that are produced locally in different countries and every country has its own body that does this, however these bodies may not be able to effectively give us reliable when it comes to which cosmetic products are safe and which ones are not, they are mostly manipulate by the governments who may at times become part of business that deal in these cosmetics hence making it difficult to get safety information from these bodies; this is true, we live in a man eat man society where brains are obsessed by pursuit of supernormal profits even if it costs lives. The truth however is bitter, some of the chemicals that are used in these cosmetics as ingredients are very toxic and can cause various cancers. Establishing this link has however been difficult due to the fact that most cosmetics are made from a cocktail of chemicals and not necessarily one chemical, another reason why it hasn’t been easy to be certain that cosmetics may cause cancer is that many products and ingredients have not been tested thoroughly. Even when ingredients in cosmetics have been tested, the results may not always be simple as always illustrated in the tests as the way chemical reacts in labs isn’t the same ways they will when absorbed. Though some ingredients are known to be dangerous in high concentrations, the amounts that are used in making of these cosmetics may be lower than the dangerous limits, hence may not reflect on what is found in studies. Also the way the ingredient is used in a cosmetic may be different from how it was used in the tests. Most tests have also failed to show which chemicals are absorbed in the body and how this happens therefore it hasn’t been easy to establish the link between cosmetics and breast cancer. However there are some ingredients that have been used in cosmetics that for a long time have been speculated as capable of causing breast cancer among other cancers. These chemicals include the following;


The most common forms of parabens includes; methylparaben, propylparaben, ethylparaben, and butylparaben. Parabens are chemicals commonly used as preservatives in many cosmetic products, including makeup, moisturizers, and hair care products, and shaving creams or gels. Parabens are commonly used as preservatives in cosmetics; however most of the known brands of antiperspirants and deodorants don’t contain parabens. Cosmetics that contain parabens may pose health threat as they penetrate the body and once in they mimic the activities of estrogen in the body. The parabens have the potential of turning on the growth of hormone-receptor-positive breast cancers. Parabens have been found in breast tissues of breast cancer patients and though this may not mean much, if the fact that it mimics estrogen hormone speaks volumes. We have always known that any chemical that causes disruption in the endocrine functions has a potential of causing cancer. However there is still lots of research that is needed to help us know the level of concentrations of estrogen is dangerous and can potentially cause breast cancer.


Cosmetic ProductsThese are commonly used to hold color and reduce brittleness in nail polish and hair spray. Apart from their use in nail polish, phthalates are also commonly used as a component of many personal care and cleaning product fragrances. Just like the parabens the Phthalates are a hormone disruptor. Unlike parabens however they don’t tend to mimic the functions of estrogen but they cause hormonal imbalance especially those that interact with estrogen such as testosterone. For these reasons any phthalates compound has attracted speculation as a potential cause of breast cancer. If you may decide to stay away from these two ingredients of cosmetics, check on ingredients of cosmetics on stores just to be at safer grounds.

Generally, there might be other chemicals that are endocrine disruptors; these are considered dangerous as they can mimic the functions of estrogens which are known to cause breast cancer. There is however controversy on whether exposure to small amounts of chemicals that mimic estrogen can cause breast cancer. As an individual it is better safe than sorry, so do as much as you can to evade these endocrine disruptors as their effects are obvious. At AWAREmed Health and Wellness Resource Center we are committed to availing the best integrative approaches to treatment of cancer. Visit as at Myrtle Beach, South Carolina where Dr. Dalal Akoury (MD) will be of help.

Cosmetic Products that Cause Breast Cancer




Adrenal Fatigue and Fibromyalgia

Relating Adrenal Fatigue and Fibromyalgia

Adrenal fatigueThe adrenal glands play very crucial lives in our bodies. These glands are responsible for four major hormones; Adrenaline, Cortisol, DHEA-S, Aldosterone and Androgen. These hormones are charged with specific roles in our bodies. Both Adrenaline and Cortisol are your “flight or fight” hormones and are produced in response to stress. In particular, cortisol provides a short-term increase in blood sugar and blood pressure. By increasing the blood sugar and pressure it can be seen that the body will be empowered as it shall have enough energy to respond to any environmental stress. . When these stresses extend for a longer period of time, the Adrenal gland continues to pump out Adrenaline and Cortisol in response which will result in adrenal fatigue.

Signs and symptoms of adrenal fatigue

What is fibromyalgia?

Just like adrenal fatigue, fibromyalgia has been linked to exposure to stress. This disease is characterized by widespread muscle pain, joint stiffness, and fatigue. The condition is chronic but pain comes and goes and moves about the body. The cause of this disorder is unknown and therefore it is often misdiagnosed or unrecognized and is most of the times complicated by anxiety and mood disorders. The cause of fibromyalgia has been attributed to stress but again there is no research that has been done to prove that stress is the cause of fibromyalgia. The disease causes deep muscle pain but its cause is still unknown. Those suffering from fibromyalgia will suffer from lack of energy and will feel exhausted most of the time.

Typically, when a person is exposed to stress, the level of cortisol will be elevated so highly that its production will be maimed as the adrenal glands fatigue, and eventually become exhausted. When a person is exposed to high stress level there will be a decrease in DHEA levels with a rise in cortisol. The decrease in DHEA and rise in cortisol level will result in an increased ratio of cortisol to DHEA. As with most hormonal systems, there is a negative feedback loop that limits the production of each hormone once it hits its target level. The same occurs in the case of cortisol.

In case of prolonged stress when there is a feeling that the body is at risk and has to act in order to survive, the cortisol output will actually diminish the feedback response. This action is ultra what is expected in that instead of the feedback loop shutting down cortisol production when the levels get high, the body reacts by increasing its level even more. But since cortisol is the body’s primary anti-stress hormone, it will interpret a very high cortisol level as impending and life-threatening danger. In this situation, there is actually a blunting effect on the feedback loop allowing it to spin increasingly out of control. More cortisol will therefore be produced even though your body becomes increasingly resistant to its release. This is the way the body reacts in order to survive during high level of stress it is exposed to. However when this continues for quite a long time then the adrenal glands will become fatigued resulting to plethora of diseases

Are adrenal fatigue and fibromyalgia related?

To begin with these are diseases that until now are little understood. The researchers that have worked on either of the diseases have linked their cause to exposure to high stress levels. However this theory is yet to be proved. there is still little literature in this area of medicine and hope can only be held that in the near future researchers will come up with real causes of these two disorders or better yet come up with good explanations that these two disorders are caused by exposure to high stress levels as have been speculated. It’s only prudent to work with the basis that researchers have availed and by this said I mean that when accept the theory that these two disorders are caused by exposure to high stress then the link between the two is rather easy to find. the major reasons of the adrenal glands is to release hormones that are used in fighting stress therefore when your glands are not able to do that you become more prone to stress and therefore fibromyalgia. There have been theories that adrenal fatigue can cause fibromyalgia but such theories are baseless as these two diseases are seemingly caused by one factor; prolonged stress. However these two diseases share a common symptom which is fatigue. A person who is suffering from any of the diseases will most of the time be worn out.

Can adrenal fatigue and fibromyalgia be treated? 

Adrenal fatigueWhen it comes to treatment of these diseases, they seem to diverge. As opposed to adrenal fatigue, fibromyalgia is a complex disease that has no cure. There are some medicines that can be used to help you mitigate on the debilitating effects of the disease. As for adrenal fatigue there are many ways that it can be combated. There is a lifestyle change that when adopted then the condition can be healed and the adrenal gland be restored. Better diet that is free from gluten, sleeping well for at least seven hours a night and limiting caffeine and lots of exercises can help in treatment of adrenal fatigue.

The normal stress of everyday life affects people differently. Adrenal fatigue and fibromyalgia are two common diseases that occur when stressors overwhelm your ability to fight them off. At AWAREmed Health and Wellness Resource Center we are committed to availing the best integrative approaches to treatment of diseases. Visit as at Myrtle Beach, South Carolina where Dr. Dalal Akoury (MD) will be of help.

Adrenal Fatigue and Fibromyalgia