Category Archives: Drug Rehab Certification

Methamphetamine Use May Risk Development of Parkinson’s Disease

March 25, 2015

Methamphetamine Use May Predispose Consumers to Future Development of Parkinson’s Disease

There are several neurodegenerative disorders but it will still not be right for anybody to talk about neurodegenerative disorders without mentioning the Parkinson’s disease. This disorder is the second most common after Alzheimer’s disease and it is affecting approximately ten million people worldwide. The probability of a person suffering from this disease increases with age with most people being diagnosed after the age of 50. Early in the course of the disease, the most obvious symptoms are movement-related. These include shaking, rigidity, slowness of movement, and difficulty with walking and gait. However, the symptoms worsens as time passes by, these may include cognitive and behavioral problems with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep, and emotional problems. PD is caused by degeneration of midbrain dopaminergic neurons that project to the striatum. The loss of striatal dopamine is responsible for the major symptoms of the disease. Although a small proportion of cases can be attributed to known genetic factors, most cases of PD are idiopathic. While the etiology of dopaminergic neuronal demise is mysterious, a combination of genetic susceptibilities, age, and environmental factors seems to play a critical role. Dopamine degeneration process in PD involves abnormal protein handling, oxidative stress, mitochondrial dysfunction, excitotoxicity, apoptotic processes, and microglial activation or neuroinflammation.

methamphetamine

Studies on animals on methamphetamine toxicity

Studies done on animals have shown that methamphetamine can cause long-term dopamine terminal damage as well as dopamine neuronal body loss. In rodents, repeated administration of methamphetamine causes a decrease in dopaminergic markers such as tyrosine hydroxylase (TH) and dopamine transporter. Accompanied by a reduction in TH activity, reduced levels of dopamine and its metabolites and decreased levels of vesicular monoamine transporter 2 (VMAT2). These effects occur primarily in the striatum but also in the cortex, thalamus, hypothalamus and hippocampus. Methamphetamine induces neurotoxicity in a dose-dependent manner as do other amphetamine-derivatives like MDMA. Although partial recovery of TH and dopamine transport fibers occurs after methamphetamine administration, methamphetamine-induced neurotoxicity is persistent. In mice, the greatest dopaminergic fiber loss is seen 24 hours after methamphetamine administration. Neurotoxic effects persist for more than seven days after methamphetamine exposure and one month after MDMA exposure. Drugs that induce PD symptoms and TH loss such as MPTP in mice also show a partial recovery with time in nonhuman monkeys and mice. The time courses and degrees of TH and dopamine transport fiber recovery after methamphetamine or after MDMA exposure are similar, suggesting terminal regrowth, as these two proteins are independently regulated. Researchers have also noted that there is partial recovery of dopamine levels in the striatum strongly suggesting that the regrown terminals are functional. However the mechanisms responsible for partial recovery are not known, but it is speculated that it might involve compensatory sprouting and branching as has been reported for regrowth following MPTP-induced damage. Dopamine terminal recovery has also been described in rhesus monkeys and velvet monkeys, although it appears to occur on a slower timescale than in mice. Methamphetamine-induced dopaminergic damage persists for more than 12 weeks in velvet monkeys and more than 3 years in rhesus monkeys, demonstrating the persistence of methamphetamine-induced brain damage.

Methamphetamine Toxicity in the Substantia Nigra

This drug doesn’t only cause fiber loss in TH but also produces dopamine cell body loss in the substantia nigra as shown in tests in mice that were treated with 3 methamphetamine injections (5 mg/kg) at 3-hour intervals. From the counts it is evident that 20 to 25% dopaminergic cell loss, measured at different time are linked to exposure to methamphetamine. The observed pattern of TH-stained neuron loss is very similar to the pattern of Nissl-stained neuron loss, indicating that neuronal loss is specific to dopaminergic neurons. Dopamine cell body loss was confirmed via staining with Fluoro-Jade, a general marker of neuronal degeneration that fluoresces after administration of known dopaminergic toxins such as 6-OHDA and MPTP. Fluoro-Jade stains scattered neurons degenerated in the substantia nigra after methamphetamine treatment. there is a possibility that the lack of complete recovery of TH fibers in the striatum is related to the loss of dopaminergic neurons in the Substantia nigra similar to what occurs in Parkinson’s disease.

methamphetamine

Increased Risk of Parkinson’s Disease in Methamphetamine Abusers

There are literatures that have linked the abuse of amphetamine to the later development of PD. In a report of a study done by Callaghan and his colleagues, there is an increase in of PD in methamphetamine users in an epidemiological investigation based on data from California statewide hospital discharge records. The researchers identified 1,863 methamphetamine users, 9,315 patients hospitalized for appendicitis as a nondrug control group, and 1,720 cocaine users as a drug control group. All subjects were aged at least 50 years, had been hospitalized in California between 1990 and 2000, and had been followed for up to 10 years after discharge. The methamphetamine user group showed an elevated incidence of PD, with a 165% higher risk for development of PD than the patients from the control group. the results have been confirmed by the same group after doing the same research but in a much broader scope; 40,000 people hospitalized for methamphetamine versus 200,000 for appendicitis and 35,000 for cocaine and a 16-year follow-up period. From these two studies it is evident that methamphetamine use increases the chances of PD development in adulthood.

Drug abuse, addiction and independence are problems that people grapple with every day. These problems 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.

Methamphetamine Use May Predispose Consumers to Future Development of Parkinson’s Disease

 

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Herbs For Pain and Addiction Treatment

March 24, 2015

Use of Jamaican Dogwood, Valerian, Wood Betony, Yellow Jasmine in Pain and Addiction Treatment

Addiction is still one of the major problems that we are still living with today. Though known for its devastating effects, addiction has still remained when of the many menaces that our youths as well as the older generation alike are still glued to. However there is a bitter reality that you need to be aware of, a reality that none of your already addicted friends will let you know of; the journey to addiction treatment and recovery is that which is not easily won. There are serious hurdles that you shall have to meet along the way as you fight on to reach the greener side of life where the chains of addiction are broken. Just like any other disease there are myriads of ways through which the treatment of addiction can be effected. one is through pharmaceutical ways of treatment and the other through natural ways of treatment that may at times be used alongside the orthodox ways of treatment or as an assortment of various herbs and a special choice of diets that helps restore the damage of drugs on the addict and hence making it possible for the addict to be treated of the illness. On the other hand when pharmaceuticals are used for treating drug addiction the doctors will mostly use a substitute of your drug to satisfy your craving for the drug of abuse you are addicted to. Though this may present a short term solution it still doesn’t let you be free from the drug as you will still continue using a substance that is thought to be less addictive and not so dangerous. However the reality is that this kind of treatment does not address the brain imbalances that an addict suffers after a long term use of a certain drug.

Addiction Treatment

As we have seen in previous articles the part of the body that is adversely affected by addiction to drug abuse is the nervous system. The neurotransmitters like the dopamine and the other crucial ones are literally damaged after a prolonged use of drugs. this therefore calls for a treatment option that will not only focus on ending the craving that addicts have for their substance of abuse but to help restore the whole person back to what he or she was before he got into drug use that has since chained him or her. Most pharmaceutical drugs do not consider this but mostly gear towards treating the symptoms of addiction like depression and anxiety that is normally done with sedatives while the underlying problem; the damage to the nervous system, is left unchanged. Through the years there have been different alternatives to addiction that have since come up and have been found to be effective. An example of these alternative therapies that have shown hope to addicts is the use of stem cell therapy that aims at restoring the damage caused by drugs. Despite the effectiveness of some of these alternatives the use of herbs in addiction treatment is yet to be scrapped off, this is solely because of the effectiveness of some herbs in treating addiction. Here are some of the herbs that can be used to help in the addiction treatment and recovery.

Jamaican Dogwood

Jamaican dogwood is mostly used for pain. It has sedative effect, reduces muscle spasm and cools nerve pain. It also reduces inflammations. It has often been the top choice for relieving nerve pain and it has been proved to be powerful in pain management.  It is derived from the bark of the dogwood tree, and can be taken in capsule or tincture forms as well as a tea from the bark’s powder.  Though known for pain management it can contribute in help with addiction as when used it helps to calm down the nerves and relive an addict off the withdrawal effects like depression and anxiety that most of the times can lead to relapse. However beneficial it is it can be potentially dangerous when used for self-medication. It is therefore safe to use it with instructions from an integrative addiction doctor as it is irritant and can cause numbness, tremors, salivation, and sweating.

Wood Betony

Wood Betony

This herb is commonly found in Europe. This plant is rich in medicinal properties. To begin with the fresh, undried leaf of wood betony is a natural pain reliever. This analgesic is good for addiction as it helps in calming the nerves as well as fighting some common symptoms of addiction like depression anxiety and insomnia.

Valeria

Valeria has great sedation properties. As have been revealed by past literature, Valeria has great influence on the cerebro-spinal system. In a recovering addict this herb can be used to promote nerve relaxation and sleep. Insomnia is a common symptom that most addicts battle with, with valerian a recovering addict can be helped evade the grave effects of insomnia and anxiety. It does this by exerting an influence quieting and soothing in its nature upon the brain and nervous system. Other herbs that have been found to be helpful in the journey of addiction treatment and recovery are; Yellow Jasmine, St. Johns worts and chamomile among others

Finally, Here at AWAREmed Health and Wellness Resource Center we are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Use of Jamaican Dogwood, Valerian, Wood Betony, Yellow Jasmine in Pain and Addiction Treatment

 

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Correcting Neurotransmitter Imbalances with IV Amino Acids

March 14, 2015

Correcting Neurotransmitter Imbalances with IV Amino Acids

When taken, drugs will alter the normal the bodily functions. That is no news to even those who use drugs of abuse, in fact the basic definition of a drug is; any substance that when taken will interfere with the normal functions of the body. However some drugs do not only alter minor body functions but go a step further in inhibiting the functions of neurotransmitters to a greater extent.  Most of the drugs that can mimic or interfere with the functions of the neurotransmitters in any way are mostly drugs of pleasure that are prone to abuse and are hence illegal in many parts of the world. The brain and the entire nervous system functions in a way that the entire body needs them to work properly, you can’t imagine how fast the coordination between the central nervous system and the peripheral nervous system is but most important fact to note is that any interference within the nervous system even only to a neurotransmitter goes a long way in affecting the entire body. The brain has various mechanisms through which it accomplishes all the functions of the body. The effect of drugs on the neurotransmitters can be underestimated by those who haven’t known how the neurotransmitters work, here is how the neurotransmitters work.

Neurotransmitters

How Neurotransmitters Work

Neurotransmitters are very crucial in the nervous system. They are the chemicals that transmit messages from one nerve cell to another. Nerve cells are known as neurons. The nerve impulse travels from the first nerve cell through the axon, a single smooth body arising from the nerve cell to the axon terminal and the synaptic knobs. Each synaptic knob communicates with a dendrite or cell body of another neuron, and the synaptic knobs contain neurovesicles that store and release neurotransmitters. The synapse lies between the synaptic knob and the next cell. For the impulse to continue traveling across the synapse to reach the next cell, the synaptic knobs release the neurotransmitter into that space, and the next nerve cell is stimulated to pick up the impulse and continue it. An interference with the neurotransmitters can adversely affect the flow of message within the nervous system. This is what most drugs of abuse do. They affect the harmonious flow of information from the brain to the rest of the body maiming its normal functions. Let’s look at how drugs affect specific neurotransmitters in the nervous system.

How Drugs affect Dopamine and GABA

One of the neurotransmitters that are highly targeted by drugs of pleasure is Dopamine. To some people it is known as the ‘bliss neurotransmitter’. It is responsible for good feeling, the euphoric feelings that drug addicts seek from various drugs of abuse. Dopamine has great influence on well-being, alertness, learning, creativity, attention and concentration. Levels of dopamine should be optimal in the brain since when the level of dopamine is low it can leave us craving food, sex or stimulation. When the dopamine level is too high it can cause addictive behaviors. It has been observed that patients who are put on medications to boost dopamine level especially the Parkinson’s patient, they will form an addictive behavior like gambling when the levels of dopamine shoots beyond the optimal level. Dopamine boosts the feelings of pleasure but when the levels are too high it may result in Paranoia or a suspicious personality. Dopamine is also released when there is high stress. Therefore the level of dopamine should be regulated to ensure sound health. This is where the functions of inhibitory neurotransmitters set in, however with influence of drugs this coordination between excitatory neurotransmitters and inhibitory neurotransmitters is maimed.

Nicotine influences mood, cognition, and body function by binding to and activating nicotinic acetylcholine receptors (nAChRs) located on neurons in the brain. When activated by either nicotine or the endogenous neurotransmitter acetylcholine, the nAChR opens a channel that allows ions to pass through the neuron’s membrane from the exterior to the interior of the cell and trigger changes that activate the cell. When you take tobacco or other drug with nicotine the nicotine will have interactions with nAChRs and therefore any nicotine dependence treatment should focus on altering these interactions.

Nicotine produces rewarding effects by interacting with nAChRs on neurons in the brain’s mesolimbic reward system. This system comprises dopaminergic neurons that originate in the ventral tegmental area often shortened as VTA and release the neurotransmitter dopamine in regions involved in information processing, memory, and emotions, such as the nucleus accumbens (NAc), hippocampus, amygdala, and prefrontal cortex (PFC). Increases in dopamine levels within the mesolimbic system give rise to rewarding effects. Nicotine directly enhances dopamine levels in the mesolimbic system by interacting with nAChRs on the dopaminergic neurons and causing them to release more of the neurotransmitter. Nicotine also modulates dopamine release indirectly by binding to nAChRs located on excitatory glutamatergic and inhibitory gamma aminobutyric acid (GABAergic) neurons in the ventral tegmental area. These glutamatergic and GABAergic neurons originate from a number of brain areas, such as the NAc, hippocampus, PFC, amygdala, ventral pallidum, and pedunculopontine tegmental nucleus, and regulate the activity of dopaminergic neurons.

Neurotransmitters

Restoring nicotine addiction can’t be done with IV amino acid to restore NER balance

Nicotine is one of the most available addictive substances. You can find it in tea but it can be found in greater proportions. Unfortunately, Nicotine addiction is never easy to fight. And the bitter truth is that nicotine addiction can’t be fought successfully without IV amino acid to restore NER balance. IV amino acids are the best in restoring the balances in the neuroendocrine system. The IV amino acids are the best in detoxification and getting rid of the effects of nicotine and curbing nicotine addiction by ensuring the balance of neuroendocrine chemicals.  With IV amino acid, dopamine has been noted to be the major cause of addiction can be regulated. IV amino acids is used as an  outpatient program which focuses on biochemical detoxification of the body and brain hence perfect treatment for nicotine addiction.

Any addiction treatment must focus on restoring the general well-being of the patient that can only be achieved by restoring the neurotransmitters affected. This is why we at AWAREmed are dedicated to ensuring that we offer the best neuroendocrine restoration. Dr. Dalal Akoury (MD) is one of the few doctors that have embraced the benefits of NER in fighting addiction. Call on her and be helped in finding the best solution for nicotine and other substances addiction.

Neurochemical and Imbalances Involved In With Nicotine & Smoking

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St. John’s Wort Helps in Depression and Insomnia Treatement

March 4, 2015

St. John’s Wort Powers: The Treatment of Depression and Insomnia during Addiction Withdrawals

St. John’s Wort is a wonder plant that has been used in treatment of many conditions for quite a long time. The most used part of this herb is the flowers and the leaves. This herb has many medically active components but its known most active components are two; hypericin and hyperforin. Although hypericin was formerly thought to be the component of St. John’s wort principally responsible for its action, it is now understood that hyperforin, adhyperforin, and several other related compounds are the primary active constituents. Both hyperforin and adhyperforin appear to modulate the effects of serotonin, dopamine, and norepinephrine and may inhibit reuptake of these neurotransmitters. This herb has been found to be very useful in treatment of conditions that are caused as a result of imbalances in the neurotransmitters.

St. John’s Wort for Depression during addiction withdrawals

Imbalances in the neurotransmitters such as serotonin and dopamine cause depression. This imbalance may be caused by use of drugs of pleasure or by other diseases. Apart from these two causes, a person may also have a family history of depression and so predisposed to depression a case which makes it rather complicated for the brain to produce the neurotransmitters in required amounts. The brain has a great role to play in inhibiting depression; it has to produce the millions of chemicals it produces in the right amounts everyday failure to which you will be depressed. It’s that complicated.

In the long-term, all drugs and alcohol are brain depressants. In moderate amounts, alcohol does not lead to depression, but abusing drugs or alcohol will definitely lead to depression. This is because they deplete your brain of serotonin and dopamine. Researchers warn that it may take quite a long time for depleted dopamine to be restored and so it is important to avoid abusing drugs.

Alcohol abuse almost doubles the risk of depression. In one study that looked at 2,945 alcoholics. Fifteen percent were depressed before they began abusing alcohol, and that number jumped to 26 percent after they started abusing alcohol. Once they stopped drinking for an extended period, 15 percent remained depressed. This study showed that alcohol almost doubles the risk of depression.

St. John’s Wort

Marijuana has also been linked to depression. It is reported that marijuana users are four times more likely to develop depression. In one study which monitored a large group of people for 16 years, it was discovered that people who smoked marijuana were four times more likely to develop depression.  Another study followed later with 1601 students and confirmed the findings. Depression is a serious illness that may make it hard for an addict to stop taking the drugs of pleasure to boost the dopamine levels for a moment. Fortunately this can be helped by use of St. John’s Wort. Taking St. John’s wort extracts improves mood, and decreases anxiety and insomnia related to depression.  This herb seems to be effective in treatment of mild depression than some of prescription drugs.  According to the American College of Physicians–American Society of Internal Medicine, St. John’s wort can be considered an option along with antidepressant medications for short-term treatment of mild depression.

St. John’s Wort for Insomnia during addiction withdrawals

According to National Sleep Foundation, insomnia is difficulty falling asleep or staying asleep, even when a person has the chance to do so. People with insomnia can feel dissatisfied with their sleep and usually experience the symptoms of poor sleep that may deter them from enjoying healthy lifestyles. This disease can affect people of all ages but adults are the major victims.

A person suffering from insomnia may show the following symptoms

  • Irritability, depression or anxiety
  • Difficulty paying attention, focusing on tasks or remembering
  • Increased errors or accidents
  • Tension headaches
  • Distress in the stomach and intestines (gastrointestinal tract)
  • Ongoing worries about sleep
  • Difficulty falling asleep at night
  • Awakening during the night
  • Awakening too early
  • Not feeling well rested after a night’s sleep
  • Daytime tiredness or sleepiness

insomnia

Insomnia may be caused by depression and stress but it may also be caused by the imbalances in the neurotransmitters as a result of long term use of drugs of pleasure.  Some other causes of insomnia include;

Anxiety– Anxiety is a common everyday problem. However there are more serious anxiety disorders like PTSD which will never give your brain a rest. Anxiety beckons insomnia and so should be avoided to help you sleep soundly and reap huge health benefits from it.

Medical conditions-there are conditions that cause insomnia. These conditions may include; chronic pain, chest problems and even frequent urination. These conditions may cause difficulty in sleep. Diseases like cancer, arthritis, heart disease, stroke, Alzheimer’s disease and even Parkinson’s disease have been linked to insomnia.

St. John’s wort has been found to be very effective in treatment of depression that might cause difficulty in sleep and this is owed to its effects on serotonin may be primarily responsible for its antidepressant activity. Apart from being an anti-depressant this herb works on the neurotransmitters in unlimited ways it affects many neurotransmitters that are key to good sleep health.

Drug induced Insomnia may not be easy to treat. However there are also medical approaches to treating drug induced Insomnia but of all these going the natural way is much better since it has less side effects and is more effective.  We at AWAREmed health and wellness center are dedicated to finding the best natural solutions to health problems. You can visit us at Myrtle Beach South Carolina where you will be attended to by Dr. Dalal Akoury (MD) who has vast experience in integrative medicine for lifestyle diseases.

St. John’s Wort and treatment of depression and insomnia during addiction withdrawals

 

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Heroin Use on the Rise despite Its High Cost of Treatment

February 28, 2015

 Heroin on the Rise despite its High Cost of Treatment

Contrary to the common rule of demand and supply that the use of a product will be high when its price is at the lowest, heroin use has been on the rise in spite of the rise in its cost as well as the cost of treating those who are addicted to the drug.

To begin with, heroin is a highly addictive drug which is also illegal. Heroine is one of the drugs that are not very easy to stop using, thanks to its highly addictive nature and to its adverse withdrawal symptoms. Millions of those using heroine are too scared of its withdrawal effects to even attempt quitting it.  Heroin is made from the resin of poppy plants. Milky, sap-like opium is first removed from the pod of the poppy flower. This opium is refined to make morphine after further refined into different forms of heroin.

Being that the drug is mostly injected; those using this drug do not face its withdrawal side effects but also has high risks of acquiring other diseases that can be transmitted through sharing needles like HIV/AIDS.

How much do Heroin addicts spend on it heroin?

Heroine is one of the rare commodities whose increase in price do not interfere with its consumption. This drug is just as expensive as cocaine as or even slightly more than cocaine in other places but still people use it more in some places than even cocaine. Therefore, there must be some other reasons why people are turning to the use of heroine as opposed to other drugs. The factors that drive people to use of cocaine may not be new and we will explore them in this article. However, there is more than one way to look at the cost of heroine. Some people opine that the cost of heroine just like other goods and services depends on demand and supply and this may be true so it is better to stay away from using this drug even when it is being sold at a throw away price since you may not afford it later when you are now dependent on it. It is quite funny that when it comes to addictive drugs you will be able to access them for free from addicts who are ready to share them with you but when you have become dependent you shall have to find your own ways of getting your daily heroin.

Heroin

There are some hidden costs of using heroin that most people do not even think of. Most people will only be wary of the price of acquiring their daily heroin dosages for their recreational use but they give a blind eye to the real cost that arises when you need to be cured from the side effects of this drug.  A 2000 survey by the U.S. Government found that the cost of heroin addiction to our country may be anywhere from $15 billion to $20 billion dollars per year. Most of this tremendous figure is due to the price tag on treating medical conditions associated with IV heroin use – specifically, HIV/AIDS and hepatitis. The use of heroin has another hidden cost– the societal ills cost. This is the cost that you and I pay when these addicts turn to crime just in a bid to find   money to buy their much needed heroine doses daily.

The cost of getting your daily dosage of heroin to fulfill your craving cannot be compared to the cost of treating all the ills that come with using the drug. The sad truth however is, most people who are using heroin cannot afford to cater for the cost to treat the side effects that come with it. The cost of treating a heroin addict is too expensive to be compared to the mere cost of obtaining a daily dosage no matter how long you are top use the drug before you seek medical attention.

Some of the side effects of heroin

Heroine is often used mainly because of the euphoria that sets in immediately it is used but afterwards a feeling of drowsiness sets in. Just like other drugs of abuse, heroin has myriads of side effects. These may include;

  • Shortness of breath
  • Dry mouth
  • Constricted (small) pupils
  • Sudden changes in behavior or actions
  • Disorientation
  • Cycles of hyper alertness followed by suddenly nodding off
  • Droopy appearance, as if extremities are heavy

Another serious problem with heroine is because of the way it is taken. Mostly heroin is injected. Unfortunately these needles are often shared increasing the spread of such diseases as HIV/AIDS and hepatitis among other diseases. Dependence on heroin is also dangerous.

Heroin overdose is dangerous

heroinOne of the serious problems that will arise in case of heroin overdose is death. Does that sound scary? Even as scary as it sounds many people still indulge in using heroin for mere recreational purposes. However there are measures that are put in place to treat heroin overdose.  Methadone (Dolophine, Methadose) and buprenorphine among other drugs are today used for treatment of heroin overdose. These drugs block the opioid receptors in the brain hence stops the effects of the heroin. However the use of these drugs is highly regulated in different states and hence may not be very accessible to a street user of heroin.

Finally, you need more information to stay away from dependence on heroin and other drugs as these have crippled societies and that is why here at AWAREmed we are dedicated to finding the best solutions to addiction and dependence on substances. Dr. Dalal Akoury (MD) is always in the mood of helping any patient to be addiction free. Do not hesitate to call on her for help in managing any sort of chronic pain or any type of addiction as well as other diseases.

 Heroin on the Rise despite its High Cost of Treatment

 

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