• question-icon

    Does intake of opioid help in treating induced leukoencephalopathy?

default
Posted on Wed, 1 Jun 2016 in General Health
Question: My son was diagnosed with opioid induced toxic leukoencephalopathy caused by excessive consumption of suboxone. He has been intubated in icu for7 days. He gets agitated with the tubes when he is awake and has almost coughed out the tubes and pushes it around with his tongue. He has responses to a lot of stimuli, but it is not always consistent. He did well on the cpap tests, but doctors are not comfortable with removing tubes. He is now scheduled for a Featherstone on Wednesday. Meanwhile, they have him on a sedative and fentanyl. I am looking for any insight and my specific question is should they be using an opioid for treatment given the diagnosis and original cause? Thanks, concerned parent.


Sorry autocorrect changed tracheostomy to Featherstone.

Expansion of details: had pneumonia from vomit in lungs; did 2 ctrl scans that came b a c'mon looking good; insisted on Mir and that came back substantial dmg to white brain matter; eeg had global interference.
doctor
Answered by Dr. Ashok Kumar 43 minutes later
Brief Answer:
Opiods can be used

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query with keen interest and understand your concern.

First of all I must acknowledge that very limited literature is available about the treatment of buprenorphine induced leucoencephalopathy and the treatment is mostly symptomatic. It will not be wrong to say that we have very limited treatment options for leucoencephalopathy.

Since he is agitated and there is need to calm him down the need for opioids is definitely warranted. I understand that they are the cause of current condition but it is known that in regulated dosage the chance of further damage is nil to very low.

It need to be mentioned that risk benefit ratio of diploids is in favour of their use and they can be used in current condition.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3157 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Suboxone

doctor1 MD

can u tell me the diffrence between suboxone 2mg and 8 mg.i know the mg is higher but if i needed 4 mg a day should i take 2/ 2mg? or just suffer...

doctor1 MD

Is Elavil a narcotic? Daughter has addiction to Xanax, hydrocodone, klonipin...is under Dr. care for this and starting Suboxone about one month...

doctor1 MD

I ve bee on on method one for two year , 80mg a day. I wasn t feeling good so I took a half of a 8mg suboxone , and now I m really sick throwing up...

doctor1 MD

I am prescribed to 16mg of suboxone a day. I have been on suboxone currently for 3 months but I have been on it off and on since 2008. I was...

doctor1 MD

I have had issues with opiates. My girlfriend had a script originally for subutex and gave me a few it worked great. She was changed to suboxone...

doctor1 MD

I injected heroin through a vein in my penis. Now my penis looks like blood or bruising is all over my manhood. I know it was a horrible decision...

doctor1 MD

I have a leg problem. When I sit or I'm laying down I get what feels like withdrawals. I've been through those due to pain pills after surgery. It...

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ashok Kumar
  • Q - How to have a successful sexual intercourse?

  • Q - Suggest treatment for OCD

  • Q - Suggest the sleep aids that i can use with Carvedilol?

  • Q - What causes sensitivity to sun light?

  • Q - Is it safe to have 120ml of alcohol everyday?

  • Q - Suggest treatment for orgasmic dysfunction

  • Q - Suggest treatment for non retraction of foreskin

  • Q - Suggest treatment for premature ejaculation

  • Q - How long do psychotic disorders take to get cured?

  • Q - What causes erectile dysfuntion?

backtotop2