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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Opium Addiction

i am an opiate addict and i need and want help. i tried many times and remedies, but im afraid to tell my doctor bc i dont want to be sent to a mental hospital, i want to quit at home, i just need help bc when i try and quit i get anxious and moody, irritated, and my heart starts hurting, my pulse goes up to around or higher than 120 and i start getting crazy ideas and thoughts. im also a smoker and i know your not supposed to quit two things at once but smoking makes it harder for me to quit my other addiction so i need to do both and soon. im scared and i feel like no one will help me. i dont know what i should do. i researched drugs to quit, i already tried saboxone and i dont really like the taste plus its said to cause addiction too, do you think clonodine would be a good choice.
Tue, 20 Sep 2016
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Addiction Medicine Specialist 's  Response
Addiction is a combination of three things: the plain drug effects, genetic predisposition, and behavioral reward/compulsion effects. Some people get the opposite effect of narcotics (which should cause sleepiness "narco-" Greek for 'sleep' but in 5% cause lots of energy) some people have no controls on action (bipolar)--genetics.
Then there is the drug effect of withdrawal. It peaks between 2 and 5 days after stopping and then dwindles. Some effects like heart racing might come back at any time due to panic attack and not the drug withdrawal. Other effects like aches/hot flashes/sniffles occur commonly for other common causes like colds and people (wrongly) attribute it to withdrawal forever.
Clonidine is dangerous and needs supervision but it lowers stress hormones involved in shakes/sweats/heart racing. It is a blood pressure medicine and will lower blood pressure. Most people in addiction are not old enough to have high blood pressure. This is a problem. There are other drugs. Some (zofran, pepto-bismal, aspirin, loperimide) are commonly used while others (reserpine) work, but nobody uses them.
None of these work on the psychological craving for drug. Long term tapering with suboxone (months to years) or methadone is somewhat helpful. 12 step programs are helpful. Behavioral work on particular parts off the cravings is helpful but nobody does it.
So, integrated approach. Clonidine is a small help. It needs watching.
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Suggest Remedy For Opium Addiction

Addiction is a combination of three things: the plain drug effects, genetic predisposition, and behavioral reward/compulsion effects. Some people get the opposite effect of narcotics (which should cause sleepiness narco- Greek for sleep but in 5% cause lots of energy) some people have no controls on action (bipolar)--genetics. Then there is the drug effect of withdrawal. It peaks between 2 and 5 days after stopping and then dwindles. Some effects like heart racing might come back at any time due to panic attack and not the drug withdrawal. Other effects like aches/hot flashes/sniffles occur commonly for other common causes like colds and people (wrongly) attribute it to withdrawal forever. Clonidine is dangerous and needs supervision but it lowers stress hormones involved in shakes/sweats/heart racing. It is a blood pressure medicine and will lower blood pressure. Most people in addiction are not old enough to have high blood pressure. This is a problem. There are other drugs. Some (zofran, pepto-bismal, aspirin, loperimide) are commonly used while others (reserpine) work, but nobody uses them. None of these work on the psychological craving for drug. Long term tapering with suboxone (months to years) or methadone is somewhat helpful. 12 step programs are helpful. Behavioral work on particular parts off the cravings is helpful but nobody does it. So, integrated approach. Clonidine is a small help. It needs watching.