Category Archives: Opiate Detox West Palm

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Drug Rehabs West Palm Beach Options

Drug rehabs West Palm Beach options are plentiful when seeking inpatient, substance abuse intensive outpatient treatment ( IOP ), or opiate detox. Finding a rehab center near you starts with recognizing that you have a problem and seeking out effective addiction treatment options. Finding the best opiate detox centers and drug and alcohol addiction treatment programs in West Palm Beach, Ft Lauderdale, and Miami can influence your treatment process and outcome.

How to Find the Best Drug Rehabs West Palm Beach

researching best drug rehabs west palm beachYou want to check the addiction recovery centers online reviews and ratings when searching the best drug rehabs West Palm Beach. There are also qualified physicians and Doctors that provide more individualized care over the drug and alcohol addiction treatment centers West Palm Beach. There are only a few qualified physicians that can offer outpatient opiate detox, medication assisted treatment and opiate treatment for pregnant women. Treating opioid addiction with medications such as buprenorphine (Suboxone, Zubsolv, Bunavail) drastically reduces the risk of opioid overdose death by 40-60%.  MAT (medication assisted treatment) medications allow a patient suffering from opioid use disorder to stabilize, stop obsessing over their drug of choice, quell unbearable withdrawal symptoms, assist with craving reduction, and greatly enhances the patient’s retention in treatment. These drug addiction treatments such as partial hospitalization program ( PHP ) and intensive outpatient program ( IOP ) and MAT, alongside effective therapy at a quality treatment center and ongoing work such as attending N.A., A.A. and “working the steps” is the best chance a patient has at achieving and maintaining long-lasting sobriety.

Opiate Drug Detox, Prescription Medications and Alcohol Detox Options from the Best Drug Rehabs West Palm Beach

You can start your recovery from the use of alcohol, opiate drugs, and prescription drugs by searching for the best substance abuse detoxification programs. Drug rehabs West Palm Beach have inpatient and outpatient detox options for alcohol and drugs. Whether you are seeking a detox from prescription drugs, heroin or alcohol there are many options available in West Palm Beach. However, a medically supervised detox and possibly the provision of ongoing MAT medications by a qualified physician is the best option when trying to overcome substance abuse.

Inpatient Opiate Detox West Palm Beach Options

Get educated on what you need to know about inpatient opiate detox programs. Be prepared and understand the drug and alcohol detoxification process. The best drug rehabs West Palm Beach provide a variety of substance abuse treatment programs. Inpatient and oftentimes out-patient detox. These drug rehabilitation centers work with Doctors and private clinicians to provide the safest medically assisted detox and drug rehabilitation treatment programs.

Inpatient opiate detox has advantages but also has dis-advantages. One advantage is that patients live at the center with 24-hour care. This care provides qualified medical staff that cares for patients’ immediate needs especially from withdrawal. However, this individualized medical care comes at a much higher cost of ridding your body of alcohol or drugs. Another advantage is that individuals are unable to leave the detox center and do not have access to seek drugs or alcohol.  Lastly, at times in-patient detox is the only safe alternative for a patient.  This is often the case if the patient is addicted and dependent upon alcohol and benzodiazepine type sedatives.

Outpatient Opiate Detox West Palm Beach Options

outpatient-opiate-detox-west-palm-beach-addiction-treatment-optionsWhether you’re seeking outpatient opiate detox West Palm Beach or outpatient alcohol detox there are many options in South Florida. Outpatient opiate detox is an excellent and safe option for some to start their recovery journey. The National Institute on Drug Abuse performed a study “Patients Addicted to Opioid Painkillers Achieve Good Results With Outpatient Detoxification.” Other options also include rapid outpatient detox and a virtually painless 5-day outpatient opiate detox option with the Bridge Device. This option is far less expensive than a tradition detox.

Only a qualified physician, after a complete examination, should determine if and what outpatient detox program or an inpatient detox program needs to be administered. The individualized care by a qualified physician is the best option for you or a loved one. Qualified physicians, in order to perform outpatient detox, must have specialized training and DEA authorization. This is even more important for pregnant women seeking opiate detox and prescription drug detox.

There are a limited number of qualified physicians that have these appropriate credentials. The Drug Addiction Treatment Act (DATA) credential enables private physicians to provide an outpatient detox and outpatient-based treatment. This option gives hope and care to thousands of individuals suffering from drug addiction. You can learn the DATA legislation, regulations, and guidelines on SAMSHA’s (Substance Abuse and Mental Health Services Administration) website. This is vital information when seeking the best drug rehabs West Palm Beach. This information will allow you to ask more informed questions to ensure you are going to get the best treatment option available for your individual circumstances.

Residential Inpatient Drug Rehabs West Palm Beach Options

residential-drug-rehabs-west-palm-beachTrying to find the best residential inpatient drug rehabs in West Palm Beach, Ft Lauderdale, and Miami? One of the most popular search terms is Drug Rehabs Near Me. However, you must find out if residential addiction treatment or inpatient drug rehabs are the options you need. This level of care provides medical supervision 24 hours a day.

Residential rehab is needed in severe cases of drug and alcohol addiction. Often, addiction is associated with other mental and behavioral health issues. When this occurs, it is known as “dual-diagnosis”. Residential rehabilitation services strive to provide enough time for individuals to learn long-term recovery strategies. Residential Inpatient Addiction Treatment Centers provide tools and coping skills that become their clients’ new lifestyle. Here is what you can expect while attending a residential inpatient addiction treatment center.

  • Medically supervised inpatient detox.
  • Medication Assisted Treatment (MAT) options, if necessary.
  • Relapse prevention skills.
  • Individual counseling focusing on the dual diagnosis issues and how to maintain long-term recovery.
  • Family counseling guiding the individual and family members on how to foster an environment to sustain recovery. This counseling also restores the family bond and trust. The disease of addiction is a family disease!
  • Group therapy sessions with others suffering from drug addiction. These groups work best if the participants are in the same age group and have common issues and interests. This is a peer support mechanism where individuals connect with others suffering from drug and alcohol addiction.
  • Building new life skills and education on long-term recovery.
  • An aftercare program for when residential treatment ends.

Outpatient Drug Rehabs West Palm Beach Options

opiate-drug-rehabs-west-palm-beach-stick-to-the-planOutpatient drug rehabs have many loose terms to describe this level of care. It is referred to as Partial Hospitalization Program (PHP) or Day / Night Treatment, IOP (intensive out-patient), or Outpatient (OP). These options can be provided by recovery centers or specialized and credentialed physicians. Unlike drug inpatient programs, it allows those in treatment to live at home or a sober living residence.  The levels of care are moved through at the pace and frequency best-suited to the individual patient. It depends on how well and stable the patient is with regards to his or her recovery from substance abuse. It also takes into account their mental health status.

Typically once a patient reaches the IOP and OP levels of care they can hold down a job, spend time with family and transition back into a less structured and more “normal” lifestyle.  It is of paramount importance, however, that as patients transition out of structured treatment that they continue to treat their chronic disease of addiction!  This addiction treatment usually entails honoring the natural tendency of addiction to recur. It simply cannot be ignored and involves working some type of individual program.  This often involves regularly attending N.A. or A.A. meetings, working the 12 steps, reading the “Big Book’. There are many other supportive strategies such as maintaining a relationship with a quality sponsor or even religious-based activities.

As with all treatment options, a detailed addiction treatment plan should be in place. This substance abuse recovery plan should be put into place by all that are providing care. This should include the physician, counselors, private clinicians, family, aftercare, and if it is a good fit for the patient, 12 step recovery options. The goal is to make sure the individual in treatment can transition back into everyday life without relapsing.  This is best accomplished by not being complacent and remembering that if you do, in fact, elect to ignore this ongoing treatment, your addiction will be doing pushups on your shoulder, getting stronger all the time!  A great majority of relapses occur when patients pretend they never had an addiction, get “too busy”, prioritize other things in life, and generally become lackadaisical about their recovery.  This is exactly when relapse happens!

The Best AA Meetings West Palm Beach Options 

Graph showing the Top 10 best AA Alcoholics Anonymous Meetings West Palm Beach

Top 10 Best AA Alcoholics Anonymous Meetings West Palm Beach

During and after completing drug and alcohol addiction treatment many will seek the best AA meetings in West Palm Beach. South Florida hosts the nation’s best meetings mostly due to the presence of over 600 recovery centers nestled in Florida. It’s not a surprise that Palm Beach County hosts many good AA meetings. Alcoholics Anonymous and Narcotics Anonymous allow membership in a supportive and cohesive brotherhood, as well as an ongoing education providing tools for long-term recovery. With over 2 million members worldwide it is instrumental in providing and sustaining recovery for many individuals.

Consider All the Options When Finding the Best Drug Rehabs West Palm Beach

When seeking the best drug rehabs West Palm Beach consider drug addiction detox, inpatient rehabs, outpatient drug addiction treatment, and medication assisted treatment options. Get educated on all the levels of care. Remember to have a qualified physician perform a complete evaluation and make a detailed substance abuse treatment plan. Many professionals are involved with your recovery and need to be involved in the planning and kept informed every step of the way. Addiction recovery is a life-long process and getting the tools and education is the first step to your new life. Seek help today if you are dependent on opioid drugs, prescription medications or alcohol!

Treating Addiction (Pregnant Women)

Treating Addiction (Pregnant Women) – Whole Health Addiction Treatment West Palm Beach

Treating addiction (pregnant Women) is critical for addicted pregnant women. It is best to have one on one care from a qualified Physician during her pregnancy. There are two lives that must be cared for with specialized treatment. It also requires a detailed treatment plan fulfilling the needs of both lives. Whole Health physicians specialize in treating pregnant women for the West Palm Beach, Fort Lauderdale and Miami Florida areas.

Many addictionologists across the nation experienced in treating pregnant mothers prefer to use Subutex while treating this difficult population. Methadone has traditionally been the drug of choice, however this treatment may cause NAS, low birth rate, anema, Preeclampsia, Premature Labor, spontaneous Abortion and Premature Rupture of the membranes to name a few.

Buprenorphine (Suboxone, or Subutex) in Treating Addiction (Pregnant Women)

Buprenorphine (Suboxone, or Subutex) requires specialized training. Many drug addiction treatment centers in West Palm Beach, Florida are not properly equipped to treat this underserved population.

Addiction treatment for pregnant women is a complicated process, and should be done by a qualified physician. America’s response to drug and alcohol addiction warrants an immediate and drastic approach in thinking. For many, addiction has been perceived as a character flaw or a deficit in moral upbringing, rather than as a chronic disease of the brain. Drug related fatalities are rapidly increasing, and currently hold the leading cause of accidental deaths in our country.

Treating Addiction (pregnant women) risks for pregnant women drug addiction treatment

Addiction is a progressive, incessant illness distinguished by compulsive behaviors, unfavorable adverse effects and relapse. Similar to other diseases, addiction precipitates serious risks for pregnant women, and their unborn children. It is one of the most menacing types of addiction.

Complications Treating Addiction (Pregnant Women)

Everything a woman consumes while pregnant can be transferred to her fetus. Prenatal drug use may cause a withdrawal syndrome in newborns referred to as neonatal abstinence syndrome (NAS). Neonates with NAS are born with drug dependency, have an elevated risk of low birth weight, respiratory problems, feeding difficulties, seizures, and even death. In addition to Methadone therapy, Buprenorphine was introduced and approved by the FDA in 2002 for the treatment of opioid addiction.

The opioid effects are shown to be less than that of methadone, and it is less likely to produce overdoses as well. Upon discontinuation of the drug, it exhibits a lower level of physical dependency than methadone. Studies involving treating mothers throughout their pregnancy with buprenorphine or methadone, demonstrate better outcomes for their children than those who are not treated at all. However, more recently, trials funded by the National Institute on Drug Abuse (NIDA) have discovered the effectiveness of buprenorphine in pregnancy to be superior to methadone, in reducing withdrawal distress in the newborns.

Additional components are essential to address while treating addiction (Pregnant Women). The long and short-term chemical brain alterations, co-occurring mental health disorders, withdrawal symptoms and cognitive behavioral therapy.

Treating Addiction (pregnant women) during pregnancy safely addiction treatment west palm

Pregnancy should be both an exciting and empowering time in a woman’s life. Although, addiction and mental health problems can compromise the safety and well-being of a woman and her unborn baby, recovery is not only conceivable, but achievable with appropriate supportive measures and medical care. 

Whole Health Treating Addiction (Pregnant Women) on an Outpatient Basis

Whole Health and their team of addiction specialists know how to help women who are pregnant, and addicted to drugs and alcohol. We can treat you, and your unborn child during pregnancy. Contact us at (855) 965-1626 we can help on an outpatient basis allowing you to continue with your life.

More Addiction and Behavioral Health Treatment Options

Addiction Treatment Ft Lauderdale Whole Health Facebook Group Addiction and Behavioral Health Options

CLICK HERE to join.

Addiction and Behavioral Health Options

This group is designed to provide a resource for addiction and behavioral health professionals and individuals seeking addiction help, and individuals in recovery. In this group, you can network with professional peers and individuals seeking information on treatment from the specialists, strengthen your position in the treatment field and forge valuable new relationships. This is a place to get information on treatment, search for help, network, give and receive referrals from addiction centers, psychiatrists, psychotherapists, occupational health physicians, practitioners, health counselors, psychologists, social workers, nurses, front-line practitioners, and many other sources. Share current information, interact with each other, meet leaders in the field, and be exposed to the latest research and clinical methods and techniques. Group members can post information on treatment, info about their services, share information about addiction, recovery, holistic treatments, mental health, marketing, social media and business strategies. Group members are encouraged to network and refer each other.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions https://www.behavioralhealthnetworkresources.com/events/california-addiction-conferences-emp-series/
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
Welcome 19.500 Addiction Professional Referral Group Members
3 days ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.2 weeks ago
2 weeks ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment

You may also be interested in some of our other articles on addiction treatment; “Unchecked Addiction Treatment Diseases“, “What Does (MAT) Medication Assisted Therapy Mean for Generation Z?“, and “Narcan Education by Opiate Detox West Palm Doctor“.

 

 

MAT MEdication Assisted Therapy opiate detox west palm

Medication Assisted Treatment MAT; A New Breed of Drug Addict

Medication Assisted Treatment Disease Models, and Addiction Treatment for Opiates

Medication assisted treatment MAT in West Palm Beach, FL needs to be addressed. At Whole Health outpatient addiction treatment clinic in West Palm Beach, FL., we see 100’s of patients suffering from drug and alcohol addiction. Many do not have a clear understanding on MAT due to bad information on social media. We see many social media posts giving incorrect information, mainly based on personal experience. MAT must be properly diagnosed by a qualified addiction physician.

As most of us are aware, the opioid and heroin problem in our country is at epidemic proportions, and I would go so far as to state unequivocally that we are dealing with a magnitude and severity of a situation in addiction medicine that is unprecedented in nature. Suddenly, relapse isn’t an “oops let me try again,” it is DEATH.

Too Many Deaths from Opiate Epidemic

A recent CNN article detailed some alarming statistics: “heroin-related deaths increased 439% from 1999 to 2014. As of 2014, heroin-related deaths had more than tripled in five years and quintupled in 10 years. In 2014, opioids were involved in 28,647 deaths, 61% of all US drug overdose deaths and 10,574 were related to heroin, in particular.

addiction treatment Fort Lauderdale, West Palm Beach, and Miami Florida

Data from 2014 reflects “two distinct but interrelated trends,” the CDC notes, a long-term increase in overdose deaths due to prescription opioids, and a surge in illicit opioid overdose deaths, mostly related to heroin.” At Whole Health outpatient addiction treatment clinic, 70% or greater of our patients are addicted to heroin. Very clearly, the near-universal mechanism by which we as a country have dealt with substance use disorders to date, namely traditional 12 step rehab, is inadequate in this new and exploding population of opiate use disorder patients.

Addiction is a brain disease opiate addiction treatment west palm

There are two prevailing “thought models” which attempt to explain the pathophysiology behind addiction.

Moral Model of Addiction

The first is termed “the moral model,” which asserts that addiction is entirely a choice and secondary to an individual’s moral decision-making (or lack thereof). This model presupposes that, if not for one’s dysfunctional values and choices, he or she would not have an addiction problem.

Disease Model of Addiction

The second model is known as the “disease model”, which categorizes addiction as a chronic disease. ASAM (the American Society of Addiction Medicine) defines addiction as ”a primary, chronic disease of brain reward, motivation, memory and related circuitry”. And as part of a recent landmark statement, the US Surgeon General, Vivek Murthy, distinctly stated that addiction is “a chronic illness that we must approach with the same skill and compassion with which we approach heart disease, diabetes, and cancer”.

Medication Assisted Treatment MAT Supported

Furthermore, President Obama’s 2017 fiscal year budget includes $1.1 billion to support cooperative agreements with States to expand access to medication-assisted treatment for opioid use disorders. All of this did not happen on a whim. These statements and decisions are directly based on clinical evidence that including MAT in the treatment of the chronic disease of addiction increases the likelihood of abstinence from the illicit substance and decreases the probability of overdose and death.

Medication Assisted Treatment (MAT) Education Needed

Accepting addiction as a chronic disease mandates that we, as addiction professionals, view and treat it in the same multi-disciplinary manner in which we treat other chronic diseases. Namely a COMBINATION of medical interventions and behavioral adjustments and modifications. In other words, we as physicians don’t look at an obese diabetic patient and simply say “lose a hundred pounds and your diabetes will go away” and omit insulin therapy.

Whole Health Primary Care Physician Delray Beach FL

Nor do we look at a smoker with emphysema and simply say “stop smoking and you will breathe better” and omit inhalers that improve lung function. Are the insulin and inhalers, respectively, “crutches” for these patients? I suppose one could look at it that way, but mainstream medicine, and our society as a whole, would submit that these medications are imperative to preserve life and improve the quality of one’s life.

So, if the addition of medication is perfectly acceptable, appropriate and the actual standard of care for all these other chronic disease states, why the stigma when discussing medication assisted treatment MAT, as it applies to the chronic disease of addiction? As an addiction medicine Doctor, I feel that it is imperative to at least consider utilizing any and all available tools at our disposal, and this includes MAT (Medication-Assisted Treatment.)

Medication Assisted Treatment MAT opiate detox west palm

Having said that, medication assisted treatment MAT should also not be used in a cookie-cutter fashion, and is not appropriate in all forms for all patients. The specifics regarding MAT medications are beyond the scope of this introductory article, but will be detailed in a future editorial. However, suffice to say that, when used responsibly and appropriately, MAT saves lives.

Our national academy and addiction authority, ASAM, our surgeon general, our Country’s President, and addiction medicine physicians in the trenches with these patients concur that that is, indeed, the case. The recovery community cannot continue to treat our current climate of heroin addiction in a rigid, dogmatic fashion, or thousands of more deaths will be left in the wake- guaranteed.

Abstinence, or Die (What’s Really Happening in the Recovery Community)

I would submit this question to the recovery community as a whole: given the REALITY that abstinence is only attainable by approximately 10% of our patients addicted to heroin, what should our answer be to the other 90%? Attain the recovery community’s traditional idea of abstinence, or go die?

harm reduction opiate addiction treatment west palm Medication Assisted Treatment MAT

In the course of treating no other disease would that be the sentiment. The logical answer is harm reduction. If a portion of our patients are utilizing some form of medication assisted treatment MAT, yet going to work, having meaningful relationships, and living a fulfilling life devoid of crime and an elevated risk of death and communicable disease, what is wrong with that? If I could actually attach a title to the current arena of mainstream heroin addiction treatment it might be “Abstinence- worth dying for.” The unyielding ideals in the context of the current patient population are at the very least antiquated and simplistic, and at the very most, downright dangerous.

Medication Assisted Treatment MAT Saves Lives

In summary, we have an absolute epidemic of opioid/heroin abuse in this country of a never-before-seen magnitude, and our current historic methods of dealing with alcoholism and other addictions are NOT WORKING. Traditional 12-step, “abstinence-based”, one-size fits all programs are simply NOT acceptable as a uniform approach to this new and evolving segment of addicts, and these patients are DYING IN RECORD NUMBERS.

one more time could be your last Medication assisted treatment MAT saves lives

One More Time, Could Be Your Last.

The primary difference between heroin and alcohol, or other drugs of abuse, is that with ANY relapse, just ONE use or momentary lapse in judgment, the heroin addict has a significant rate of sudden death. Perhaps being dogmatic about traditional, Big Book, 12 step programs are more acceptable when the risk of relapse does not include the very high likelihood of immediate death. But, because of the totally unknown mixture of drugs in each purchased “bag” or “cap,” including the most potent opioids known to man, namely fentanyl and carfentanil, a relapse is not necessarily an invitation to “try again,” but is a game of Russian roulette often ending in death.

Harm Reduction – Medication Assisted Treatment MAT

In my time treating patients with substance use disorders, I have often heard the statement “the definition of insanity is doing the same thing over and over again and expecting a different result,” I think the way we are currently treating our heroin-addicted patients accurately, albeit ironically, fits that definition.  It’s time that we as a recovery community stop preaching and demanding that our idea of “abstinence” in the course of addiction treatment is the ONLY acceptable goal. We must embrace harm reduction.

not one more suboxone treatment west palm one more time could be your last Medication assisted treatment MAT saves lives

We can continue jumping up and down screaming abstinence-based rhetoric while our patients continue to die, or we can think more pragmatically about the issue and consider the non-judgmental addition and acceptance of appropriate medically-based therapies to the paradigm of addiction treatment. Our patients’ lives truly depend on our willingness in the recovery community to adapt to this uncharted territory by implementing the same treatment paradigm that we use as a society in any other chronic disease.

For more information on Medication Assisted Treatment MAT, or outpatient addiction treatment options in West Palm Beach, Fort Lauderdale, and Miami please visit our website HERE or call 855.365.1626 (majority of medical insurance plans and Medicare, excluding HMOs. Flexible financial arrangements are available to patients unable to afford their entire deductible or who are without insurance and are paying cash.)

More Addiction and Behavioral Health Treatment Options

 

Addiction Treatment Ft Lauderdale Whole Health Facebook Group Addiction and Behavioral Health Options

CLICK HERE to join.

Addiction and Behavioral Health Options

This group is designed to provide a resource for addiction and behavioral health professionals and individuals seeking addiction help, and individuals in recovery. In this group, you can network with professional peers and individuals seeking information on treatment from the specialists, strengthen your position in the treatment field and forge valuable new relationships. This is a place to get information on treatment, search for help, network, give and receive referrals from addiction centers, psychiatrists, psychotherapists, occupational health physicians, practitioners, health counselors, psychologists, social workers, nurses, front-line practitioners, and many other sources. Share current information, interact with each other, meet leaders in the field, and be exposed to the latest research and clinical methods and techniques. Group members can post information on treatment, info about their services, share information about addiction, recovery, holistic treatments, mental health, marketing, social media and business strategies. Group members are encouraged to network and refer each other.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions https://www.behavioralhealthnetworkresources.com/events/california-addiction-conferences-emp-series/
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
Welcome 19.500 Addiction Professional Referral Group Members
3 days ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.2 weeks ago
2 weeks ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment

You may also be interested in some of our other articles on addiction treatment; “Unchecked Addiction Treatment Diseases“, “What Does (MAT) Medication Assisted Therapy Mean for Generation Z?“, and “Narcan Education by Opiate Detox West Palm Doctor“.

MAT Part 2 opiate detox west palm

MAT Part 2: Addiction Antagonist Therapy

MAT part 2 Medication Assisted Treatment a continuation of our last opiate addiction treatment article from Whole Health in West Palm Beach, FL., explained the definition and use of MAT or Medication Assisted Treatment, in addressing patients struggling with particular substance use disorders.

MAT Part 2 opiate detox west palm

The first article examined the use of opiate agonist MAT therapy (i.e. buprenorphine products/”Suboxone” and methadone),) while this installment will examine the utility of opiate antagonist MAT therapy. The principle disorder to be focused upon, primarily because of its ubiquitous nature and the fact that we are predicted to experience greater than 50000 fatalities this year (MORE THAN AUTO ACCIDENT DEATHS,) is opiate use disorder.

What is Medication Assisted Treatment MAT Part 2

First, a very brief and simplistic review of neurobiology as it pertains to addiction. Opiate addiction is all about the reinforcing experience the patient’s behavior has upon the brain’s dopamine levels (the “feel good” neurotransmitter.)

Opiate detox West Palm dopamine

All addictions, whether they be substance-based, or behaviorally oriented (such as gambling and sex addiction) are rooted in the basic fact that these activities cause a surge of dopamine in a specific part of the brain known as the nucleus accumbens. This dopamine surge is perceived as the “high.” This feeling is obviously pleasurable, and the patient wants to repeat and repeat the addictive activity, as the dopamine release becomes a positively reinforcing result of the behavior.

Opioids and Medication Assisted Treatment (MAT)

In the case of opioids, when these drugs attach to the brain’s “mu” receptors, the result is a huge surge of dopamine, which floods the nucleus accumbens, resulting in an intense and euphoric “high.” The patient uses again and again to keep experiencing that dopamine high, and if they stop using they get extremely ill with withdrawal symptoms.

Therefore, the actual use of the drug is reinforcing, while cessation of use causes them to feel horrible (i.e. Not using is NEGATIVELY reinforcing.) This “double whammy” almost guarantees that an opioid addict will continue to use and/or chronically relapse (if you recall from the first article, the “success rate” of stand-alone abstinence-based treatment such as various psychotherapy, 12 steps, etc. is only around 10% at best.)

MU Receptors Oral Naltrexone, Vivitrol and Naltrexone Implants

It is at the brain’s mu receptor sites where antagonist MAT therapies exert their effect.  Antagonist MAT therapies include oral naltrexone, intramuscular Vivitrol, and the off-label use of naltrexone implants that typically provide up to three months of medication with each implant. All of these formulations function in the same fashion- they bind to the brain’s mu receptors very strongly (much stronger than opioids,) preventing any opioids from reaching the patient’s brain and causing that euphoric dopamine surge.

Whole Health stops addiction with opiate detox west palm beach

In other words, with antagonists at work the patient will not derive any high from opioids should he or she decide to use them.  Therefore, this breaks the cycle of positive reinforcement and helps patients with opioid cravings because they know if they use they will simply not derive the expected and desired feeling. The various formulations primarily differ amongst one another in how compliant the patient is likely to be on the given therapy.

naltrexone implants opiate detox west palm Whole Health

Generally, the injection, or implant are much more efficacious than the daily oral naltrexone, because the patient can forget or “forget” to take the daily naltrexone, but the injection or implant is in their body for one or three months, respectively.  Incidentally, MAT antagonist therapy (MAT Part 2) helps immensely with alcohol cravings, and there is emerging evidence that they may be useful for other addictions as well, but that is another topic entirely. However, to stay focused on opioids, I think you can see how incredibly useful antagonist MAT can be in extinguishing the Pavlovian behavior of opiate addicts, and really assist them in putting together solid, long-lasting sober time, and often permanent sobriety!

Abstinence for up to Two Weeks (Understanding the Use of Suboxone)

What is the catch? The primary and most frequent and frustrating problem in initiating antagonist therapy is that, depending on what type of opioid the patient was using, we need anywhere between one and two weeks of total avoidance of ALL opioid and opioid-related products. This includes buprenorphine products (i.e. Suboxone) and methadone.  Therefore, for instance, we can’t take a heroin addict, stabilize him or her on Suboxone, and then transfer immediately to naltrexone/Vivitrol/naltrexone implant.

Similarly, we can’t take a patient right out of detox (opioids are actually used to detox opioid addicts) and transfer them to antagonist therapy.  The reason is that, as stated, the antagonist has a much stronger affinity for the brains mu receptors.  If there are any opioids occupying those receptors at the time that antagonists are introduced, they will “kick off” the opioids and result in severe withdrawal for the patient.

Reasons Why Many Do Not Get Antagonist Therapy (Naltrexone and Vivitrol)

So, the primary issue becomes how do we get the patient to be abstinent for the requisite one to two weeks so that we can utilize this effective antagonist therapy? Unfortunately, many addicts are unwilling or unable to be totally devoid of any and all opioids (including Suboxone or methadone) for more than a couple of days before feeling so horrible that they go right back to using. This is, indeed, the eternal challenge of initiating antagonist MAT therapy, and probably the most frequent reason why it is not implemented in more recovering addicts.

It's time for opiate detox Whole Health Delray Beach, FL

There are other reasons as well- not the least of which is a patient who refuses antagonist therapy because they are scared they won’t be able to get high (they are not “ready” to live a sober life.) Other potential downsides to antagonist MAT is that they can cause nausea, occasionally worsen, or cause depression, and can cause liver inflammation (many of our patients have alcoholic, or viral hepatitis, so this is a particularly relevant concern.) Of course all of these potential side-effects are closely monitored and actually different forms of antagonist therapy tend to have more or less of these side-effects, but they are concerns nonetheless.

Antagonist Therapy is Not Habit Forming (Naltrexone and Vivitrol)

In summary of our MAT Part 2 education, antagonist MAT can be incredibly helpful in the treatment of opioid use disorder (and other addictions,) assuming the proper timing of treatment initiation, and appropriate patient selection. Antagonists are not narcotics, are not habit-forming, and have no discontinuation syndromes.

1 year of opiate addiction treatment West Palm Beach, FL Whole Health

I typically shoot for a twelve month period of closely monitored treatment in my opioid addiction treatment protocol at Whole Health in West Palm Beach FL. With the continuation of cognitive based therapies such as structured PHP/IOP/OP programs, NA/AA, 12 step work, spiritually based programs, or whatever positive and helpful course of psychotherapy my patient gravitates towards. Success rates (which I define as prolonged abstinence- greater than one year) utilizing this methodology in my practice have been impressive and encouraging.

The real question is how to effectively bridge the gap between opioid use and antagonist MAT so that we don’t lose patients to recidivism secondary to severe discomfort.

Comfort Meds and FDA Unapproved Meds

There are some “comfort meds” we use with variable efficacy, such as clonidine, vistaril, baclofen, trazodone, etc., but these are rarely able to accomplish bridging of that gap.  There are other methods of bridging this gap, including plant-based detox regimens (i.e. Ibogaine) that detox the patient without the use of opiates, which are extraordinarily interesting and deserving of further research, but they are currently not legal for use in the US.  There is also a exciting new non-pharmacologic, “non-substance” device called the Bridge device for opiate detox which when installed on the patient’s ear, can significantly or totally ameliorate withdrawal symptoms, also without the use of opiates.

As usual, insurers presently consider this modality experimental and will not reimburse for its use (though I am optimistic that this will and should change.) If we could just bridge that gap we could really get a lot more patients on effective antagonist therapy, and this is where I truly believe that what the recovery community at large deems “true sobriety” can be much more frequently attained. Until then, I will continue to pray for progress and utilize the appropriate available medications to assist my patients in the avoidance of death, and the realization of the most rewarding and fulfilling lives they can possibly experience.

“We,” collectively in the recovery treatment community, owe it to our patients to place whatever personal biases we may possess aside, and make this our unified and uncompromising goal at all times!

More Addiction and Behavioral Health Treatment Options

 

Addiction Treatment Ft Lauderdale Whole Health Facebook Group Addiction and Behavioral Health Options

CLICK HERE to join.

Addiction and Behavioral Health Options

This group is designed to provide a resource for addiction and behavioral health professionals and individuals seeking addiction help, and individuals in recovery. In this group, you can network with professional peers and individuals seeking information on treatment from the specialists, strengthen your position in the treatment field and forge valuable new relationships. This is a place to get information on treatment, search for help, network, give and receive referrals from addiction centers, psychiatrists, psychotherapists, occupational health physicians, practitioners, health counselors, psychologists, social workers, nurses, front-line practitioners, and many other sources. Share current information, interact with each other, meet leaders in the field, and be exposed to the latest research and clinical methods and techniques. Group members can post information on treatment, info about their services, share information about addiction, recovery, holistic treatments, mental health, marketing, social media and business strategies. Group members are encouraged to network and refer each other.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions https://www.behavioralhealthnetworkresources.com/events/california-addiction-conferences-emp-series/
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
Welcome 19.500 Addiction Professional Referral Group Members
3 days ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.2 weeks ago
2 weeks ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment

You may also be interested in some of our other articles on addiction treatment; “Unchecked Addiction Treatment Diseases“, “What Does (MAT) Medication Assisted Therapy Mean for Generation Z?“, and “Narcan Education by Opiate Detox West Palm Doctor“.

60% Intravenous Opiate Detox Drug Users Hep C

Addiction Treatment and Hepatitis C

60% Intravenous Opiate Detox Drug Users Hep C say, “I think I’ve got Hep. C”. It is an all-too-common phrase I hear in my addiction medicine practice (West Palm Beach, FL).  As a matter of fact, I would estimate our patients (60% Intravenous Opiate Detox Drug Users Hep C) who are intravenous drug users are, in fact, positive for the hepatitis C antibody.  According to NIDA (National Institute on Drug Abuse), 2.7–3.9 million people are living with HCV in the United States and, amazingly, deaths from hepatitis C now EXCEED deaths from the HIV/AIDS virus!

This is increasingly common incidence of this disease and its impacting on my patient population as well as the recovery community. We are educating the entire community by discussing symptoms, transmission, diagnosis, and treatment of the hepatitis C virus.

Understanding Hep C and Opiate Addiction Treatment

Opiate Detox Drug Users Hep C education dr ligotti delray beach

Hepatitis C is a viral liver disease, currently the most common blood borne infection in the United States. It is much more contagious and transmissible than other similar infectious agents.  Hepatitis C infection can be either acute or chronic.  Acute hepatitis C is oftentimes without symptoms and patients progress to chronic infection completely unaware of their exposure to the virus.

Therefore, so many patients are surprised when they test positive.  Less commonly, symptoms of acute infection may include jaundice, abdominal pain, nausea and vomiting, and impressively elevated liver function tests on blood work.  After acute exposure to the hepatitis C virus, approximately 75-85% of patients go on to become chronically infected with the virus, and these are the patients for whom treatment is considered.

Detecting Hep C in Opiate Addiction Treatment

Opiate Detox Drug Users Hep C education dr ligotti opiate detox west palm beach

Hepatitis C is extremely contagious and spreads primarily through blood exposure.  This includes our patients who suffer from the disease of addiction and who share needles, spoons, cotton, water, or any other injection equipment. It also includes, those who share other drug paraphernalia such as snorting straws, with a person who has hepatitis C.  Sexual transmission is also possible, but thought to be unusual.

Opiate Detox Drug Users Hep C

Opiate Detox west palm beach stop Hep C dr ligotti

The importance of diagnosing and treating chronic hepatitis C is to hopefully avoid the two most important risks of the disease; cirrhosis/liver failure, and liver cancer (hepatocellular carcinoma).  The diagnosis of hepatitis C is made from bloodwork performed on a patient.  Screening bloodwork to test for hepatitis C detects the body’s immune system’s response to the virus. It is the hepatitis C antibody that is first detected when somebody “tests positive” for hepatitis C.  The test will confirm the fact that the patient’s body has “seen” the hepatitis C virus at some point in the past. The next step is to perform a hepatitis C viral load and genotype test.

A positive viral load confirms the actual presence of hepatitis C virus in the patient’s blood. This quantifies how much virus is present. While the genotype tells us what type of hepatitis C infection we are dealing with (six main types), and this is important for determining the most effective treatment regimen.  It is important to note that most patients whose immune systems naturally “clear” the acute hepatitis C viral infection on their own (15 and 25% of patients) do so within the first six months of infection.

Therefore, physicians will monitor viral loads at six months following first detection to give patients a chance to clear the infection on their own.  If at six months there is still a positive viral load (active infection), treatment is considered.  Again, approximately 75-85% of people will go on to develop chronic infection and will need to consider treatment.

New Hep C Treatment with 90% Success Rates

To date there are several newer oral medications for Opiate Detox Drug Users Hep C, alone and in combination products. The choice of medication depends in part on the genotype of the hepatitis C infection, but the specific details and exact medications are beyond the scope of this article.

Suffice to say, the general advantages of these drugs when compared to older interferon-based regimens include significantly fewer side effects and cure rates well over 90%- very impressive results!  However, one of the primary barriers to these newer hepatitis C treatment regimens is the exorbitant price tag and the cumbersome task of getting insurance companies to pay for the treatment.

Opiate Detox Drug Users Hep C Insurance and Tests

Insurance companies in general require a large battery of tests and information be compiled before they will cover the cost of hepatitis C treatment.  These tests include various blood and urine tests as well as imaging studies and “staging” of the hepatitis C infection (how much damage has been done to the liver).

This staging has traditionally been accomplished by liver biopsy (obviously an invasive and less than desirable procedure).  However, a new technology exists called Fibroscan. We are seeing, insurance companies covering in most cases, all of the costs.

Fibroscan Painless Test Saving Lives from Hep C

New Hep C test drug and alcohol addictin treatment west palm dr Ligotti

Fibroscan is a painless, non-invasive test that simply measures the elasticity of the liver.  This elasticity tells us how much damage has been done to the liver and is sufficient for “staging” the patient’s liver disease.  Fibroscan is an amazing technology that makes invasive biopsy unnecessary in most cases and gives insurers the information they need to pay for these incredible new treatments for hepatitis C!

Helping Opiate Detox Drug Users Hep C

Currently there are very few Fibroscan machines in West Palm Beach area. Many insurers require a Fibroscan diagnostic test to approve treatment coverage. We are seeing insurance companies covering in most cases, all of the costs. The limitation of this test is making it very difficult for our chronic hepatitis C patients in the recovery community to access treatment for their hepatitis C.

Whole-Health is a drug and alcohol addiction treatment practice focused on the comprehensive medical care of our recovery community. Since we have with many patients in the recovery in the West Palm Beach area, it was determined that we really can greatly increase access to hepatitis C treatment.  Therefore, Whole-Health has purchased a Fibroscan machine in our effort to better serve the medical needs of our recovery community.

Opiate Detox West Palm, and Drug and Alcohol Treatment West Palm

Now, instead of inconvenient specialist referrals and dealing with transportation issues, our recovery patients with hepatitis C can be evaluated and treated at our office here in Delray Beach, Fl. We have been providing opiate detox West Palm, and unequalled drug and alcohol addiction treatment West Palm for well over a decade.

We are very proud to add this additional service to our practice. It is just another example of how Whole Health is the premiere leader in comprehensive medical care in the practice of addiction treatment medicine!  We encourage all our at-risk patients to come in to be screened for hepatitis C.

We also hope that patients with known hepatitis C will visit our opiate addiction practice in the West Palm Beach area (855) 965-1626, so we can coordinate testing, assist with insurance requirements, and start these amazing new treatments to help eliminate this virus from our recovery community!

Addiction Treatment Ft Lauderdale Whole Health Facebook Group Addiction and Behavioral Health Options

CLICK HERE to join.

Addiction and Behavioral Health Options

This group is designed to provide a resource for addiction and behavioral health professionals and individuals seeking addiction help, and individuals in recovery. In this group, you can network with professional peers and individuals seeking information on treatment from the specialists, strengthen your position in the treatment field and forge valuable new relationships. This is a place to get information on treatment, search for help, network, give and receive referrals from addiction centers, psychiatrists, psychotherapists, occupational health physicians, practitioners, health counselors, psychologists, social workers, nurses, front-line practitioners, and many other sources. Share current information, interact with each other, meet leaders in the field, and be exposed to the latest research and clinical methods and techniques. Group members can post information on treatment, info about their services, share information about addiction, recovery, holistic treatments, mental health, marketing, social media and business strategies. Group members are encouraged to network and refer each other.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions https://www.behavioralhealthnetworkresources.com/events/california-addiction-conferences-emp-series/
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
Welcome 19.500 Addiction Professional Referral Group Members
3 days ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.2 weeks ago
2 weeks ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment

You may also be interested in some of our other articles on addiction treatment; “Unchecked Addiction Treatment Diseases“, “What Does (MAT) Medication Assisted Therapy Mean for Generation Z?“, and “Narcan Education by Opiate Detox West Palm Doctor“.

 

Diseases of addiction Opiate Detox West Palm

Hep C | Close Connection Between Drug Addiction and Infection

Hep C has a close connection to intravenous opiate addiction. At Whole Health in West Palm Beach, FL about 60% of our addiction treatment clients have Hep C. Most IV drug abusers have very little understanding of what else they are injecting into themselves besides their chosen drug.  Bacteria, fungus, viral contaminants, chemicals and even heavy metals can and usually do enter the bloodstream each time a drug is injected. In addiction, many diseases are left unchecked.

Genetics Contributes to Addiction

Sadly, genetics account for 50% of addiction with no other disease carrying a percentage even close to that. (ASAM 2011). A history of trauma and stress are other common risk factors.

Addiction usually starts in adolescence.  In a study published by Dr Ruth Potee, MD, a person trying an illicit substance under the age of 21 is 60 to 70% more likely to have a lifelong addiction than a person who tries a substance over age 21, which carries a lifelong addiction risk of only 6 to 8 %. Clearly the adolescent brain is still myelinating and modifying making it highly susceptible to drugs of abuse and concurrent addiction.

Genetics Causes 50% of Addiction

Genetics account for 50% of addiction.

Drug abuse carries health risks that are likely just as harmful as the drugs themselves.

Most people who abuse drugs, adolescents in particular, are familiar with the physical harm that the drug may cause but lack the understanding of the many infectious diseases, including Hep C, they are introducing to their body.

Drug Addiction and Infectious Diseases Including Hep C

The most common transmitted infectious diseases seen in addiction are HIV/AIDS, Hepatitis C (Hep C), Tuberculosis, Bacteremia/Sepsis (blood infection) and Endocarditis (heart valve infection). There are many more transmitted diseases and with each infection there are cardiovascular, respiratory, gastrointestinal, renal and neurologic complications. These infections can be somewhat treatable in some cases and in many other cases lead to death.

Hep C drastically increasing

Addiction is a disease and causes changes in the brain that control personality and decision making, most addicts engage in high risk behaviors and actions, like using contaminated needles and having unprotected sex. The risk of contracting Hep C from using a contaminated needle just one time can be as high as 70% (CDC.gov-Hepatitis C). Hepatitis C destroys healthy liver cells that are necessary for metabolism and the release of enzymes necessary for protein synthesis, cell function and detoxification of wastes in the body. Persons with chronic Hepatitis C often have other long term complications and can eventually become comatose or die.

Addiction and TB

TB identification and treatment in the addict can be challenging for diagnosis and control.  Tuberculosis (TB) is on the rise in almost every state due to the increasing number of diagnosed addicts and has become even epidemic in some places. The symptoms of TB are night sweats, painful coughing and fevers. It is transmitted easily by droplets from coughing or sneezing. The illness can be easily spread by one person to 10 to 20 people without even knowing it. TB affects the lungs and causes shortness of breath and pain and will often times lead to death if left untreated.

Many IV addicts introduce harmful contaminates directly into the bloodstream within seconds.  These bacteria can seed heart valves and cause heart infections in addition to overwhelming blood infections leading to shock and death.

Case Study on Addiction Disease Hep C

The following case exemplifies this risk and is an actual recent incident which I observed come through the emergency department at a local hospital in West Palm Beach, FL:

Mr. Doe is an 18 y/o male that began using IV heroin after he sustained a car accident that caused him to be in a cast for several months. He was initially prescribed Percocet for pain.  When he ran out of the prescription opiate, he described feeling like he had a severe case of the flu and began searching for more of the drug. He had strong enough cravings that when he could no longer afford to buy the opiate from the street, he began to use IV heroin.

Hep C Very Common with IV Drug Users

Several months later, Mr. Doe overdosed and was taken to the Emergency Room.  After his resuscitation, lab tests revealed high liver function enzymes, and a high viral load of Hep C. He was also diagnosed with a rare bacterial blood infection that required him to remain hospitalized for high dose IV antibiotic therapy for several weeks. Mr. Doe ended up with a fortunate outcome, but this is certainly not always the case.

Get Tested for Infectious Diseases

Drug addiction is a national epidemic, as a result, infectious disease, overdose, and death in this high risk population are also reaching an epidemic levels in some areas. Prevention is key to protecting adolescents against drug addiction, and comes from taking a proactive approach by providing grounded educational programs. With knowledge comes prevention, and with prevention comes, protection from addiction, infection, disease and death.

Fibro Scan Hep C Test Opiate Detox West Palm

Whole Health has a new hepatitis C test that is has been covered by many insurance companies. We can evaluate you and provide treatment at our Delray Beach, Fl., office. We are extremely qualified and experienced (10 years) to provide opiate detox West Palm, and unequalled drug and alcohol addiction treatment West Palm. Give us a call at 855-965-1626 to get tested today.

Dr. Candace Teruel, DNP

Addiction Treatment Ft Lauderdale Whole Health Facebook Group Addiction and Behavioral Health Options

CLICK HERE to join.

Addiction and Behavioral Health Options

This group is designed to provide a resource for addiction and behavioral health professionals and individuals seeking addiction help, and individuals in recovery. In this group, you can network with professional peers and individuals seeking information on treatment from the specialists, strengthen your position in the treatment field and forge valuable new relationships. This is a place to get information on treatment, search for help, network, give and receive referrals from addiction centers, psychiatrists, psychotherapists, occupational health physicians, practitioners, health counselors, psychologists, social workers, nurses, front-line practitioners, and many other sources. Share current information, interact with each other, meet leaders in the field, and be exposed to the latest research and clinical methods and techniques. Group members can post information on treatment, info about their services, share information about addiction, recovery, holistic treatments, mental health, marketing, social media and business strategies. Group members are encouraged to network and refer each other.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
We now have 8 Executive Thought Leader Panelists providing proven business and marketing solutions https://www.behavioralhealthnetworkresources.com/events/california-addiction-conferences-emp-series/
Charles Davis recommended a group in Addiction and Behavioral Health Options.3 days ago
Welcome 19.500 Addiction Professional Referral Group Members
3 days ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment.
Charles Davis shared a link to the group: Addiction and Behavioral Health Options.2 weeks ago
2 weeks ago
Medicated Assisted Recovery is possible. Come share your experience without stigma or judgement. This meeting is a self-support group and is open to all.

EVERY Sunday at noon in Santa Ana, CA.

Please SHARE this post, it could bring hope and recovery to those attempting Medicated Assisted Treatment

Narcan Education by Opiate Detox West Palm Doctor

Narcan Education by Opiate Detox West Palm Doctor

Opiate Doctor West Palm Beach announces quartrly Narcan and CPR Trainings. In an effort to combat negitive stigma that is being reinforced by the media. Headlines below are in newspapers, magazines, and reported on the daily news now on a horrifyingly regular basis. Many of these articles have perpetuated that Narcan entices addicts to continue to use. This article “Narcan Education by Opiate Detox West Palm Doctor” provides much needed information on this life saving drug.

Typically, in the context of somebody who was found unresponsive and unable to be resuscitated from opiate overdose.  The sad and scary reality is that novel opioids, not FDA approved drugs and often not even labeled for human consumption, are constantly being synthesized and sold by drug dealers across the globe.

Basically, clandestine scientists work in the laboratory to move some atoms around, making synthetic opioids such as acryl fentanyl or tetrahydrofuran fentanyl from known parent drugs like fentanyl (which is the most potent FDA-approved opiate used in human medicine at about 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin).  The drug dealer’s goal is to make a cheaper, stronger, easier to transport product to get addicts “higher” and make more money.  The unfortunate side-effect is that these new synthetic opiates are so strong, in fact, that people are dying from the minutest amount laced into what they think is heroin.

HEADLINES ON NARCAN AND NALOXONE

FDA approved narcan and naloxone available in west palm beach, FL“New Naloxone-Resistant Drug Acrylfentanyl Is a Public Health Emergency” (Cision PR Newswire); “Narcan-resistant Drug Appears in Indiana” (EMSWORLD);Narcan resistant synthetic opioids found in Kentucky” (New Objectives/Blog); “Fentanyl Found in Georgia Resists Life-Saving Naloxone Antidote” (Newsweek)

Logic would dictate that people would never intentionally put something that could very easily kill them into their bodies.  But, logic and addiction are often mutually exclusive, and so goes the unrelenting strength, power, and counter intuitive destructiveness of the disease.  As a matter of fact, my patients tell me that when they hear somebody has overdosed they will intentionally seek out that person’s supplier because it is “good stuff”.  Very scary situation and one which has cost countless lives as this opioid epidemic rages on. This is not because they say “Narcan will bring me back, so it’s OK to continue using.”

Narcan Education by Opiate Detox West Palm Doctors

There is another problem with these new synthetic opioids- the so-called “Narcan-resistant” concept of these powerful drugs.  The most common cause of mortality in opiate overdose is fulminant respiratory depression (i.e. the patient simply stops breathing).  If the patient stops breathing there is no oxygen inhaled to reach vital organs such as the heart and brain.  Prolonged respiratory arrest leads to death or permanent organ damage.

opiate overdose education on narcan by dr ligottiBrain damage from cerebral anoxia can occur in as little as six minutes.  Narcan is the one pharmacologic “antidote” we have to combat acute opioid overdose and death, but it can be far less effective when new synthetic opioids are in the patients’ body, making overdose, organ damage, and death all the more probable even when Narcan is given promptly.

Narcan Education by Opiate Detox West Palm Doctor Needed

To be completely accurate, the term “Narcan-resistant” is a bit of a hyperbolic misnomer.  Narcan will still work in patients overdosing on these new synthetic opiates- that pharmacology doesn’t change, but much, much more is needed to reverse respiratory depression and stave off death.  This is because synthetic opiates bind so strongly to the body’s opiate receptors where Narcan is trying to attach to reverse the opiates’ effect.

narcan for opiate detox in west palm beach with naloxone training dr ligottiThis relative resistance is one reason that Evzio, a Narcan auto-injector (think Narcan epi-pen), recently increased their dose from 0.4mg to 2mg.  The 2mg dose is certainly more effective, but there are even still cases where it is not potent enough!  What this comes down to is that we need some other method to be able to keep patients alive, keep oxygen-rich blood circulating to vital organs, until EMS can arrive, stabilize, and transport the patient to the emergency department. To help save lives, we are providing a FREE naloxone and CPR training, on August 12, 2017. This training is limited to the first 100 registrants. You can register by CLICKING HERE.

Narcan Education by Opiate Detox West Palm Beach Doctors Needed

This other method is as widespread a proficiency and training in overdose prevention as possible, particularly treatment center and sober home employees and patients’ family members, who are in contact with those suffering with addiction. Overdose prevention means the proper administration of Narcan, the ability to activate emergency response and initiate CPR, and the utilization of Automated External Defibrillators (AEDs).  These are all necessary skills if we are to do everything we can to save a patient who has overdosed on opiates.

Please consider learning these life-saving skills by signing up for the FREE up-coming “overdose prevention” event sponsored by Whole Health!  Whole Health is a private medical practice in Delray Beach dedicated to saving and improving the lives of patients suffering from the disease of addiction; this is our mission and this is our passion!

Want more evidenced based education on opiate addiction, click below and join Facebook groups:

Addiction and Behavioral Health Options

Evidenced Based Addiction Treatment