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Suggest Treatment For Headache, Fatigue And Nausea

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Posted on Fri, 12 May 2017
Question: what is the quickest least painful way of getting off of oxycodone That I've been taking around 7 pills a day since January 2001? my pain management clinic closed and i can't find a new one who will take me while on while taking oxycodone??? the withdrawals I've been going through are pure Hell! can't sleep at night, restless leg syndrome, chills. nausea, headaches, extreme fatigue, irritability, diarrhea.
doctor
Answered by Dr. Dr. Matt Wachsman (36 minutes later)
Brief Answer:
there are several options.

Detailed Answer:
technically that would be the "fast detox method" in which people are put under the same anesthetic that killed XXXXXXX XXXXXXX and then given a narcotic blocker. When they are awakened in 2-3 days the worst of the withdrawal is over. It is somewhat dangerous. very much so if diabetic. It is hard to find.

Next are various methods of being given a short acting narcotic and the dose lowered about daily . There is usually also other medications to lower the symptoms given at the same time.

Suboxone and methadone are other methods and these are meant to be very low symptoms. These are specifically for symptoms such as , restless leg syndrome, chills. nausea, headaches, extreme fatigue, irritability, diarrhea.
For example imodium over the counter is good for diarrhea since it is a narcotic.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (3 days later)
Do you mean XXXXXXX XXXXXXX not Jordan? I needed more help with how to wean myself off of pain meds since the clinic closed and no doctors will help me. Good suggestions though IF i could find a doctor to prescribe.
doctor
Answered by Dr. Dr. Matt Wachsman (8 hours later)
Brief Answer:
Yes, XXXXXXX

Detailed Answer:
Methadone is pretty commonly avaialble at specific clinics. Any hospital ER will have a set of listings of those whcih are around you. The non-narcotic detox medicines while they can be prescribed by any doctor, generally doctors don't take in new patients to do that unless they are addiction specialists, in which case they could prescribe suboxone also.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (26 minutes later)
so is suboxone in the same family of meds as methadone? i had a bad reaction to this the last time my pain management doctor prescribed it to me so i could start detoxing myself. it made me very hyper and i felt like i was having the worst panic attack of my life! i tried it again the next day to see if the day before reaction was a fluke, it wasn't. what I'm having problems with is now I'm taking clonidine 0.1mg twice a day to help with the withdrawls. i don't feel any issues other than a headache. so after this happened 2 days in a row, i took my blood pressure the 2nd day and it had gone from my normal, around 126/84, to really high for me at 168/106! i was ALWAYS told throughout my medical training that you can't die from drug withdrawals but you can die from alcohol withdrawals. is this true or not? I'm afraid with my bp going so how that I'll induce myself into having a heart attack or stroke out! thank you for your help.
doctor
Answered by Dr. Dr. Matt Wachsman (9 hours later)
Brief Answer:
Yes it is the same class of drugs.

Detailed Answer:
BUT suboxone, while it is a narcotic, has several differences from methadone.
1) (and I'm writing a publication for this tonight) it is a PARTIALLY ACTIVE NARCOTIC. There's ON (methadone) there's OFF (naloxone and naltrexone which block narcotics and turn them off and put you from overdose all the way to totally withdrawing) and there's the narcotic in suboxone--buprenorphine. It is a partially active narcotic. meaning that no matter how much of it you take you can only get most of the effect of a narcotic but not the maximal effect of a narcotic. This also makes overdosing with it truly difficult.
2) SUBOXONE HAS TWO DRUGS IN IT... the partially active narcotic buprenorphine and a smaller amount of a blocker (naloxone). Together they give a lower narcotic affect and block other narcotics from doing much of anything if taken on top of suboxone combination.
OBviously, you have another narcotic in your system then take a combination that has a blocker you will go into withdrawal.

There can be blood pressure elevation with narcotic withdrawal. The dangerous levels are about 200 systolic and 120 diastolic. Many people die in plane crashes with elevated blood pressures. I doubt the blood pressure has anything to do with plane crashes. Likewise there is often slight increase in blood pressure during a heart attack. I doubt the elevated blood pressure that is above 130/80 but not 200/120 will have much of an immediate cause of immediate problems; it elevates LIFETIME risk but isn't immediately going to give a heart attack and/or stroke. Mine goes higher than that during peak exercise when I was 24. Not a valid number fro risk assessment if the blood pressure is not taken at rest.

Alcohol withdrawal causes seizures that typically do not stop without intervention and this fries the brain. This doesn't happen with narcotic withdrawal.

Clonidine should really lower the blood pressure when it is due to withdrawal.
So, taking a blood pressure on clonidine after resting and sitting for 5 minutes it should be 140/90 or less. If the blood pressure stays all the time over that, there is a reason to (non-emergently) get it a bit lower and the first choice would be to wonder if the clonidine is at a high enough dose if it isn't lowering pulse and blood pressure.
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Treatment For Headache, Fatigue And Nausea

Brief Answer: there are several options. Detailed Answer: technically that would be the "fast detox method" in which people are put under the same anesthetic that killed XXXXXXX XXXXXXX and then given a narcotic blocker. When they are awakened in 2-3 days the worst of the withdrawal is over. It is somewhat dangerous. very much so if diabetic. It is hard to find. Next are various methods of being given a short acting narcotic and the dose lowered about daily . There is usually also other medications to lower the symptoms given at the same time. Suboxone and methadone are other methods and these are meant to be very low symptoms. These are specifically for symptoms such as , restless leg syndrome, chills. nausea, headaches, extreme fatigue, irritability, diarrhea. For example imodium over the counter is good for diarrhea since it is a narcotic.