Tag Archives: Opioid dependence


Controlling opioid painkillers abuse

Controlling opioid painkillers

Controlling opioid painkillers abuse is possible when patients follows the prescription well

Controlling opioid painkillers abuse: Outpatient detox

Although many patients who are dependent on opioids will benefit from long-term maintenance therapy with methadone or buprenorphine, several studies have suggested that there may be a meaningful subset of individuals who can obtain good outcomes with more time-limited approaches, because of this doctor Dalal Akoury reiterates that detoxification is typically connected with high relapse rates and return to opioid abuse. Besides that, some data also suggest that if you do it right, outpatient detoxification can be effective. And remember that, by controlling opioid painkillers abuse using naltrexone therapy is extremely important to help prevent the resumption of illicit opioid use following detoxification.

Dr. Akoury has noted that outpatient detoxification may be particularly appropriate for patients who present for treatment with less severe opioid dependence. In this trial, consistent with previous research, stabilization on a lower dose of buprenorphine an indicator of less severe dependence was associated with a favorable treatment response. This finding may hold particular relevance for prescription opioid abusers, many of whom are younger and have brief histories of opioid dependence, less severe other drug use, less IV use, and greater psychosocial stability than past generations of primary heroin abusers.

Controlling opioid painkillers abuse: Behavioral therapy and naltrexone maintenance

Although their study design did not permit them to measure the impacts of the treatment regimen’s intensive behavioral therapy and naltrexone maintenance, the researchers believe that both were instrumental to their patients’ positive outcomes. The behavioral therapy, delivered by master’s level therapists, included counseling on how to handle withdrawal and avoid relapse, strengthen social networks, and find healthy recreational activities. The patients were also offered individually tailored sessions focused on their particular needs, from employment to managing depression.

Naltrexone is a non-opioid medication that blocks the receptors where opioids bind and exert their effects. A patient undergoing treatment for opioid addiction that slips and takes an opioid drug doesn’t get the expected high or euphoria. For this reason, it may be right to suggest that naltrexone can be viewed as an insurance policy Dr. Akoury says. That because it can prevent a single lapse from turning into a full-blown relapse. The idea is, if you don’t have any drug effect, why spend heavily on OxyContin if Naltrexone can be taken long term to prevent recommencement of opioid use after detoxification?

From the research findings, it is clear that longer usage of Bp/Nx tapers enhance patients’ outcomes is consistent with some even though not all, as it is evident in the previous studies on detoxification. Dr. Akoury says that more gradual Bp/Nx tapering may more completely suppress opioid withdrawal symptoms, thereby reducing patient discomfort and risk for relapse to opioids.

Finally, when faced with any addiction challenge of any kind and not necessarily opioid painkillers, seeking for timely help are very important. The facts outline about the outpatient detoxification for opioid painkillers addicts above are essential but you also need to seek for more beyond outpatient treatment. Scheduling an appointment with doctor Akoury will help you in finding out more about healthy solutions available at AWAREmed Health and Wellness Resource Center. This is actually the place to be for accuracy, assurance, and professionalism in dealing with all matters relating to drug addiction.

Controlling opioid painkillers abuse: Outpatient detox




Fighting opioid addiction

Painkillers motivates addiction

Painkillers motivates addiction

Painkillers motivates addiction and are the biggest concern in substance abuse today

Painkillers motivates addiction: Medications for Opioid Withdrawal

For sure opioid withdrawal is difficult to endure. Because of that, it is clear that painkillers motivate addiction in many ways. They are relapse triggers and it is only fair that we take tailored actions towards correcting damages and harms for a healthy living. Medications are used to prevent symptoms of opioid withdrawal during detox, easing the person out of physical dependence:

Methadone – this is a long-acting opioid drug. It activates the same opioid receptors as narcotics, effectively eliminating withdrawal symptoms. Providing the correct dose of methadone prevents opioid withdrawal symptoms and eases drug craving but it does not provide the euphoria. The dose can be slowly tapered off, freeing the person from physical dependence without withdrawal symptoms. Methadone is the most effective known treatment for narcotic addiction.

Buprenorphine and Naloxone (Suboxone) – this is a newer combination drug that helps for detox from prescription opioid addiction. Buprenorphine activates opioid receptors, reducing drug craving and preventing withdrawal. Naloxone helps prevent misuse of the medication.

Clonidine – this is a blood pressure medicine that acts on the brain. Clonidine reduces the effects of the “fight or flight” response, which is over-activated during opioid withdrawal. However, clonidine does nothing to reduce drug craving and is mostly ineffective when used alone.

Rapid detox programs – claim to accelerate the process of detox and opioid withdrawal by giving large doses of opioid-blocking drugs. Some programs place an addict under general anesthesia during the detox process. These programs have not proven to be more effective than traditional methods of detox and may be more dangerous.

Painkillers motivates addiction: Maintenance therapy after detox

The reason why detoxification is very important is because detox subdues and neutralizes the physical effects of narcotic addiction and opioid withdrawal. Experts are saying that even though detoxification is the first step mainly for the subduing the physical effects, it has very little to do with the psychological and social factors which are the main drivers that push addicts back and succumb to relapse. All stressful and other situations that remind the brain of the drug’s pleasure are also common triggers.

When drug cravings strike, they can be impossible to resist. Most people who go through detox and short-term counseling will relapse to prescription drug abuse.

Methadone is the best-studied, most effective method of recovery from narcotic addiction. Suboxone, while newer, has gained wide acceptance as maintenance therapy.

Some people have a high rate of relapse when maintenance therapy is stopped, and so they remain on the medicines for decades. In others, maintenance therapy is tapered off over months to years.

Painkillers motivates addiction: Counseling Programs

Narcotics Anonymous (NA) is an international network of community-based meetings for those recovering from drug addiction. Modeled after Alcoholics Anonymous (AA), NA is a 12-step program with a defined process for overcoming narcotic addiction.

NA is an abstinence-based program. In principle, NA is opposed to the use of maintenance therapy. Methadone Anonymous is a 12-step program that acknowledges the value of methadone or Suboxone in recovery from narcotic addiction. Most experts and treatment centers recommend participation in a 12-step program or another form of counseling. Therapy can take place as an outpatient, or in a residential facility. Alternatives to 12-step programs may include cognitive behavioral therapy, family, and couples therapy and motivational interviewing. Finally, you must be ready for this financially because recovery from prescription drug addiction can be costly. However, it is far less costly in comparison with the cost of addiction and continuous use of drugs. Therefore embracing the principal of prevention should be very ideal but because of the environment we live in, this may be very difficult to achieve effectively. But even if this is the case, all is not lost because there is still hope for the professional treatment offered by experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury. You can schedule an appointment with her today for the commencement of your treatment.

Painkillers motivates addiction: Medications for Opioid Withdrawal






Fighting opioid addiction

Global painkillers addiction epidemic

Global painkillers addiction

Global painkillers addiction epidemic is causing more health trouble than we can imagine

Global painkillers addiction epidemic: Opioids pill form energy

The prevalence of addiction in our societies demands that we be on high alert in dealing with all kinds of addiction including tackling the global painkillers addiction epidemic. A well-thought approach from all sectors of health care that includes all primary, secondary and tertiary care methods; clinical care approaches and even financiers like insurers working with providers to reduce barriers to addiction treatment that will secure prescription avenues to prevent over-prescription is very essential. Doctor Dalal Akoury, MD President and founder of AWAREmed Health and Wellness Resource Center is reiterating that when fighting opioid addiction, opioids pill forms energy and addiction, it is important that everybody needs to be involved including the pharmacies. Doing this will fundamentally reduce the risk of addiction for all patients and will directly benefit individuals with a history of or tendency to opioid pills (painkiller) addiction.

Global painkillers addiction epidemic: The most desired form of pain killers

Most of the opiates being abused by addicted patients are in pill form. These are easy to open up, transport, and also provide the brain toxicology-altering high that addicts seek. Experts at AWAREmed Health and Wellness Resource Center are categorical that the easiest ways to fight addiction are to eliminate the reward from the situation entirely. This can be done by compounding oral painkillers into up-to-date creams and gels were possible with this the compounding pharmacies can lower the risk of addiction significantly. The good news about this is that not only do topical compounds deliver more localized pain relief and cause fewer complications due to lower absorption rates, a topical compound does not alter brain state the way oral opioids do when delivering the much needed high by users.

Besides that doctor Akoury registers that pharmacies can also provide alternative options for traditional painkillers which are typically reserved for patients who have allergies to certain medications thereby necessitating the need for compounded alternatives, using a painkiller alternative for Vicodin or Oxycontin that can lower prescriptions for the highly addictive and readily available painkillers. Patients or doctors with patients who are working on overcoming drug addiction can also work with a compounding pharmacy to help with “tapering,” or the act of slowly reducing ingested levels of opioids to safely treat the body’s addiction without abruptly cutting off the supply.

Finally, according to the information available with the public health sector, it is evident that compounding pharmacies contribute a lot to the fight against opioid addiction on both fronts at the macro level by working with researchers and other health care professionals to understand the broader development of these public health issues; and at the micro level by working with patients and physicians to use compounding to reduce the addictive properties of medications. If you are struggling with any kind of addiction we want to let you know that help is on the way and you can be well again in a very short time at affordable rates. Speak to us today and we will attend to you professionally.

Global painkillers addiction epidemic: Addiction prevention and treatment




The pain of addiction

Chronic Pain challenges and opioids abuse

Chronic Pain challenges

Chronic Pain challenges and opioids abuse if not addressed can only lead to more harm to the body

Chronic Pain challenges and opioids abuse: What is chronic pain?

Just as the media is consistently giving space and headlines about opioids and misuse of the drugs, physicians and other medical experts who treat patients with chronic pain are also wrestling with how to deal with opioid dependence. Not long ago, experts at American Psychiatric Association had established that treating patients in pain and are also abusing opioids involves a delicate balance between controlling pain relief and risk of drug abuse. Among chronic pain challenges and opioid abuse is that we are not able to have conclusive estimates of how common it is for chronic pain patients to develop complications with opioid use says doctor Dalal Akoury MD, president and founder of AWAREmed Health and Wellness Resource Center for addiction solutions. Many people with chronic pain do not go on to develop an opioid addiction, but that does not give you the leeway to start abusing opioids. Remember in the first place these are legitimate drugs it is only that when used wrongly, they become bad like any other misused drug.

Chronic Pain challenges and opioids abuse: Potential risk factors

Rates for co-existing chronic pain and opioid addiction vary depending on where you look, Dr. Akoury says. For patients in a pain clinic, addiction rates are relatively low, but in a methadone or buprenorphine population, between 34 to 40 percent will have a chronic pain complaint, she says. Under normal circumstances, physicians who are offering treatment to patients with chronic pain challenges will often look for potential risk factors for substance abuse, such as a personal or family history of other types of substance abuse or psychiatric disorders. In the event that a person has one of these risk factors, they shouldn’t automatically be denied opioids, but they should be informed of the risk of dependence and be monitored for potential abuse.

Finally chronic pain challenges can be described as any pain that lasts much longer than would be expected from the original problem or injury. Up on registering chronic pain in the body, the body is likely to respond in various ways. There are certain facts that we need to understand clearly and from the expert’s opinion at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury we will be getting those facts right progressively. With that doctor Akoury registers that chronic pain may be characterized by abnormalities in brain hormone, low energy, mood disorders, muscle pain, and impaired mental and physical performance. Chronic pain worsens as neurochemical changes in your body increase your sensitivity to pain and at this point you begin to have pain in other parts of your body that do not normally hurt. Ordinarily nobody would want to be subjected to any kind of pain that is why it is important for you to schedule for an appointment with the expert (doctor Akoury) today for a one on one professional advice on all the concerns you may be having in relation to chronic pain challenges and opioid abuse.

Chronic Pain challenges and opioids abuse: What is chronic pain?



Specific neurotransmitters affected by drugs

Specific neurotransmitters

With good treatment, Specific neurotransmitters affected by drugs can be eliminated for a greater freedom.

Specific neurotransmitters affected by drugs: What is neurotransmission?

For us to better understand the specific neurotransmitters affected by drugs, we must appreciate certain facts. Like for instance, any victim of substance abuse experiences directly reflects on the functional roles of a given neurotransmitter whose activity is being disrupted. Each individual neuron manufactures one or more neurotransmitters: dopamine, serotonin, acetylcholine, or any one of a dozen others that scientists have discovered to date. Each neurotransmitter is associated with particular effects depending on its distribution among the brain’s various functional areas. Dopamine, for example, is highly concentrated in regions that regulate motivation and feelings of reward, accounting for its importance in compulsive behaviors such as drug abuse.

A neurotransmitter’s impact also depends on whether it stimulates or dampens activity in its target neurons says doctor Dalal Akoury, MD, President and founder of AWAREmed Health and Wellness Resource Center. It is also worth noting that ordinarily, some drugs will disrupt one neurotransmitter or class of neurotransmitters. Like for instance, those individuals who are struggling with opioid may experience changes which are similar and more noticeable than those that accompany normal fluctuations in the brain’s natural opioid-like neurotransmitters, endorphin and enkephalin: increased analgesia, decreased alertness, and slowed respiration. Other drugs interact with more than one type of neurotransmitter.

Because a neurotransmitter often stimulates or inhibits a cell that produces a different neurotransmitter, a drug that alters one can have secondary impacts on another. In fact, the key effect that all abused drugs appear to have in common is a dramatic increase in dopamine signaling in the nucleus accumbens leading to euphoria and a desire to repeat the experience. For example, nicotine stimulates dopamine-releasing cells directly by stimulating their acetylcholine receptors, and also indirectly by triggering higher levels of glutamate, a neurotransmitter that acts as an accelerator for neuron activity throughout the brain.

Specific neurotransmitters affected by drugs: Changes which occurs with chronic drug abuse

During the early phase of an individual’s drug experimentation, specific neurotransmission normalizes as intoxication wears off and the substance leaves the brain. Eventually, however, drugs wreak changes in cellular structure and function that lead to long-lasting or permanent neurotransmission abnormalities. These alterations underlie drug tolerance, addiction, withdrawal, and other persistent consequences.

Some longer term changes begin as adjustments to compensate for drug-induced increases in neurotransmitter signaling intensities. For example, drug tolerance typically develops because sending cells reduce the amount of neurotransmitter they produce and release, or receiving cells withdraw receptors or otherwise dampen their responsiveness. Scientists have shown, for example, that cells withdraw opioid receptors into their interiors (where they cannot be stimulated) when exposed to some opioid drugs; when exposed to morphine, however, cells appear instead to make internal adjustments that produce the same effect reduced responsiveness to opiate drugs and natural opioids. Over time, this and related changes recalibrate the brain’s responsiveness to opioid stimulation downward to a level where the organ needs the extra stimulation of the drug to function normally; without the drug, withdrawal occurs.

Specific neurotransmitters affected by drugs: What is neurotransmission?