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Suggest Treatment For Corex Cough Syrup Addiction

Posted on Thu, 6 Nov 2014

Question: Hello,
Is addicted with corex cough syrup. Is there a medicine available to treat of this addiction.

I stay at small place so not possible to visit Rehab,so if in initial period any medicine prescriped will be oh high benefit.
I am 40 years old man with no symptoms to any medicine allergy. I am normal to dibetic and BP range from 110/90 to 125/86 and weight is approx 79.2 kg with hemoglobin as15.1 mg/l.

So can you please help in order that can lead happy life.

Thanks

Answered by Dr. Chintan Solanki (3 hours later)

Brief Answer:
yes medicines are available

Detailed Answer:
Hello Mr. XXXX,

Thanks for writing to us.
I appreciate your attitude to quit addiction of corex. It contains codeine which is a drug from opioid group.
Opium generally causes sever dependance.And withdrawal includes bodyache, muscleache, fever, yawning, lacrimation,diarrhoea etc. To treat this withdrawal substitute medicines as well as symptomatic treatment needed.
Substitute medicines includes buprenorphine,proxyvon or may be tramadol. All these medicines will be availble with prescription only. And buprenorphine will be available from psychiatrist/ deaddiction specialist only.
Symptomatic treatment includes NSAIDs group - pain killer,benzodizepines and may be clonidine.

You need to consult psychiatrist for deaddiction.

Late me know following details,

Total duration of intake, frequency, dose- detail of codeine mg per ml

Have you ever tried to quit before?

Any other medicine are you taking with it?
Your exact location and nea by big town.

Hope this would be helpful to you.
waiting for your reply to guide you more specifically.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Chintan Solanki (4 hours later)

Sir,

Thanks for Your Response,the details as required is Provided below;

Total duration of intake, frequency, dose- detail of codeine mg per ml -06 Years, 03-04 Bottle daily of 100 ml.
Have you ever tried to quit before?
Yes 3 Month back and it was left for 15 days but some drastic event took and again become addicted. Without any drugs and Counseling it was positive as Shaking of hand and body was all most cured with Sleeping habits also Improving but then with death of mother could not control and again went back to Corex.

Any other medicine are you taking with it?
No i am not indulged with any other Drug.

Your exact location and near by big town. XXXXXXX (West Bengal)

For this only i wanted some good antidepressant Medicine to cope with the sudden loss of mother after father death last year.

Last time also without any medication the result was successful and same had also helped in past. Its that if some negative happens for cure rush back to Corex.

Hope this complete your query.

Regards,
Dr XXXXXXX Solanki.

Answered by Dr. Chintan Solanki (11 hours later)

Brief Answer:
Need to consult a psychiatrist

Detailed Answer:
Hello Mr XXXXXXX

Sorry for delayed response and thanks for exact details.

You are taking corex since 6 years and 3 bottles per day that is pretty good amount.
But you have attempted to quit that is good sign of motivation for deadiction. As you were able to control withdrawal features without any medicine, that suggest you can quit corex much easily.

I am sorry for your mother. You mentioned that you restarted corex after her death and you again became dependent.Here the main problem is your wrong strategy to cope up the stressful situation as you did.Medicines for depression and anxiety will help you for sure but the main focus of treatment should be counselling.

For counselling detail history of yours required in terms of: Persona,family and past history; Education and work history; Substance history including corex with every small detail like in which situation it started , how increased, number of attempts and detail of them etc; Mental Status Examination. This will help to find out where the problem is in your coping skills under stressful situation and help you to correct those psychological factors through counselling and behavior therapy.

For this you need to consult a psychiatrist in personal. Though I am not knowing any psychiatrist personally in Kolkatta, I do not think that it is difficult to find out psychiatrist in kolkatta.

I will be glad to answer again if any query yet.

regards and all the best,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Chintan Solanki (7 hours later)

Sir,

Thanks for the reply but can you please prescribe some mild antidepressant for starting which will be highly helpful.

Regards

Answered by Dr. Chintan Solanki (2 hours later)

Brief Answer:
Escitalopram,See detail answer for more info

Detailed Answer:
Hello,

Normally any drug should be taken after consulting doctor and with written prescription as per current medical ethics and laws.
I would like to mention the medicines which I would prefer if I were your treating doctor.

Escitalopram 10 mg to start with at night.If no improvement noted in 10 days I would like to add the same dose in the morning.It is good SSRI antidepressant medicine with least side effects. Side effects may concern for you are delayed ejaculation but it is reversible.

If you feel more anxious and excessive thought during daytime, I would like to add etizolam 0.25 mg one in the morning and one in the afternoon which will calm you and make you able to concentrate on work.If not etizolam, clonazepam 0.25 can be used in same manner.

I will be happy to help further if need.

Regards,
Dr.Chintan Solanki.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D