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deaddictioncentre789 · 5 months ago

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Deaddiction Centres in India: A Lifeline for Recovery

Introduction

India faces a significant challenge with substance abuse, impacting millions of lives and posing a serious threat to public health. In response, deaddiction centres have emerged as critical institutions for recovery, offering comprehensive treatment and support to individuals battling addiction. One notable facility is the Nasha Mukti Kendra in Sangrur, which plays a pivotal role in transforming lives in the region.

The Scope of Addiction in India

Substance abuse in India spans a wide range of drugs, including alcohol, cannabis, opioids, and prescription medications. The National Survey on Extent and Pattern of Substance Use in India (2019) revealed alarming statistics, indicating that approximately 14.6% of the population aged 10-75 years are current users of alcohol, with a significant portion engaging in harmful or dependent use.

The Role of Deaddiction Centres

Deaddiction centres, also known as rehabilitation centres, are specialized facilities designed to help individuals overcome addiction. These centres offer a combination of medical treatment, psychological support, and social rehabilitation to address the multifaceted nature of addiction.

Comprehensive Treatment Programs

Effective deaddiction centres provide a range of services, including:

Detoxification: The initial phase involves medically supervised withdrawal from substances, ensuring safety and comfort.

Counseling and Therapy: Individual and group therapy sessions address the psychological aspects of addiction, helping patients understand the root causes and develop coping strategies.

Medication-Assisted Treatment (MAT): For certain addictions, medications such as methadone or buprenorphine are used to reduce withdrawal symptoms and cravings.

Aftercare Support: Post-treatment support is crucial for preventing relapse, involving continued counseling, support groups, and lifestyle adjustments.

Nasha Mukti Kendra in Sangrur: A Beacon of Hope

The Nasha Mukti Kendra in Sangrur is one of the leading deaddiction centres in Punjab, known for its dedicated approach to rehabilitation and recovery. This centre stands out for its holistic treatment methods and commitment to patient well-being.

Location and Facilities

Located in the heart of Sangrur, the Nasha Mukti Kendra provides a serene and supportive environment conducive to recovery. The centre is equipped with modern amenities and facilities, ensuring patients' comfort and safety throughout their stay.

Holistic Treatment Approach

The Nasha Mukti Kendra in Sangrur adopts a holistic approach to addiction treatment, focusing on the physical, mental, and emotional well-being of patients. Key components of their treatment program include:

Personalized Treatment Plans: Each patient receives a customized treatment plan tailored to their specific needs and circumstances.

Experienced Staff: A team of qualified doctors, psychologists, and counselors work collaboratively to provide comprehensive care.

Therapeutic Activities: Alongside traditional therapy, patients engage in various therapeutic activities such as yoga, meditation, and art therapy to promote overall wellness.

Family Involvement: Recognizing the importance of family support, the centre involves family members in the recovery process, providing education and counseling to strengthen familial bonds.

Success Stories

The Nasha Mukti Kendra in Sangrur has numerous success stories, with many individuals reclaiming their lives and rejoining society as productive members. Testimonials from former patients highlight the transformative impact of the centre's programs, emphasizing the compassionate care and unwavering support they received.

Challenges Faced by Deaddiction Centres

Despite their critical role, deaddiction centres in India face several challenges, including:

Stigma and Discrimination: Social stigma surrounding addiction often prevents individuals from seeking help, exacerbating the problem.

Resource Constraints: Many centres struggle with limited resources, impacting their ability to provide high-quality care.

Need for Trained Professionals: There is a growing demand for trained addiction specialists to address the increasing number of cases effectively.

Government Initiatives and Support

The Indian government has recognized the need to combat substance abuse and has implemented various initiatives to support deaddiction centres, such as:

National Action Plan for Drug Demand Reduction (NAPDDR): Aimed at reducing the demand for drugs through awareness, education, and rehabilitation programs.

Financial Assistance: Providing funding to deaddiction centres to enhance their infrastructure and capabilities.

Training Programs: Offering training for healthcare professionals to equip them with the necessary skills to manage addiction cases.

Conclusion

Deaddiction centres like the Nasha Mukti Kendra in Sangrur are vital in the fight against substance abuse in India. Their comprehensive and compassionate approach to treatment provides individuals with the support they need to overcome addiction and rebuild their lives. With continued efforts from the government, healthcare professionals, and society, these centres can make a significant impact in curbing the addiction crisis and fostering a healthier, addiction-free future.

#nasha mukti kendra #healthcare #health and wellness #no smoking

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roarwellnessorg · 9 months ago

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Top Drug and Alcohol Addiction Treatment in Delhi, India

Roar Wellness the leading addiction treatment centre in Asia, which offers care for alcoholism (alcohol addiction), drug addiction, depression, dementia, opioid and heroin addiction, methamphetamine addiction, marijuana addiction, and dual diagnoses. Roar Wellness recovery and de-habit emphasis has become well-known for its commitment to safe, secure, confidential, and effective therapy. This luxurious and top-notch rehabilitation facility, or Nasha Mukti Kendra, is located in South Delhi and also treats patients from the Delhi/NCR, Uttar Pradesh, Haryana, Chandigarh, Amritsar, Ludhiana, Punjab, and other regions.

#“Best Rehabilitation Centre In Delhi”#“Best Rehab Centre In Delhi”#“Best Rehab Center In Delhi”#“Best Rehab In Delhi”#“Best Rehabilitation Centre In India”

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anattahumanversity · 2 years ago

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Drug Rehabilitation Centre In Amritsar

What is Addiction?

Addiction can be defined as the urge to consume an external substance despite its destructive effects on the mind and body. It includes the increase of intake of substances like drugs, alcohol, etc. as the body gets used to the external and intensified stimuli it gets from the substance. Once an individual falls prey to an addictive disorder, he/she fails to control and exploits the substance. This condition of heightened stimulus becomes the "new normal" for the body, thereby making it difficult to quit and leads to duress and depression.

Drug, Alcohol & Substance Addiction in Amritsar

The continuous use of substances has created a menace of addiction and has become one of the biggest threats for the state of Punjab. The number of substance-related cases has increased noticeably, showing the high use and presence of drugs and narcotics in the city. So much so, that the large floating population of Amritsar us being known as the "Drug Hub".

In the Punjab Opioid Dependency Survey, conducted by the National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, pointed out that there are about 8.6 lakh opioid users and about 2.3 lakh opioid-dependent people in Punjab alone. Extensive use, mostly among youngsters, drug addiction in Amritsar, though, is not restricted to a particular age group, sex, and class in society, say, experts.

According to the Punjab Opioid Dependence Survey, which was conducted in 2015 in 10 districts in the state by the Ministry of Social Justice & Empowerment, the estimated size of the opioid-dependent population in Punjab is 2,32,856.

Drug & Alcohol Addiction Treatment Centre in Amritsar

Youth are getting highly affected by alcohol and drug abuse which is quite disturbing to witness. As a matter of fact, researchers say that addictions can affect anyone, irrespective of their age, gender, location, etc.

It is important to understand that addiction does not mean a ‘dead-end’. But, with appropriate care and rehabilitation one can go back to a normal lifestyle. However, every individual’s journey of recovery is different, marked with their own triumphs and failures. The period of every individual’s journey too may vary too!

Anatta Rehabilitation - Alcohol & Drug Rehabilitation Centre in Amritsar

Amritsar is the main centre of commerce, culture, and transportation in Punjab. Amritsar is an attractive destination for tourists. The growth of the city has also seen the rise of the numbers of drug addicts and those dependent on alcohol, the young crowd being susceptible to it.

However, it is important to consider that even recovery solutions are getting more widely available. One can seek help through alternative life therapy options, which focus on healing from within, thus bringing a sense of peace to the mind, body, and soul. The objective of recovery is to help the user believe that there is life beyond using. So if you are searching for an Alcohol and Drug Rehabilitation Centre in Amritsar for you or a loved one, the good news is that there is bound to be an option that matches your list of requirements.

Anatta comes in as an ideal solution here. Anatta is one of the leading alcohol & drug rehabilitation centre in Amritsar. It provides recovery options through residential, non-medical methods, specializing in alternative life Programs, for those who want to recover and live an addiction-free life.

It was founded in 2004 and is a luxury rehab centre based on a voluntary, non-medical, client-specific, one on one program, where you gain the tools to deal with these unresolved issues through compassionate, individualized, holistic coaching in a lavish ambiance.

Anatta Humanversity today has joined hands with renowned physicians, counselors, and healthcare professionals who aid the patient to recovery. It promotes and supports a treatment program, where they deal with emotional counseling and other behavioral treatments. Adding on, other healing routes also merge in, to facilitate the growth of an individual in order to encourage a transformation that leads to not finding the need to use /drink any substance whether drugs or alcohol.

Anatta Rehabilitation Centre in Amritsar provides an empathetic, accepting, judgment-free environment where help is available 24/7. It encourages recovering in the laps of serene nature, in luxurious comfort, away from one's day to day stress, enables faster results, and greater peace of mind, as one does not have to worry about the additional external pressure. Anatta specializes is destination treatment that allows the individual to recover and regrow away from the hustle and bustle, in peace and tranquility.

Start your recovery journey with Anatta Rehabilitation. Speak to one of our rehab counselors

Source:- https://anatta.in/rehabilitation-centre-in-amritsar/

#destination treatment #Anatta Rehabilitation Centre

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navjyotiindia · 3 years ago

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Some Treatments For Addiction That Are Proven Successful

Addiction treatment isn't one-size-fits-all. Treatments may vary supported your needs. you'll choose the best nasha mukri kendra in Punjab for treatment that works best for you supported the substance you're abusing, the extent of care you would like , your personal psychological state needs, or what health care options you'll afford. Here are a number of the foremost common addiction treatments that have set patients on a successful path to recovery.

Detoxification

Medically-assisted detox allows you to rid your body of addictive substances during a safe environment. this is often beneficial because sometimes substance withdrawal can cause unpleasant or maybe life-threatening physical symptoms. Because detox doesn't treat the underlying behavioral causes of the addiction, it's typically utilized in combination with other therapies.

Cognitive Behavioral Therapy

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) may be a valuable treatment tool because it are often used for several differing types of addiction including, but not limited to, food addiction, alcoholism , and prescription addiction. Not only can CBT assist you recognize your unhealthy behavioural patterns, but it also can assist you learn to visit here spot triggers and develop coping skills. CBT are often combined with other therapeutic techniques also .

Rational Emotive behavior modification

Rational Emotive behavior modification (REBT) could assist you recognize your negative thoughts and provides you ways to combat feelings of self-defeat. The goal of REBT is to assist you realize that the facility of rational thinking lies within yourself and isn't associated with external situations or stressors.

Contingency Management

Contingency Management (CM) are often wont to treat a good sort of addictions including alcohol, narcotics, and tobacco. Contingency management therapy reinforces your positive behaviour (ie maintaining sobriety) by supplying you with tangible rewards. this sort of treatment has been used successfully to combat relapse, consistent with the National Institute on substance abuse .

Treatment with Medication

Medication can play a crucial role in recovery when combined with behavioral therapies. Certain medications are often wont to reduce cravings, improve mood, and reduce addictive behaviors. for instance , the FDA recently approved lofexidine to assist reduce cravings and withdrawal symptoms in patients receiving treatment for opioid addiction. Medications like acamprosate can help reduce drinking behavior.

If you or a beloved are battling an addiction, you don’t got to fight the battle alone. ask a medical professional. There are successful treatments available at our nasha mukti kendra which will assist you overcome your addiction.

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technogeekstmr · 4 years ago

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Detox Product Market Outlook 2021 by Technology Development, Research Study, Growth Factors, Statistics, Forecasting 2027

Global Detox Product Market: Overview

Detoxification process helps body improve immune system, digestion and helps the body relieve harmful toxins.

And, the global detox product market is set to chart a decent growth over the forecast period of 2019 to 2027. The steady CAGR (Compound Annual Growth Rate) that the market would witness will create worthy growth opportunities for market players to dabble with.

It is being driven ahead by increasing levels of drug addiction and high levels of drinking alcohol and smoking. And education of masses about the adverse effects of these is generating demand for these products.

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Global Detox Product Market: Notable Developments

The global detox product market is witnessing numerous developments that are not just significant for players to take note of but also to understand how the market would operate over the coming years. An in-depth dive in can be had in our upcoming report.

In 2018, red tea detox was unveiled and it was a hit as it not just detoxified the body but also helped with weight loss in a major way. This brings us to how significant it is for companies to develop new products and thereby, diversify their portfolios.

The global detox product market is slightly consolidated and moving steadily towards fragmentation and prominent players in the market include Pfizer Inc.; Novartis AG.; West-Ward Pharmaceuticals Corp.; Mallinckrodt PLC.; Biodelivery Sciences International Inc.; Mylan N.V.; Body Ecology, Inc.; Detoxify LLC.; Himalaya Global Holdings Ltd.; The Bioforce Group; and others. Players are focusing on improving their products to keep an edge over competitors.

Global Detox Product Market: Key Trends and Drivers

Certain factors are shaping tRequest For Covid19 Impact Analysis Across Industries And Markets – https://www.transparencymarketresearch.com/sample/sample.php?flag=covid19&rep_id=73997he growth curve for global detox product market. They are paving the way for how market would operate over the coming years. A glimpse is shared below.

The incidence of drug abuse is rising over the world. As per data from the United Nations Office on Drugs and Crime (UNODC), the prevalence of drug use is deep – about 3.4% to 7.0% globally. And governments are scurrying to fix the issue, leading to growth in the detox products markets. As of now, the demand for treatment is particularly high in Western and Central Europe. Here, the maximum patients are from the opioid usage category. There were about 1.5 million of opioid users in the continent in 2013. And, about 700000 of these asked for treatment. The trend is set to continue. Also, cannabis use in Asia stay high, creating opportunities of growth for players in detox market.

The herbal segment is looking at improved demand, especially the green tea segment. It has numerous health benefits, especially for smokers, who are creating a high demand for the product in the market. Thus, it doesn’t come a surprise that more novel flavours hit the market every now and then.

Looking for Regional Analysis or Competitive Landscape in Detox Product Market, ask for a customized report

Global Detox Product Market: Geographical Analysis

North America holds a major share of the market. And, the Unites States plays a big role in helping the region maintain its position of dominance. This is primarily because it is seeing a massive increase in addicts and the government is leaving no stone unturned to improve the situation. And, thus it is running a number of programs that aim at educating and spreading awareness about the adverse effects of substance use and how to fight the menace once someone is caught up in its web.

However, it might be worth noting here that the region that will demonstrate new growth opportunities is Asia Pacific (APAC). The region is in its worst phase of drug addiction, especially areas such as Punjab in India, etc and would need detox products over the forecast period.

The report offers a comprehensive evaluation of the market. It does so via in-depth qualitative insights, historical data, and verifiable projections about market size. The projections featured in the report have been derived using proven research methodologies and assumptions. By doing so, the research report serves as a repository of analysis and information for every facet of the market, including but not limited to: Regional markets, technology, types, and applications.

The study is a source of reliable data on:

Market segments and sub-segments

Market trends and dynamics

Supply and demand

Market size

Current trends/opportunities/challenges

Competitive landscape

Technological breakthroughs

Value chain and stakeholder analysis

The regional analysis covers:

North America (U.S. and Canada)

Latin America (Mexico, Brazil, Peru, Chile, and others)

Western Europe (Germany, U.K., France, Spain, Italy, Nordic countries, Belgium, Netherlands, and Luxembourg)

Eastern Europe (Poland and Russia)

Asia Pacific (China, India, Japan, ASEAN, Australia, and New Zealand)

Middle East and Africa (GCC, Southern Africa, and North Africa)

The report has been compiled through extensive primary research (through interviews, surveys, and observations of seasoned analysts) and secondary research (which entails reputable paid sources, trade journals, and industry body databases). The report also features a complete qualitative and quantitative assessment by analyzing data gathered from industry analysts and market participants across key points in the industry’s value chain.

A separate analysis of prevailing trends in the parent market, macro- and micro-economic indicators, and regulations and mandates is included under the purview of the study. By doing so, the report projects the attractiveness of each major segment over the forecast period.

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A complete backdrop analysis, which includes an assessment of the parent market

Important changes in market dynamics

Market segmentation up to the second or third level

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hulnews · 4 years ago

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Punjab to Introduce Urine Test Every 6 Months For Dispensing De-addiction Drugs

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The Punjab government will soon introduce urine test every six months for dispensing de-addiction drugs to check abuse.

Chief Minister Amarinder Singh disclosed this during his ‘AskCaptain’ Facebook live session on Saturday in response to a question, according to an official statement.

A Ludhiana youth had requested the chief minister to direct outpatient opioid assisted treatment…

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#Amarinder Singh #coronavirus restrictions #de-addiction medicines #OOAT centres #Punjab govt #urine tests

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getlifehealthy · 5 years ago

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26,000 drug addicts enrolled for rehab as lockdown chokes supply in Punjab

Express News Service

CHANDIGARH: Due to the restriction of movements, drug peddling has decreased considerably in Punjab pushing addicts to queue up in front of Out-Patient Opioid Assisted Treatment (OOAT) centres for cure.

Ever since the lockdown began in March 23, about 26,000 new addicts have joined the OOAT centres in the state. Highly placed sources said that scarcity of drugs due to the…

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technicalnextstuff · 5 years ago

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Punjab to Provide Take-home Medicines to Addicts Amid COVID-19 Lockdown

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Health Minister Balbir Singh Sidhu told the media that instructions have been issued to the all Deputy Commissioners in this regard.

IANS

Updated:March 29, 2020, 6:34 PM IST

Image for Representation.

Chandigarh:In a major relief to addicts undergoing de-addiction treatment, the Punjab government on Sunday allowed 198 Out Patient Opioid Assisted Treatment Clinics, 35…

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#addiction #coronavirus #COVID-19 #drug addiction #drugs #OPIOID #punjab #virus #wuhan

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addictionfreedom · 6 years ago

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Heroin Addiction Treatment Drugs

Contents

Heroin drug addicts

Drug treatment guide. heroin addiction treatment

Contingency management program

High point treatment center

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Heroin addiction is a life-changing disease. Find out why people abuse heroin, how using it can result in heroin addiction and how treatment can aid recovery. People who are addicted to the drug have to use it daily to avoid withdrawal. The longer that they use heroin, the more addicted they'll become.

For teenage heroin drug addicts, the drug may be a way to cope with self-image issues, or even fit into a certain peer group. Overcoming heroin addiction on your own is almost impossible. The most effective course of action is through a drug treatment program.

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Heroin, a drug derived from morphine, is highly addictive and extremely dangerous because it interferes with the brain's pleasure centers and Private therapy sessions are performed at the client's residence. Treatment for heroin addiction involves a range of core and complementary therapies

Treatment for Heroin Addiction. Heroin is highly addictive to a point where nearly one-quarter of people who use heroin develop a dependency to it. Once addiction has developed, users will stop at nothing to get more of the drug even it means risking their job, damaging relationships with loved…

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What are the signs of heroin addiction? Learn what you can do for your loved one and what kind of treatment options are possible. The signs of heroin addiction are not always recognizable at first glance. Often family members write off the strange behaviors of their loved ones as a result of stress…

Treating an addiction to heroin usually involves therapy, medication, support groups and lifestyle There are numerous rehabs that offer heroin addiction treatment throughout the country. Because heroin withdrawal symptoms can be intense, many people will use the drug to relieve their pain even…

Paying for Heroin Drug Rehab. Just like any medical treatment or hospital visit, attending drug rehab does carry a financial cost. The cost of not getting Heroin treatment can be a life-saving experience for those dealing with addiction. If you're ready to learn more, contact The Recovery Village to get in…

Effective heroin addiction treatment consists of detox, medications, therapy, and support groups. Each of these methods comes together to provide the recovering addict with a foundation for staying sober, saying no to heroin and other drugs, and taking back control of his or her life.

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How is Heroin Addiction Treated? There are several different methods used in the field of opiate rehabilitation to help an individual recover from a heroin addiction. Heroin dependency is best treated with comprehensive, long-term and inpatient drug treatment.

Heroin addiction can be a difficult, overpowering struggle; however, with professional heroin addiction treatment, you can stop using the drug and restore your life. Treatment is accessible and effective if you are motivated and find the right program that provides all the treatments and services…

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Heroin addiction medications give individuals struggling with heroin addiction a way to deal with heroin withdrawal symptoms and longterm recovery support.

The combination of naltrexone and ketamine can help treat both symptoms of addiction and depression, a preliminary study by Y…

Nov 19, 2018 … Learn about the paths of treatment to help heroin users who have a sincere desire to quit achieve recovery.

He managed to recover from his addiction and even rode his bicycle across Canada to raise awareness about prescription-drug a…

There are many behavioral treatments available for heroin addiction that have been found effective by NIDA research. In a contingency management program, patients typically earn points in a voucher-based system for each negative drug test.

Nov 27, 2018 … With treatment, however, heroin addictions can be addressed. … That's because these users tend to take in huge amounts of drugs very often, …

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With a focus on treatment rather than jail time, Kane County officials plan to launch a pilot program later this year that pr…

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roarwellnessindia · 1 year ago

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Roar Wellness a Opioid addiction Treatment Centre

Welcome to Roar Wellness, a beacon of hope in the journey towards overcoming opioid addiction. At Roar Wellness, we understand the profound impact that opioid addiction can have on individuals and their loved ones. Our treatment center is dedicated to providing comprehensive and compassionate care, empowering individuals to reclaim their lives from the grip of addiction.

Visit Now: https://www.roarwellness.org/opioid-addiction-treatment-punjab/

#Opioid addiction treatment #Opioid addiction Treatment Centre #Opioid addiction Treatment in punjab #Opioid addiction treatment centers near me #Opioid addiction treatment drugs

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trendingfact · 4 years ago

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Detox Product Market: Set To Surge Significantly During 2027

Global Detox Product Market: Overview

Detoxification process helps body improve immune system, digestion and helps the body relieve harmful toxins.

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Global Detox Product Market: Notable Developments

Global Detox Product Market: Key Trends and Drivers

Certain factors are shaping the growth curve for global detox product market. They are paving the way for how market would operate over the coming years. A glimpse is shared below.

Request For COVID19 Impact Analysis Across Industries And Markets - Detox Product Market

Global Detox Product Market: Geographical Analysis

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#Detox Product Market

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roarwellnessorg · 3 years ago

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Free Drug Rehabilitation Centers Affordable Alcohol & Drug Treatment

When one is poorly addicted to medicines and alcohol also transferring them to recuperation centre is largely recommended. Roar Wellness is Asia’s driving treatment installation for dependences – Drunkenness (Alcohol Addiction), Medicine Abuse (Medicine Dependence), Depression treatment, Madness treatment, Opioids Heroin Addiction, Methamphetamine Addiction Treatment, marijuana dependence treatment and Binary Opinion. Roar Wellness recovery de-habit focus has gained notoriety for its responsibility toward defended, Secure, classified and feasible treatment. This is an extravagance and decoration remedy center/ Nasha Mukti Kendra which is positioned in South Delhi which likewise serves cases from Delhi/ NCR, Uttar Pradesh, Haryana, Chandigarh, Amritsar, Ludhiana, Punjab and Other Areas. Natural terrain also plays a vital part in dealing with addicted people as they all have their significance in erecting the impunity and horizon. Sun, perm, verdure, blue sky, rain, fresh air and make them realize that world is a beautiful place to live and for that having a good health is a must-have.

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gomarketresearchstuff · 4 years ago

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Detox Product Market Size, Share, Growth, Trends, and Forecast, 2019 – 2027

Global Detox Product Market: Overview

Detoxification process helps body improve immune system, digestion and helps the body relieve harmful toxins.

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Global Detox Product Market: Notable Developments

Global Detox Product Market: Key Trends and Drivers

Certain factors are shaping the growth curve for global detox product market. They are paving the way for how market would operate over the coming years. A glimpse is shared below.

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Global Detox Product Market: Geographical Analysis

PRN Link: https://www.prnewswire.com/news-releases/connected-home-devices-market-to-expand-at-growth-rate-of–12-cagr-from-2019-to-2027-to-reach-us-157-bn-through-2027-transparency-market-research-301000227.html

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Market segments and sub-segments

Market trends and dynamics

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Value chain and stakeholder analysis

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North America (U.S. and Canada)

Latin America (Mexico, Brazil, Peru, Chile, and others)

Western Europe (Germany, U.K., France, Spain, Italy, Nordic countries, Belgium, Netherlands, and Luxembourg)

Eastern Europe (Poland and Russia)

Asia Pacific (China, India, Japan, ASEAN, Australia, and New Zealand)

Middle East and Africa (GCC, Southern Africa, and North Africa)

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vsplusonline · 5 years ago

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Centre readies action plan for districts affected by drug abuse

New Post has been published on https://apzweb.com/centre-readies-action-plan-for-districts-affected-by-drug-abuse/

Centre readies action plan for districts affected by drug abuse

NEW DELHI: The Centre has identified 272 districts as those hugely affected by drug abuse and it is readying to roll out a Rs 336 crore national action plan this year for a ‘nasha mukt Bharat’ (addiction-free India), especially across colleges and universities, to counter the growing menace.

The move comes months after Union home minister Amit Shah had assured Punjab chief minister Amarinder Singh of a national level plan to tackle the drug problem. Punjab, Haryana, Delhi, Uttar Pradesh and the Northeast lead the states where the Narcotics Control Bureau has identified the “most affected” 272 districts, said people aware of the matter.

In both Punjab and Haryana, drug addiction is a major political issue as well. While 18 of the 22 districts in Punjab are among those identified by the NCB, 10 out of Haryana’s 22 districts also figure in the national list of districts most affected by substance abuse.

The action plan comes in the backdrop of stark national figures. It is estimated that about 850,000 Indians inject drugs, about 460,000 children and 1.8 million adults need help for inhalant dependence and 7.7 million Indians require help for opioid dependence. The prevalence of opioid use in India is three times the global average, as per the 2019 All India Institute of Medical Sciences (AIIMS) study which is key to the national plan.

The statistics for treatment availability for such addictions also clearly show a big gap – 75% of the drug addicts who try quitting do not receive any treatment and the few who do get it at government de-addiction centres. The national campaign aims to address this gap by scaling up treatment centres as well as trained personnel.

Aspecial focus is planned for schools and colleges owing to the increasing prevalence of inhalant use among Indian adolescents, much higher than the usage by adults, said the people cited earlier.

Apart from celebrity backed ‘Say No to Drugs’ publicity campaigns, national level campaigns are planned across schools and higher education campuses to sensitise youngsters about the issue. It is expected that more than 400,000 youngsters across schools and colleges will be targeted as part of the plan to prevent further increase in substance abuse among the young population.

Further, district plans are to be devised for each of the 272 districts to address vulnerable groups across neighbourhoods and workplaces. The plan envisages 133 new de-addiction centres, 206 ‘outreach and drop’ centres, and 230 community and peer-led intervention mechanisms to be set up this year.

The national plan comes after the government assessed the 2019 report of the first National Survey on Extent and Pattern of Substance Use in India by AIIMS. This was collated against district specific data put together by the Narcotics Control Bureau to design a more targeted campaign against drugs and substance abuse.

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biofunmy · 5 years ago

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`Safer opioid’ has sparked a crisis in vulnerable countries

KAPURTHALA, India — Reports rolled in with escalating urgency — pills seized by the truckload, pills swallowed by schoolchildren, pills in the pockets of dead terrorists.

These pills, the world has been told, are safer than the OxyContins, the Vicodins, the fentanyls that have wreaked so much devastation. But now they are the root of what the United Nations named “the other opioid crisis” — an epidemic featured in fewer headlines than the American one, as it rages through the planet’s most vulnerable countries.

Mass abuse of the opioid tramadol spans continents, from India to Africa to the Middle East, creating international havoc some experts blame on a loophole in narcotics regulation and a miscalculation of the drug’s danger. The man-made opioid was touted as a way to relieve pain with little risk of abuse. Unlike other opioids, tramadol flowed freely around the world, unburdened by international controls that track most dangerous drugs.

But abuse is now so rampant that some countries are asking international authorities to intervene.

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This story was produced with support from the Pulitzer Center on Crisis Reporting.

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Grunenthal, the German company that originally made the drug, is campaigning for the status quo, arguing that it’s largely illicit counterfeit pills causing problems. International regulations make narcotics difficult to get in countries with disorganized health systems, the company says, and adding tramadol to the list would deprive suffering patients access to any opioid at all.

“This is a huge public health dilemma,” said Dr. Gilles Forte, the secretary of the World Health Organization’s committee that recommends how drugs should be regulated. Tramadol is available in war zones and impoverished nations because it is unregulated. But it is widely abused for the same exact reason. “It’s a really very complicated balance to strike.”

Tramadol has not been as deadly as other opioids, and the crisis isn’t killing with the ferocity of America’s struggle with the drugs. Still, individual governments from the U.S. to Egypt to Ukraine have realized the drug’s dangers are greater than was believed and have worked to rein in the tramadol trade. The north Indian state of Punjab, the center of India’s opioid epidemic, was the latest to crack down. The pills were everywhere, as legitimate medication sold in pharmacies, but also illicit counterfeits hawked by street vendors.

This year, authorities seized hundreds of thousands of tablets, banned most pharmacy sales and shut down pill factories, pushing the price from 35 cents for a 10-pack to $14. The government opened a network of treatment centers, fearing those who had become opioid addicted would resort to heroin out of desperation. Hordes of people rushed in, seeking help in managing excruciating withdrawal.

For some, tramadol had become as essential as food.

“Like if you don’t eat, you start to feel hungry. Similar is the case with not taking it,” said auto shop welder Deepak Arora, a gaunt 30-year-old who took 15 tablets day, so much he had to steal from his family to pay for pills. “You are like a dead person.”

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Jeffery Bawa, an officer with the United Nations Office on Drugs and Crime, realized what was happening in 2016, when he traveled to Mali in western Africa, one of the world’s poorest countries, gripped by civil war and terrorism. They asked people for their most pressing concerns. Most did not say hunger or violence. They said tramadol.

One woman said children stumble down the streets, high on the opioid; parents add it to tea to dull the ache of hunger. Nigerian officials said at a United Nations meeting on tramadol trafficking that the number of people there living with addiction is now far higher than the number with AIDS or HIV.

Tramadol is so pervasive in Cameroon scientists a few years ago believed they’d discovered a natural version in tree roots. But it was not natural at all: Farmers bought pills and fed them to their cattle to ward off the effects of debilitating heat. Their waste contaminated the soil, and the chemical seeped into the trees.

Police began finding pills on terrorists, who traffic it to fund their networks and take it to bolster their capacity for violence, Bawa said.

Most of it was coming from India. The country’s sprawling pharmaceutical industry is fueled by cheap generics. Pill factories produce knock-offs and ship them in bulk around the world, in doses far exceeding medical limits.

In 2017, law enforcement reported that $75 million worth of tramadol from India was confiscated en route to the Islamic State terror group. Authorities intercepted 600,000 tablets headed for Boko Haram. Another 3 million were found in a pickup truck in Niger, in boxes disguised with U.N. logos. The agency warned that tramadol was playing “a direct role in the destabilization of the region.”

“We cannot let the situation get any further out of control,” that alert read.

Grunenthal maintains that tramadol has a low risk of abuse; most of the pills causing trouble are knock-offs, not legitimate pharmaceuticals, and American surveys have shown lower levels of abuse than other prescription painkillers. The company submitted a report to the WHO in 2014, saying that the abuse evident in “a limited number of countries,” should be viewed “in the context of the political and social instabilities in the region.”

But some wealthy countries worried about increasing abuse also have acted to contain the drug.

The United Kingdom and United States both regulated it in 2014. Tramadol was uncontrolled in Denmark until 2017, when journalists asked doctors to review studies submitted to regulators to support the claim that it has a low risk for addiction, said Dr. Karsten Juhl Jorgensen, acting director of the Nordic Cochrane Centre and one of the physicians who analyzed the materials. They all agreed that the documents did not prove it’s safer.

“We know that opioids are some of the most addictive drugs on the face of the planet, so the claim that you’ve developed one that’s not addictive, that’s an extraordinary claim, and extraordinary claims require evidence. And it just wasn’t there,” said Jorgensen. “We’ve all been cheated, and people are angry about that.”

Jorgensen compares claims that tramadol is low risk to those made by American companies now facing thousands of lawsuits alleging misleading campaigns touting the safety of opioids unleashed the U.S. addiction epidemic.

Stefano Berterame, a chief at the International Narcotics Control Board, said there is a critical difference: The crisis is not as deadly as the American one, which began with prescription opioids and transitioned to heroin and fentanyl. Tramadol does not as routinely cause the respiratory depression that leads to overdose death.

But it is mostly afflicting poor nations, where overdose statistics are erratic, he said, so the true toll of tramadol is unknown.

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The United Nations established the International Narcotics Control Board in 1961 to spare the world the “serious evil” of addiction. It has since tracked most opioids.

Tramadol’s exemption means authorization isn’t required as the drug moves across borders. Its easy availability also leads to confusion about what tramadol even is, experts say. In many countries, it is thought to be a mood enhancer or treatment for depression and post-traumatic stress. Some take it to improve sexual stamina or endure grueling labor.

Grunenthal synthesized tramadol in the 1960s, as the company was embroiled in scandal over its marketing of the sedative thalidomide, which caused extreme birth defects in thousands of babies whose mothers took it. Tramadol was initially believed to have a low risk of abuse because initial trials studied injected tramadol, the most potent route for most opioids. But researchers later found that tramadol releases a far more powerful dose taken orally because of how it is metabolized by the liver.

Tramadol’s worldwide market quickly expanded in the 1990s. In 2000, the WHO, which assesses medications and recommends scheduling, noted reports of dependence. A committee has reviewed the drug numerous times since, recommended it remain under surveillance but declined to add international regulation.

There is no alternative to tramadol, said Forte, the committee’s secretary. It is the only opioid available in some of the world’s most desperate places; relief organizations rely on it in war zones and natural disasters. It is used extensively not because it is a particularly good medication, he said. The most effective opioid is morphine, but morphine is strictly controlled and countries in crisis fear abuse. Tramadol became the default precisely because it’s uncontrolled.

The WHO is analyzing whether any other drug could take its place but have so far found none. Meanwhile, Forte said, the agency is working with battered nations to ferret out counterfeits.

Legitimate tramadol remains a lucrative business: market research estimates the global market amounts to around $1.4 billion, according to Grunenthal. The medication long ago lost its patent protection. It is now manufactured by many companies and sold under some 500 brand names. Grunenthal markets it as Tramal as well as Zaldiar, tramadol combined with paracetamol. In 2018, those products brought in 174 million euros ($191 million), according to the company’s annual report.

“Our purpose at Grunenthal is to develop and deliver medicines and solutions which address the unmet needs of patients with the goal of improving their quality of life,” the company wrote in a statement that said it acknowledges opioids pose a risk of abuse and addiction. “”We do so with the highest ethical standards.”

Grunenthal also sells other opioids and is expanding around the world. The Associated Press this year revealed executives were swept up in an Italian corruption case alleging they illegally paid a doctor to promote the use of opioids.

The company has campaigned to keep tramadol unregulated. It funded surveys that found regulation would impede pain treatment and paid consultants to travel to the WHO to make their case that it’s safer that other opioids.

Spokesman Stepan Kracala said regulation would not necessarily curtail illicit trade and could backfire: Some desperate pain patients turn to the black market if no legal options exist. Egypt’s long struggle with tramadol abuse is an example, he said. The country enacted strict regulation in 2012 and a later survey found some suffering from cancer using counterfeit tramadol for relief.

Kracala also pointed to regulatory decisions as proof of tramadol’s comparable safety: The U.S. in 2014 added tramadol to its list of controlled substances but included it in a lesser category than opioids like oxycodone or morphine, signaling it is less risky.

There are growing calls to change that.

The Mayo Clinic hospital in Minnesota worked to reduce opioids prescribed post-surgery as the American epidemic escalated, said surgeon Cornelius Thiels. Doctors there started shifting patients to tramadol because it was billed as safer. But Thiels and his colleagues analyzed prescription data and were surprised to find patients prescribed tramadol were just as likely to move on to long-term use.

They published their findings this year to alert authorities, he said: “There is no safe opioid. Tramadol is not a safe alternative. It’s a mistake that we didn’t figure it out sooner. It’s unfortunate that it took us this long. There’s a lot more that we need to learn about it, but I think we know enough that we also can’t wait around to act on this.”

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Indian regulators knew the massive quantities manufactured in the country were spilling over domestically and countless Indians were addicted. But S.K. Jha, responsible for the northern region of India’s Narcotics Control Bureau, said he was shocked to learn in 2018 that tramadol from India was ravaging African nations. They realized then they needed to act, he said.

India regulated tramadol in April 2018. Regulators say exports overseas and abuse at home came down. But they acknowledge that the vastness of the pharmaceutical industry and the ingenuity of traffickers makes curtailing abuse and illegal exports all but impossible. Tramadol is still easy to find.

Jyoti Rani stood on her front steps and pointed to house after house where she said tramadol is still sold in her neighborhood of narrow roads and open drains, where school-aged boys sit hunched over the street in the middle of a weekday.

Rani’s addiction began with heroin. When her 14-year-old son died, she fell into depression.

“I wanted to kill myself, but I ended up becoming an addict,” she cried. A doctor prescribed tramadol to help kick the habit — instead, she formed a new one. She locked herself in her room, not eating or taking care of her two children. Rani used tramadol until she ran out of money and entered treatment. Now her family tells her she’s her old self again.

The crackdown on tramadol coincided with the opening of dozens of addiction clinics that administer medicine and counseling to more than 30,000 each day.

“We are trying our level best,” Jha said, “but it’s a challenge for all of us.”

Countries’ efforts to control tramadol on their own often fail, particularly in places where addiction has taken hold, according to the Center for Strategic and International Studies.

India has twice the global average of illicit opiate consumption. Researchers estimate 4 million Indians use heroin or other opioids, and a quarter of them live in the Punjab, India’s agricultural heartland bordering Pakistan, where some of the most vulnerable are driven to drugs out of desperation.

Amandeep Kaur was pregnant when her husband died of a heart attack. She turned to the sex trade to make ends meet. She wanted not to feel, and a fellow sex worker suggested tramadol. She had no idea she’d get addicted, but eventually needed three pills to get through the day.

“If I didn’t have it I felt lifeless, my body ached as if I was going to die,” she said, and joined the line stretching from the addiction clinic’s doors.

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The Global Opioids project can be seen here. http://bit.ly/2zWNwSk

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Associated Press journalist Rishi Lekhi contributed to this report.

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