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Amitriptylline is the most sedating of the cyclic antidepressants. Many other cyclic antidepressants are less sedating and so have less abuse potential. Doxepine is sedating due to high anticholinergic properties. Its high anticholinergic properties mean it can also be abused as a psychedelic drug, as well. Many other cyclic antidepressants have less abuse potential. Clonidine is an essential drug for opioid withdrawal.

The stimulants are drugs can mimic the effects of street stimulants like methamphetamine. Albuterol is an essential drug for the treatment of asthma and COPD. However, it also can cause a serious toxic syndrome. There are no ready substitutes. Clinicians must balance the risk of abuse versus the legitimate benefits. Pseudoephedrine and the other decongestants are all poor cold medications. Gabapentin is commonly prescribed off label for neuropathic pain and other chronic pain syndromes.

It unfortunately is often not recognized as a potential drug of abuse in the medical community at large. Duloxetine Cymbalta has been shown to be a superior drug for use in treating neuropathic pain. Gabapentin is the single biggest problem drug of abuse in many correctional systems.

Depending on how it is abused, trazodone can be primarily sedating or primarily euphoric. Trazadone is a poor antidepressant and can easily be replaced with many others. Wellbutrin is an antidepressant with many acceptable substitutes such as venlafaxine Effexor and duloxetine Cymbalta. I am not sure the things I could possibly have created without those smart ideas provided by you about this area of interest. Previously it was an absolute frustrating dilemma in my circumstances, but spending time with a skilled tactic you dealt with the issue took me to weep with happiness.

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Many thanks for being simply thoughtful and for figuring out certain superior subject matter millions of individuals are really desirous to know about. Our honest apologies for not expressing appreciation to earlier. The fat content of the milk will increase during the suckling session, often starting out thin and watery and becoming increasingly fatty as the feeding goes on. The baby should suckle on as much of the areola dark circumference around the nipple as possible in order to receive enough milk.

Also if the infant is being held in a cradle position, he or she should be turned so that the tummy is against the mother's. During each feeding, the baby should be allowed to feed on both breast, and the mother should alternate which breast she begins with each time.

This may reduce some of the pain and soreness that many women often experience as they begin nursing. The infant should be burped once or twice with each feeding. Umbilical cord blood contains a special type of cells, called stem cells. Stem cells live a long time and can develop into many different types of blood cells. Stem cells are found in many parts of the body.

The stem cells that are leftover in a baby's umbilical cord and placenta are typically thrown away after a baby is born. What are stem cells used for? Stem cells can be used to make new blood cells.

Often they are used for treating some medical problems including leukemia a type of blood cell cancer , some types of anemia, and several other medical conditions.

These cells are not used for cloning. How are they collected? Until recently, the extra blood in the placenta and umbilical cord was routinely thrown away after a delivery. Now, stem cells from leftover blood in a baby's umbilical cord and placenta can be collected after a baby is born and before the placenta is thrown away.

There is no pain or risk for the mother or the baby since cells are collected after the umbilical cord has been cut and the baby has been delivered. How is cord blood stored? After cord blood is collected it can be frozen for future use.

There are two options for storing these frozen cells; 1 a private cord blood bank, or 2 a public cord blood bank. How does a public cord blood bank work? In some situations, a specially trained obstetrical provider may collect the cells at the time of delivery. This information is put into a secure computer database. Your baby's cord blood cells are not saved for your baby or your family. They can be used by anyone who needs them.

If you notice that you feel queasy shortly after eating strawberries or foods with strawberry, this may be an indicator of this problem. Food sensitivity and intolerance can only be definitively diagnosed by a qualified medical specialist. It has become trendy in some regions for people to self-identify as "gluten intolerant" and the like without any sort of medical testing. Be careful of such fads. There are some people who react horribly to gluten.

But sometimes the "cure" is due to a placebo effect or simply a person feeling better after a period of time, and ascribing the "cure" to the diet change when in fact it is unclear that it was the diet change, or the fact the body simply healed. Many drugs, like codeine or hydrocodone, can cause nausea and vomiting. He or she may be able to suggest an alternate medication or a lower dosage.

It can also be caused by things such as riding on carnival rides. This can be prevented by choosing the seat that will typically have the least motion — the front seat of a car or the window seat of a plane. Try fresh air, whether by rolling down a window, or taking a walk outside for a few minutes. Void spicy or greasy foods.

Try to keep your head as still as possible to manage motion sickness. Antihistamines such as Dramamine or Antivert are great over-the-counter medications that can effectively treat motion sickness, as well.

These should be taken about 30 minutes to one hour before travel, but can cause drowsiness. Scopolamine is a medication available by prescription for severe cases.

Some people get relief from ginger and ginger products. Ginger ale with natural flavoring , ginger root, or ginger candy can all be helpful. Avoid traveling on a very full or empty stomach. In most cases, the nausea passes after the first trimester, so stay strong and wait it out! However, if it is severe, frequent, or increasing, see your doctor. Instead, snack every hours. Ginger products such as ginger tea have been proven to help with morning sickness nausea as well.

If you had too much to drink the night before, you need to regain fluids before your body can start to feel better. I don't feel too over powered by the high but am still worried about not having any tolerance. Do you think based on my info I am okay? Suzanner Tuesday, September 15th, I've took 16 prolonged release of oxycodone could someone tell me the dangers of me doing this??

I have been prescribed 2 slow releasing drugs since I have been going to the pain center, Opana and Nucenta. Neither seem to work for me. I'm 67 and have hep C and arthritis, most dominantly in my lower back and right hip. I have lumbar degeneration and scoliosis. I take many meds, some for my pain, too numerous to mention. Long story short, I guess, I'm not getting the relief I need. I go to the pain center tomorrow Friday, September 18, I know, short notice. I am very tolerant to opiods.

Mj Friday, September 18th, Hi i have been taking oxycodone 20mg for 2 years along with ativan 1mg im prescribed to take 2 20mg tablets 3 times a day so mg a day i have stage 4 cancer and had a neck disection so i am in chronic pain that will never go away and have a geeding tube and cant wat by mouth i am 27 and have grown a tolerance even though i am prescribed mg a day i only take 40 mg a day. However these past 8 months it staryed out once a week taking more abd has growed into a addiction and i take all dofferent amoubts usually my normal in 1 dose i take about mg oxycodone once every 3 -4 days moxed with 1mg ativan tablets a mild xanax so tonight i took mg of oxycodone and 5 ativan so i took slightly more of both its been over an hour and i dont feel to dofferent just a normal high but am scared to go to bed advice asap would be apprciated my question is should i worry if so gow mch enough to go to er the thing is my girlfriend or family is unawae of my addiction so its hard to go to er but like i said i feel fine but am scared do you guys think i will be ok honest answers please thanks so much for any info i can recieve back thabks so so so much I have spoken to my Dr about this and she is more concerned about her license.

I told her the medication looses potentcy as its delivered by UPS in their hot trucks then left in doorway till I get home. So as you can see 15mg is prob like 5mg so you can see why its possible of overdose by time.

Let me know what you think? Lisa Joy Tuesday, September 29th, Hey!! I've been on some kind of opiate since before my back surgery in I'd been having horrible back pain since , 1 year after the birth of my 7th child. The surgery did ZIP!

The pain dr said that I did need that surgery but my SI joints should've been fused at the same time because they had been deteriorating also. So, I now had degenerative disc disease, SI joint dysfunction with bone spurs on each joint, vacuum phenomena, and both joints just crap.

I also have various other back diseases but my SI joints were the worse. Finally my back gave out and I woke up one morning in Jan could barely sit up, grabbed my cane to go to the bathroom but when I started to get up I fell to the floor because my I couldn't stand. I was in more pain than normal and now I couldn't walk but a few steps with help. I've had 3 opinions and all drs say I have SI joint dysfunction and need the minimally invasive SI joint fusion for both my right and left joints.

Well, it's now September and we are appealing my surgeries for the 9th time because Anthem BCBS will not approve the surgery if it's because you are in excrutiating pain and have mechanical SI joint problems. SI joint dysfunction is 3rd worse of all diseases for quality of life and pain; it's behind ALS and Parkinson's because only they are worse.

I am only prescribed Morphine ER 30mgs 2 times a day and Oxycodone 10mgs 3 times a day 4 times a day is the max you can be prescribed. I also take other meds including sleeping pills, which don't help me sleep due to the pain. I've slept 4 hrs since Sunday morning. I cannot walk and use a wheelchair to get around. My pain is so bad that I get nauseous and throw up so I've lost 30lbs since Jan I am only able and allowed to sit upright 1 hr a day so I spend almost all day in my bed with pillows under my knees.

I have high bp now because of the pain. I cannot be a mom to the 4 children at home. I do homeschool our youngest 2 because we want this so I will do whatever is needed to make this happen. I only get out of the home for my pain dr appt every other month, surgeons everytime we make an appeal which is about every 3 mo, and occasionally I will take 4 oxy's and 1 extra morphine just to go out to eat. These meds are barely making a sent in my pain.

I have DID dissociative identity disorder and I had switching under control until this and now I'm always switching due to pain. My depression is horrible because we have zero friends here so I literally talk to my kids and husband and that's it. I don't understand why drs get so scared to prescribe what someone like me needs to control my pain so I can read, watch tv, or talk with my husband without being consummed by the pain that I start crying or I scream into my pillows.

I know I'm dependent on these drugs but I don't care cuz I need them and I'm sure it would take a lot to OD which for those of us in chronic pain yearn to be free of pain and have fleeting thoughts of what if? But I would never leave my kids like that so I sit here with tears in my eyes because I have no life. She's been in a lot of pain and claims that she just shot an entire pill She is completely out of it.

She's been on a high dose for a long time and may have injected this much in the past but I'm really worried about her bc she is out of it. If I was 21 and she was drinking liquor, I might be laughing but I take things a little more serious now. Is 30mg iv injected for a muscular lb 39 year old woman an amount to br worried about.

Please help with any viable advice. Julia Friday, October 2nd, Ok so i took a total of 50 mgs today of oxycodone that im on but not all at once at the same time i took it every 4 to 6 hours thsn,taks another ome,can i die right now cuz i drnk a little bit as well too.

Chantelle I have 4 80s of oxy will I overdose? Matt Sunday, October 4th, Hey guys, I have been reading these posts and wow, a place that gets it.

It is hard to talk to folks about pain when they do not know the pain you are in. I was 31 when my back went out. So now 11 years later I am disabled and am seeing pain management doctors. I have been on everything from morphine methadone, flexoril, and many more. And people see me take all these and assume I am abusing, when in fact I have developed such a tolerance that even taking more it sometimes just barely touches the pain.

Being 6'5" and lbs doesn't help either. So I just wanna say I feel your pain guys and gals. Thanks for taking the time and sharing. I am concerned about overdose.

Can you tell me how much it would take for him to overdose. I'm really worried about him. I am on10 mg OxyContin x4 day now, as well as Xanax 0. I am 5 feet tall and weigh lbs.

Xmedic Thursday, November 5th, Dean, Sorry about your mom. That would be the lowest amount of opiate i ever saw cause death. Most people could tolerate much higher doses. Juanita Thursday, November 5th, I took one endone tablet at 8pm last night.

I had trouble breathing and felt really sick. I have woken up today and still feel dizzy and sick. Should I see a doctor? Yes, I'd advise you to see your doctor and report the unusual side effects.

Mandy Friday, November 6th, Ok I've never been addicted to pills but just have a serious question to ask I understand that there is nothing worse than the non-stop pain, but I strongly advise you to only take your medication as prescribed by your doctor. If you are having a hard time functioning with the pain, go and see your doctor, so you both can find a way to successfully treat the chronic pains.

Razchel Saturday, November 7th, I take oxycontin slow release 10mg when required maybe one or twice a week i am wondered can the tablet accidently release all its contents as its digestibg?

Would a 10 cause an overdose if this happened? I never do anything other than swallow them whole. Sometimes the side effects are almost too strong to cope with. Should this be of concern?

Razchel Saturday, November 7th, I take oxycontin slow release 10mg when required maybe one or twice a week i am wondering red can the tablet accidently release all its contents as its digesting? Would a 10mg cause an overdose if this happened? Bill Tuesday, November 10th, I am prescribed 60mg of oxycodone 4 times a day,plus 80mg of oxycontin 3 times a day,plus 2 soma 3 times a day and I am a highly functional working man.

What might happen if a lb women who is a opitate addict who has been in recovery for 5 months snorted 4 30ml tablets of Oxycodone at one time? ANTHONY Asia Sunday, November 15th, I have a friend that took 24 oxycodone pills trying to hurt herself and drank a high amount of coconut rum, and also took half of a zannie pill Chest pains slow breathing It's now the next day and she is feeling better just very weak but still is having convulsions right a over her heart from upper under arm Please comment on this and tell me how I can help Armand Wednesday, November 18th, If I normally take 30mg of oxy a day, and have been doing so for over six months previous to that I was taking 20mg a day for about three years on and off is taking 90mg in a day over the course of 20 hours be very harmful?

I'm aware there is always a risk, I'm trying to assess what my risk of overdosing is. I took 10mg at 8am. Then 10mg at 6: Then 25mg at 1: Then 10mg at 2: I'm aware I have a problem, and my Dr and I are working out a schedule to taper me down and eventually off, but for right now, this is where I am at I don't want to OD Bell Saturday, November 21st, I can empathize with all of you.

I can respond in a professional manner or as a person with chronic spinal pain and on Oxycontin too. I unfortunately worked with him. Now i have multiple spinal fractures and fusions and discs collapsing. Chronic pain that goes through all areas of my spine and back. Life gets too hard!!! Certainly in my life they will never know it all. I am in my mid 50s.

I don't have any family left now, my friends are married and travel so life is horrible. I found this page because i was reading about suicide. Many times i can not go on with the pain and the tolerance develops to what medications we take, there is no one to go to for help, so what do we do? This weekend is a bad one, I would rather be with my family members across the rainbow bridge.

I will leave 3 beautiful dogs here until there time comes. But hopefully my family will be waiting for me. I know how a lot of you feel, the dose that will work depends on so many variables as the moderator of this site has stated. I read in one comment that at least one of you has a good Doctor, that is mandatory!!!!!!!!!!! Your GP can be your saving grace! If you get the right one. Be truthful, honest, and say exactly what you mean and feel to your care provider - NO Games.

I know mine has pushed the boundaries to help me the most he can, however, i still find this weekend too much on my own. All i can see is that we need more support from reasonable practitioners and other people going through the same problems.

Pain Management specialists as you are so aptly named - wake up to yourselves, not everyone is a drug abuser, they may be physically addicted from long term use of opioids but only use them for pain relief. I am well aware you cannot divide the psychological from the physical.

Those people in chronic pain need strong pain relief and proper help, not just ridiculing because they are prescribed narcotics. Coping with life and pain is not easy and i have no great answers for either. At least i hope there is no pain where we are going. I've taken oxycodone before, but a few nights ago I took three 20 mg oxycodone and two 5 mg valium. Had a very hard time staying awake, heart rate was very much slowed down, could not walk, and I assume my breathing was slow as well.

Was I close to death? Because it felt like it. The next day I felt sick and I threw up. My son married a woman then decided she wanted out of the marriage. She left my son. He was dependent on pain meds too. When his wife left him I know the battles and words exchanged weren't good. My son OD on fentanyl also took some anti anxiety drugs with it.

I beleive my son did not want to die he wanted the pain to end. He couldn't rationalize that perhaps tomorrow will be better so he took his life. It has left me so sad with missing him. The answer can never be found with death for that is final. Keep looking and keep hoping you never know what will really happen next. I try to tell myself that, because my pain is in my heart it will never heal. I have pain as well I have had cervical fusion gone bad and have just been given oxy to manage my pain.

I am so sorry your ex treated you so badly. You are a person with a good heart I can tell. I see you even try to help others here on the site. Christian Thursday, December 3rd, Can overdose happen overtime or can it only happen after a single dose that's too high?

Sullivan Monday, December 7th, I hope my words didn't hurt anyone, I sincerely want to die in a way that isn't painful. School has taken too much stress on me and my family, and I can't help but consider how much cheaper and relaxing it would be for my parents if I wasn't around.

Anthony, if you read this, I'm sorry for your loss. I can surely tell you that your son did not blame you for anything, and would not want you to blame yourself.

Ashton Friday, December 11th, Hi I take 40ml prescribed by my doctor but on a really bad day I can take up to mls a day sometimes I find myself falling asleep and wake up trying to breath??

I've slowly stopped doing this but was wondering what other medication I could take instead? I'll admit sometimes I take it just for a high and not so much for all the pain I'm in Just some advice would be helpful Thanks Ashton Monte Saturday, December 19th, I have cancer and was taking m of quick and timed release a day but now i dont need that much and there taking me down mg a week 20 a day for awhile it was om but now its making me sick is this the normal comedown rate please help as fast as you can im in pain and getting really sick steve Saturday, December 19th, my wife died as a result of snorting to much oxy codone how do I know if it was a accident or intentional suicide?

I'm so sorry for your loss. Unfortunately, you cannot know for sure unless there is evidence that points to her being suicidal or if she left a note. Joh Monday, December 21st, Hi monte I'm a dr in pain control most Drs know what to give you and what not. Have you told them how much pain and how sick your getting from this big decrees? Lisa Tuesday, December 22nd, I'm still here too with zero change.

My surgeon put in an appeal in August and we got denied again. I went to see surgeon 2 weeks ago because of increased pain but he said aside from surgery there is nothing that can be done. He's doing another appeal and I'm praying for God's mercy and that the surgeries I need will be approved because I'm at the end of my rope after years of horrific pain that I've not gotten off narcs at all. Right now I'm still on 30mg Morphine ER 2 times a day and 10mg oxycodone immediate release 3 times a day.

I'm also on sleep, depression, and various other meds. I go back to pain doc in Feb. Tonight I was downstairs bawling because it was so bad and my husband was saying lets go to ER but I just couldn't put that financial strain on us. He told me next time he's going to scoop me up and take me to ER no matter what I say.

I had ALL 7 of our kids without ANY form of pain control so for me to be crying means it's really bad because I never cried due to labor pain and he said that he feels so helpless because he knows there's nothing he can do.

I've prayed for each one of you guys because I know what extreme pain feels like and how hopeless you can feel while you are in the middle of it. I wish we all lived closer so we could meet and encourage each other. Despite living here in Kentucky for over 3 years I have zero friends here and I'm not exaggerating the truth. My husband and my kids have become the only friends I have. I ache to hear how some of you see ending it all as the only way out of your hell.

Yes, I've been there often so I know the darkness you are surrounded with and how sweet the release of life must sound. Please hang on and if you ever need to talk or you are about to end your life I am happy to give my cell number. I have my master's in counseling but I was never able to be licensed but still I would love to be a listening ear and offer advice only if you want.

I'm a Christian and usually counsel from a Christian worldview but I'm very respectful of other's world views and will not mention God, prayer, and the bible unless you want me to. I will shut up for now but please know you are not alone!!

Lydia Addiction Blog Thanks for sharing, Lisa. Hope that our readers will find your message inspiring. Hans Wednesday, December 23rd, I just want ti emphasis the fact that it is absolutely true that one should build up one's tolerance for oxycindone, I started with 5mg 3 x a day and the euphoria was lovely, The problem is that a person's body is never happy with what it gets and gets greedy and wants more. Fast forward a few months I was on 20mg 3 times a day.

Less that a year later my body deed mg 10 x 20mg a day You can ingest boxes of the stuff and feel like you just woken up from sleep. THAT is the reason I stopped smoking marijuana 24 years ago. I would smoked and smoked but here is no euphoria! There is another way But this method id going to take discipline and strength from you Thea's going to be hell. Then you can remain at the lower doses, sparing money and your life. I'm on this regime at the moment and it is not easy, but it dies work.

The problem is, a person wants to be on a high the whole day Get that idea our of your mind and rather use OxyNorm as a reward for something you have achieved. I tell you, there was a time where I took 7 20mg tablets in the morning when I wake up and still more during the day. So taper off OxyNorm and use it maybe 3 time a week. The buzz it much better. S0, I guess on have to find the equilibrium "Am I wasting money where I can get the same buzz on a tot of Whiskey" OR "Am I just going to stop all this shit all together She had an opioid addiction for a long time, but was getting meds for chronic pain the last several years for her back.

The toxicology report isn't completed yet. However, the coroner found ml of oxycontin in her system, and 17 ml of klonapin. What I'm trying to determine is was she just being stupid with the prescription because of her addiction and her high tolerance, or was it suicide?

If anyone has any comments, or thoughts, I would appreciate hearing from you.

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