Dr. Carroll, Thanks for devoting a whole month to opioids which is a subject near and dear to my heart. I am a recovering addict and on May 14th I celebrated 3 years clean and sober. Recovery is definitely possible, it just takes a lot of hard work and willingness to do whatever it takes to stay clean.
Kevin Barbo that's awesome bro..can I ask you what helped you quit or what happened to make you start the process to quit?I wanna quit but life just seem lame or dull without them if you know what I mean.
Hey Joel, I ended up going to a 28 day rehab which helped start my recovery. After that I got involved in 12-Step meetings and the 12-Step recovery process, working through a lot of issues aside from the drugs. The biggest part for me has been having someone to help hold me accountable and to be completely willing to do whatever it takes to not pick back up. I definitely know what you mean when you say that life seems lame and dull without them. That's one of the biggest reasons I used them for so long and kept going back. I will say that as time goes on and your body gets adjusted to not having opiates in your system it does get easier. It just takes time, action, and perseverance.
@@kevtheis congratulations my friend. good on you. i have never been a believer of the 12 steps or NA because i have heard very low results, but to hear that your up and stable is amazing and makes me want to take a second look at the 12 steps, my only reason for my opinion of the 12 steps is based on AA and my father, he did not do well at all and they shunned him because of that, they supported him until his nose blead lets say. but i do know that it was 30 years ago from today and things have changed. plus i'm on methadone and most 12 step groups do not approve of methadone/suboxone as a method of rehabilitation. to hear what you went through and how you are doing it is amazing, i didn't have it in me to go cold turkey, you must and should be proud of yourself. it must have been a very tough experience.
I've been on Methadone for a little over a year and taking it was the smartest decision ever made. I was addicted to pills for 20 years and my life was miserable and the only thing I looked forward to was dying. Methadone treatment has given me my life back and am has allowed me to repair the broken relationships I had with family and friends. I just wish more people could understand how helpful Methadone is.
4:30 Let's always remember and NEVER forget, the entire Reasons and Causes of Opioid Addictions are a epidemic in the US is Greed, Profit and criminal conduct of the Medical and pharmaceutical systems. When this video talks about Insurance companies not understanding treating patients addictions or covering their costs, instead of sending an addict to prison, 0:50 remember it's the crimes the Insurance companies, Pharmaceutical companies, and Medical providers they are the real criminals who intentionally sought profit by making their patients addicted in the first place. So do NOT trust of believe this system that killed Thousands of Americans is going to rescue or bring about a humane treatment options to reverse those addictions, they always put profits ahead of humanity, this is a Capitalist Economy, money and profits always comes first, and patients outcomes are Dead LAST !
I am currently addicted to oxy 30 and it's the hardest habbit I ever endured and can't do by myself and I'm screaming for help to get clean. I'm all ears
Restless legs and yawning per seconds and diarrhea are the most annoying withdrawal I have faced. And to overcome the craving, I needed sheer will power and my beloved ones. They were always by my side to talk. Don't stay alone while facing withdrawal.
Hey dad. Thanks for always sticking by me. 13 years off the needle. Yeah suboxone isn't the best thing. But the other possibility is pretty awful and not many survive it anymore
Thank you for providing information that will help people end their dependence on opioids and other drugs. Treating people like people and informing rather than demonizing will actually make a difference. I hope to be able to help as many people as you some day.
Thank you for this series. I've dealt with severe chronic pain for a decade now. In that time I was moved up the narcotic list: Norco, 140 mg MS Contin a day, oxy, and am now on buprenorphine. Morphine was the worst of all because it caused hyperalgesia-which is dependence-so I had to detox with clonidine at home. My current drugs work pretty well and I've learned to not seek to ever be completely pain-free again but instead make it tolerable at different levels.
In a regional district in Switzerland they treat heroin addicts, with heroin and it's proven to be very effective! It makes the addict able to function in society, keep a job, take care of their children, take care of themselves, get into therapy etc. - and when the addict feel mentally and physically strong enough to do it, they help them quit and follow up with continued support. So far it seems to be very effective!
Ya that was a small trail of ppl. And was for users that have failed other programs over and over but yes worked very well. Kept jobs and stayed out of trouble and jail. They need to legalize ibogaine for opiate treatment
@@iamthatguy-cg6jh Since I made the comment five years ago, I've learned that the approach has been adopted with great succes elsewhere, including in my own country where it's been running for years now. I met one who work in the project, and yes, it's only users who has been through several serious attempts of getting clean, and there's all sorts of various aspects they look at when they visitate people for this. While the goal of the program primarily is harm reduction, they've had several who's been able to complete educations and/or get steady jobs - and as a bonus, some of the addicts end up getting clean. While it's hard to understand, the program isn't popular with all political parties - and it was nearly shut down during the previous government. (Apparently being far-right in my country also make one immune to concepts such as harm-reduction)
I'm so sorry to hear that!! Some states protect you, be sure to check with your counselor about it. We have had our doctor write letters to employers explaining that it is prescribed... might that help? It is important to try to educate the public about it and it might be possible for your doctor or counselor to reach out by phone... tapering off successfully can happen too as long as it is done slowly and with a doctor's help IF that is the direction you choose. I hace a patient who did it just last week! Good luck to you and GOOD JOB!!!!! Thanks for sharing.
markatl84 hey man you are protected by law if you live in the US. The Americans with disabilities act recognizes past drug addiction as a disability and makes discrimination based on medical treatment for it illegal. You could sue if that happens to you. I'm on methadone too and it makes my blood boil that these people are getting away with that if more of us start suing things may change. It's very important that our rights our respected too I know as addicts were used to being discriminated against and marginalized but that doesn't make it right and it needs to be stopped. Btw congrats on getting clean I was using regularly since I was 18 but started dabbling at 15 and got on methadone at 21 I'm 22 now and have 163 days clean it's not a lot but I'm getting there haha. And Allison thank you so much for working in this field I know your patients probably thank you as well it's people like you who saved me as well so thank you so much.
What happens when you get addicted to Methadone, or Buprenorphine? The shelf life is killer and makes the withdrawals next to impossible to overcome. I'm not trying to be rude but people need to know. These drugs are intended for lifetime treatment. If you're not cool with that you need to take it with extreme caution, and no more than a month or what is needed. Take it for a year or more and that's it, it's the most difficult drug I have EVER experienced to get clean from. After a few years it just made me sick and tired, I was only taking it to avoid withdrawals. I'm no doctor but I speak from years of experience with Bupren.
I’m in recovery from opioids, and I’ve had people say to my face that “we should ship addicts to an island to die” or “they are killing themselves, why use Narcan?” ... with these attitudes it seems that we are a long way from stopping the opioid epidemic. It’s ironic to see the same attitudes, from the same groups of people, reflected in the COVID pandemic. It pretty much comes down to “if it doesn’t directly affect me, I don’t give a fuck”. USA, greatest country in the world 🙄
Yup, the attitude is classic far-right - and there's A LOT of far-right people in the US. They don't care about others - and it's not even all who get wiser when it hit them as well... If you been on opioids for long, then I hope at least you can afford the necessary help buddy - there's so many layers to getting off opioids, and even if it's only been a relatively short while, it can be helpful to have professional assistance from people who understands how pain is a biopsychosocial output, and the necessity of not only addressing the opioid use... Best wishes from Scandinavia...
I notice there is this trend now to not want to use opioids for long term non cancer pain. I have chronic non cancer pain. I've given almost every drug out there the college try. Opioids were the last option for me. Since getting on them 13 years ago my life has improved greatly. It should always be on a per patient basis.
I just wanted to say that there is no question to anyone that has ever been an addict that Suboxone is a billion times better than methadone. Most methadone plans force you to show up each morning to receive a daily dose, and keep you on methadone for years. Not to mention methadone withdrawals can be way, way worse than even heroin withdrawals and last exponentially longer. Suboxone however can be used for as short as two weeks. Suboxone saved my life. I was a heroin addict for years (since high school), and could not afford treatment. This forced me to find and buy Suboxone illicitly. However once I got it I was able to take it for one month, cutting down my dose as the month went on. I felt zero withdrawal symptoms and have never looked back. This miracle drug needs to be more available to addicts. Without it I would still be slowly dying with no way out. EDIT - I'm 26 and got clean about 3-4 years ago.
You probably didn't take enough. When you first start it can be kind of a lot. I was using 2 grams a day (tar bought across the border, the best stuff possible) and during my first week of detox I was taking six 8mg subs to feel decent enough to keep going.
Hey, thanks for sharing this. Glad you're better. More people do indeed need this kind of help. More supportive voices means more assistance. Thank you for speaking out.
You have a right to your opinion, but you're in the miniscule minority. Yes, there are doctors out there who prescribe Suboxone just like methadone - and they're idiots. That's not Suboxone's fault. It's a miracle drug when only used for a month and tapered down starting in the first week. Since I did this all illicitly I had to figure it out myself (and it's been a long time so some of this might be off), but with a half-life of 36 hours you can cut the dose by 1/2 every other day and keep the exact same amount of the drug in your system but take less and less every time. That way you never actually get addicted to Suboxone and don't ever feel a bit of withdrawal. Yes, it might not be for every single person out there - but it definitely is a billion times better. When 99.8% of addicts who've tried both agree, that's no longer debatable.
This statement just can NOT be backed up by the evidence. The CDC, World Health Organization, Institute of Medicine, U.S. Dept. of Health & Human Services... all state methadone maintenance is the "most effective" and/or "Gold standard" treatment. Buprenorphine is an amazing option (my treatment center offers both), but it's just not as effective for as many people as methadone. That's just a statistical fact. We need to support ALL medications that offer help and hope, recognizing that one medication might be better for one person, but that doesn't mean that will be the case for the next. Each person has to be treated as an individual to determine which medication (combined with psychosocial services) is most effective.
Upstate and Western NY need a discussion of suboxone, specifically, and its abuse and black market sale. Recently, the Buffalo News reported that overdose deaths cancelled out population gains in the area. Things are bad. I apologize if you already have a vieo about suboxone, I just haven't found it yet.
I find that being opioid dependant (complex regional pain syndrome, a chronic pain syndrome) is way worse than addiction. God forbid I start going through withdrawal as I end up in such bad pain I scream, vomit and sometimes pass out from my blood pressure going too high.
When I worked as a pharm tech we were told that Suboxone was essentially non-psychoactive, and that overdosing would lead to withdrawal like effects. We handed that stuff out like candy. Since, I have heard from many addicts and others with first hand experience that that is not the case- Plus apperantly there is potential for abuse, people may snort it or even melt down and inject it. There is a street value for it in my city.
I'm surprised Physical therapy wasn't mentioned. PT is a good way of helping patients get in to movement patterns that will reduce pain. PT will also help patients learn to function with a small amount of pain.
Ryan Dooley Generally in medicine, when we've reached the point of medicting pain, it's because we've exhausted things like PT and chiropractors. So we're past that point. We're talking about patients who can't get any relief and the last line was to give them pills.
I tried so hard to get into an ibogaine study when I was trying to quit. Every single addict I talked to that was lucky enough to go in talked about it like it was a gift from god. Definitely not a drug a sane person does recreationally, but for opiate addiction treatment it's very promising. Unfortunately we'll never see it in the US, too many politicians stuck in the dark ages.
Ibogaine may have some beneficial effects on opioid addiction not because it's a psychedelic but because it's also an mu opioid agonist and it's metabolite noribogaine is a more potent kappa and mu opioid agonist than ibogaine itself. So my thought is that through the repeated treatments they give it's essentially doing a rapid taper to get off opioids but that really does little for the root causes of addiction. I watched a documentary on it and within a year half the people who did the treatment had relapsed and a few had died. If it works for some people that's amazing but really methadone truly is the gold standard for treating opioid addiction and needs to be de-stigmatized like any other medication
Studies in Massachusetts into Psilocybin has had some amazing results for treating depression and say that some patients have had up to 6 months relief from symptoms making it one of the most potent anti-depressant drugs known. There has been an increase in the use of anti-depressant drugs for the suppression of pain with around 1 in 4 people getting substantial pain loss(unfortunately didn't work in my case) but after being on pain medication for some years now, I think it would be great to feel good or even ok again for a while.
The naloxone in subuxone is practicly inert, even in IV use. The amount of naloxone is far too small to counteract the very strong receptor agonism by buprenorphine. Some countries (like the nordic countries) where subutex and subuxone are commonly used are experiencing a huge problem with buprenorphine abuse. Although it isn't as potent or ''euphoric'' as full mu agonists it can still provide a strong high. That part of the video stood out so I felt that I had to point this out.
I'd really appreciate it if you could follow up this series with an episode on chronic pain. I experience chronic pain, and while I don't take opioids, many of my friends rely on them for relief from unbearable, constant pain. I struggle to reconcile their situations with this problem.
Me too... I love in California and I cannot wait u til I can buy weed for pain legally... I have CFS, RLS and chronic back pain and I'm tired of taking pills .
Opioids should almost never be used for chronic pain. And sadly there's some doctors who prescribe it for chronic pain who basically don't understand what pain actually is.... The thing about pain is, it's biopsychosocial - it's basically the output from your "computer". The "pain is all in your head", is kind of true, but not in the way people think when they hear such a statement. It's NOT like, something we "believe", or "imagine" - pain is definitely real. But it's a "signal" that is processed through the brain, (which of course is in the head - and thus makes the statement true). As chronic pain involves the nervous system, opioids is simply a very poor option - especially compared to other drugs that works on the nervous system. Such as various forms of epilepsy medicine and "nerve medicine" which is often used as psychopharmica - but because many doctors are terrible at communicating with chronic pain patients it often ends up with patients believing that the doctor think they are "crazy" - and some patients will refuse to take the medicine if they hear that it's also used to treat anxiety, depression, etc. "I'm not depressed, I'm in pain - so give me pain killers and not nerve medicine" I've seen this so often, and all to often the misunderstanding starts with doctors being to busy to explain the patient WHAT pain even is....
Hey I Haven't Seen The Video Yet, But I Will Watch It Fully. I Just Want To Warn Anyone About ( Ibuprofen ) I Took It Everyday To Relief My Tooth Aches & Not Knowing The Side Effects If I Didnt Take It Again. I Stopped Taking It Then Immediately Started Feeling Nautious & Started To Feel Like I Needed To Vomit. I Cant Keep Food Down, I Cant Stand Up, I Cant Sit Up. My Only Way Of Feeling Normal Is By Laying On My Back & From Time To Time I Use A Heater To Calm My Stomach Down By Keeping It Warm. If Anyone Knows How To Treat This Please Tell Me, This Really Sucks.
I'm sorry this happened. I hope you've been helped by now. So many people have been pushed from opioids to Ibuprofen that serious Gastro-Intestinal issues are everywhere. Most people, about 90%, never get addicted to opioids.
Anything other than total condemnation of 12-step programs indicates you need to do more research on that front. The 12 steps are worse than useless; they are actively harmful.
What's wrong with the 12 steps? I've always been taught, I feel like from society in general (family, court, community), that the 12 steps were the way to go. Just curious what the negative aspects are?
+Chelsea Gamblin I think you'll find better research on your own. It basically boils down to the the fact that they have a single-digit percentage success rate and that they treat addiction as a moral and spiritual problem.
+Jordan Cunningham yeah, I actually just read up on it a little bit. Strange it was the first I'd heard of anything like that. Personally, AA has not worked well with my personality type but I find it difficult to find an alternative solution.
Everyone thinking that opiates should never be prescribed are just insane. Stage 3 cancer that was killing me 2 years ago is a very valid reason for morphine. I had invasive surgery because my tumor was too big to be pulled out through a laparoscope. My incision is about a foot long. I have no regrets using OxyContin and Morphine for 3 months. I really needed them. Also what about life threatening illnesses and traumatic injuries?
Minor complaint: at 1:31 you say "this cut the number of prescriptions by more than six and a half million pills." Six and a half million pills is a number of pills, not a number of prescriptions. I don't know how many pills come with an average prescription, so I don't actually have a clear idea of the scale of the reduction.
Great video! The captions are auto generated and need some tweaking. For instance, at 02:22 the captioning says this: "now trek zone is an antagonist". Can this be fixed? Thanks.
Addiction drug abuse is the action someone takes to deal with pain from abuse neglect trauma ...people shouldn't be judged or punished for it. Help don't hang an addict. We suffer in ways the ones who don't wont understand unless they really care to.
The nalaxone in suboxone if taken orally has no real effect since it has very low bioavailability the only time it ever has any effect is if its injected suboxone is its self a partial agonist-antiagonist so it will cause withsrawl itself if opioids are still present in the brain.
Getting real help is next to impossible, unless you have the means, by which I mean money. If you are someone who has spent all their money on drugs as a drug addict might, you will find it very difficult to secure treatment.
7kanders In terms of current therapies, 12 step programs are the best thing out there to help with maintaining long term recovery. Nothing else widely available is currently as effective. The problem a lot of ppl have with AA though, is that they go to a bunch of meetings, never actually do the 12 steps, and then cry the program didn't work for them. But I have seen many patients who were hardcore addicts say that 12 step programs are the only thing that kept them sober.
Tolerance is a decreased effect of a drug/medicine due to repeated exposure; vs Dependence, whereby one experiences effects of withdrawal upon cessation of the drug. clearing up the definitions here
Diazepam under supervision of a dokter ONLY for the days the withdrawal last helped allot!!! Yet i relapsed again for the 7th time.. going to detox clinic today verry scared
Is it possible for an opiate addicts to get over his addiction without going to rehab and not showing any signs of withdrawal? I’m asking because I recently found out my boyfriend was using for a few years and lying to me about it he told me he was able to stop without rehab I haven’t seen any signs of withdrawal it’s been a few months is that normal or is he using and hiding it well.
Prolonged opioid abuse causes changes in the brain to build tolerance. Once the brain stops receiving the opioids, can the brain eventually repair itself to being the neurotransmitter levels back to what they were naturally before abuse? Or is the brain chemistry changed long term and the person will always feel the psychological effect of depression? Can the brain eventually rewire its chemistry and how long is the process? (Sorry, I have been looking for a video the covers this, that's how I came across yours. :) )
This my question is this happen because Dr. give it to people need it you know the medication I have to be control for people needing or don’t need it you know because I’m be to buy a medication I know
Martin Hunt That's a good idea actually and some parts of the world have small programs where they give medical grade heroin to chronic users. The amount they are given is monitored as well as their use. That cuts down on medical costs from ODing and it cuts down on the criminal aspect. But these programs are small and few, and haven't caught on yet.
Dopamine antagonists (not sure about their efficacy) and NMDA receptor antagonists (side effect profile is more undesirable for most people). Cannabinoids are obviously a great candidate as well.
Depends on the chronic problem. A lot of what they prescribe for can be treated with physical therapy, and the PT can tell if you really actually need surgery (depending on the problem.) Things like certain types of back pain can gain huge benefits from yoga which improves core strength and stabilizes the spine. And there are actually a growing number of PTs learning to use yoga in their practice to help patients. Basically, see if there are physical ways to help, gain strength in the area, and rehab the issue before just letting the doc give a narcotic. The narcotics are only treating the symptom anyway, not actually fixing the cause of the pain. TL, DR: look into physical therapy with a good PT (as well as your doc) for things like joint/back/movement related pain. They can evaluate what's going on and send you in the right direction - whether that's strengthening or surgery or whatever.
leonakita no he means antagonists. It's well known that ketamine, PCP, DXM, and others have analgesic properties but as he said they come with a much more unpleasant side effect profile. Well unless you like to trip on dissociatives lol.
Besides, cannabis is generally ineffective for anything related to opioids. While cannabis isn't a gateway drug by any means, it's also not really a reverse gateway drug. The two drugs can't compare.
It doesn't work, it actually seemed to make it worse. That's just my experience. It might help you sleep though, it doesn't help withdrawals. Kratom doesn't work either, it's also disgusting.
It really depends. Honestly, despite the "its just a plant" or its "just medicine" culture behind it, weed is a narcotic as well. It causes changes in the brain, builds tolerance, and has been shown to produce withdrawal symptoms (less severe than opiods for sure, though). There are many reasons why someone might use drugs, but the reality is that substituting one numbing agent for another prevents the person from growing and having an experience that helps them overcome why they started using drugs in the first place. It doesnt safeguard them from relapse into opiods, and may require that they be depending on smoking weed all the time as well. Best case scenario it is replacing one addiction for another (albeit a less severe one). Worst case scenario it is just creating another addiction in addition to the opiod problem. Neither are ideal. SOurce: multiple studies, recovering heroin/weed addict.
PAIN. The Only reason that my Doctor Rx Hydrocodon-Acetaminoph for me. I have been taking this medicine for over 20 years with no constipation and no escalation in dose. I take it as prescribed, I use a bottle cap timmer so as not to take it too often. If I didn't have Back and Joint pain, I wouldn't be taking it.
"Opioid receptor agonist." In a word, "opioid." (If you want to quibble, bear in mind methadone was developed not to treat addicts, but, like morphine, oxycodone, tramadol, etc., to treat pain sufferers. I'm not going to bring up who developed it, or its original name.)
QB4U 2 minutes ago Opiates do not stop pain messages. Only NSAID medications actually do that or numbing agents like cocaine or lidocaine. The endorphin system, in it's pain relieving mode, simply covers up bad feelings with good ones and this can be felt in the typical "runner's high." The endorphin system is also important in learning and rewarding organisms for behavior that is good for reproduction (sex) which reinforces that behavior. Because opiates hijack the reward system, addictions can be basically thought of as very strongly learned and reinforced behaviors or habits. I've volunteered working with addicts and I can say that the withdrawals are much worse than a "flew" as many doctors describe it, and I am sure it can kill people who are frail or have extreme tolerances and sensitivities. Some people when they withdraw from opiates go into a horrible psychosis that resembles a nightmarish and painful psychedelic trip (as reported by people i have volunteered helping as i have never done drug). Also it is a myth that all addicts are better off quitting. Only 5 percent of opiate addicts are able to stop, this is because once a person has been addicted to opiates their brain is changed forever and the large majority of them cannot feel normal or any kind of pleasure without these drugs even after quitting for years and will have horrible problems with depression and anxiety. A small minority can quit but for most addicts it is unrealistic to expect them to quit and they should be allowed access to opiates or at least drugs like bupresnorphine which only relieve withdrawals but do not get the user high if they have even a slight tolerance. Also many addicts are afraid of buprenorphine programs currently because their names are put on a list and some employers can find these records as well as police so they can never own firearms or be even denied a drivers license. Drug addicts are not second class citizens and the strict control over buprenorphine just means that criminal black market networks are now administering drugs that are strictly medicinal and do not give very much of a recreational high even to users who are opiate naive. And anyway opiate naive users always go for heroin or oxy and it's extremely rare for buprenorphine to be taken recreationally. This is why we need to allow drug addicts to buy buprenorphine anonymously from pharmacies/apothecaries. Even if it's behind the counter like birth control that would be better than now where criminal gangs are profiting from the medical treatment of addicts that are wise about having their name on some goddamn spook list.
+Daniel Bentley (ShadowDrakken) Looked to me like he was just including it with quite a few others. That program has worked for people, and will probably work for others. It would be irresponsible to ignore that just because it is connected to faith.
+Daniel Bentley (ShadowDrakken) Religious intitutions are often the most engaged in support for victims of drug addiction, specially in less fortunate places where the government is not as present/concerned with such issues. Religious institutions have presence and impact in social, political (and sometimes even economic) matters, this is simply the reality of things. This has nothing to do with religion itself.
+Daniel Bentley (ShadowDrakken) It doesn't necessarily matter whoever runs it. Are people forced to pray or get converted during the procedure? Are their original beliefs disregarded or disrespected in any way? I'm no from the US, so you'll have to answer that one for me before coming to conclusions. Whatever the case, don't mistake religious intitutions for being nothing more than a box where people kneel and pray inside. They run all sorts of enterprises like schools, hospitals, etc, and that's absolutely fine as long as they're not forcing you to read the bible or shoving a cross up your S. Would you refuse treatment from a hospital just because their founders are from a different religion than yours? I hope not, because in that case the religious fanatic would be you, sir. There's a much deeper debate regarding the legitimacy of the government forcing people to do treatment, but that has nothing to do with 'where' the treatment is done or 'who' does it.
Faith in something bigger than yourself can really help people in their time of need 12 step works for some and not at all for others so if the thought of a big bearded dude in the sky telling you YOU CAN DO IT! helps you then by all means let it
You didn't mention insomnia!! When you trying to quitt cold turkey , the major pain and suffering let's up in about 2 weeks time ! However one can say good by to sleep for about 6 month ! I once went into the bush whit a tent and some supplies to kick the hobbit . In 4 weeks time I slept maybe 5-6hours ALL TOGETHER ! In the first 2 weeks I didn't sleep a wink ! In the second half I slept an hour here an hour there ! It v was the hardest thing to endure ! I was so exhausted, but it doesn't matter sleep simply won't come ! Finally I came back k to town ,and went to see a doctor. He gave me 30 sleeping pills , I began taking them one by one by the afternoon I popped every one of them ! After that I don't remember much but I know I finally past out near the e evening ! I slept for 15 hours ! When I woke up I felt like a brand new person it was an amazing feeling , but the next night I couldn't sleep again! It took about 5 month for normal sleep to return
I was given subutex after I lost my job due to injecting dilaudid for 3 years straight. So then I find out that you can inject subutex, so I started doing that. Did it for 3 years then 4 months ago was switched to suboxone because of a change in residence (this state doesn't have subutex) anyways I took my last suboxone piece by mouth just as I took every other piece 5 days ago and I want to fuckin die. I'm probably going to lose my job my apartment everything all over again because of these withdrawals
Are terminally ill cancer patients drug addicts because they require OxyContin or morphine to relieve their pain? Cancer surgery was the worst pain of my life.
rochelle123ist There's a difference between drug use and drug abuse. Ppl using medication as prescribed are using meds exactly as intended and that's great. The problem becomes when ppl start abusing the meds. So cancer patients and post op patients are not drug addicts.
Methadone treatment doesn't treat drug addiction. It has the same or worse withdrawal symptoms, overdose risks, side effects and health impacts. The only "plus" is that it doesn't deliver the high of other opiates. Methodone users are told that they will be on the drug for years or even life as opiate addiction is for life *or so they are told). Methoadone is a drug replacement strategy to move the addict to a more socially acceptable addiction, not as therapy to treat drug addiction itself. I am surprised that the medical profession still supports long term methadone treatment but I suppose it is cheap to make and keeps the centres that run those programs in business.
Surma Sampo Methadone is a form of harm reduction. The person is still on an opioid, but at least now they aren't living the addiction lifestyle.....meaning they aren't doing crime, they aren't supporting the illegal drug trade, and they're not draining medical resources like when they OD on street drugs. Obviously we want a better solution than methadone, but the reasons I listed are why we still use it.
Sorry sir, you don't know what you're talking about : " an addict spend his day either high or in pain". Bullshit, when you're hooked on heroin, after a while you must use just to be "normal", getting high is something of the past, so most of the time you're neither high or in pain, you're just not withdrawing. I have (unfortunately) 30 years of in and out of heroín use, never injected, i've never been a thief and never stop working, and i am now helping others with these kind of false ideas spread by people who just read about it, mostly doctors of some kind, but don't know the reality of the matter.
i think you my friend are in denial, by pretending it does not affectyour life your fooling yourself, get clean then read your comment and then you will realize that you are not thinking clearly and actually misinforming other addict that are ready to get clean
I mean you are correct about the fact that after a certain point it’s no longer about “getting high” but you use just to get up out of bed and feel quote “normal”. I’ve been this way for some time now with pain meds. I completely do understand that. But either way, it’s still not okay.
I had to move to the UK where treatment and methadone is free after 17 years fighting this shit. Had numerous catastrophic relapses when I'd be laid off or something and couldn't make a clinic payment of 95usd weekly. Can't pay, they just admin detox you out which is basically a death sentence when you're on 100mg daily for 5 plus years, and all you've accomplished is washed away.
Its actually sad and pathetic that addicts spend so much money and effort to collect money to support the depence and habit. And dam tragic as well. too bad addicts cant just stop. I can say all this bc I've been there too. fukin sucks trying to make ends meet and scrape up money to support it.
Was on subs for 3 years I'm 23 now I quit I'm pretty sick but personally I think just quit being on subs and shit isn't the answer it gives you time to relax but you can't move on with life while on it I wish I would have just stopped but I figured I don't wanna stop so I might as week get a little high on subs and do it safely than be sick all the time and get really high and possibly die withdrawl sucks suboxone isn't as bad as dope it lasts twice as long but is half as intense fair trade I think we'll until the second week that is
You and every doctor (near 20 now) miss one important point. What about the pain. If the medical community cannot determine the source of my pain, but also know that my use has been minimal and effective, why cannot I have my life back knowing certain risks exist? I understand that while I am nearing 80, but still active, hiking, creating my art, I can do none of the above without either opioid use or a solution to my pain. Doctors are letting me down two ways: 1) they have no idea what my pain is from and 2) they do not want to allow me the only thing that has worked. A user for seven years, now dropped summarily by one idiot doctor, I am suffering daily trying to get another doctor group to catch up with me. Let me finish, aaaarrrrrrrggggggg!
Mate the stuff you are going with is out dated. Methadone is a bad, bad alternative to Opioid treatment. Bup. Is easier to get off but, if you got injured and needed pain relief. Your out of luck! We need new alternatives where there is a win win situation for all involved. I.e. changing laws to allow maintenance therapy to include reduction therapy of the original Opioid drug of addiction/dependence
Its going to take generations to treat the "stigma" of addiction itself before people begin to heal. We need to look to Europe & the UK for 'harm reduction' not as an issue that backs up law enforcement. Portugal it is all legal. The UK will give you heroin. None of these countries would rather imprison there entire population.
SIMPLE TRUTH - FOR MOST. CHEAP AND EFFECTIVE. GET A DR. WHO WILL RX PURE BUPRENORPHINE. TAPER TO ZERO AS AN OUTPATIENT. WORKS. EASES THE HELL TO TOLERABLE.
I'm surprised you mentioned the 12 steps. As far as I know it is the basis for the Alcoholics anonymous interventions. I wonder how evidence-based this program is. I also wonder how it integrates in a non-monotheistic environment, given that 6 (+-) out of 12 steps mention God. It seems to me that the scientific evidence is poor, however I'm not an expert and I don't have any first-hand experience with the program.
Elsilan HS The 12 step programs do not require any religious beliefs. If you'd read even a little about it, the program says to choose a God of your own understanding. What that means is that you can have a spirtual view of things, you can believe in Greek gods, you could even pray to the moon and the program would still work. Religion is not a part of the 12 step program. Also, they teach in med schools today that an addicts best chance of long term recovery is a 12 step program.
Offering a thanks to the talkbackers for doing the fact-checking that I was too lazy or absent-minded to do. Re: 12 step programs being pseudoscience. The video author ought to be ashamed.
IBOGAINE!!! KETAMINE!! WTF is funding this?? Perdue??? LOL! CRYING. It isTHE MOST EFFECTIVE DETOX TOOL WITHOUT A RUNNER UP.. Long term recovery... better fall in love with something (not one) and give it your ALL.
Man so much to disagree with this video: 1) 12 steps programs are very close to religion than to science 2) Addiction also has a much deeper sociological problem rather than merely a physiological one as you suggested. That view is no longer accepted these days. Just read "Chasing the scream" 3) Opioids while being prescribed more than they should are not a problem for the chronic pain patient. Only like 12% of the overdoses are for chronic pain management.
Carutsu 12 step programs are actually not about religion. You seem to have gotten yourself confused. The program says to choose a God of your own understanding, which means the higher power you believe in can be anything. It can be mother nature, Greek gods, or you could even pray to the moon. Since everyone in the program has their own varying idea of a higher power, the program does not integrate any religious teachings into it. In short, no religious beliefs are used in AA and they use the word God as a blanket word to cover each person's individual concept of a higher power. Also, in medicine, we know that an addicts best chance of long term recovery is a 12 step program. They teach us in med school that the best help we can give an addict is to encourage them to join any 12 step recovery group of their choosing. Science has yet to find anything that works better in the long term.
Aliyah Ali I don't know where you went to med school but according to the California society of addiction medicine abstinence based recovery ie 12 step is successful 5% of the time with methadone and other forms of MAT hovering around 60-90% successful in stopping illicit opioid use. And according to the WHO and AMA methadone treatment is the gold standard for treating opioid addiction. Methadone and other forms of MAT are the safest most effective ways to combat opioid addiction. However I can't speak about alcoholism and AA may be a valid option for alcoholics. But it's not a good option for opioid addiction. NA has helped people so it's still valid but it really shouldn't be first line treatment and it disgusts me how they'll tell people on MAT they're not really clean. It's pseudoscience that still views addiction as a moral failing. However like I said if it helps people overcome addiction I support it but it is certainly not the best treatment.
Tyler Saunders I'm studying American medicine. So what I have learned is exactly relevant. First off, u clearly don't know anything about AA/NA programs. Cuz they believe addiction is NOT a moral failing. The program is actually congnitive behavioural therapy. Which means the addicts/alcoholics do a bunch of things, and a change in their thinking follows after. CBT is the most effective form of treatment for addicts and alcoholics once they are off the drugs, or stabilized on something like methadone or Suboxone. Also, those programs DO consider ppl as clean if they are on medically managed methadone. They consider medically managed medication use as good/responsible. They only see a problem with abuse of drugs/meds, but have no problem considering you clean and sober if u take something according to doctors orders. Now that you've learned something there, what those 12 step programs are best for is LONG term management of addiction/alcoholism. LONG term support to keep ppl clean and sober long after they've tapered off the methadone. It's actually not possible for u to quote a 5% success rate of AA cuz there are NO accurate studies that have been done due to the anonymity of the program. It makes large scale reliable studies impossible to do. That study u quoted can't actually get any real data from a large enough sample of ppl. So take your 5% and shove it. From what I've seen after spending 2 years in a family medicine clinic, is that addicts/alcoholics stay sober longer with support groups, rather than on their own. And that's what they expect us to know for the United States Medical Licensing Exam. If u don't like it or agree with it, not my problem.
You don't know anything truly about these drugs, please don't so confidently talk about them, methadone is a drugs which you will never leave hard drugs, and you hooked forever, you soul is gone forever
Dr. Carroll, Thanks for devoting a whole month to opioids which is a subject near and dear to my heart. I am a recovering addict and on May 14th I celebrated 3 years clean and sober. Recovery is definitely possible, it just takes a lot of hard work and willingness to do whatever it takes to stay clean.
That's awesome seriously because it's a lot worth it to be clean and sober. 3 years that is awesome. I wish their was more help for people.
Kevin Barbo that's awesome bro..can I ask you what helped you quit or what happened to make you start the process to quit?I wanna quit but life just seem lame or dull without them if you know what I mean.
Hey Joel, I ended up going to a 28 day rehab which helped start my recovery. After that I got involved in 12-Step meetings and the 12-Step recovery process, working through a lot of issues aside from the drugs. The biggest part for me has been having someone to help hold me accountable and to be completely willing to do whatever it takes to not pick back up. I definitely know what you mean when you say that life seems lame and dull without them. That's one of the biggest reasons I used them for so long and kept going back. I will say that as time goes on and your body gets adjusted to not having opiates in your system it does get easier. It just takes time, action, and perseverance.
@@kevtheis congratulations my friend. good on you. i have never been a believer of the 12 steps or NA because i have heard very low results, but to hear that your up and stable is amazing and makes me want to take a second look at the 12 steps, my only reason for my opinion of the 12 steps is based on AA and my father, he did not do well at all and they shunned him because of that, they supported him until his nose blead lets say. but i do know that it was 30 years ago from today and things have changed. plus i'm on methadone and most 12 step groups do not approve of methadone/suboxone as a method of rehabilitation. to hear what you went through and how you are doing it is amazing, i didn't have it in me to go cold turkey, you must and should be proud of yourself. it must have been a very tough experience.
@@cotto1hunded 🏣🏣🏣☜☆☞:-B^_عمد
I've been on Methadone for a little over a year and taking it was the smartest decision ever made. I was addicted to pills for 20 years and my life was miserable and the only thing I looked forward to was dying. Methadone treatment has given me my life back and am has allowed me to repair the broken relationships I had with family and friends. I just wish more people could understand how helpful Methadone is.
4:30 Let's always remember and NEVER forget, the entire Reasons and Causes of Opioid Addictions are a epidemic in the US is Greed, Profit and criminal conduct of the Medical and pharmaceutical systems. When this video talks about Insurance companies not understanding treating patients addictions or covering their costs, instead of sending an addict to prison, 0:50 remember it's the crimes the Insurance companies, Pharmaceutical companies, and Medical providers they are the real criminals who intentionally sought profit by making their patients addicted in the first place. So do NOT trust of believe this system that killed Thousands of Americans is going to rescue or bring about a humane treatment options to reverse those addictions, they always put profits ahead of humanity, this is a Capitalist Economy, money and profits always comes first, and patients outcomes are Dead LAST !
I am currently addicted to oxy 30 and it's the hardest habbit I ever endured and can't do by myself and I'm screaming for help to get clean. I'm all ears
Restless legs and yawning per seconds and diarrhea are the most annoying withdrawal I have faced. And to overcome the craving, I needed sheer will power and my beloved ones. They were always by my side to talk. Don't stay alone while facing withdrawal.
Hey dad. Thanks for always sticking by me. 13 years off the needle. Yeah suboxone isn't the best thing. But the other possibility is pretty awful and not many survive it anymore
Part of the issue is many people simply don't understand just how agonizing opioid withdrawal can be. I wouldn't wish it upon my worst enemy.
Thank you for providing information that will help people end their dependence on opioids and other drugs. Treating people like people and informing rather than demonizing will actually make a difference. I hope to be able to help as many people as you some day.
Thanks for this video. My mother is going through opioid addiction at the moment and this video is very informative.
Thank you for this series. I've dealt with severe chronic pain for a decade now. In that time I was moved up the narcotic list: Norco, 140 mg MS Contin a day, oxy, and am now on buprenorphine. Morphine was the worst of all because it caused hyperalgesia-which is dependence-so I had to detox with clonidine at home. My current drugs work pretty well and I've learned to not seek to ever be completely pain-free again but instead make it tolerable at different levels.
Healthcare Triage you should do a series on benzodiazepines, similar to the opioid series.
Like if u agree
maybe a video in the series about benzodiazepines and opioids together would even be a good one as well.
In a regional district in Switzerland they treat heroin addicts, with heroin and it's proven to be very effective!
It makes the addict able to function in society, keep a job, take care of their children, take care of themselves, get into therapy etc. - and when the addict feel mentally and physically strong enough to do it, they help them quit and follow up with continued support.
So far it seems to be very effective!
Ya that was a small trail of ppl. And was for users that have failed other programs over and over but yes worked very well. Kept jobs and stayed out of trouble and jail. They need to legalize ibogaine for opiate treatment
@@iamthatguy-cg6jh
Since I made the comment five years ago, I've learned that the approach has been adopted with great succes elsewhere, including in my own country where it's been running for years now.
I met one who work in the project, and yes, it's only users who has been through several serious attempts of getting clean, and there's all sorts of various aspects they look at when they visitate people for this.
While the goal of the program primarily is harm reduction, they've had several who's been able to complete educations and/or get steady jobs - and as a bonus, some of the addicts end up getting clean.
While it's hard to understand, the program isn't popular with all political parties - and it was nearly shut down during the previous government.
(Apparently being far-right in my country also make one immune to concepts such as harm-reduction)
I work for a methadone clinic and I have seen people's lives completely change! It works! Thank you for your presentation.
I'm so sorry to hear that!! Some states protect you, be sure to check with your counselor about it. We have had our doctor write letters to employers explaining that it is prescribed... might that help? It is important to try to educate the public about it and it might be possible for your doctor or counselor to reach out by phone... tapering off successfully can happen too as long as it is done slowly and with a doctor's help IF that is the direction you choose. I hace a patient who did it just last week! Good luck to you and GOOD JOB!!!!! Thanks for sharing.
markatl84 hey man you are protected by law if you live in the US. The Americans with disabilities act recognizes past drug addiction as a disability and makes discrimination based on medical treatment for it illegal. You could sue if that happens to you. I'm on methadone too and it makes my blood boil that these people are getting away with that if more of us start suing things may change. It's very important that our rights our respected too I know as addicts were used to being discriminated against and marginalized but that doesn't make it right and it needs to be stopped. Btw congrats on getting clean I was using regularly since I was 18 but started dabbling at 15 and got on methadone at 21 I'm 22 now and have 163 days clean it's not a lot but I'm getting there haha. And Allison thank you so much for working in this field I know your patients probably thank you as well it's people like you who saved me as well so thank you so much.
What happens when you get addicted to Methadone, or Buprenorphine? The shelf life is killer and makes the withdrawals next to impossible to overcome. I'm not trying to be rude but people need to know. These drugs are intended for lifetime treatment. If you're not cool with that you need to take it with extreme caution, and no more than a month or what is needed. Take it for a year or more and that's it, it's the most difficult drug I have EVER experienced to get clean from. After a few years it just made me sick and tired, I was only taking it to avoid withdrawals. I'm no doctor but I speak from years of experience with Bupren.
@@PsycheDismantled I've been on subutex since 2011... 11 years on 24mgs a day... Yeah, I'm super fucked....
I’m in recovery from opioids, and I’ve had people say to my face that “we should ship addicts to an island to die” or “they are killing themselves, why use Narcan?” ... with these attitudes it seems that we are a long way from stopping the opioid epidemic. It’s ironic to see the same attitudes, from the same groups of people, reflected in the COVID pandemic. It pretty much comes down to “if it doesn’t directly affect me, I don’t give a fuck”. USA, greatest country in the world 🙄
Yup, the attitude is classic far-right - and there's A LOT of far-right people in the US.
They don't care about others - and it's not even all who get wiser when it hit them as well...
If you been on opioids for long, then I hope at least you can afford the necessary help buddy - there's so many layers to getting off opioids, and even if it's only been a relatively short while, it can be helpful to have professional assistance from people who understands how pain is a biopsychosocial output, and the necessity of not only addressing the opioid use...
Best wishes from Scandinavia...
I notice there is this trend now to not want to use opioids for long term non cancer pain. I have chronic non cancer pain. I've given almost every drug out there the college try. Opioids were the last option for me. Since getting on them 13 years ago my life has improved greatly. It should always be on a per patient basis.
I wish you could have gone in depth about post acute withdrawal syndrome.
I do on my channel...♥️❄️
I just wanted to say that there is no question to anyone that has ever been an addict that Suboxone is a billion times better than methadone. Most methadone plans force you to show up each morning to receive a daily dose, and keep you on methadone for years. Not to mention methadone withdrawals can be way, way worse than even heroin withdrawals and last exponentially longer. Suboxone however can be used for as short as two weeks. Suboxone saved my life. I was a heroin addict for years (since high school), and could not afford treatment. This forced me to find and buy Suboxone illicitly. However once I got it I was able to take it for one month, cutting down my dose as the month went on. I felt zero withdrawal symptoms and have never looked back. This miracle drug needs to be more available to addicts. Without it I would still be slowly dying with no way out.
EDIT - I'm 26 and got clean about 3-4 years ago.
You probably didn't take enough. When you first start it can be kind of a lot. I was using 2 grams a day (tar bought across the border, the best stuff possible) and during my first week of detox I was taking six 8mg subs to feel decent enough to keep going.
Congrats!
Hey, thanks for sharing this. Glad you're better. More people do indeed need this kind of help. More supportive voices means more assistance. Thank you for speaking out.
You have a right to your opinion, but you're in the miniscule minority. Yes, there are doctors out there who prescribe Suboxone just like methadone - and they're idiots. That's not Suboxone's fault. It's a miracle drug when only used for a month and tapered down starting in the first week. Since I did this all illicitly I had to figure it out myself (and it's been a long time so some of this might be off), but with a half-life of 36 hours you can cut the dose by 1/2 every other day and keep the exact same amount of the drug in your system but take less and less every time. That way you never actually get addicted to Suboxone and don't ever feel a bit of withdrawal. Yes, it might not be for every single person out there - but it definitely is a billion times better. When 99.8% of addicts who've tried both agree, that's no longer debatable.
This statement just can NOT be backed up by the evidence. The CDC, World Health Organization, Institute of Medicine, U.S. Dept. of Health & Human Services... all state methadone maintenance is the "most effective" and/or "Gold standard" treatment. Buprenorphine is an amazing option (my treatment center offers both), but it's just not as effective for as many people as methadone. That's just a statistical fact. We need to support ALL medications that offer help and hope, recognizing that one medication might be better for one person, but that doesn't mean that will be the case for the next. Each person has to be treated as an individual to determine which medication (combined with psychosocial services) is most effective.
Upstate and Western NY need a discussion of suboxone, specifically, and its abuse and black market sale. Recently, the Buffalo News reported that overdose deaths cancelled out population gains in the area. Things are bad. I apologize if you already have a vieo about suboxone, I just haven't found it yet.
I finally noticed the poppies. Nice touch!
I find that being opioid dependant (complex regional pain syndrome, a chronic pain syndrome) is way worse than addiction. God forbid I start going through withdrawal as I end up in such bad pain I scream, vomit and sometimes pass out from my blood pressure going too high.
This is an amazing series, I'd love for you to expand to do more on other topics.
When I worked as a pharm tech we were told that Suboxone was essentially non-psychoactive, and that overdosing would lead to withdrawal like effects. We handed that stuff out like candy. Since, I have heard from many addicts and others with first hand experience that that is not the case- Plus apperantly there is potential for abuse, people may snort it or even melt down and inject it. There is a street value for it in my city.
Addicts are not getting high on it. You saved their life’s
It does produce a high, but not as strong as Heroin or Fentanyl.
I'm surprised Physical therapy wasn't mentioned. PT is a good way of helping patients get in to movement patterns that will reduce pain. PT will also help patients learn to function with a small amount of pain.
Ryan Dooley Generally in medicine, when we've reached the point of medicting pain, it's because we've exhausted things like PT and chiropractors. So we're past that point. We're talking about patients who can't get any relief and the last line was to give them pills.
would be interested on your take on using ibogaine or other psychedelics to help with addiction
yeah i dont really know that much about ibogaine per se, but i am aware that a lot of psychedelics can help break addictions.
I tried so hard to get into an ibogaine study when I was trying to quit. Every single addict I talked to that was lucky enough to go in talked about it like it was a gift from god. Definitely not a drug a sane person does recreationally, but for opiate addiction treatment it's very promising. Unfortunately we'll never see it in the US, too many politicians stuck in the dark ages.
You can come to Canada though. There are clinics here that administer iboga.
Ibogaine may have some beneficial effects on opioid addiction not because it's a psychedelic but because it's also an mu opioid agonist and it's metabolite noribogaine is a more potent kappa and mu opioid agonist than ibogaine itself. So my thought is that through the repeated treatments they give it's essentially doing a rapid taper to get off opioids but that really does little for the root causes of addiction. I watched a documentary on it and within a year half the people who did the treatment had relapsed and a few had died. If it works for some people that's amazing but really methadone truly is the gold standard for treating opioid addiction and needs to be de-stigmatized like any other medication
Studies in Massachusetts into Psilocybin has had some amazing results for treating depression and say that some patients have had up to 6 months relief from symptoms making it one of the most potent anti-depressant drugs known. There has been an increase in the use of anti-depressant drugs for the suppression of pain with around 1 in 4 people getting substantial pain loss(unfortunately didn't work in my case) but after being on pain medication for some years now, I think it would be great to feel good or even ok again for a while.
i find the lack of mentioning of ibogaine disturbing
The naloxone in subuxone is practicly inert, even in IV use. The amount of naloxone is far too small to counteract the very strong receptor agonism by buprenorphine. Some countries (like the nordic countries) where subutex and subuxone are commonly used are experiencing a huge problem with buprenorphine abuse. Although it isn't as potent or ''euphoric'' as full mu agonists it can still provide a strong high. That part of the video stood out so I felt that I had to point this out.
Suboxone is mainly buprenorphine
So Methadone is better? I hear it doesn't cause a high.
I'd really appreciate it if you could follow up this series with an episode on chronic pain. I experience chronic pain, and while I don't take opioids, many of my friends rely on them for relief from unbearable, constant pain. I struggle to reconcile their situations with this problem.
Me too... I love in California and I cannot wait u til I can buy weed for pain legally... I have CFS, RLS and chronic back pain and I'm tired of taking pills .
Opioids should almost never be used for chronic pain.
And sadly there's some doctors who prescribe it for chronic pain who basically don't understand what pain actually is....
The thing about pain is, it's biopsychosocial - it's basically the output from your "computer".
The "pain is all in your head", is kind of true, but not in the way people think when they hear such a statement.
It's NOT like, something we "believe", or "imagine" - pain is definitely real.
But it's a "signal" that is processed through the brain, (which of course is in the head - and thus makes the statement true).
As chronic pain involves the nervous system, opioids is simply a very poor option - especially compared to other drugs that works on the nervous system.
Such as various forms of epilepsy medicine and "nerve medicine" which is often used as psychopharmica - but because many doctors are terrible at communicating with chronic pain patients it often ends up with patients believing that the doctor think they are "crazy" - and some patients will refuse to take the medicine if they hear that it's also used to treat anxiety, depression, etc.
"I'm not depressed, I'm in pain - so give me pain killers and not nerve medicine"
I've seen this so often, and all to often the misunderstanding starts with doctors being to busy to explain the patient WHAT pain even is....
Hey I Haven't Seen The Video Yet, But I Will Watch It Fully.
I Just Want To Warn Anyone About ( Ibuprofen ) I Took It Everyday To Relief My Tooth Aches & Not Knowing The Side Effects If I Didnt Take It Again.
I Stopped Taking It Then Immediately Started Feeling Nautious & Started To Feel Like I Needed To Vomit.
I Cant Keep Food Down, I Cant Stand Up, I Cant Sit Up.
My Only Way Of Feeling Normal Is By Laying On My Back & From Time To Time I Use A Heater To Calm My Stomach Down By Keeping It Warm.
If Anyone Knows How To Treat This Please Tell Me, This Really Sucks.
I'm sorry this happened. I hope you've been helped by now. So many people have been pushed from opioids to Ibuprofen that serious Gastro-Intestinal issues are everywhere. Most people, about 90%, never get addicted to opioids.
Anything other than total condemnation of 12-step programs indicates you need to do more research on that front. The 12 steps are worse than useless; they are actively harmful.
What's wrong with the 12 steps? I've always been taught, I feel like from society in general (family, court, community), that the 12 steps were the way to go. Just curious what the negative aspects are?
+Chelsea Gamblin Pseudoscience.
+Chelsea Gamblin I think you'll find better research on your own. It basically boils down to the the fact that they have a single-digit percentage success rate and that they treat addiction as a moral and spiritual problem.
+Jordan Cunningham yeah, I actually just read up on it a little bit. Strange it was the first I'd heard of anything like that. Personally, AA has not worked well with my personality type but I find it difficult to find an alternative solution.
Everyone thinking that opiates should never be prescribed are just insane. Stage 3 cancer that was killing me 2 years ago is a very valid reason for morphine. I had invasive surgery because my tumor was too big to be pulled out through a laparoscope. My incision is about a foot long. I have no regrets using OxyContin and Morphine for 3 months. I really needed them. Also what about life threatening illnesses and traumatic injuries?
I just found this channel, these videos are phenomenal.
Minor complaint: at 1:31 you say "this cut the number of prescriptions by more than six and a half million pills." Six and a half million pills is a number of pills, not a number of prescriptions. I don't know how many pills come with an average prescription, so I don't actually have a clear idea of the scale of the reduction.
usually 30 so maybe 200,000-ish prescriptions?
Is there going to be a video on hearing loss and tinnitus?
Great video! The captions are auto generated and need some tweaking. For instance, at 02:22 the captioning says this: "now trek zone is an antagonist". Can this be fixed? Thanks.
I'm sad you didn't talk about rat park and the Vietnam war, though I didn't watch the other episodes so maybe you did there...
Addiction drug abuse is the action someone takes to deal with pain from abuse neglect trauma ...people shouldn't be judged or punished for it. Help don't hang an addict. We suffer in ways the ones who don't wont understand unless they really care to.
The nalaxone in suboxone if taken orally has no real effect since it has very low bioavailability the only time it ever has any effect is if its injected suboxone is its self a partial agonist-antiagonist so it will cause withsrawl itself if opioids are still present in the brain.
Getting real help is next to impossible, unless you have the means, by which I mean money. If you are someone who has spent all their money on drugs as a drug addict might, you will find it very difficult to secure treatment.
I think most people see the moral failing in becoming addicted in the first place, not in the addiction itself.
Is there much in the way of research into the effectiveness of AA/NA/12 Step Programs. I've heard anecdotally that they are not overly effective
7kanders In terms of current therapies, 12 step programs are the best thing out there to help with maintaining long term recovery. Nothing else widely available is currently as effective. The problem a lot of ppl have with AA though, is that they go to a bunch of meetings, never actually do the 12 steps, and then cry the program didn't work for them. But I have seen many patients who were hardcore addicts say that 12 step programs are the only thing that kept them sober.
Tolerance is a decreased effect of a drug/medicine due to repeated exposure; vs Dependence, whereby one experiences effects of withdrawal upon cessation of the drug. clearing up the definitions here
Diazepam under supervision of a dokter ONLY for the days the withdrawal last helped allot!!! Yet i relapsed again for the 7th time.. going to detox clinic today verry scared
Can you quite methadone useing painkillers
Is it possible for an opiate addicts to get over his addiction without going to rehab and not showing any signs of withdrawal? I’m asking because I recently found out my boyfriend was using for a few years and lying to me about it he told me he was able to stop without rehab I haven’t seen any signs of withdrawal it’s been a few months is that normal or is he using and hiding it well.
he’s definitely hiding it, get help before it’s too late. that’s what i’m doing
Does ns or dns fluid use for drug addiction
Prolonged opioid abuse causes changes in the brain to build tolerance. Once the brain stops receiving the opioids, can the brain eventually repair itself to being the neurotransmitter levels back to what they were naturally before abuse? Or is the brain chemistry changed long term and the person will always feel the psychological effect of depression?
Can the brain eventually rewire its chemistry and how long is the process?
(Sorry, I have been looking for a video the covers this, that's how I came across yours. :) )
The brain can heal unfortunately it takes a long time for it to recover long term.
But yes it does go back but relapse can always be a threat
This my question is this happen because Dr. give it to people need it you know the medication I have to be control for people needing or don’t need it you know because I’m be to buy a medication I know
What about Kratom? I have heard it relieves addicts, but not seen any data
why can't people see if using Herion give clean Herion that is safe and stops crime ect
Martin Hunt That's a good idea actually and some parts of the world have small programs where they give medical grade heroin to chronic users. The amount they are given is monitored as well as their use. That cuts down on medical costs from ODing and it cuts down on the criminal aspect. But these programs are small and few, and haven't caught on yet.
Canadians also suffer deeply too because their isn't a lot of clinics for them to get better.
What other options are available, other than opioids, for intense pain?
Dopamine antagonists (not sure about their efficacy) and NMDA receptor antagonists (side effect profile is more undesirable for most people). Cannabinoids are obviously a great candidate as well.
Depends on the chronic problem. A lot of what they prescribe for can be treated with physical therapy, and the PT can tell if you really actually need surgery (depending on the problem.) Things like certain types of back pain can gain huge benefits from yoga which improves core strength and stabilizes the spine. And there are actually a growing number of PTs learning to use yoga in their practice to help patients.
Basically, see if there are physical ways to help, gain strength in the area, and rehab the issue before just letting the doc give a narcotic. The narcotics are only treating the symptom anyway, not actually fixing the cause of the pain.
TL, DR: look into physical therapy with a good PT (as well as your doc) for things like joint/back/movement related pain. They can evaluate what's going on and send you in the right direction - whether that's strengthening or surgery or whatever.
ANTagonists?...are you nuts?...i think you mean agonists like L-tyrosine and mucana pruriens.
Ben Barker If the pain is caused by a problem with nerves, gabapentin can be used. I also think more docs should start exploring medical marijuana.
leonakita no he means antagonists. It's well known that ketamine, PCP, DXM, and others have analgesic properties but as he said they come with a much more unpleasant side effect profile. Well unless you like to trip on dissociatives lol.
Smoking weed to overcome opioid addiction? What's your opinion on it?
that wasnt his question guy. You kratom people are irritating.
Besides, cannabis is generally ineffective for anything related to opioids. While cannabis isn't a gateway drug by any means, it's also not really a reverse gateway drug. The two drugs can't compare.
It doesn't work, it actually seemed to make it worse. That's just my experience. It might help you sleep though, it doesn't help withdrawals. Kratom doesn't work either, it's also disgusting.
It really depends. Honestly, despite the "its just a plant" or its "just medicine" culture behind it, weed is a narcotic as well. It causes changes in the brain, builds tolerance, and has been shown to produce withdrawal symptoms (less severe than opiods for sure, though). There are many reasons why someone might use drugs, but the reality is that substituting one numbing agent for another prevents the person from growing and having an experience that helps them overcome why they started using drugs in the first place. It doesnt safeguard them from relapse into opiods, and may require that they be depending on smoking weed all the time as well. Best case scenario it is replacing one addiction for another (albeit a less severe one). Worst case scenario it is just creating another addiction in addition to the opiod problem. Neither are ideal.
SOurce: multiple studies, recovering heroin/weed addict.
PAIN. The Only reason that my Doctor Rx Hydrocodon-Acetaminoph for me. I have been taking this medicine for over 20 years with no constipation and no escalation in dose. I take it as prescribed, I use a bottle cap timmer so as not to take it too often. If I didn't have Back and Joint pain, I wouldn't be taking it.
Ken Karnes you’re not an addict
Was a Hydrocodone pill popper for pain now I'm on Suboxone 8mg
"Opioid receptor agonist."
In a word, "opioid."
(If you want to quibble, bear in mind methadone was developed not to treat addicts, but, like morphine, oxycodone, tramadol, etc., to treat pain sufferers. I'm not going to bring up who developed it, or its original name.)
My question is what about these people need it I mean people really really need it as well
3:03 “Addition” I’m sure you’d like to fix that.
Could you do an episode on PBMs? :)
QB4U
2 minutes ago
Opiates do not stop pain messages. Only NSAID medications actually do that or numbing agents like cocaine or lidocaine. The endorphin system, in it's pain relieving mode, simply covers up bad feelings with good ones and this can be felt in the typical "runner's high." The endorphin system is also important in learning and rewarding organisms for behavior that is good for reproduction (sex) which reinforces that behavior. Because opiates hijack the reward system, addictions can be basically thought of as very strongly learned and reinforced behaviors or habits. I've volunteered working with addicts and I can say that the withdrawals are much worse than a "flew" as many doctors describe it, and I am sure it can kill people who are frail or have extreme tolerances and sensitivities. Some people when they withdraw from opiates go into a horrible psychosis that resembles a nightmarish and painful psychedelic trip (as reported by people i have volunteered helping as i have never done drug). Also it is a myth that all addicts are better off quitting. Only 5 percent of opiate addicts are able to stop, this is because once a person has been addicted to opiates their brain is changed forever and the large majority of them cannot feel normal or any kind of pleasure without these drugs even after quitting for years and will have horrible problems with depression and anxiety.
A small minority can quit but for most addicts it is unrealistic to expect them to quit and they should be allowed access to opiates or at least drugs like bupresnorphine which only relieve withdrawals but do not get the user high if they have even a slight tolerance. Also many addicts are afraid of buprenorphine programs currently because their names are put on a list and some employers can find these records as well as police so they can never own firearms or be even denied a drivers license. Drug addicts are not second class citizens and the strict control over buprenorphine just means that criminal black market networks are now administering drugs that are strictly medicinal and do not give very much of a recreational high even to users who are opiate naive. And anyway opiate naive users always go for heroin or oxy and it's extremely rare for buprenorphine to be taken recreationally. This is why we need to allow drug addicts to buy buprenorphine anonymously from pharmacies/apothecaries. Even if it's behind the counter like birth control that would be better than now where criminal gangs are profiting from the medical treatment of addicts that are wise about having their name on some goddamn spook list.
Can't believe you're pushing religion (which is what 12 step programs are) as a treatment for addiction. F that s.
+Daniel Bentley (ShadowDrakken) Looked to me like he was just including it with quite a few others. That program has worked for people, and will probably work for others. It would be irresponsible to ignore that just because it is connected to faith.
+Daniel Bentley (ShadowDrakken) Religious intitutions are often the most engaged in support for victims of drug addiction, specially in less fortunate places where the government is not as present/concerned with such issues.
Religious institutions have presence and impact in social, political (and sometimes even economic) matters, this is simply the reality of things. This has nothing to do with religion itself.
Except it's the only social program he mentioned, and it's the one the government FORCES people to attend despite their religious choices.
+Daniel Bentley (ShadowDrakken) It doesn't necessarily matter whoever runs it. Are people forced to pray or get converted during the procedure? Are their original beliefs disregarded or disrespected in any way? I'm no from the US, so you'll have to answer that one for me before coming to conclusions.
Whatever the case, don't mistake religious intitutions for being nothing more than a box where people kneel and pray inside. They run all sorts of enterprises like schools, hospitals, etc, and that's absolutely fine as long as they're not forcing you to read the bible or shoving a cross up your S.
Would you refuse treatment from a hospital just because their founders are from a different religion than yours? I hope not, because in that case the religious fanatic would be you, sir.
There's a much deeper debate regarding the legitimacy of the government forcing people to do treatment, but that has nothing to do with 'where' the treatment is done or 'who' does it.
Faith in something bigger than yourself can really help people in their time of need 12 step works for some and not at all for others so if the thought of a big bearded dude in the sky telling you YOU CAN DO IT! helps you then by all means let it
You didn't mention insomnia!! When you trying to quitt cold turkey , the major pain and suffering let's up in about 2 weeks time ! However one can say good by to sleep for about 6 month ! I once went into the bush whit a tent and some supplies to kick the hobbit . In 4 weeks time I slept maybe 5-6hours ALL TOGETHER ! In the first 2 weeks I didn't sleep a wink ! In the second half I slept an hour here an hour there ! It v was the hardest thing to endure ! I was so exhausted, but it doesn't matter sleep simply won't come ! Finally I came back k to town ,and went to see a doctor. He gave me 30 sleeping pills , I began taking them one by one by the afternoon I popped every one of them ! After that I don't remember much but I know I finally past out near the e evening ! I slept for 15 hours ! When I woke up I felt like a brand new person it was an amazing feeling , but the next night I couldn't sleep again! It took about 5 month for normal sleep to return
Good job,may god bless ya all✌️🙏
I was given subutex after I lost my job due to injecting dilaudid for 3 years straight. So then I find out that you can inject subutex, so I started doing that. Did it for 3 years then 4 months ago was switched to suboxone because of a change in residence (this state doesn't have subutex) anyways I took my last suboxone piece by mouth just as I took every other piece 5 days ago and I want to fuckin die. I'm probably going to lose my job my apartment everything all over again because of these withdrawals
Tyler Treffinger how you been holdin up for the last 3 months
Did you get through it dude...? I know this was 5 years ago but I hope your good bro...
No suboxone is 24-36 hours methadone has a halflife of 48-72 hours
Are terminally ill cancer patients drug addicts because they require OxyContin or morphine to relieve their pain? Cancer surgery was the worst pain of my life.
rochelle123ist There's a difference between drug use and drug abuse. Ppl using medication as prescribed are using meds exactly as intended and that's great. The problem becomes when ppl start abusing the meds. So cancer patients and post op patients are not drug addicts.
Methadone treatment doesn't treat drug addiction. It has the same or worse withdrawal symptoms, overdose risks, side effects and health impacts. The only "plus" is that it doesn't deliver the high of other opiates. Methodone users are told that they will be on the drug for years or even life as opiate addiction is for life *or so they are told). Methoadone is a drug replacement strategy to move the addict to a more socially acceptable addiction, not as therapy to treat drug addiction itself.
I am surprised that the medical profession still supports long term methadone treatment but I suppose it is cheap to make and keeps the centres that run those programs in business.
Surma Sampo Methadone is a form of harm reduction. The person is still on an opioid, but at least now they aren't living the addiction lifestyle.....meaning they aren't doing crime, they aren't supporting the illegal drug trade, and they're not draining medical resources like when they OD on street drugs. Obviously we want a better solution than methadone, but the reasons I listed are why we still use it.
Sorry sir, you don't know what you're talking about : " an addict spend his day either high or in pain".
Bullshit, when you're hooked on heroin, after a while you must use just to be "normal", getting high is something of the past, so most of the time you're neither high or in pain, you're just not withdrawing.
I have (unfortunately) 30 years of in and out of heroín use, never injected, i've never been a thief and never stop working, and i am now helping others with these kind of false ideas spread by people who just read about it, mostly doctors of some kind, but don't know the reality of the matter.
100 % correct it's like if they don't go through it they don't know exactly what they're talking about.
i think you my friend are in denial, by pretending it does not affectyour life your fooling yourself, get clean then read your comment and then you will realize that you are not thinking clearly and actually misinforming other addict that are ready to get clean
I mean you are correct about the fact that after a certain point it’s no longer about “getting high” but you use just to get up out of bed and feel quote “normal”. I’ve been this way for some time now with pain meds. I completely do understand that. But either way, it’s still not okay.
kratom got me off of opiates
I had to move to the UK where treatment and methadone is free after 17 years fighting this shit. Had numerous catastrophic relapses when I'd be laid off or something and couldn't make a clinic payment of 95usd weekly. Can't pay, they just admin detox you out which is basically a death sentence when you're on 100mg daily for 5 plus years, and all you've accomplished is washed away.
U.S. healthcare is a joke.
3:06 It says 'addition' instead of 'addiction'
Its actually sad and pathetic that addicts spend so much money and effort to collect money to support the depence and habit. And dam tragic as well. too bad addicts cant just stop. I can say all this bc I've been there too. fukin sucks trying to make ends meet and scrape up money to support it.
Was on subs for 3 years I'm 23 now I quit I'm pretty sick but personally I think just quit being on subs and shit isn't the answer it gives you time to relax but you can't move on with life while on it I wish I would have just stopped but I figured I don't wanna stop so I might as week get a little high on subs and do it safely than be sick all the time and get really high and possibly die withdrawl sucks suboxone isn't as bad as dope it lasts twice as long but is half as intense fair trade I think we'll until the second week that is
You and every doctor (near 20 now) miss one important point. What about the pain. If the medical community cannot determine the source of my pain, but also know that my use has been minimal and effective, why cannot I have my life back knowing certain risks exist? I understand that while I am nearing 80, but still active, hiking, creating my art, I can do none of the above without either opioid use or a solution to my pain. Doctors are letting me down two ways: 1) they have no idea what my pain is from and 2) they do not want to allow me the only thing that has worked. A user for seven years, now dropped summarily by one idiot doctor, I am suffering daily trying to get another doctor group to catch up with me. Let me finish, aaaarrrrrrrggggggg!
Pretend to be an addict so you can get Suboxone or Methadone. They are both good painkillers.
Kratom
Mate the stuff you are going with is out dated. Methadone is a bad, bad alternative to Opioid treatment. Bup. Is easier to get off but, if you got injured and needed pain relief. Your out of luck!
We need new alternatives where there is a win win situation for all involved. I.e. changing laws to allow maintenance therapy to include reduction therapy of the original Opioid drug of addiction/dependence
Its going to take generations to treat the "stigma" of addiction itself before people begin to heal. We need to look to Europe & the UK for 'harm reduction' not as an issue that backs up law enforcement. Portugal it is all legal. The UK will give you heroin. None of these countries would rather imprison there entire population.
Watching this while high
3 words. Preparation IBOGA & integration
You should make animated videos :)
SIMPLE TRUTH - FOR MOST. CHEAP AND EFFECTIVE. GET A DR. WHO WILL RX PURE BUPRENORPHINE. TAPER TO ZERO AS AN OUTPATIENT. WORKS. EASES THE HELL TO TOLERABLE.
I'm surprised you mentioned the 12 steps. As far as I know it is the basis for the Alcoholics anonymous interventions. I wonder how evidence-based this program is. I also wonder how it integrates in a non-monotheistic environment, given that 6 (+-) out of 12 steps mention God. It seems to me that the scientific evidence is poor, however I'm not an expert and I don't have any first-hand experience with the program.
You can apply the 12 step AA to the NA very easily. But in most places their isn't NA or CA. Some people it helps.
Elsilan HS The 12 step programs do not require any religious beliefs. If you'd read even a little about it, the program says to choose a God of your own understanding. What that means is that you can have a spirtual view of things, you can believe in Greek gods, you could even pray to the moon and the program would still work. Religion is not a part of the 12 step program. Also, they teach in med schools today that an addicts best chance of long term recovery is a 12 step program.
Offering a thanks to the talkbackers for doing the fact-checking that I was too lazy or absent-minded to do. Re: 12 step programs being pseudoscience. The video author ought to be ashamed.
12 step programs have worked for many people.
IBOGAINE!!! KETAMINE!! WTF is funding this?? Perdue??? LOL! CRYING. It isTHE MOST EFFECTIVE DETOX TOOL WITHOUT A RUNNER UP.. Long term recovery... better fall in love with something (not one) and give it your ALL.
Man so much to disagree with this video:
1) 12 steps programs are very close to religion than to science
2) Addiction also has a much deeper sociological problem rather than merely a physiological one as you suggested. That view is no longer accepted these days. Just read "Chasing the scream"
3) Opioids while being prescribed more than they should are not a problem for the chronic pain patient. Only like 12% of the overdoses are for chronic pain management.
Carutsu 12 step programs are actually not about religion. You seem to have gotten yourself confused. The program says to choose a God of your own understanding, which means the higher power you believe in can be anything. It can be mother nature, Greek gods, or you could even pray to the moon. Since everyone in the program has their own varying idea of a higher power, the program does not integrate any religious teachings into it. In short, no religious beliefs are used in AA and they use the word God as a blanket word to cover each person's individual concept of a higher power. Also, in medicine, we know that an addicts best chance of long term recovery is a 12 step program. They teach us in med school that the best help we can give an addict is to encourage them to join any 12 step recovery group of their choosing. Science has yet to find anything that works better in the long term.
Aliyah Ali I don't know where you went to med school but according to the California society of addiction medicine abstinence based recovery ie 12 step is successful 5% of the time with methadone and other forms of MAT hovering around 60-90% successful in stopping illicit opioid use. And according to the WHO and AMA methadone treatment is the gold standard for treating opioid addiction. Methadone and other forms of MAT are the safest most effective ways to combat opioid addiction. However I can't speak about alcoholism and AA may be a valid option for alcoholics. But it's not a good option for opioid addiction. NA has helped people so it's still valid but it really shouldn't be first line treatment and it disgusts me how they'll tell people on MAT they're not really clean. It's pseudoscience that still views addiction as a moral failing. However like I said if it helps people overcome addiction I support it but it is certainly not the best treatment.
Tyler Saunders I'm studying American medicine. So what I have learned is exactly relevant. First off, u clearly don't know anything about AA/NA programs. Cuz they believe addiction is NOT a moral failing. The program is actually congnitive behavioural therapy. Which means the addicts/alcoholics do a bunch of things, and a change in their thinking follows after. CBT is the most effective form of treatment for addicts and alcoholics once they are off the drugs, or stabilized on something like methadone or Suboxone. Also, those programs DO consider ppl as clean if they are on medically managed methadone. They consider medically managed medication use as good/responsible. They only see a problem with abuse of drugs/meds, but have no problem considering you clean and sober if u take something according to doctors orders.
Now that you've learned something there, what those 12 step programs are best for is LONG term management of addiction/alcoholism. LONG term support to keep ppl clean and sober long after they've tapered off the methadone. It's actually not possible for u to quote a 5% success rate of AA cuz there are NO accurate studies that have been done due to the anonymity of the program. It makes large scale reliable studies impossible to do. That study u quoted can't actually get any real data from a large enough sample of ppl. So take your 5% and shove it. From what I've seen after spending 2 years in a family medicine clinic, is that addicts/alcoholics stay sober longer with support groups, rather than on their own. And that's what they expect us to know for the United States Medical Licensing Exam. If u don't like it or agree with it, not my problem.
99.99 percent relapsed
You don't know anything truly about these drugs, please don't so confidently talk about them, methadone is a drugs which you will never leave hard drugs, and you hooked forever, you soul is gone forever
I am totally dependent on Coca Cola
+Charles Belton that seems like he would start a new dependency
Charles Belton yup
Kratom will fix the withdrawal not meds methadone suboxen period!
second
Go Vegan!
First :)
Nice shirt. Want to not give me medical advice?
Eristitia You turn down medical advice from doctors based on their clothing options?! 😂😂😂
methadone is crap as people get BIG DEPRESSION on it ! ! !