Dr. Mark Leeds, D.O., is your Family Practice Physician and Osteopathic Medical Specialist in Fort Lauderdale. His distinct philosophy and personal approach to patient care gives you access to concierge medical services, including alcohol addiction treatment, opioid addiction therapy, and much more. Learn more and book your appointment at www.drleeds.com
So I don't understand when you say "absorbed and gone." What do you mean gone? I just end up with a mouthful of medicine tasting spit once it disolves. This leads me to believe it's just mixing with my spit once it's disolved but not being "absorbed" fully?
It’s known that ssri’s turn off the DAO enzyme. Stomach problems are a given then they suggest you take DAO synthetically, when your guts are in knots. It’s all a crime. On exhaust pipe smell too many could take me out.
We need podcasts arousing social media to show benzo people are are, real everyday people. Our faces with our stories NEED to be seen. Reform pharma can get a benzo bus with groups of us in different cities for all to see & push the issue of needed assistance which escapes the knowledge of psychiatric & medical doctors.
Hello, God created this universe. Allah is one, He is not like anything, He has no place or time, I invite you to Islam. The last book is the Holy Quran. The last prophet is Muhammad. They changed the Bible. God sent Jesus as a prophet. He was a human. The Jews wanted to kill him, but God saved him. Conditions of faith: 1 Believing in Allah 2 Believing in His angels 3 Believing in His books 4 Believing in His prophets 5 Believing in destiny 6 Believing in the afterlife. If one of these is denied, there is no faith. Faith is necessary to go to heaven O you who believe! Know that many of the rabbis and priests consume people's wealth unjustly and hinder people from the path of Allah..." (At-Tawbah, 9/34)
I found a doc on BIC who didn’t believe me that my nervous system had become hypersensitive to vitamins, supplements and meds…but in the groups you’ll see it’s about 90 percent of people going through benzo withdrawals and tapers have massive reactions to things because of GABA Downregulation issues.
I haven't really developed a tolerance. I use like seven pills at a time I've been doing it for almost 3 years now. My favorite is the white Stimulating strains I take one dose maybe two I really like to take it before i have to do intensive manual labor Or something meticulous. It's like it keeps you entertained through rigamarole
I Always come back to this video to inform others so they can possibly be helped. Very informative and very glad you made these on the topic. I still have another question about all the tablets and film though and I’ve had it for years. Do you push down on the tablet with your tongue? Or just put the tablet under your tongue and just let it do its on thing while dissolving?
I believe that there should be no need for any downward pressure with the tongue. Some generic brand tablets can take longer than others to dissolve. The time could possibly range from several minutes to 20-30 minutes. It is unfortunate that some generic tablets take a long time to dissolve.
So I take 2 8mg Subutex daily. They are so incredibly bitter and gross tasting. I have been just swallowing the whole pill here and there. What I’m curious is whether or not it will still work if I swallow it? I take a bunch of meds that help me poop so I’m not worried about that part. But is it not gonna work if I just swallow the pills. I almost always put the first under my tongue and then just swallow the second later in the day. Am I wasting it?
Swallowing Subutex is not the correct way to take it, unless directed to do so by the prescriber. In nearly all cases, the proper way to take Subutex is to place it under the tongue to dissolve. When the tablet is swallowed, a much lower percentage of buprenorphine is active compared to sublingual. One possible use for swallowing the tablets is described in this interview with a top expert: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-RdwAFW5Uwxs.htmlsi=hSEAZrUkGQGciniU.
In the Netherlands In the Netherlands you are addicted if you fail to reduce with the prescribed doses. Then you will be sent to addiction care. If you have money to buy lower doses with which you can safely taper at home, then you are not addicted according to the doctors.
Is dat zo? Wat een treurnis in ons land. Ik ben compleet de vernieling ingeholpen door mijn arts met een directe switch van een snri naar een ssri. Al vier jaar hersenschade.
Also in the Netherlands, patients are finding ways to taper without needing compound "medications". ❤ The Maudsley Deprescribing Guidelines gives great insights and practical ways to taper.
I would absolutely not be recommending Ketamine to anyone on a Benzo.. outside the fact it’s metabolized by the same liver enzyme, Cytochrome P450, which can easily lead to over sedation, but also how it works on the glutamate receptors given we already have damage from the Benzos. I am sorry, I have yet to see anyone have a positive experience with the two. Including myself.
🎯 Key points for quick navigation: 00:00 *🎥 The podcast begins with a welcome, discussing technical difficulties and introducing Dr. Stephen Pratt.* 00:41 *🏥 Dr. Pratt is the Senior Medical Director at Mellan Health and has over 25 years of experience treating substance use disorders.* 00:55 *📊 The conversation focuses on the Adverse Childhood Experiences (ACE) study, which started in the mid-1990s and was published in 1998.* 01:24 *📋 The ACE survey involved 13,000 people and had a high response rate, asking about childhood experiences like abuse and neglect.* 02:08 *⚕️ Significant adverse childhood experiences were linked to poor health choices and various physical and behavioral health consequences.* 02:48 *🤔 A question arises about whether children in seemingly perfect homes can have traumatic experiences; Dr. Pratt affirms they can based on temperament mismatches.* 04:48 *🗣️ The discussion touches on how ACE study findings influence addiction treatment methods, such as motivational interviewing and trauma-informed care.* 05:37 *🛠️ Creating a soft and respectful healthcare environment is essential for trauma-informed care, influenced by ACE study insights.* 07:24 *🌟 Providers should treat everyone as potentially traumatized and apply "universal trauma precautions" to avoid triggering patients.* 08:50 *🚨 Enhancing the environment to be welcoming can prevent people from leaving treatment prematurely, improving treatment retention.* 09:44 *🚑 The ACE study shifted perspectives on addiction from a character flaw to a disorder needing empathetic and trauma-informed treatment.* 12:11 *🏆 Responsibility for health outcomes still lies with the individual, despite trauma's role in their behaviors, similar to self-care in chronic health conditions.* 14:43 *🎯 Harm reduction and motivational interviewing are crucial at the early "precontemplation" stage, where patients are not ready for change.* 15:26 *💬 Expressing empathy and managing resistance are key strategies in motivational interviewing to help patients move toward change.* 16:48 *🔄 Identifying discrepancies between patients’ goals and behaviors is a crucial strategy in helping them recognize the need for change.* 18:14 *🚪 "Tough love" by introducing artificial consequences is less effective than allowing natural consequences to impact patients’ decisions.* 20:00 *📜 Historical treatment interventions need adaptive changes to incorporate trauma-informed strategies while avoiding adding artificial stress.* 22:22 *🌍 Countries like Portugal have structured decriminalization, integrating treatment with work programs, reducing drug dealer influence and new substance abuse cases.* 24:42 *🏢 Structure is essential for successful harm reduction policies, unlike seemingly unregulated approaches, as seen in some regions.* 25:07 *🔬 Universal evaluation for trauma in medical checkups can enhance empathic connections, crucial for effective treatment outcomes.* 25:50 *🗣️ Encouragement for individuals with empathy to enter substance use disorder treatment and counseling.* 26:02 *🔧 Emphasis on needing multiple tools and personalized approaches for substance abuse treatment.* 26:16 *💊 Highlighting the effectiveness of medication-assisted treatments for opioids and alcohol, though less so for drugs like cocaine and methamphetamine.* 27:11 *💼 Suggestion for more individualized, multifaceted approaches to substance use treatment.* 28:23 *🤖 Discussion about the potential role of AI in therapy, with specific reference to Chat GPT's capabilities.* 29:20 *🎬 Mention of AI therapists depicted in media, suggesting the possibility that AI could soon contribute significantly to therapy.* Made with HARPA AI
Exactly. In 2019 I was with my son in the ER when he told the MD that he could not sleep without Xanax, the MD responded,"Drugs are never the answer." My son was so ill from benzo interdose withdrawal combined with akathisia from other psych meds, all.prescribed for what was an adverse reaction to antidepressants, that he could barely speak. I was outraged by this MD's comment, and I said,"This was prescribed!" and the MD cut me off and told me if I did not be quiet, I would have to leave. They hated having a family member there as a witness. Initially he had been misdiagnosed with bipolar 1 or schizoaffective disorder, a misdiagnosus of adverse effects. Then he was polydrugged and it was a nightmare. Five psychiatrists later, he stopped all his prescribed drugs cold turkey or very rapid taper of a few and he went through 18 months of severe withdrawal anhedonia. He recovered, miraculously, with no continuing nervous system problems, 18 months after discontinuing the drugs. The entire ordeal of his severe adverse reactions lasted five years, and now we know that he had adverse reactions to antidepressants for four years before that. Three weeks ago, out of the blue, his last psychiatrist, who had at least acknowledged benzo harm, called my son to see how he was doing. My son, who has been off all drugs for four years, told this MD that he wanted the misdiagnosis off his record. They met two days later, and this MD changed the original diagnosis was changed (in that md's records) to "Medication-induced psychosis." We all need to fight for new informed consent laws.
The FDA screwed up everything by taking Subutex off the market which had no nalaxone. You switch to Suboxone quickly snd painlessly. They were afraid it would be abused except it doesnt give you a high like Suboxone. The main ingediant, Buprenorphine wont get you high. I dont how this myth started.
Please please please give us a schedule or tell us where to find a schedule. When doing the micro dosing, and starting with half a milligram, do you do heroin first and then take the first induction half milligram? Or the other way around?!How long do you wait between the opiate and the micro dose each day so you are off in 3-4 days. People really need to know which comes first for those first 3-4 days so you are solely on suboxone by that time?
There are countless variations of recipes that can easily be found online. Just Google Suboxone/buprenorphine Bernese method or Suboxone/buprenorphine microdosing induction or Suboxone/buprenorphine induction for fentanyl addiction. There are a lot of variables so no single recipe or protocol is necessarily the best, rather you must determine what will likely be the best protocol for your specific situation. With a bit of online research you can definitely find a wealth of information that will allow you to come up with a proper protocol....... I'd take what this guy says with a grain of salt, A lot of what he said is very useful and accurate information but definitely not all of it. The idea of a macro induction being the best option for someone dependent on methadone who has not been experiencing significant withdrawal for a while is a horrible idea and just asking to get thrown into precipitated withdrawals. Methadone induction should be handled very similarly to fentanyl to methadone's extremely long half-life and stacking effect. A microdosing induction or replacing the methadone with a short acting opioid for a few days is very clearly a much better option to avoid the agony of precipitated withdrawals and will very likely have a much higher rate of success because of this..... I'm not saying he doesn't know his stuff because a lot of the information here was pretty good, but there was certainly some less than ideal suggestions made so I would do the research yourself to be on the safe side.
This physician is so accurate and everything he says is dead on. Thats what you can only get from real world day to day experience. Good questions, really important stuff about waiting 24 hours and go into withdrawal to start Suboxone. His approach to micro and macro dosing is the most up to date method and has the least withdrawal. Everyone is different but what he is saying is so accurate to what I've experienced over then last 15 years as someone who got clean and talked to so many others. One of the methods is similar to the Bernese induction method.
Thanks for this I agree with the above poster. Nothing unique at all…fentanyl has just changed the whole game. Once upon a time, I could do 2 Roxie’s upon waking up, and walk into a clinic for a first induction and be FINE. Same with street heroin until 2012 or so. Now if I slip up and go on a week run of street heroin (which let’s be honest, is just fentanyl anymore) it’s a tricky bitch getting back on to suboxone without *some* precipitated withdrawal
Us addicts know the difference between a bit too much sick and a withdraw sick so i usually swallow and get that bit too much sick...very similar to taking a bit too much morphine...sick as a dog then flying high whenever id take 200 milligrams of it and when i take the morphine im SURE its a bit too much kind of sick because it doesnt contain any Naloxone so it CANT be the naloxone and if the stomach can absorb sublingual Naloxone then why wouldnt it absorb any extra bupes? I feel the EXACT same way when i swallow the spit even though its said it doesnt absorb ince it hits the stomach. Being sublingual i would THINK that wherever theres moisture and capillaries and blood vessels, it would continue to be absorbed..you even said it yourself. Its formulated knowing that one may not absorb the full dose so adjustments are made which seems to be saying...theres a bit more bupe in there than you may think. As far as constipation staying super hydrated is key
Regarding the histamine/food issue, how about getting thoroughly tested by a qualified allergist and put onto an appropriate program of desensitization? Is this something that someone in protracted withdrawal could or should do? I went through five years of testing and desensitization and am much more stable now with regard to environmental substances and foods that formerly made me quite ill. A person allergies do change over time and with the seasons and the desensitization programs also need to change. It was all quite revelatory.
That is probably a motivation for swallowing the saliva, the hope that a little bit more might get absorbed. The additional amount of buprenorphine that might get absorbed would be negligible, but by swallowing the residual buprenorphine, there is the risk of the drug interacting with opioid receptors in the gut, causing constipation.
Right on the money Ben. Us addicts know the difference between a withdraw sick and a bit too much sick and whenever I swallow I get that bit too much sick and afterward flying pretty high...sick and then high very similar to taking a bit too much morphine id say😊
I've been ill for 5 weeks taking 24mg of Suboxone everyday and then swallowing the saliva. I got so flippin sick. My gut felt empty 24/7, nauseous, etc. I looked for information about whether I should swallow the saliva after the medication dissolved but could not find the answer until today. I'm so relieved I can spit it out and not suffer more than necessary. It's my first time off Opioids daily high dose of Opiates for over 20 years. I'm in my 60s now and my body is giving up. I took the plunge and my Doctor Prescribed Suboxone. 5 weeks today I took my last opiate other than Suboxone.
Well, watching how the puddles of sweat just dried up within 48 hours was so satisfying, I used what I read about the other day. Although it actually took about 72 hours for my sweating to normalize, I went ahead and go'ogled the latest by Cynthia Yulesin and I don’t have to change clothes 2 times a day.
My daughter cold turkey and was re-hospitalized 10 times in 6 years. We've finally learned how to taper her more slowly after reinstating - hopefully, this time we'll go slow enough (it's only been two months of detox this time - so far it's going well aside from occasional headaches).
