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Outpatient detoxification for opioids

June 15, 2017
Outpatient detoxification

Outpatient detoxification for opioids works well for busy personalities who may not find time for admission

Outpatient detoxification for opioids: How beneficial is it?

People get addicted to various drugs despite knowledge of their consequences. When one is getting into drugs, initially it is voluntary but as they get used to it, the addictive nature of the substance takes effect and they become prisoners of the drug to the point that they can’t do without it. If this state progresses for a long time the level of addiction becomes stronger and within no time the individual graduates to more powerful substances or takes more of the same to attain the high they expect at their new level of addiction. While these are happening, many times we often fail to take action to remedy the situation. It’s this failure that we want to correct even as we focus on the topic outpatient detoxification for opioid painkillers with a view of finding lasting solutions.

We spoke to the experts at AWAREmed Health and Wellness Resource Center to help us in bringing this topic to perspective and doctor Dalal Akoury (MD) a veteran addiction expert and founder of the facility (AWAREmed Health and Wellness Resource Center) is registering that “under normal circumstances patients addicted to opioid painkillers achieve good results with outpatient detoxification.” This according to one of the recently NIDA-funded clinical trial, it was established that a significant portion of individuals who are addicted to opioid painkillers may initiate and maintain abstinence with a brief but intensive outpatient detoxification treatment followed by opioid antagonist therapy using naltrexone. From this trial, it was evident that patients achieved higher abstinence rates than are typically obtained with detoxification regimens. The duration of a taper with buprenorphine/naloxone (Bp/Nx) was a determinative factor in patients’ success, with longer tapers yielding greater abstinence.

Outpatient detoxification for opioids: Research findings based on tested opioid users

In this trial, Dr. Dalal Akoury and her team of experts at AWAREmed Health and Wellness Resource Center studied the findings from the enrolled 70 adults who were addicted to opioid painkillers into a double-blind, randomized clinical trial that involved a three-step detoxification process:

  • Stabilization on a Bp/Nx (Suboxone) dosage that suppresses withdrawal symptoms, craving, and use of illicit opioid painkillers
  • Gradual tapering of the Bp/Nx dose to zero over 1, 2, or 4 weeks
  • Transition to the opioid antagonist naltrexone once a patient provides opioid-negative urine samples and reports no opioid use within the past 24 hours

Under this trial says doctor Akoury, away from other treatment the participants also received twice-weekly behavioral therapy using the evidence-based Community Reinforcement Approach and underwent thrice-weekly staff-observed urinalysis testing? Supplementary non-opioid medications were used as needed to treat breakthrough withdrawal symptoms. The patients randomly assigned to the 4-week Bp/Nx taper provided the highest percentage of illicit opioid–free urine samples during the 12-week trial. Of these 22 patients, 63 percent were abstinent at the 5-week mark, and 50 percent were still opioid-abstinent at the end of the 12-week trial. In contrast, 29 percent of each of the two groups receiving shorter tapers provided drug-free urine samples at 5 weeks, and 20 percent or less of each provided drug-free samples at 12 weeks. Similar findings were seen with adherence to naltrexone ingestion and treatment retention.

Outpatient detoxification for opioids: How beneficial is it?

 

 

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Fighting opioid addiction

Therapeutically supervised opiate detox

June 15, 2017
Therapeutically supervised opiate detox

Therapeutically supervised opiate detox is essential for real wellness

Therapeutically supervised opiate detox: Inpatient and outpatient

Opiate addiction is difficult to deal with because of the extreme physical withdrawal symptoms associated with it. Opiates or painkillers can be natural or synthetic. Drugs like heroin, Fentanyl, Hydrocodone, morphine, OxyContin, and opium are types of opiates. The dangers of using opiate are that when a person becomes physically addicted to an opiate they must constantly use that opiate repeatedly to avoid the experience of withdrawal symptoms. These symptoms begin slowly in the form of agitation, anxiety, running nose, sweating and yawning but eventually they become much more intense. The later stages of opiate withdrawal include extreme hot and cold sweats, nausea and vomiting, intense muscle cramping, diarrhea and acute insomnia. That is why medically and therapeutically supervised opiate detox is essential as a strategy of finding a permanent solution.

Opiate withdrawal is painful and can last for several long, agonizing days. It is often the fear of this painful withdrawal process that keeps most addicts to continue using opiates for many years past the point where they wish to stop. In amidst all these seeking for a lasting solution from the experts of addiction then becomes very necessary, and that is why the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are coming on board to help us understand some possible ways of lasting solutions. We have actually talked about treatment of addiction before and today we want to compare and contrast this by looking at inpatient versus outpatient medically supervised opiate detox as we progress into the discussion.

Therapeutically supervised opiate detox: Opiate withdrawal

According to the experts at AWAREmed Health and Wellness Resource Center opiate withdrawal may not be lethal on its own unless the user is mixing together with other drugs while getting high or when they attempt to go through the withdrawal process all by themselves using medications and drugs on their own. Doctor Akoury is registering that the danger of opiate withdrawal is that it makes the addict feel like they want to die. It, therefore, means that in order to safely withdrawal a person from an opiate addiction, a medically supervised detox will be very necessary. This will involve using medication to take a patient from an opioid-dependent state to an opioid-free state under the care and direction of a medical professional with experience in conducting medical detoxification process. Ideally, medications used during a medically supervised detox protocol would be buprenorphine or Suboxone.

These drugs treat the withdrawal symptoms of opiate addiction. Additional medications such as Clonidine may be used to help stabilize blood pressure, and over the counter, drugs are often utilized to deal with the headaches, diarrhea, and nausea. There are two ways a person can receive a medically supervised opiate detox. It can either be done Inpatient or outpatient detox. These are fundamental medications options we have and we are going address them in detail in our next posting. In the meantime, you may want to consult with doctor Dalal Akoury about any concern you may have on this worthy topic and she will address them professionally.

Therapeutically supervised opiate detox: Inpatient and outpatient

 

 

 

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Misuse of alcohol

Terminating addiction stigmatization

June 15, 2017
Terminating addiction stigmatization

Terminating addiction stigmatization of any kind is important as it will help victims come out for help freely

Terminating addiction stigmatization: Is addiction a brain disease?

Is addiction a brain disease? Ideally, in addition, there is nothing like the physiological malfunction. Addiction may be defined in many different ways, however, for the purpose of this article, addiction is a chronic relapsing brain disease characterized by compulsive drug seeking and use, despite the harmful consequences. Addiction is seen as a brain disease simply because drugs has the power of making changes in the brain. These change then alters the brain’s structure and how it works. When this happens users may develop certain characters and behaviors that are likely to be viewed negatively in the community. It is this negativity that makes observers within the community to start isolation and pointing fingers. That is why we want to create awareness on eradication and terminating addiction stigmatization to give the treatment a chance says doctor Dalal Akoury MD and also the founder of AWAREmed Health and Wellness Resource Center.

Terminating addiction stigmatization: Dopamine

All drugs of abuse, whether legal or illegal, cause large surges of dopamine in brain areas crucial for motivating our behavior—both the reward regions (such as the nucleus accumbens) as well as prefrontal regions that control our higher functions like judgment, decision making, and self-control over our actions. These brain circuits adapt to these surges by becoming much less sensitive to dopamine, a process called receptor downregulation. The result is that ordinary healthy things in our lives like all the pleasurable social and physical behaviors necessary for our survival (which are rewarded by small bursts of dopamine throughout the day) no longer are enough to motivate a person; the person will, therefore, need a big surge of dopamine from the drug just to feel temporarily okay and they must continually repeat this, in an endless vicious cycle.

Terminating addiction stigmatization: Addiction and Suicide

Finally, addiction and suicide are closely linked together and if you followed our last posting about the story of this grandfather who committed suicide because he could not control his drinking problem and the daughter who could also not share about the actual cause of his death freely because of shame and stigma, then you will notice that the shame was not just because the father had been an alcoholic, but because he committed suicide, out of hopelessness and helplessness at his inability to control the strong urges to drink. We all have a duty to play in stopping addiction stigmatization so that patients can seek treatment freely. It pains very painful that something that could be treated caused this great damage simply because of stigma, shame, and fear. Dear reader if you’re following this story, let this be the last one, addiction is a treatable condition and stigma or shame are just perceptions that should not result in death. Come quickly for help today and together let’s kick out of our lives the problem of drug addiction.

Terminating addiction stigmatization: Is addiction a brain disease?

 

 

 

 

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addicts

Powerful cannabis weed substance

June 15, 2017
Powerful cannabis weed

Powerful cannabis weed is only powerful in destroying people’s health

Powerful cannabis weed: The global substance of abuse

Does it really matter how marijuana is baptized on the streets? Whatever street name you use like the weed, cannabis, pot, grass or any other the most important thing is that we are through with identification. We must get into action to ensure that the powerful cannabis weed doesn’t raise havoc to our health. This drug can be administered into the body either through smoking, inhaled using a vaporizer or taken orally when mixed with food. And whichever way you use, marijuana powerful cannabis weed is very dangerous to human health. Experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury agrees that marijuana is associated with several health risks including memory loss, serious behavioral change and interfering with learning activities.

Powerful Cannabis Weed: Marijuana cannabis power of addiction

Smoking is the most preferred mode of administration by many of its users. And when used in this manner, its effect on the user will be almost similar to that of one smoking cigarettes. Doctor Akoury acknowledges that even though people will often get addicted to marijuana differently in the sense that some will be addicted immediately they use marijuana while others will progressively get addicted as they continue into the abuse. The effect to human health will remain the same. That is why we must stand and be counted in the list of hero’s and champions that are causing things to happen in marijuana addiction eradication.

Powerful Cannabis Weed: Medical Marijuana

While it is true that in some states across the globe, marijuana has been approved to be medicinal. This is not the case in the US. In fact, the food and drug administration has not given this substance a clean bill of health. What that communicates is that collectively we have a duty to ensure that we are safe from marijuana addiction by all means. That is why doctor Dalal Akoury and her team of experts from AWAREmed Health and Wellness Resource Center are working round the clock in helping people get the best marijuana addiction treatment that can get. The many names of marijuana cannabis power of addiction should ring the bell of seeking for timely solutions before you are destroyed completely by this substance. Denial may be a hindrance but it should not be allowed to override the treatment that can be offered professionally in the various addiction recovery health facilities across the globe. Therefore, if you or any of your loved ones is struggling with marijuana addiction, the time for seeking for the solution is today and now. You can do that by scheduling an appointment with doctor Dalal Akoury on telephone number 843 213 1480 for further professional direction.

Powerful cannabis weed: The global substance of abuse

 

 

 

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Living addiction free life

June 14, 2017
Living addiction free

Living addiction free life is possible but you’ve got to choose wisely on what you do

Living addiction free life: Showing a good example from the top on addiction

In normal day to day life there will always be people in the position of leadership and subjects to be lead. These are positions that we will always have in life and there is very little we can do to avoid them. And if you think you can then you are wrong, take a look at this illustration of a family where there is the husband (male) and wife (female) and their children, in such a setup there will be some elements of leadership in different roles performed by each member of the family. That is just to explain why some people will be leaders and others will be the subject. Any good leadership, is one where leading by example from top is always the secret to success. In this article however, we want to look at the best ways of showing good example from the top on addiction by living addiction free life. This could be applicable everywhere including workplaces, families, learning institutions and many more.

Our focus is however going to be on taking good leadership about alcohol and drug addiction in our work places. Previously we dealt with addiction in workplaces but now we want to see how good leadership can be an effective tool for effective management of the scourge of addiction.  Experts from AWAREmed Health and Wellness Resource Center, under the able leadership of doctor Dalal Akoury says that any effective health and safety performance in a work environment can only come from the top trickling down.

An organization where there is the board of directors as the top decision making organ, it is important that members of the board have both collective and individual responsibility for health and safety as one of the pillars of the organizations’ policy. When it comes to alcohol and substance abuse, directors and boards need to examine their own behaviors, both individually and collectively, against the guidance given and, where they see that they fall short of the standards set by them as policy makers, then they must held themselves accountable to change what they do to become more effective leaders in health and safety matters. This is the only way through which they can be good implementers of the policies and that explain why they should always be seen to be leading by example from the top on addiction and any other matters of policy.

Living addiction free life: Why directors and board members need to act

The question as to why the senior officers of any organization should and must always be on top of everything in terms of offering good leadership is one that many leaders often want to ignore by hiding under the umbrella of delegation. I agree that delegation is one of the leadership and management strategies, but it is important to note that the person delegating is responsible for any failures that may occur. Therefore the policy makers bear the greatest load in ensuring that all the health and safety policies are observed to the latter. And even as you choose to lead by showing good examples, it is equally important that on matters addiction, you should also lead by being the first in scheduling for an appointment with doctor Akoury for help.

Living addiction free life: Showing a good example from the top on addiction

 

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