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nashvillerecovery · 5 years ago

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Choosing the Right Addiction Treatment Center in Nashville

It's easy and typical for most any business to say "We're the best!" and list all the reasons why they are better than their competitor. It's also easy to forget the purpose and culture of your business when marketing it, choosing promotion over intent. I know, because I've done it. It's easy to forget the most important aspect of helping people who are addicted to opioids - help people find an addiction treatment center that's right for them. Why Do We Spend so Much Time and Energy Spreading the Good Word About Nashville Recovery? That's easy - Only 1 of every 10 people who are addicted receive treatment. When people speak of the "opioid epidemic" they assume it's getting under control and that big strides have been made to help those in need. Sadly, we're not even close to solving this problem. There's 10-times more people who are addicted and still have not found treatment. My goal for Nashville Recovery has always been to become a trusted resource for addiction treatment information. And, if by providing free information we can help steer people into opioid recovery, even if it's at another clinic, then we have a responsibility to do so. One of the reasons we spend so much time and energy marketing Nashville Recovery is because there are still millions of people who don't know this type of recovery exists. They have no idea that Suboxone can eliminate withdrawals, allow them to continue working, keep them with their family, and start them on a road to living clean and sober for the rest of their life. Suboxone is by far the best and easiest solution for overcoming opioid addiction, and I say that from my personal experience taking Suboxone. Suboxone is a miracle and it saved my life.

My Two Week Search for an Addiction Treatment Center in January 2014

In January 2014 I was in a very bad place. I had gone to a "top 5" inpatient treatment center and was relapsing week after week, over and over again. I actually lost count as to how many times I relapsed. I felt like a total failure. I let me down, my family down, my work was suffering, my son was starting to ignore me, my wife was ready to leave... I was completely hopeless. I assumed it was my lack of willpower that was keeping me addicted to opioids. I had no idea that addiction is a disease, and that the "choice" to quit had been taken away from me the very first day I took opioids. I'm just one of the lucky ones who found a remedy taking hydrocodone, oxycodone and OxyContin. At first, narcotic pain pills solved all of my problems: Eliminated my back pain Gave me motivation Made me feel like I fit in Gave me energy (weird, right?) When I took opioids I'd get a huge boost of energy. And, I was taking over 200mg of oxycodone every day. Most people will take 5-10mg of oxy and they're ready to lay down and go to sleep. Not me. I was ready to repaint the whole house every time I took pain pills. Narcotic Pain Pills Solved All of My Problems.... Until They Didn't No matter what I tried, I could not stop taking those damn pills. I tried tapering, and would end up taking even more. I tried stopping cold turkey and would go through a couple days of withdrawals and give in. I tried drinking lots of alcohol to help with the withdrawals, but then I'd get ever more sick, and worse, I'd start desiring cocaine. Talk about a miserable circle of death. I was convinced I needed something in my system at all times to cope with life and avoid withdrawals. I couldn't imagine life WITH PILLS and I couldn't imagine life WITHOUT PILLS I was ready to get help or die. I couldn't imagine life with pills and I couldn't imagine life without pills. Every time I thought about being clean I couldn't help but feel it just wasn't an option for me. I believed in my heart I would always need something, even something small in my system every day just to maintain sanity and not go into withdrawal. I was taking an average of 225mg of oxycodone and OxyContin each day. I did that for three years, and had been taking pills for over 13 years every single day. I was the definition of the word "Addicted". Getting clean was like a mirage. Other people could do it, but not me. I felt I was different somehow. Turns out, I'm just like everyone else - Thank God. I Knew an Outpatient Addiction Treatment Center Was My Only Hope - My Last Resort I spent two weeks visiting outpatient addiction clinics in the Nashville area hoping to find one that provided what I needed to get clean and stay clean: Prescribe Suboxone Provide private therapy A friendly staff that would make me feel good about my recovery and my visits A clean, comfortable, positive atmosphere A doctor that would allow me to take Suboxone for as long as I needed to A doctor that would help me taper slowly and gradually, not abruptly Sadly, I didn't find what I was looking for back in January of 2014. Good Addiction Treatment Centers in Nashville are Finally Here This is usually the place in the article where I tout all of Nashville Recovery's benefits over the other outpatient addiction treatment centers in Nashville. Yet the truth is, there are lots of good addiction treatment centers in Middle Tennessee. Many I would recommend to anyone looking to get clean from their opioid addiction. It Doesn't Matter Where You Go - As Long as You Actually Go Like me six years ago, many people don't think or perhaps even know there's a solution for their opioid addiction. They think they're a special case, take too many pills, have used for too long and simply can't be helped. The good news is they're wrong. I won't say all outpatient addiction treatment centers in Nashville are great, but I will say that as long as you find a clinic that is state licensed, provides Suboxone and private therapy, and appear to have your best interests at heart, then you can probably get clean. The Key is Just Getting Started Don't wait - Get started today. Choose a clinic, make the appointment and get going. Even if the clinic you choose isn;t right for you, at least you're taking a step in the right direction. Once you start Suboxone you're probably going to feel a whole lot better and that should buy you some time to hunt for the perfect clinic. Taking Action is the First Step in Addiction Treatment The truth is, Nashville Recovery IS different than most other addiction treatment centers. Here's a few bullet points to help you compare us to other state licensed addiction treatment centers: We are state licensed. Most addiction treatment centers in Nashville are not state licensed. Being state licensed means we go through annual audits that ensure we are providing the most up to date guidelines and procedures for outstanding opioid recovery) We provide and promote free weekly therapy to all of our clients We are owned by people in recovery. (No one knows addiction like an addict in recovery!) We provide a very positive atmosphere and a staff that's motivational for your recovery We don't judge people. We don't care what you've done in the past. What matters is what you do right now. You've probably had enough people judge you and put you down for your addiction. What if you had a place to go where people lifted you up? Made you feel like a human being and helped you overcome a disease that is taking your life away? That's what we do. We Are Determined to Help You Succeed Nashville Recovery's staff is determined to help you succeed. We provide the education, medicines, therapy, tools, motivation and opportunity to change your life for the better. And, we stick with you for as long as needed, since everyone's path is different. You might need three months or you might need three years. Does it really matter how long it takes if it changes your life forever? We provide recovery for as long as you need it, we won't tell you when to stop or when to taper. It's totally up to you. If you would like to try Nashville Recovery, you can schedule a phone or video appointment today and begin taking Suboxone immediately. Weekly phone, video and clinic therapy is provided at no additional charge to all clients. Addiction treatment via telemedicine has made opioid recovery faster, easier and more affordable than ever before. You simply can't choose a better time to start addiction treatment then right now. Read the full article

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fadimahar-blog · 7 years ago

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How Long Does Nicotine Stay in your system

Nicotine is a stimulant medication that is found in tobacco items. There are a large number of synthetic concoctions in tobacco plants, and significantly more are included in the cigarette producing process. In any case, nicotine is the segment that gives cigarettes their addictive quality. Nicotine is a normally happening fluid alkaloid that makes up around 5 percent (by weight) of the tobacco plant. Pee nicotine tests can recognize the medication for up to 20 days, while it is generally shorter in blood tests.

Related: How Long Does Nicotine Stay in your system

Related: How Long Does Percocet Stay in the System, Blood, Urine, Hair, Saliva, and Breastmilk?

To what extent Does Nicotine Stay in Your Blood? The Effects of Nicotine

When you smoke a cigarette, you are expending 1 mg of nicotine, which is sufficient to create an invigorating impact on your sensory system. In a little measurement, nicotine supports disposition, enhances memory and perception, diminishes craving, soothes discouragement, and builds cerebrum action. After you breathe in nicotine by smoking, it is utilized in the body, so it can be identified in blood, pee, and spit.

To what extent does nicotine remain in your blood? Nicotine is typically discernible in a blood test for 1-3 days after the utilization of a tobacco product.* However, the time span that nicotine remains in your framework may change in view of how much or how regularly you smoke, and may likewise be influenced by your age and general wellbeing. Likewise, now and then cotinine levels are utilized to decide nicotine's essence in the body. Cotinine is the thing that nicotine progresses toward becoming when it is utilized in the body. If so, it can take 1-10 days.

Pee Nicotine Test and Saliva Test

In case you're considering to what extent nicotine remains in your blood, you may likewise be occupied with to what extent it remains in your pee or salivation since these tests are additionally used to identify nicotine in the body. In pee nicotine tests, it can more often than not be distinguished for 3-4 days, however in more uninvolved smokers, it can stay for up to 15-20 days. In a salivation test, which is the most exact test, nicotine can be distinguished for over 10 hours or up to 2-4 days.*

Related: How long does adderall stay in your system- urine, blood, hair, saliva

Related: How Long Does Hydrocodone Stay in Your System, Urine, Blood, Hair, Saliva, Drug Test

There are approaches to viably clear nicotine from your framework, the greater part of which incorporate eating a sound eating routine, drinking a lot of water, and getting exercise.

In the event that you are hoping to get tried for nicotine levels, or you basically need more data or counsel on your tobacco utilize, FastMed Urgent Care would be cheerful to help. Our stroll in facilities is open 365 days multi-year with expanded hours. We likewise acknowledge most significant protection designs so quality human services are accessible to you with ease.

At FastMed, our main goal is to serve our networks and patients with an abnormal state of value, individual care, moderate and advantageous pressing consideration, family hone, and other strength medication administrations.

#health #medicine

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buygenericmediciens · 5 years ago

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It’s an opioid medication whose generic name is Hydrocodone while it is sold in the market with the brand name of Hysingla. A patient can buy hydrocodone online from any of the trusted online medical stores.

What is Hydrocodone used for?

This medication is used for treating severe pain of a prolonged duration if other measures are not sufficient. Its other use includes using it as a cough suppressant in the adults.

How long does Hydrocodone stay in your system?

The pain relief effect of Hydrocodone will wear off within four to six hours. But the presence of drugs may still be detected in the saliva for up to 36 hours, in urine for four days and in the hair for 90 days after the last dose.

How to take the dosage of Hydrocodone?

The intake of Hydrocodone medication can be habit-forming thus it should be taken exactly as directed. Thus this point should be kept in mind while buying Hydrocodone online from any of the online medical stores.

While taking Hydrocodone to discuss with your doctor about your pain treatment goals, length of treatment and other ways to manage the pain. The patient should not fully crush or chew the extended-release capsules. This may cause serious problems, including overdose and death in the worst condition.

What are the Hydrocodone possible side effects?

If the patient is not taking Hydrocodone as told by the doctor then they may face certain side effects. Below are a few side effects of Hydrocodone:-

Sleepy

Dizzy

Lightheadedness

Nausea

Vomiting

Constipation

Severe headache

Increased urination

Visual disturbances

Hydrocodone Bitartrate

This is made from Codeine and it binds to opioid receptors in the central nervous system. It is a type of analgesic agent, a type of antitussive and a type of opiate.

Difference between oxycodone & Hydrocodone

Oxycodone is a semi-synthetic and is synthesized from thebaine (an opium alkaloid) and will only relieve pain, not cough while Hydrocodone is also semi-synthetic but it is derived from Codeine and while more potent than Codeine, stills retain cough suppressant properties.

Hydrocodone Paracetamol interactions

Hydrocodone Paracetamol is a high power drug thus take it with extra caution. Hydrocodone Paracetamol does interact with several medications listed below:-

Acetaminophen

Ambien

Aspirin low strength

Celebrex

Cymbalta

Ibuprofen

Lyrica

Tylenol

Zyrtec

Synthroid

Vitamin B12

Is Hydrocodone a narcotic?

Hydrocodone is a narcotic pain reliever and a cough suppressant, similar to Codeine. Hydrocodone blocks the receptors on nerve

cells in the brain that give rise to the sensation of the pain. Acetaminophen is a non-narcotic analgesic (pain reliever) and antipyretic (fever reducer).

Hydrocodone & Alcohol

Combining the prescription opioid Hydrocodone with alcohol can produce a range of health effects, from Drowsiness to severe liver problems. In some cases, drinking while using medication can lead to death. Alcohol increases the effects of opioids on the central nervous system. Consuming painkillers and Alcohol together produces sedative effects causing people to feel extremely tired.

Hydrocodone for dogs

The use of Hydrocodone is primarily as a cough suppressant ( antitussive ) in dogs, working on receptors within the brain. Hydrocodone is often paired with another drug, homatropine, mostly for purpose of preventing abuse.

Which is stronger oxycodone or Hydrocodone?

Both oxycodone and Hydrocodone are powerful painkillers and they have been shown to be highly effective at treating pain. A study shows that a combination of oxycodone and acetaminophen was 1.5 times more potent than hydrocodone with acetaminophen when taken at equal doses.

Hydrocodone withdrawal

Hydrocodone is known to produce painful withdrawal symptoms (akin to a very severe flu) in people with chemical dependency or addiction that may need a detox. The withdrawal symptoms of Hydrocodone are essentially the opposite of the effects that the drug produces. The withdrawal of Hydrocodone induces depression. They experience a significant amount of discomfort as the brain and body learn to function without Hydrocodone. It includes withdrawal symptoms such as Nausea and physical pain.

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tramadol100mgonline-blog · 6 years ago

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Lortab is a narcotic pain reliever considered to be a mix of acetaminophen and Hydrocodone. People generally prefer to buy Lortab online because it is prescribed for the treatment of the symptoms of severe pain. If you are willing to buy the drug from an online pharmacy, you’ll also get a prescription that helps you in proper intake of the medication along with giving you lots of information about the drug.

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nashvillerecovery · 5 years ago

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Choosing the Right Addiction Treatment Center in Nashville

My Two Week Search for an Addiction Treatment Center in January 2014

In January 2014 I was in a very bad place. I had gone to a "top 5" inpatient treatment center and was relapsing week after week, over and over again. I actually lost count as to how many times I relapsed. I felt like a total failure. I let me down, my family down, my work was suffering, my son was starting to ignore me, my wife was ready to leave... I was completely hopeless. I assumed it was my lack of willpower that was keeping me addicted to opioids. I had no idea that addiction is a disease, and that the "choice" to quit had been taken away from me the very first day I took opioids. I'm just one of the lucky ones who found a remedy taking hydrocodone, oxycodone and OxyContin. At first, narcotic pain pills solved all of my problems: Eliminated my back pain Gave me motivation Made me feel like I fit in Gave me energy (weird, right?) When I took opioids I'd get a huge boost of energy. And, I was taking over 200mg of oxycodone every day. Most people will take 5-10mg of oxy and they're ready to lay down and go to sleep. Not me. I was ready to repaint the whole house every time I took pain pills. Narcotic Pain Pills Solved All of My Problems.... Until They Didn't No matter what I tried, I could not stop taking those damn pills. I tried tapering, and would end up taking even more. I tried stopping cold turkey and would go through a couple days of withdrawals and give in. I tried drinking lots of alcohol to help with the withdrawals, but then I'd get ever more sick, and worse, I'd start desiring cocaine. Talk about a miserable circle of death. I was convinced I needed something in my system at all times to cope with life and avoid withdrawals. I couldn't imagine life WITH PILLS and I couldn't imagine life WITHOUT PILLS I was ready to get help or die. I couldn't imagine life with pills and I couldn't imagine life without pills. Every time I thought about being clean I couldn't help but feel it just wasn't an option for me. I believed in my heart I would always need something, even something small in my system every day just to maintain sanity and not go into withdrawal. I was taking an average of 225mg of oxycodone and OxyContin each day. I did that for three years, and had been taking pills for over 13 years every single day. I was the definition of the word "Addicted". Getting clean was like a mirage. Other people could do it, but not me. I felt I was different somehow. Turns out, I'm just like everyone else - Thank God. I Knew an Outpatient Addiction Treatment Center Was My Only Hope - My Last Resort I spent two weeks visiting outpatient addiction clinics in the Nashville area hoping to find one that provided what I needed to get clean and stay clean: Prescribe Suboxone Provide private therapy A friendly staff that would make me feel good about my recovery and my visits A clean, comfortable, positive atmosphere A doctor that would allow me to take Suboxone for as long as I needed to A doctor that would help me taper slowly and gradually, not abruptly Sadly, I didn't find what I was looking for back in January of 2014. Good Addiction Treatment Centers in Nashville are Finally Here This is usually the place in the article where I tout all of Nashville Recovery's benefits over the other outpatient addiction treatment centers in Nashville. Yet the truth is, there are lots of good addiction treatment centers in Middle Tennessee. Many I would recommend to anyone looking to get clean from their opioid addiction. It Doesn't Matter Where You Go - As Long as You Actually Go - So GO! Like me six years ago, many people don't think or perhaps even know there's a solution for their opioid addiction. They think they're a special case, take too many pills, have used for too long and simply can't be helped. The good news is they're wrong. I won't say all outpatient addiction treatment centers in Nashville are great, but I will say that as long as you find a clinic that is state licensed, provides Suboxone and private therapy, and appear to have your best interests at heart, then you can probably get clean. The Key is Just Getting Started - Choose a Clinic and Go Don't wait - Get started today. Choose a clinic, make the appointment and get going. Even if the clinic you choose isn;t right for you, at least you're taking a step in the right direction. Once you start Suboxone you're probably going to feel a whole lot better and that should buy you some time to hunt for the perfect clinic. Get Started Now. Taking Action is the First Step in Addiction Treatment The truth is, Nashville Recovery IS different than most other addiction treatment centers. Here's a few bullet points to help you compare us to other state licensed addiction treatment centers: We are state licensed. Most addiction treatment centers in Nashville are not state licensed. Being state licensed means we go through annual audits that ensure we are providing the most up to date guidelines and procedures for outstanding opioid recovery) We provide and promote free weekly therapy to all of our clients We are owned by people in recovery. (No one knows addiction like an addict in recovery!) We provide a very positive atmosphere and a staff that's motivational for your recovery We don't judge people. We don't care what you've done in the past. What matters is what you do right now. You've probably had enough people judge you and put you down for your addiction. What if you had a place to go where people lifted you up? Made you feel like a human being and helped you overcome a disease that is taking your life away? That's what we do. We Are Determined to Help You Succeed Nashville Recovery's staff is determined to help you succeed. We provide the education, medicines, therapy, tools, motivation and opportunity to change your life for the better. And, we stick with you for as long as needed, since everyone's path is different. You might need three months or you might need three years. Does it really matter how long it takes if it changes your life forever? We provide recovery for as long as you need it, we won't tell you when to stop or when to taper. It's totally up to you. If you would like to try Nashville Recovery, you can schedule a phone or video appointment today and begin taking Suboxone immediately. Weekly phone, video and clinic therapy is provided at no additional charge to all clients. Addiction treatment via telemedicine has made opioid recovery faster, easier and more affordable than ever before. You simply can't choose a better time to start addiction treatment then right now. Read the full article

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kristinsimmons · 6 years ago

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How to Avoid the Opioid Epidemic (for Dentists, Patients, and Families)

Saturday, April 27, 2019 is National Prescription Drug Takeback Day. Between 10 AM—2 PM, you can turn in unused prescription drugs, including opioids, at locations throughout the United States. Check out Google’s Location Finder for a location near you.

You may have heard of the “opioid epidemic” rumbling through our nation, but what does that term mean?

If you’re unfamiliar with this crisis in the United States, it may shock you to learn that dental offices can be starting points for this epidemic.

Let’s look at how this works for everyone from the dentist to the patient (and those in between). There is hope for opioid addiction.

What are opioids?

Dentists often prescribe opioids for pain management after surgeries or major procedures. It’s a convenient choice, since opioids are a class of drugs that have pain-blocking qualities. Unfortunately, improperly using these pills can have lasting, devastating consequences.

It’s possible to become addicted to opioids in as little as five days. (1)

Despite this, many dental opioid prescriptions can last for up to 10 days. The severity of this prescription issue makes it important for dentists, dental patients, and their loved ones to learn more. Your knowledge could be the difference between a routine prescription and a painful battle with opioid addiction.

You can stay safe from the opioid epidemic by knowing the risks of using opioids, educating yourself on taking prescribed opioids correctly, and understanding what to do if addiction takes hold.

List of Opioids Prescribed in Dentistry

The following are opioid drugs often prescribed for pain management by dentists:

Hydrocodone (Vicodin)—The prescription rate for this drug doubled between 1999 and 2011.

Oxycodone (Percocet® or OxyContin®)—This prescription rate increased 500% in the same timeframe. (2)

Acetaminophen with codeine (Tylenol® No. 3 and Tylenol® No. 4).

Opioids also branch beyond prescribed medications. Other forms include heroin, morphine, tramadol, and synthetic opioids like Fentanyl (Duragesic). Though each of these opioids vary in strength, they all have addictive qualities and harmful effects if used long-term.

According to the Centers for Disease Control and Prevention, the U.S. is in the midst of the “worst drug overdose epidemic in history.” (3)

Unfortunately, the data shows that prescription rates for opioids are still climbing. The government, researchers, and dental experts all warn against prescribing unnecessary opioids. Instead, they are urging patients to consider other viable options for pain relief.

What is the opioid epidemic?

The opioid epidemic is caused, in part, by nonmedical use of prescription drugs. This may include: (4)

Taking a larger prescription than needed

Using drugs prescribed to someone else

Taking your prescription with alcohol or other legal or illegal drugs

Abusing prescription drugs to feel a sense of euphoria—this behavior is much more likely to occur with opioid pain relievers than with other medicines

Due to their addictive nature, these pills are in high demand, and not always for medicinal use. What’s the delineation between necessary and nonmedicinal use? Well, for one, the effect on the user’s life.

The definition of opioid use disorder is a pattern of misuse that leads to emotional or functional distress.

A simple study of third molar extractions reveals how sinister this issue can be. A recent study found that young Americans prescribed opioids for their wisdom teeth were at greater risk for addiction.

Patients who filled their opioid prescription had a 13% chance of persistent opioid use. This puts them at high risk of addiction. On the other hand, only 5% of patients who didn’t fill their prescription struggled with long-term opioid issues. (5)

Statistics like these are why I urge dentists and their patients to consider choosing anti-inflammatory drugs or non-opioid pain relievers. One prescription, especially in younger people, can have long-term effects. Consider several options before jumping immediately to opioid prescribing with addictive potential.

If prescriptions for opioids slow down, this epidemic may as well.

Opioid Abuse Statistics

How many people abuse opioids?

In 2016, the U.S. Department of Health and Human Services (HHS) found that 11.8 million people over the age of 12 misused opioids. 2.3 million had begun the habit within the past year, highlighting the growing epidemic. (6)

Prescription Opioids vs. Heroin

In 2016, 11.5 million Americans misused prescription opioids, a number far greater than the 948,000 who had used heroin. That’s an astronomical difference in users.

Unfortunately, only 17.5% of those addicted to opioid painkillers sought professional help. This totals far less recovery treatment per capita than those fighting a heroin addiction. (7)

Both are issues of drug abuse, but for some reason, opioid drug users aren’t seeking help like they should. Perhaps this is due to the fact opioid addiction affects people who don’t seem like drug abusers, or because the addiction began with a legal prescription. Whatever the reason, the statistics are alarming.

Can prescribed opioids function as a gateway drug?

In a recent interview with heroin users entering treatment, 80% had abused prescription opioids before turning to heroin. (8) These numbers highlight that opioid use is a road that can lead to other harmful narcotics.

Substance abuse is always a real threat. Prescribed opioids present no less inherent danger and can lead to other addictions.

Can prescribed opioids hurt my job performance?

Research has linked an increase in opioid prescriptions to a decrease in the number of people participating in the labor force. Men with less than a bachelor’s degree are the most vulnerable.

Nationwide, the number of men participating in the workforce has significantly decreased, with 44% of the decline attributed to opioid misuse. (9) Simply put, opioid use causes overall employment numbers to drop.

What does prescription opioid misuse cost society?

Opioid addictions have a wider-reaching and more injurious impact than you may think. Opioid misuse cost a staggering $11.8 billion in the U.S in 2011. 53% of these costs came from losses in workplace productivity, and 30% was due to unnecessary cost in our health care systems. 17% of the money went to the criminal justice system to handle cases. (10)

This epidemic impacts taxpayers, patients, public health, members of the workforce, our courts, and more.

How do people get addicted to an opioid?

Most people swept up in the opioid crisis were originally prescribed the pills they now find addictive. That’s why it’s crucial to know the warning signs of nonmedical use and prescription drug addiction.

The first symptom to note is a feeling of dependence. Dependance can manifest in several forms. These include missing the drug when you are no longer taking it or experiencing opioid withdrawal symptoms.

Withdrawal symptoms include restlessness, trouble sleeping, vomiting, and more. If you notice these sensations, contact your doctor immediately. Never continue use of opioids or a prescription when you notice signs of dependence or withdrawal.

Addiction is defined as continued use of a drug despite negative consequences, so avoid it at all costs. (11)

Prescription opioids, while occasionally helpful for severe pain, are also highly chemically addictive. Opioids access opioid receptors in the brain and body. This process leads to relaxation, euphoria, and blocked pain messages.

It also gives the brain a surge of dopamine, a neurotransmitter. This is where the real problem lies. Our brains can become addicted to this rush of dopamine, causing us to crave the opioids that provide it.

You can learn more about the brain’s response to drugs in this video from the National Institute on Drug Abuse.

youtube

Short-term and Long-term Effects of Opioids

So, other than addiction, what risks and effects are you facing if you use medical opioids?

Short term use can have fewer side effects, though still potentially unpleasant ones. A few of these pesky problems include constipation, nausea, drowsiness, and slowed breathing.

Furthermore, most states have strict laws against driving under the influence of opiates due to delayed response times in users. Be aware that you may need to make appropriate transportation arrangements to continue life as usual. That is, if your body will let you.

Long-term effects of opioid use are even more concerning. Research suggests harmful side effects increase with length of use. Your organs can suffer due to vomiting, abdominal bloating, and liver damage. Furthermore, your brain may sustain damage or develop chemical dependence.

As you continue, your tolerance will increase, which demands higher, more harmful doses to feel the opioids’ impact. These negative side effects will continue to compound with prolonged use. (12)

Improper use of these prescribed medications can pose some of the same terrors as more infamous substances like heroin! Here’s a visual depiction of what’s going on inside the body when opioid abuse occurs. It’s clear that the less opioids in your system, the less risk of ugly side effects.

Risk Factors for Opioid Addiction

Risk factors for opioid use disorder are complex, but there are a few considerations that could raise your chances of getting hooked.

Ignoring directions. Taking opioids instead of opting for other pain relievers will require precision on your part. The federal government has estimated that 21-29% of patients given opioids for chronic pain take them incorrectly. If you receive a prescription for opioids, follow your dentist’s exact directions. Misusing them or treating them casually could build dependence.

Chronic pain. It seems that chronic pain patients are more likely to develop an addiction than the general population. Up to 60% of major trauma patients are estimated to develop an addictive issue. (13) Due to their pain-blocking nature, opioids can be particularly attractive. If you have chronic pain and your dentist prescribes opioids, proceed with caution.

A history of addiction. If you’ve experienced past addiction, it can be a potential indicator for opioid use disorder. Talk with your dentist to ensure this addictive pattern won’t repeat with your dental pain medications. (14)

Mental health conditions. Any struggles with mental illness can make taking opioids more risky, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

Personalized effect. Your own physiological reactions to opioids can heighten your risk of addiction. Biological makeup can determine individual experience. Certain people are more or less likely to experience an addictive, dopamine-driven “euphoria.” This feeling is subjective and ranges between patients. (15)

Education level. Congrats to all you grads out there! The more scholastic achievements you have under your belt, the less likely you are to succumb to an opioid addiction. That’s one more reason to be a lifelong learner! (16)

This list of symptoms can help you and your doctor assess if you are struggling with substance use disorder.

If you begin to experience thoughts of self-harm or are looking for opioid treatment options, do not hesitate to contact the National Suicide Prevention Lifeline. They are always available by call, text, or online chat. Reach out 24/7 at 1-800-273-TALK.

The good news is that you have more treatment options than you may realize. This problem is treatable with time, effort, and intentional steps toward change.

Can you overdose on prescription opioids?

Overdosing on prescription opioids is 100% possible. The problem in abusing these drugs is that you build up tolerance over time. Users seek “higher highs” and bigger doses to feel satiated.

Most opioid deaths are from taking prescriptions in doses much larger than prescribed or ingesting them in combination with other drugs. Both of these choices tend to become dangerous habits in long-term users seeking a fix. (17)

Taking a high dose of opioids can lead to death from cardiac or respiratory arrest.

The danger here? Tolerance. Building a tolerance to opioids from long-term use is treacherous. Tolerance to the drug’s euphoric effect will increase faster than your body’s tolerance to the dangerous side effects.

Users may be taking more to get high, but at some point, their body can’t keep up. In fact, this is the reason that many opioid overdoses are accidental. The need for more dopamine and higher doses can be fatal. Did you know that opioid overdoses actually kill more people than car accidents each year? These tragic accidents can be avoided with addiction treatment.

This is a crucial juncture in history for understanding and preventing overdoses. The opioid epidemic mortality rate is skyrocketing. Overdose deaths in this category have risen 200% since 2000.

In fact, the CDC found that 61% of all drug overdose deaths were linked to an opioid. (18) As it steals over 130 lives each day, this crisis has established itself as a real national threat.

Wondering if you’re in danger of abusing opioids? This quiz can help you and your doctor assess if you need treatment for substance abuse.

If you’re looking for a next step, there are resources available.

SAMHSA has a directory of opioid treatment programs.

You might join a meeting of Narcotics Anonymous for support.

Finally, consider this thorough list of National Institute of Health-approved options to treat opioid addiction.

Most importantly, if you feel you are in danger of an overdose, call 911 right away. Your treatment plan can be determined once you are safe and in stable condition.

How to Prevent Opioid Addiction

Now that we’ve covered the seriousness of this crisis, it’s time for one of my favorite subjects: prevention.

As a family member, dentist, or patient, you’re likely to come into contact with opioids at some juncture. Here are some of my tips to stay safe and use your educated judgment about prescription opioids:

1. For Dentists

As healthcare providers, we are the first line of defense against these chilling statistics. It’s more important each year to stay updated, conscious, and preventative in your care. Here are my top tips for protecting your patients and prescriptions:

Stay up to date. The NIH is clear that “partnerships between researchers and practitioners are increasingly important as we face crises of the scale of the current opioid overdose epidemic.” Staying current with ADA standards creates a safety net for your practice and provides clear guidelines in this ever-changing area.

Continue your education. One of my favorite things about medicine is the constant opportunity to access fresh ideas and information. Here’s a joint webinar presentation from the ADA and CDC presenting alternatives to opioid prescriptions. These steps can cut down on addiction rates after dental procedures.

Avoid generalized prescriptions. Talk to your patients about their individualized needs and the risks of opioids. Each prescription is personal, so ask thoughtful questions and suggest non-opioid pain relievers and anti-inflammatories first. You will communicate how much you care about your patients by your candor.

Limit the quantity of opioids that you prescribe. Data suggests that likelihood of opioid dependence starts climbing on the third day. (19) Offer as few doses as possible without leaving your patient uncomfortable. Many times, after a few days, a NSAID will handle the pain level.

Do your homework. Check in with your state prescription database to be sure your patient does not already have an opioid prescription.

Be observant. Remember, not all patients who are drug-seeking will present with obvious symptoms. (2) Before prescribing opioids, take a few moments to look for more subtle signs of drug-seeking behavior (DSB).

2. For Patients

Communicate and comply with instructions. Prevent potential pitfalls with prescription opioids by following your doctor’s orders as carefully as possible. Also, please don’t hesitate to let your dentist know if you develop any concerns. If you notice withdrawal symptoms, make your doctor or dentist aware right away. Your dentist is here to help your health, not hurt it. Good communication is key for safe and exceptional results.

Hands off! It’s common for opioid misuse to start with buying, “borrowing,” or being given someone else’s prescribed medications. Leftover medications around the house can also increase the risk of opioid abuse. Don’t give family, friends, children, or pets a chance to get to your opioids. Dispose of unused medicine quickly and properly, for everyone’s sake. (20)

Limit your use. Even if your dentist prescribed several days’ worth of opioids, see if you can go without after a day or two. Each day you remain on opioids increases your chance of addiction, so if you can limit your usage, go for it!

Don’t be afraid to advocate for yourself. Be sure your dentist is fully aware of you and your family’s medical history, especially if it involves addiction. Knowing the circumstances will help your dentist prescribe the best, most personalized option. You have many options for pain management. Don’t feel forced into taking opioid medication! Your health is uniquely yours—if opioids make you uncomfortable, your dentist can assist in finding a better treatment plan for you.

Ask away. Useful questions could include:

inquiring about less addictive medicine for pain management,

asking for an addiction risk assessment, and

investigating drug interactions between your prescriptions.

Believe it or not, good dentists aren’t bothered by questions. Taking your health seriously and learning your needs is a great step for any patient! The more you know, the more you can feel confident that your dental and overall health is thriving.

3. For Families

Wisdom tooth wellness plan. As mentioned, teens are likely to be given opioids for wisdom tooth removal. Unfortunately, this practice can intensify the likelihood of continued opioid use. Before your make any medication decisions for this procedure, try reviewing the facts together. You could start with this guide created specifically for teens. Discussing prescription options for oral surgery is a fantastic opportunity. Your conversation now could help your teenager navigate the opioid epidemic in the future.

Know what you’re dealing with. Do your best to stay informed on all possible drug threats your teen is facing, including opioids. This recent report on drug use among teens is a helpful resource. A bit of good news: there is no significant spike in opioid use disorder in teens until they reach 12th grade.

Protect the next generation. Pregnant women should know that abusing opioids while expecting is highly dangerous. The decision to misuse prescription opioids can result in your baby experiencing withdrawal symptoms or birth defects. In more severe cases, mothers with opioid use disorder can even lose their child. (21) This list outlines options for a healthier lifestyle and safer baby. Your child and your body are too important to put through opioid addiction!

Build a support network. IECMH consultants offer support and tools to families that have been affected by opioid misuse. If you or someone in your family is struggling, call 1-800-662-4357 for referrals to nearby programs. You can still receive the help and care you need for your child and family. It’s never too late, and you are not alone.

Sharing (information) is caring. If you suspect a teen in your family is misusing pain medicine, you can direct them to this guide. Ask their pediatrician for any recommended resources, and offer to talk if they’re ready.

Storing and Disposing of Opioid Medications

[Saturday, April 27, 2019 is National Prescription Drug Takeback Day. Between 10 AM—2 PM, you can turn in unused prescription drugs, including opioids, at locations throughout the United States. Check out Google’s Location Finder for a location near you.]

Imagine that you were prescribed a week of opioids for a dental surgery.

Being aware of the dangers they can pose, you stopped use by day three. You wanted to control your addiction risk, even if you had more pills. I’d say that’s a great job of prevention! However, even if you don’t finish your opioid prescription, it still poses a significant risk.

“Leftovers” are never safe to keep around your residence. In particular, unused opioids from dental procedures are common targets for drug abusers. (22)

To put an end to nonmedical drug use in your home, you cannot leave them lying around. Luckily, patients have many safe options for storing and disposing of opioid medications.

Until you can remove the opioid medication from your home, the best way to store your pills is in a safe place. Choose a space out of sight and beyond children’s reach, ideally in a locked cabinet. The only person who should be able to access those pills is the person responsible for them. Taking this measure prevents future addictions, accidental poisonings, and more.

To say goodbye to your medication, here are a few safe disposal options:

Medicine take-back sites and events,

Collection receptacles. (Your local law enforcement agency can direct you to any nearby community receptacles).

Flushing certain, potentially dangerous medicines in the toilet. For a guide on how to do this safely, click here.

What’s the best time to dispose of your opioids? As soon as possible. The more time that elapses before disposal, the higher the odds of abuse.

Key Takeaways: How to Avoid the Opioid Epidemic

Before you fill your prescription to treat your dental pain, think twice about the highly addictive nature of opioids. The opioid epidemic in the U.S. increases every year. Education, awareness, and prevention can reverse this terrible trend.

There are other choices for pain relief with notably safer side effects. These include options such as ibuprofen, acetaminophen, and aspirin.

So, whether you’re a dentist, patient, or family member, don’t be afraid to discuss options when it comes to pain management!

If you do decide on opioids for dental pain, be sure to limit your intake. Be sure to communicate with your dentist, follow instructions to the letter, and dispose of any unused pills quickly and appropriately. It’s possible to use opioids safely if you are communicative with your dentist and disciplined in your approach.

Lastly, if you or a loved one is struggling with opioid use disorder, know that there is a network of recovery, support and treatment that’s poised to help. You have more resources available than you may know. Informed and empowered, patients and dentists can stop dentistry prescribed opiate abuse and choose safe pain management.

read next: Know Before You Go: Root Canals

22 References

Phillips, J. K., Ford, M. A., Bonnie, R. J., & National Academies of Sciences, Engineering, and Medicine. (2017). Trends in Opioid Use, Harms, and Treatment. In Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. National Academies Press (US). Abstract: https://www.ncbi.nlm.nih.gov/books/NBK458661/

Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015). The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annual review of public health, 36, 559-574. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/25581144

Nadelmann, E., & LaSalle, L. (2017). Two steps forward, one step back: current harm reduction policy and politics in the United States. Harm reduction journal, 14(1), 37. Abstract: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469032/

Novak, S. P., Håkansson, A., Martinez-Raga, J., Reimer, J., Krotki, K., & Varughese, S. (2016). Nonmedical use of prescription drugs in the European Union. BMC psychiatry, 16(1), 274. Abstract: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972971/

Harbaugh, C. M., Nalliah, R. P., Hu, H. M., Englesbe, M. J., Waljee, J. F., & Brummett, C. M. (2018). Persistent opioid use after wisdom tooth extraction. Jama, 320(5), 504-506. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/30088000

Varma, A., Sapra, M., & Iranmanesh, A. (2018). Impact of opioid therapy on gonadal hormones: focus on buprenorphine. Hormone molecular biology and clinical investigation, 36(2). Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29453925

Myers, L., & Wodarski, J. S. (2015). Using the Substance Abuse and Mental Health Services Administration (SAMHSA) evidence-based practice kits in social work education. In E-Therapy for Substance Abuse and Co-Morbidity (pp. 53-73). Springer, Cham. Abstract: https://link.springer.com/chapter/10.1007/978-3-319-12376-9_5

Cicero, T. J., Ellis, M. S., Surratt, H. L., & Kurtz, S. P. (2014). The changing face of heroin use in the United States: a retrospective analysis of the past 50 years. JAMA psychiatry, 71(7), 821-826. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/24871348

Aliprantis, D., & Schweitzer, M. E. (2018). Opioids and the Labor Market. Abstract: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3179068

Birnbaum, H. G., White, A. G., Schiller, M., Waldman, T., Cleveland, J. M., & Roland, C. L. (2011). Societal costs of prescription opioid abuse, dependence, and misuse in the United States. Pain medicine, 12(4), 657-667. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/21392250

Angres, D. H., & Bettinardi-Angres, K. (2008). The disease of addiction: origins, treatment, and recovery. Disease-a-month: DM, 54(10), 696. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/18790142

Clarke, H., Soneji, N., Ko, D. T., Yun, L., & Wijeysundera, D. N. (2014). Rates and risk factors for prolonged opioid use after major surgery: population based cohort study. Bmj, 348, g1251. Abstract: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921439/

Savage, S. R. (2002). Assessment for addiction in pain-treatment settings. The Clinical journal of pain, 18(4), S28-S38. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/12479252

Webster, L. R. (2017). Risk factors for opioid-use disorder and overdose. Anesthesia & Analgesia, 125(5), 1741-1748. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29049118

Bieber, C. M., Fernandez, K., Borsook, D., Brennan, M. J., Butler, S. F., Jamison, R. N., … & Katz, N. P. (2008). Retrospective accounts of initial subjective effects of opioids in patients treated for pain who do or do not develop opioid addiction: a pilot case-control study. Experimental and clinical psychopharmacology, 16(5), 429. Abstract: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153468/

Arkes, J., Iguchi, M. How Predictors of Prescription Drug Abuse Vary by Age. Journal of Drug Issues (2008) Abstract: https://www.ncjrs.gov/App/AbstractDB/AbstractDBDetails.aspx?id=248641

Rudd, R. A., Aleshire, N., Zibbell, J. E., & Matthew Gladden, R. (2016). Increases in drug and opioid overdose deaths—United States, 2000–2014. American Journal of Transplantation, 16(4), 1323-1327. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/26720857

Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use — United States, 2006–2015. MMWR Morb Mortal Wkly Rep 2017;66:265–269. Abstract: http://dx.doi.org/10.15585/mmwr.mm6610a1

Denisco, R. C., Kenna, G. A., O’Neil, M. G., Kulich, R. J., Moore, P. A., Kane, W. T., … & Katz, N. P. (2011). Prevention of prescription opioid abuse: The role of the dentist. The Journal of the American Dental Association, 142(7), 800-810. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/21719802

Finnegan, L. P., Connaughton, J. J., Kron, R. E., & Emich, J. P. (1975). Neonatal abstinence syndrome: assessment and management. Addictive diseases, 2(1-2), 141-158. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/30819342

Maughan, B. C., Hersh, E. V., Shofer, F. S., Wanner, K. J., Archer, E., Carrasco, L. R., & Rhodes, K. V. (2016). Unused opioid analgesics and drug disposal following outpatient dental surgery: a randomized controlled trial. Drug and alcohol dependence, 168, 328-334. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/27663358

The post How to Avoid the Opioid Epidemic (for Dentists, Patients, and Families) appeared first on Ask the Dentist.

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dentalinfotoday · 6 years ago

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You may have heard of the “opioid epidemic” rumbling through our nation, but what does that term mean?

If you’re unfamiliar with this crisis in the United States, it may shock you to learn that dental offices can be starting points for this epidemic.

Let’s look at how this works for everyone from the dentist to the patient (and those in between). There is hope for opioid addiction.

What are opioids?

It’s possible to become addicted to opioids in as little as five days. (1)

You can stay safe from the opioid epidemic by knowing the risks of using opioids, educating yourself on taking prescribed opioids correctly, and understanding what to do if addiction takes hold.

List of Opioids Prescribed in Dentistry

The following are opioid drugs often prescribed for pain management by dentists:

Hydrocodone (Vicodin)—The prescription rate for this drug doubled between 1999 and 2011.

Oxycodone (Percocet® or OxyContin®)—This prescription rate increased 500% in the same timeframe. (2)

Acetaminophen with codeine (Tylenol® No. 3 and Tylenol® No. 4).

According to the Centers for Disease Control and Prevention, the U.S. is in the midst of the “worst drug overdose epidemic in history.” (3)

What is the opioid epidemic?

The opioid epidemic is caused, in part, by nonmedical use of prescription drugs. This may include: (4)

Taking a larger prescription than needed

Using drugs prescribed to someone else

Taking your prescription with alcohol or other legal or illegal drugs

Abusing prescription drugs to feel a sense of euphoria—this behavior is much more likely to occur with opioid pain relievers than with other medicines

The definition of opioid use disorder is a pattern of misuse that leads to emotional or functional distress.

If prescriptions for opioids slow down, this epidemic may as well.

Opioid Abuse Statistics

How many people abuse opioids?

Prescription Opioids vs. Heroin

In 2016, 11.5 million Americans misused prescription opioids, a number far greater than the 948,000 who had used heroin. That’s an astronomical difference in users.

Unfortunately, only 17.5% of those addicted to opioid painkillers sought professional help. This totals far less recovery treatment per capita than those fighting a heroin addiction. (7)

Can prescribed opioids function as a gateway drug?

Substance abuse is always a real threat. Prescribed opioids present no less inherent danger and can lead to other addictions.

Can prescribed opioids hurt my job performance?

Research has linked an increase in opioid prescriptions to a decrease in the number of people participating in the labor force. Men with less than a bachelor’s degree are the most vulnerable.

What does prescription opioid misuse cost society?

This epidemic impacts taxpayers, patients, public health, members of the workforce, our courts, and more.

How do people get addicted to an opioid?

Addiction is defined as continued use of a drug despite negative consequences, so avoid it at all costs. (11)

You can learn more about the brain’s response to drugs in this video from the National Institute on Drug Abuse.

Short-term and Long-term Effects of Opioids

So, other than addiction, what risks and effects are you facing if you use medical opioids?

Short term use can have fewer side effects, though still potentially unpleasant ones. A few of these pesky problems include constipation, nausea, drowsiness, and slowed breathing.

As you continue, your tolerance will increase, which demands higher, more harmful doses to feel the opioids’ impact. These negative side effects will continue to compound with prolonged use. (12)

Risk Factors for Opioid Addiction

Risk factors for opioid use disorder are complex, but there are a few considerations that could raise your chances of getting hooked.

Mental health conditions. Any struggles with mental illness can make taking opioids more risky, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

This list of symptoms can help you and your doctor assess if you are struggling with substance use disorder.

The good news is that you have more treatment options than you may realize. This problem is treatable with time, effort, and intentional steps toward change.

Can you overdose on prescription opioids?

Overdosing on prescription opioids is 100% possible. The problem in abusing these drugs is that you build up tolerance over time. Users seek “higher highs” and bigger doses to feel satiated.

Taking a high dose of opioids can lead to death from cardiac or respiratory arrest.

This is a crucial juncture in history for understanding and preventing overdoses. The opioid epidemic mortality rate is skyrocketing. Overdose deaths in this category have risen 200% since 2000.

In fact, the CDC found that 61% of all drug overdose deaths were linked to an opioid. (18) As it steals over 130 lives each day, this crisis has established itself as a real national threat.

Wondering if you’re in danger of abusing opioids? This quiz can help you and your doctor assess if you need treatment for substance abuse.

If you’re looking for a next step, there are resources available.

SAMHSA has a directory of opioid treatment programs.

You might join a meeting of Narcotics Anonymous for support.

Finally, consider this thorough list of National Institute of Health-approved options to treat opioid addiction.

Most importantly, if you feel you are in danger of an overdose, call 911 right away. Your treatment plan can be determined once you are safe and in stable condition.

How to Prevent Opioid Addiction

Now that we’ve covered the seriousness of this crisis, it’s time for one of my favorite subjects: prevention.

1. For Dentists

Do your homework. Check in with your state prescription database to be sure your patient does not already have an opioid prescription.

2. For Patients

Ask away. Useful questions could include:

inquiring about less addictive medicine for pain management,

asking for an addiction risk assessment, and

investigating drug interactions between your prescriptions.

3. For Families

Storing and Disposing of Opioid Medications

Imagine that you were prescribed a week of opioids for a dental surgery.

“Leftovers” are never safe to keep around your residence. In particular, unused opioids from dental procedures are common targets for drug abusers. (22)

To put an end to nonmedical drug use in your home, you cannot leave them lying around. Luckily, patients have many safe options for storing and disposing of opioid medications.

To say goodbye to your medication, here are a few safe disposal options:

Medicine take-back sites and events,

Collection receptacles. (Your local law enforcement agency can direct you to any nearby community receptacles).

Flushing certain, potentially dangerous medicines in the toilet. For a guide on how to do this safely, click here.

What’s the best time to dispose of your opioids? As soon as possible. The more time that elapses before disposal, the higher the odds of abuse.

Key Takeaways: How to Avoid the Opioid Epidemic

There are other choices for pain relief with notably safer side effects. These include options such as ibuprofen, acetaminophen, and aspirin.

So, whether you’re a dentist, patient, or family member, don’t be afraid to discuss options when it comes to pain management!

read next: Know Before You Go: Root Canals

22 References

Aliprantis, D., & Schweitzer, M. E. (2018). Opioids and the Labor Market. Abstract: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3179068

Angres, D. H., & Bettinardi-Angres, K. (2008). The disease of addiction: origins, treatment, and recovery. Disease-a-month: DM, 54(10), 696. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/18790142

Savage, S. R. (2002). Assessment for addiction in pain-treatment settings. The Clinical journal of pain, 18(4), S28-S38. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/12479252

Webster, L. R. (2017). Risk factors for opioid-use disorder and overdose. Anesthesia & Analgesia, 125(5), 1741-1748. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29049118

Arkes, J., Iguchi, M. How Predictors of Prescription Drug Abuse Vary by Age. Journal of Drug Issues (2008) Abstract: https://www.ncjrs.gov/App/AbstractDB/AbstractDBDetails.aspx?id=248641

The post How to Avoid the Opioid Epidemic (for Dentists, Patients, and Families) appeared first on Ask the Dentist.

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emlydunstan · 6 years ago

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How to Find Adolescent and Teen Rehabs Near Me

Undergoing a search for the right treatment center for a teenage child is a more common journey for parents than previously thought. In 2016, four percent of adolescents between 12 and 17 years old had a substance use disorder and approximately 180,000 adolescents between 12 and 17 years old were treated at a treatment center for substance abuse. The growing epidemic of opioid misuse is exponentially impacting teens with every passing year.Though signs and consequences of substance abuse are similar between teens and adults, there are programs that specialize in the specific emotional and intellectual needs of teenagers.Receiving treatment with peers of the same age can foster a safe and supportive environment for adolescents that can nurture long-lasting friendships and a support system after treatment. Searching for the right treatment for your teen can be overwhelming and terrifying. There are so many options that can be tailored to meet your child’s treatment needs.Experimentation or Addiction?Before beginning a search for a adolescent rehab or treatment center for your teen, it is recommended to first learn what substances your teen is using, the degree of the use and if there are signs of addiction or chemical dependency. There is a difference between experimenting with substances and being addicted to them.Addiction is when your teen is no longer using and abusing a substance occasionally but now physically needs to use it and depends on its use. Like adults, healthy, smart and high functioning adolescents are susceptible to drug addictions. By knowing the signs and symptoms, parents can look out for red flags in their teens’ behavior before misuse evolves into addiction.In addition to a drug test that will give you clear evidence of substance use, observing sudden changes in your teen’s behavior as described in the following list will give you an idea if your child is abusing drugs or alcohol and has become addicted. It is normal for teens to experience fluctuations in mood and disposition. A consistent pattern of unpredictable behavior may indicate that your teenager has a substance use disorder.Different substances can produce different changes in behavior. Behavioral changes that indicate ongoing misuse or addiction include:Changes in sleeping and eating: A change in appetite is often one of the first signs of substance abuse. Depending on the type of substance being used, your teen’s appetite may either increase or decrease. If your teen frequently smokes marijuana, she may want to eat more frequently or increase her portion. If your teen is abusing stimulants, there might be a sharp decrease in appetite. Extreme changes in sleep patterns like staying up all night or sleeping for long periods during the day may also be an early sign of substance misuse or addiction.New friends and neglecting long-lasting friendships and social circles: Teenagers struggling with addiction may change friends and no longer socialize with friends they have known for a long time. They may stop spending time with old friends in order to hide their substance use and create new relationships with those who also use drugs or alcohol. Other changes in behavior include breaking curfew and lying about their location.Neglecting personal grooming and hygiene: Teenagers are known for being overly conscious about their appearance, wardrobe choices, and overall look and hygiene. Teens who are using or addicted to drugs and/or alcohol often neglect personal hygiene, may shower less, and lose interest in style and clothing.Frequently asking for money: Teens with a substance use disorder tend to ask for money without communicating a reason. They may also be secretive about spending habits. A common behavior for both teen and adult addicts is to ask regularly for small amounts of money or lie about how much they need for a necessity so they can keep the extra money.Other signs of substance abuse and addiction include:Increased anger and aggression and getting into conflicts.Receiving disciplinary action at school.Signs of antisocial behavior and withdrawing from family and friends.Skipping classes and neglecting school work which result in a drop in grades.Losing interest in hobbies and after school activities and sports.Finding drug and alcohol paraphernalia like pill bottles, pipes, needles, liquor bottles.Specific Signs of Substance Abuse in TeensThough signs of abuse and addiction are similar regardless of the substance, there are some drugs that offer specific warning signs:Marijuana: Symptoms of ongoing marijuana use include excessive sleep, overeating, weight gain, loss of motivation, decreased interest in hobbies and activities, red and glassy eyes.Depressants (Examples include Xanax, GHB, and Valium): Symptoms of the abuse of depressants include blurry vision, drunk-like behavior, clumsiness, difficulty concentrating, slurred speech, sleepiness and poor judgment.Stimulants (Examples include cocaine, amphetamines, crystal meth): Symptoms of the abuse of stimulants includes hyperactivity, dilated pupils, irritability, euphoria, excessive talking, anxiety, going long periods of time without eating or sleeping, dry mouth and nose.Opioids (Examples include heroin, morphine, codeine, fentanyl, oxycodone also known as OxyContin, Roxicodone, or Percocet, hydrocodone also known as Vicodin, Lortab, or Norco): Symptoms of opioid abuse include contracted pupils, wearing long sleeves and long pants even during warm weather to hide marks from injecting, excessive sweating, coughing and sniffling, sleeping at unusual times and nodding off, twitching, loss of appetite, noticeable elation or euphoria, slowed breathing, constipation.Hallucinogens (Examples include PCP and LSD): Symptoms of the abuse of hallucinogens include dilated pupils, aggression, frequent mood swings, bizarre and irrational behavior, paranoia, hallucinations, slurred speech, confusion, absorption with objects or self, detachment from others.Inhalants (Examples include aerosols, glues, and vapors): Symptoms of the abuse of inhalants include loss of memory, interrupted thought, watery eyes, frequent headaches, nausea, secretions from the nose, rashes around the mouth and nose, poor muscle control, anxiety, drowsiness, drunk-like appearance, drastic change in appetite.How to find a residential adolescent treatment programOnce parents have identified that their teens have a substance use disorder, it can be daunting to know where to begin to find treatment. Your child’s pediatrician and school counselor may help navigate available options. A drug treatment professional can help diagnose your teen’s drug use or addiction and suggest the most effective treatment approach. Every adolescent is different and so is their treatment plan. What may work well for one teen might not be the most effective journey for another teen.Though outpatient rehab has benefits, some experts recommend that inpatient treatment is the best, most effective course of treatment for teens.Residential treatment usually entails staying in a facility that offers both treatment and accommodations onsite, for 28 to 90 days or longer. During that time, the teens take part in group and individual therapy to identify the underlying causes of addiction, discover negative beliefs and issues that led them to drug use, and build tools and skills that will help them remain drug-free after treatment.The idea of residential treatment for adolescents can be scary for parents. Most inpatient facilities have family days where family members are encouraged to participate in therapy sessions. Residential programs that cater to teens are designed to stabilize them so they can be reunited with families as soon as possible. The most effective programs collaborate with families and ensure families feel like they are an active part in their child’s treatment.While in treatment, teens will live in an environment that supports sobriety and offers them structure and protection from the temptations of the outside world. Adolescent residential treatment programs are located throughout the country. There are also residential treatment programs that accept both adults and teens. Your family may prefer to find a program close to home while others may opt for a program further away from their teen’s daily life and routines.Aside from insurance coverage, deciding on where to admit your teen and how far to travel depends on many considerations. Does the treatment center allow visitations after a certain time? Will you be able to travel to that facility easily? Research has shown that out of state facilities can benefit patients because it decreases the chance of a patient leaving early.What happens in residential treatment?Before a teenager enters a residential rehabilitation program, they are evaluated by staff during detoxification to determine the best course of treatment. An individualized course of treatment depends on what substances the patient is addicted to. Often teen clients are addicted to more than one drug or they use drugs and alcohol. In these instances, treatment professionals craft a poly-substance dependence treatment plan.All clients in an adolescent treatment program should be treated as individuals with their own specific circumstances and have a written treatment plan that includes specialized care for dual diagnosis and co-occurring disorders to meet their needs.Since teens are especially vulnerable to the lasting dangers of substance abuse because their bodies and brains are still growing and developing, adolescent clients in treatment go through a particular order of steps to overcome their addiction which includes:Detoxification with assistance from medications if necessaryCommitment to cooperate with counselors during treatmentHave co-occurring conditions assessed and diagnosedMonitoring and re-adjusting treatment plansMaking sure a teenager does not have a relapse during treatmentAttending one-on-one and group counseling sessionsAttending daily mutual aid meetings such as Alcoholics AnonymousCounseling sessions with relatives and friendsMaking aftercare plans for after residential treatmentHaving follow-up treatment plans after leaving a facilityTypes of Counseling OfferedCounseling sessions for teenagers are held in both group and one-on-one settings. Eventually, parents, siblings, and friends also attend counseling sessions to help a teenager adjust to returning home or to school. Teens undergo several types of therapies in order to change their mental attitude when it comes to drug and alcohol use.Some of the therapies include Motivational Interviewing (MI), multidimensional family counseling, Cognitive Behavioral Therapy (CBT) and motivational incentives.Teenagers seeking detox and rehabilitation may also have co-occurring conditions that make treatment more complex. Some of these conditions include panic, social, and generalized anxiety disorders, bipolar disorder, dysthymia and depression, attention deficit and hyperactivity attention disorders and more serious mental illnesses like schizophrenia.While in treatment, a teenager may need medications, treatment, and counseling for both their substance use disorder and co-occurring mental health conditions. When a teenager has a co-occurring disorder, a rehabilitation program will probably need to last longer. Clinicians will monitor and adjust a teenager’s medications carefully in order to help them overcome their addiction while also treating a mental illness or mood disorder.What to look for in an inpatient treatment facilityThe most important factor when choosing a rehab center for your teen is knowing that the center chosen will effectively provide the services necessary for a successful rehabilitation. It is important to attend any scheduled visitations, and while in the facility, take note of how your child appears. For example, does your teen seem comfortable and do they appear to feel safe. Not all treatment centers may value making a profit over the best interest of your teen. To ensure the safety and well-being of your teen, here are certain characteristics in residential treatment programs you should look for before admitting your child:How long is the residential treatment program?Is the facility fully licensed? The federal law requires facilities that provide any type of treatment, including detox, therapy, treatment planning and rehabilitation, to be licensed.Is the facility accredited by CARF? CARF, the Commission on Accreditation of Rehabilitation Facilities, assesses treatment centers to determine the level of care they can administer. When a program has CARF accreditation, it means the rehab center has been assessed and meets the high standards of care requirements.Is the staff professional and well trained? When visiting potential rehab centers for your teen, it is important to pay careful attention to the treatment provided by the staff and how they interact with clients. Are clients comfortable with the staff? Does the staff exhibit genuine concern for the well being of their clients? Do clients appear to be comfortable and safe around the staff? Does the facility conduct background checks on all staff members including support staff? What credentials do the therapists and treatment professionals have?What is the facility’s success rate? When interviewing potential rehab centers, make sure to ask about their success rate. Generally, the higher the success rate is, the better the outcome may be for your teen.What condition is the facility? The facility should be clean, well-organized and have appropriate living quarters. What are the living and sleeping arrangements?What are the amenities? Amenities can include gym and exercise, recreational activities, off-site trips and events. Is there a gym and exercise program? A media center and access to the Internet?When in the day do clients receive schooling? Are computer and access to the Internet available for educational purposes only?What is the facility’s rules for personal cell phone and device use?What are meals like? Are high sugar snacks restricted?What is a typical schedule for clients? What time is lights out?How often can families visit and speak with a client? What are visitation hours?How do you include families in a child’s treatment?How will the facility communicate with parents and how often?Will you be kept up to date regularly about your teen’s recovery?Is the program teens only or are adults clients also admitted? It’s important that an inpatient treatment facility is able to cater to teens’ evolving emotional and intellectual needs and the professional staff understand how to care for an adolescent who in undergoing rapid hormonal changes.How will this program support my teen’s schooling? Parents are concerned if a long term residential treatment program can cause a teen to fall behind in school. Usually residential treatment programs for teens will offer tutoring and assign curriculum based classes and assignments.What aftercare is provided? Many inpatient treatment programs will have aftercare which means they offer groups and resources for patients who have been released from inpatient care so they can continue to receive treatment and therapy while returning to their lives.Covering The Cost Of Your Teen’s RehabIn 2014, the Affordable Care Act impacted the way in which most insurance companies approach mental health and substance use treatment. They are now legally required to offer coverage for these issues. However, it’s important to note not all policies are the same, especially when it comes to mental health care.Before moving forward with deciding on a residential adolescent rehab, first speak with your insurance provider to determine if your child’s treatment will be covered. Many residential treatment centers accept insurance, but some insurance policies do not cover the cost of addiction treatment or may not cover out-of-state treatment. When you have determined that your teen will qualify for insurance coverage, you can then identify a rehab center that accepts your insurance. If a residential program doesn’t accept insurance or your insurance doesn’t cover addiction treatment, ask if the program offers a sliding scale fee that’s contingent on your income.

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alexdmorgan30 · 6 years ago

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How to Find Adolescent and Teen Rehabs Near Me

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How to Find Adolescent and Teen Rehabs Near Me

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stopsubstanceabuse1-blog · 6 years ago

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Hydrocodone Detection Timeline [INFOGRAPHIC]

New Post has been published on https://www.substanceabuseprevention.net/hydrocodone-detection-timeline-infographic/

Hydrocodone Detection Timeline [INFOGRAPHIC]

WHAT THIS ARTICLE COVERS: This is a visual presentation that shows you detection periods for hydrocodone on blood, saliva, urine, and hair based tests. You’ll learn average lengths of time of hydrocodone stay in your system. Plus, we elaborate the factors that influence metabolism. Explore it!

ESTIMATED READING TIME: 5 minutes

TABLE OF CONTENTS:

Drug Basics

Drug Name: Hydrocodone Drug Class: Analgesic / Opiate Street Names: Hydros, Norco

The semi-synthetic, opioid agonist hydrocodone is used to treat moderate to severe pain, but its regular use comes with a pric.. This medication has a huge addictive potential. This is because hydrocodone is a medication that predicatably changes brain activity and is known to cause dependence (or even addiction) within a few weeks of regualr use. It is even classified as Schedule II controlled substance by the DEA. In fact, the National Safety Council claims that opioid medications like hydrocodone can cause dependence on the medication after only 5-7 days of use.

Furthermore, hydrocodone is hugely popular! This 2014 Customer Reports article stated that hydrocodone was one of the most commonly prescribed pain medications across the U.S. The 2016 National Drug Threat Assessment furthe backs up this fact by announcing that over 6.7 billion pills of hydrocodone were distributed in US in 2015.

Also, the DEA has reported:

136 million hydrocodone-containing products were distributed in 2013.

65.5 million hydrocodone-containing products were distributer in the first six months of 2014.

6.2 billion hydrocodone pills were distributed in 2016.

The other side of the coin is that an estimated number of 11.5 million of Americans aged 12 and older misused painkiller medication in 2016, reported SAMHSA. Moreover, the Drug Abuse Warning Network (DAWN) found out that in 2011, about 82,480 emergency department (ED) visits were connected with nonmedical use of hydrocodone. Additionally, this 2016 National Survey on Drug Use and Health shows that 6.9 million people reported misuse of hydrocodone in the past year.

Why Drug Test?

A drug’s “detection window” is the period of time from the last dose of hydrocodone until it’s detected in your system. Most people want to know more about the drug detection window because they’re expecting a drug test in the immediate future. Why do officials typically order a drug test for this medication? The reasons are many:

Employers may require drug test for a job position.

Athletes are also tested for drug use.

If you use hydrocodone under a doctor’s prescription, you may be asked for drug testing as part of treatment.

Court orders may require regular or random drug testing for legal reasons.

Emergency rooms do drug tests as a matter of protocol in cases of injury or overdose.

If you’d like to learn more about drug testing, download our free guide here.

If you are required to do a drug test, be prepared by understanding the basic detection window for hydrococodne. The specifics follow.

Detection Window

Q: How long does hydrocodone stay in your system? A: Generally, the half life of hydrocodone is short: about 4 hours or less. That’s why you need to keep dosing over and over.

However, the detection windows for hydrocodone vary. And the detection period of hydrocodone depends upon the drug test that is used.

Urine: Urinalysis can detect hydrocodone for up to 7 days after the last use. Saliva: These types of tests detect the presence of hydrocodone up to 36 hours after the last intake. Blood: The detection period for a blood tests is about 12 hours. Hair: Hydrocodone can be detected up to 90 days in hair follicle drug test.

NOTE HERE: Drug detection times in urine, blood, and saliva are an average and can vary greatly by individual. This information should be used as a general guidance only.

Influence Factors

Many factors can influence the hydrocodone presence in the system. Some of them include:

Frequency and dosage.

Age.

Metabolic rate.

Liver and kidney function.

Body mass index.

Diet and use of fluids.

General health.

Physical activity.

As a general rule, younger bodies eliminate toxins faster. Also, if you have a slow metabolism, expect that hydrocodone will stay in your system longer. Moreover, any liver or kidney dysfunction can slower the elimination period of the drug.

Your Questions

Did you find this hydrocodone infographic educational and helpful? Feel free to put in on your website or share it with friends in need. The embeded code is right under it.

In case you have any questions, post them in the comments section below. We try to respond personally and promptly to any legitimate inquiries.

Reference Sources: NCBI: Laboratory Testing for Prescription Opioids NCBI: Opioid Metabolism

MedlinePlus: Hydrocodone

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artsoccupychi · 7 years ago

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Oral Surgery With Natural Antibiotics (Narcotic- and Steroid-Free)

Have you ever tried going through an oral surgery using only natural antibiotics? You may not believe that these types of holistic medicine work, but wait until you read my story. My goal with this story is to educate and empower you in making your own family’s dental treatment choices because you may be shocked at the number of toxic chemical drugs that you’re prescribed both before and after your oral surgery that aren’t at all necessary! Read on to find out how natural antibiotics can work for oral surgery preparation and recovery.

Here’s How Natural Antibiotics Helped My Son Recover in an Oral Surgery

In This Article:

What Happens When Oral Surgeons Prescribe Their Patients Steroids and Prescription Antibiotics?

Why Do Oral Surgeons Prescribe Antibiotics and Steroids for Surgery Instead of Natural Antibiotics?

Are Oral Surgeons Your Final Authority?

How My Holistic Dentist Worked With My Surgeon—for Quick Healing Without Toxic Side Effects Using Natural Antibiotics

Important Holistic Interventions to Help You Heal By Using Natural Antibiotics

Avoiding Dry Socket and Cavitations

Natural Antibiotics: Did We Avoid Steroids, Antibiotics, and Narcotics?

What Happens When Oral Surgeons Prescribe Their Patients Steroids and Antibiotics?

Recently, I learned that my 17-year old son, Tennyson, had four impacted wisdom teeth, and my biological dentist said they needed to come out. I trust Michelle Jorgenson, DDS (American Fork, Utah) more than any dentist I’ve ever worked with. You’ll know why, by the end of this story. (And I’ve worked with a lot of dentists.)

Are the chemical drugs necessary? I’ve previously blogged about my root canals, getting my amalgam fillings out, and the $50,000 I’ve had to spend in my mouth, the past 5 years. (No fun.) I’m sure the problems with my mouth are due to my first 25 years of eating loads of sugar, some bad dental advice, and treatment, as well as a family tendency towards bad teeth!

I’ve also written about the growing field of biological dentistry, which is sometimes called holistic dentistry. A really good biological dentist will offer diagnostics and treatments that honor the body’s systems. This specialized dentist can eliminate heavy metals (amalgam fillings and implants) in your treatment, they can minimize radiation in scans, and they can offer alternatives to antibiotics, root canals, and other practices of modern dentistry that are proving to be harmful to your health.

This story may help empower you to know what’s available to you, and how to avoid using devastating antibiotics, steroids, and opioids that most dentists recommend before and after your oral surgery.

My story with my current dentist, Michelle Jorgenson, starts way back. A friend in another state told her to go to GreenSmoothieGirl, and she devoured all the content on my site and signed up for my 12 Steps to Whole Foods program. Why? Michelle’s health was in decline, as she had gut issues and neurological symptoms common to traditional dentists, one of the sickest professions in America. Nothing in dental school educated her about the risks of the constant exposure to mercury, which is the second most toxic substance on Earth, for humans.

She began to get serious about changing her family’s diet, and she and her four children implemented all the steps in our whole-foods program, with some remarkable turnarounds in her family’s health–especially for her 4-year old adopted son. But she also became very curious about what additional training she could receive, and what technologies and practices she could use in her practice, to not just repair damage, and improve the patient’s cosmetic issues—but also help patients actually heal their teeth.

I’ve watched Michelle’s transformation and transition to becoming a holistic dentist, and I transferred myself and my son to her practice. She’s a genius at Durathins (similar to veneers, but permanent and do not damage teeth, they’re beautiful), and placing zirconium implants. (No metals! Only one other dentist in Utah specializes in this.) And she’s invested in all of the best practices and technologies of the biological dentistry movement.

She’s been an absolute godsend to me and my family. But now she had to refer my son to an oral surgeon. And, when we went to him for a consultation, he handed me prescriptions for steroids, antibiotics, and opioids! Who wants to put their kid on addictive painkillers, for a possible toothache? I knew from a consultation with a traditionally—trained oral surgeon in my own dental care years before that they typically want a patient on a course of oral antibiotics too.

I took the prescription but did not fill it, before my oral surgery many years ago. There are many options for killing bacteria naturally, that do not disrupt the gut’s microbiome, where most of your immune system lives. Today’s extra-strong antibiotics kill all the healthy flora in the gut, and many people now struggle for years, after a single course of antibiotics, to overcome SIBO, intestinal distress, or even “C Diff,” a terrifyingly antibiotic-resistant bacterial infection that you become highly prone to, after wiping out all the “friendly” bacteria in the GI tract with antibiotics.

The hilarious ride home from oral surgery, 10 minutes after Tennyson came out of anesthesia.

I was shocked, however, that now these surgeons ask the patient to take steroids which Dr. McBee prescribed for my son. These drugs suppress the immune system, and while the patient may experience temporary relief from inflammation, the side effects of steroid use are legion.

Steroids remain in the tissues, organs, and blood for six months. You can read hundreds of stories of consequences even more significant than whatever it is our surgeon hoped to avoid, prescribing this powerful drug as a preventative.

Why Do Oral Surgeons Prescribe Antibiotics and Steroids for Surgery Instead of Natural Antibiotics?

Let’s talk about what oral surgeons know, and what they don’t. I questioned the surgeon on whether these drugs were entirely necessary. He insisted they were. However, he does not deal with the side effects of the drugs after the patient leaves his office.

He specialized in extracting difficult teeth under anesthesia and in other procedures. He is not likely very educated about the long-term risks of the drugs themselves. With a smile, our surgeon told me that these drugs were important and mandatory.

I have many people close to me whose lives have been devastated by opioid addiction. Here are some:

I know five families who have spent their net worth, even mortgaged their homes, to put family members in a long-term rehab.

I have a former boyfriend, and the sons of two of my close friends, whose children have turned to heroin when they can no longer access Percocet, Lortab, or Oxycontin. All of them started with a legitimate pain issue.

One of my close friends married a man who served a prison term for holding up a Rite-Aid to get Oxycontin.

Obviously, these are worst-case scenarios, and the Lortab Dr. McBee prescribed can be a godsend in short-term issues with severe pain. Truly, opioids can be a miracle. That’s what they’re for: crisis! However, prescription opioids are a billion-dollar industry, and that’s largely because they are one of the most addictive chemical substances ever discovered by humans.

In Utah, we have a problem with the opioid class of drugs that far surpasses the national average. And because my son really likes ibuprofen when he gets a headache, he worries me a little! That’s where addiction starts–with a legitimate pain problem, right?

I told the surgeon I’d prefer another approach, and he suggested I fill the prescription ibuprofen and get some over-the-counter Tylenol – and alternate the use of those two drugs after surgery. This way, we could hope to stay ahead of the pain while avoiding stronger painkillers.

Are Oral Surgeons Your Final Authority?

Are the folks in white coats your final authority, on what you will, and will not, do, regarding your health? What if you consider them consultants? I smiled, and nodded, took the prescriptions. And reminded myself that while the guys in white coats are our friends, I do not have a responsibility to feed my child every chemical a doctor prescribes.

Like traditional Medical Doctor training, dentistry training is underpinned and funded by the pharmaceutical industry. Dental schools do not acknowledge the danger of mercury fillings, and other practices they’ve used for many decades — and truly, they cannot acknowledge these risks, or they’d be setting themselves up for the biggest class-action lawsuit in the history of lawsuits.

A dentist prescribing drugs for your pre- and post-operative care reminds me of this old adage: If all you’ve got is a hammer, everything looks like a nail. If you want alternatives, you won’t get those from the guys coming out of dental school — but in the age of the internet, the good news is, it’s easy to educate yourself.

I’ll share with you the natural approaches to pain — natural antibiotics. They were my first line of defense after Tennyson’s surgery.

My second strategy would be the Ibuprofen/Tylenol alternating. Don’t think that these drugs are without risk. The NSAID class of drugs (including ibuprofen, Aleve, and aspirin) cause over 100,000 emergency room visits, annually, and many deaths. And a great deal of evidence shows serious liver damage from Tylenol use. That said, they have their place. And I would use them, if necessary. I did fill the Lortab (hydrocodone) prescription.

I hope you will consider educating yourself and learning more about the compounds in nature that can achieve the same effects, without the devastating consequences. This may help you feel empowered and hopeful, going into surgery. I talked to Dr. Michelle Jorgenson, and what happened next was pretty amazing. Together, we collaborated to not only avoid toxic drugs—but also to work closely with the surgeon, and give Tennyson a chance at quick, complete healing, without the common risks of cavitations and “dry socket.”

How My Holistic Dentist Worked With My Surgeon — for Quick Healing Without Toxic Side Effects Using Natural Antibiotics

What happened next might be the coolest part of this story. I contacted Michelle, interested to hear what she thought of steroids and antibiotics, preventatively, and she was frustrated, too.

She suggested that before the surgery, I stop by her office, where they would prepare, from Tennyson’s own blood, PRF, which is Platelet Rich Fibrin, as well as an ozone preparation–and she would run these over to the surgeon. She said, “I have a fantastic homeopathic penicillin called Notasan,” and asked me to come by and get it, along with Arnica, a pain-relieving homeopathic, that day.

Michelle is great at meeting people where they are. She texted me, “I used to prescribe antibiotics and narcotics every day. Now I’ll go months without narcotics—and maybe one antibiotic a month, for someone very sick. The need for these drugs is in the medical provider’s mind. Pretty amazing realization!”

I got Tennyson on the Notosan antibiotic right away, several days before the surgery. When I talked to Michelle’s staff later that day, they were very animated in telling me the remarkable success they’d been having, using this natural, non-toxic substance.

Without my asking, Michelle phoned the oral surgeon, and told me, “He was very open to my ideas, and will place the PRF implant and the ozone, at no charge to you. In fact, he said he wanted to learn from me.” I texted back, “This is exciting. Think how many fewer drugs he could prescribe if he learns this! In fact, you could do clinics in your office, and invite all the oral surgeons you know, to share how effective this has been with your patients.” “On it!” she said back. (If I know Michelle, she will absolutely follow through with this.)

Imagine the drug toxicity that WON’T be in our groundwater, and causing long-term side effects for patients, if she can educate even a few of them! “You are doing a great work in the world,” I told her, “and you are just warming up.”

Michelle bridges the gap very well: she speaks about the divide between traditional dentistry, and holistic dentistry, with equanimity, always remembering her own journey. This makes her credible. And she wants to educate the patient, the parents, and the other healthcare providers. (Can I get a standing O, for my dentist?)

Important Holistic Interventions to Help You Heal by Using Natural Antibiotics and Pain Relief

So here’s what we did for my son, after wisdom tooth removal, with great success.

(I’m pleased to report that he sailed through recovery. No “dry socket!” The surgeon told me this risk of tooth extraction happens 10 to 50 percent of the time, with wisdom tooth removal!)

Natural Pain Relief (To Avoid Narcotics)

Inflammation is a key cause of pain, so we can’t entirely separate the pain relief part of this article, from the anti-inflammatory category. They are highly integrated parts of healing.

But I worked closely with Dr. Jorgenson to share with you what we’ve both found works the best, in my son’s care after tooth extraction—me, a lifelong researcher raising four healthy children to adulthood, and her as a researcher and clinician.

Arnica: This homeopathic is very inexpensive, and it’s one of the most popular homeopathics, because it works well again bruising, swelling, inflammation, and pain. It dissolves under the tongue, and this, plus CBD oil, helped.

CBD Oil: Awareness about this painkiller substance is exploding, though “medical marijuana” is a politically charged issue. CBD oil is the non-psychoactive, medicinal compound derived from the marijuana plant, and its side effects are mild if there are any. I’ve secured a 10% off coupon code for GreenSmoothieGirl readers if you order here and use code “10off928” when checking out. (THC is the more controversial substance from the marijuana plant, which does have mind-altering effects.)

Natural Antibiotics (To Avoid Drug Antibiotics)

Keeping an arsenal of highly effective antibacterial natural products on hand is critical. They work best when you begin using these products at the very first symptom of a headache, aches, or fever.

And, when you’re sick, you don’t want to be out shopping or waiting for your Amazon order. I keep all my natural remedies together, in a basket.

Medicine has never found a drug that kills viral organisms, but the plant world has many remedies that work.

This video tells the story of when my college-senior daughter became very sick, during the school year—so sick that I had to send her to Instacare. I knew the M.D. would prescribe her an antibiotic, without testing her for bacterial infections. (I was right.)

In the short video that has had 2 million views and tens of thousands of shares, I tell the story of how I worked with her doctor, kept her off antibiotics, and got her well. (I have not given any of my children an antibiotic, in 24 years.) I also share some of my “classic, stand-by” natural remedies, in that video.

After my older daughter’s health scare, while she was away at college in 2015, now I make sure she has her supplements with her, away from home.

One of the best things you can give your adult children living away from home is a care package from you, with some of these antimicrobial, immune-supportive supplements.

These additional supplements are powerful for post-surgery healing, specifically. In each case, follow the directions on the bottle.

Notasan: This prescription that you can get from Dr. Jorgenson’s office (Total Care Dental in American Fork, Utah) is a highly effective homeopathic penicillin that Michelle’s staff told me they have phenomenal results with. Today’s antibiotics have far worse consequences than the old penicillin and erythromycin, and many people who take them end up with resulting long-term diagnoses like C Diff and SIBO, which affects their digestion and immune function, potentially, for years.

As Medicine creates stronger drugs in the wake of antibiotic-resistant strains of bacteria, we reap the consequences, when we take them. Modern antibiotics like Vancomycin and the Z-Pak make you highly vulnerable to the next virus or infection that comes along. The nice thing about a homeopathic is that there is no toxicity or fallout for your health.

MunityBoost: Barlow Herbals has an amazing liquid tincture using lomatium, an herb that really works. I’d heard many of my health and wellness practitioner colleagues rave about this product, so I bought two bottles, part of my new arsenal!

On Guard: It’s a handful of the best essential oils for viruses and bacteria, and you can just put a drop on the back of your hand, and lick it off, every two hours. It’s made by doTERRA, and other brands have similar blends. If you can find a similar blend, using organic oils, let me know! I’ve knocked down and cold or virus dozens of times, with this stuff, and usually you can get it on Amazon, or from your local rep.

Oregano Oil: Buy it organic at a natural products store or online. It can burn your stomach, and it tastes absolutely dreadful. So, put no more than 2 drops in a capsule, and follow it with food. It’s incredibly powerful, killing aberrant cells like bacteria and virus.

Vitamin C: Always have it on hand. It mobilizes your immune system so effectively, that even standard-of-care Medicine has to acknowledge its efficacy and many insurance plans now pay for IV Vitamin C, in cancer treatment. It’s easy to take 500 mg, twice a day. I like this organic brand, on Amazon.

Spry Oral Rinse: Xylitol has been shown in clinical studies to decrease pathogenic organisms in the mouth, which is one of the dirtiest places in the human body. I asked my son to gently rinse, a couple of times a day, after surgery. You can get this at your local natural products store, or on Amazon.

Natural Anti-Inflammatories (To Avoid Steroids)

Some of the great options for Natural Antibiotics and painkillers that we used after Tennyson’s oral surgery. As we prepared for surgery, I shared this photo on my personal page on Facebook—and hundreds of people commented. Some of them shared the devastating effects of taking steroids, which are now prescribed at an alarming rate for virtually everything autoimmune and even pre-surgical.

While doctors are happy to prescribe you an antibiotic after your immune system is on its knees from steroid use, it’s not my family’s first line of defense or even our second!

BCQ: Dr. Jorgenson recommended this product to me for anti-bruising, anti-inflammatory, and anti-pain, post-surgery. It contains Boswellia, from frankincense; Curcumin from turmeric; Quercetin, a potent flavonoid; and Bromelain, a healing enzyme from pineapple. All of this helps rebuild connective tissue, and each of them had come up, in my research on care after tooth extraction, supporting strong gut health and immune function–so I was excited to get it, all in one supplement.

Vitamin D + K2: In rebuilding tissue and bone, nothing is more important than Vitamin D, which is more a hormone than a vitamin, and Vitamin K works synergistically with it. The vast majority of North Americans and Europeans are deficient in Vitamin D, and that’s never more problematic than when you are trying to heal from a tooth extraction.

Avoiding Dry Socket and Cavitations

Cavitations, an infected hole in your jawbone and the painful “dry socket” phenomenon common to tooth extraction don’t often happen, when your biological dentist uses a preparation of your own blood, PRF, or Platelet Rich Fibrin.

Most traditional dentists will not know what you’re talking about if you ask them about PRF. My oral surgeon didn’t, though he wanted to learn about it when my biological dentist called him.

A holistic dentist trained in the PRF procedure will draw a small vial of your blood, pre-surgery. When implanted in the hole caused by the extraction, the three-dimensional network of your own fibrin forms a scaffolding at the wound site, that facilitates the bone filling in. Without it, the bone has to grow up, from the bottom, and the sides, which is much slower and less predictable. This is important, since cavitations form in 80 percent of wisdom teeth sites, according to Dr. Jorgenson’s research. That’s because the bone caps the hole, but doesn’t fill in. And “dry socket” occurs when the blood clot formed in the empty space becomes dislodged, exposing nerves and bone to air and bacteria.

“These create a cavity, with lots of harmful microbes that move in and have a party,” says Dr. Jorgenson. The cavitation lines up with the heart and stomach meridian, so the effect of a cavitation can be systemic, not just limited to the site of the oral surgery.

My dentist also prepared ozone for my son, and the oral surgeon placed the ozone, post-surgery, as well as the PRF, to give Tennyson an excellent chance at ideal healing, after the procedure.

Ozone, or O3, is oxygen with an extra molecule, and it’s what lightning creates, in the sky, to clean the atmosphere. It is used in many medical and industrial uses, as well, and in oral surgery and other dental treatments, it can kill harmful microbes without toxic effects.

Natural Antibiotics: Did We Avoid Steroids, Antibiotics, and Narcotics?

I’m pleased to report that Tennyson healed well, without developing the common syndromes of “dry socket” or cavitations. I’m also pleased to say that we did not use the drug antibiotic. Our natural antibiotics and remedies I’ve reported in this post worked beautifully.

Finally, I did not fill the steroid prescription. I’m glad because my son had a long winter ahead of him, with arduous baseball practices for his senior year and hopefully a third state championship to pitch. He needs his immune function.

However, I’m disappointed to report we did need the painkillers. On Day 2, the CBD and arnica weren’t easing the pain enough, so I alternated Lortab (the opioid) and ibuprofen. We used the narcotic for only 24 hours. Regardless of that, I still consider the whole plan as a success.

Find out how to avoid the negative effects of antibiotics by using natural immune-boosters and natural antibiotics by watching this video from us:

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I hope you’ve learned a bit about what is available in the world of biological dentistry, natural anti-inflammatories, natural antibiotics, and natural painkillers, and I hope it serves you, in your desire to be healthy. I’m Robyn Openshaw, MSW, author of the bestsellers The Green Smoothies Diet, Vibe, and 12 Steps to Whole Foods, and my favorite non-toxic antiviral and antibacterial supplements are available as a free wallet card here!

Did we miss anything on our discussion about natural antibiotics and oral surgery? Tell us in the comments section below!

Up Next: 7 Natural Immune Boosters

Disclosure: This post may contain Affiliate links that help support the GSG mission without costing you extra. I recommend only companies and products that I use myself.

Editor’s Note: This article was originally published on February 7, 2018, and has been updated for accuracy and relevancy.

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