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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedies for withdrawal symptoms of opiate

I have been on opiates for 10 years ,and my pain management doctor has told me she dose not want to treat me any more. Now I have to deal with my pain and withdraw. I dont have insurance ,and finding a doctor that can help , or will help is impossible. I am 60 years old ,have herniated discs. But now withdraw is the more sever problem. ???
Tue, 18 Oct 2016
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General & Family Physician 's  Response
Hi Mrs ! I have gone through your question and i understand your concern.

First I would ask you a question ; Did you stop the medication immediately or step by step , Is just when you stop it slowly the symptoms of the withdraw will be less .

I would give you some information of the symptoms that you may have or maybe you will exsperience during the entire this period ; anxiety , agitation, restlessness, sleeplessness, sweating , muscles pain , being tired , runy noise ( these are the symptoms of the first phase of wothdraw)..diarhea, nause , fast heart beat , abdominal pain, dilated pupils(these are the symtoms of the second phase of withdraw ). The withdraw period will last some days to weeks .

I would recommend you first to have a person near you while you are facing this situation so you
will not be alone .Would be good to find a local doctor to help prescribing some medication that will makes easy to get through. Or to find a group of people that are facing the same situation like you .These are important not to be alone.
Meanwhile follow these advise .

- Drink a lot of fluid ,at least 8 glases per day(water , fluid with electrolytes ,. , juice .) stay hidrated
-Keep your mind busy, do exercise( even short walk ) , meat people , do the things you like to do , eat chocolate .
- Be positive , you make it ,you can go through this time of withdraw .
-Take loperamid start with 4 mg , after you go to the bathroom take 2mg each time you have stools , but no more than 16mg /24h
-Take paracetamol 500mg every 4-6hours( dontbtake more than 1500 mg/day) .or Ibuprofen 400mg every 4-6 hours ( no more than 1200mg/day ) .Don't abuse with the dosage
If you have problem breathing ,rapid fast rate ,very dry mouth , no urination , exstrene thirsty call the hospital.

Take care .
If you have any other questions please feel free to ask me .

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