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“When you eat, you’re not just
refueling your body, you’re feeding
your brain”
Dr. James Cocores.
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OxyContin Warnings
OxyContin is the
opiate that most often appears in headlines and
addiction specialists’ offices. In a 2002
report, the Drug Enforcement Administration
traced 142 deaths to OxyContin overdose and said
it contributed to another 318 fatalities
according to the Washington Post. But the term
“overdose” needs clarification, as the average
reader is likely to link it to suicide instead
of accidental death from this particular
time-release narcotic. As a nutritional neuropsychiatrist specializing in the
detoxification and rehabilitation of
substance-dependent individuals including food,
gambling, spending, religion, theft, love, or
sex addictions, I know most deaths caused by
OxyContin overdose to be accidental because of
the hazardous way this heroin-like drug is
prepared. OxyContin is time released, meaning a
large dose is slowly absorbed into the central
nervous system over many hours in a sustained
way. When this time-release tablet is crushed by
opiate addicts, who know it to be more
efficacious after it has been crushed, it
changes from the mg dose equivalent of one
time-release tablet to the equivalent of a
multiple mg dose of immediate-release oxycodone.
This is what makes OxyContin so deadly.
Regardless of the preparation used, opiate
withdrawal symptoms include mild cravings,
anxiety, drug-seeking behavior, yawning,
perspiration, runny eyes and nose, restless and
broken sleep, and irritability. The eyes may not
respond properly to light (i.e., pupils will
remain dilated in the presence of bright light).
More severe symptoms are muscular twitches,
gooseflesh, hot and cold flashes, abdominal
cramps, nausea, bone pain, rapid breathing, fast
pulse, chills, vomiting, diarrhea,
weight loss, and lack of energy. Not everybody
suffers all these symptoms or even the most
severe ones; the severity of withdrawal symptoms
usually depends on the length and frequency of
narcotic abuse. Under the direction of a
seasoned neuropsychiatrist, relief during the
five to ten days of these symptoms can usually
be provided through various medications (such as
Neurontin or gabapentin plus Effexor XR or
Cymbalta, clonidine, Anaprox, Librax, and
Compazine) to ease the physical discomfort and
help the user get some sleep. Warm baths, mild
exercise,
BRIGHTFOODS nutrition, and the
compassionate support of physicians, nurses,
counselors, NA (Narcotics Anonymous) sponsors,
and fellowship also ease a person through
withdrawal. And self-help group fellowship,
though the last item in this list, is not the
least important.
In the 1960s, Methadone maintenance programs
became popular as means of detoxifying heroin
users, and helping them through withdrawal.
Methadone is also addicting and Methadone
dependence is notoriously hard to kick. More
recently, buprenorphine (also known as Buprenex,
Subutex, and Suboxone) became fashionable for
opiate detoxification, but clinical researchers
started seeing more and more people becoming
addicted to buprenorphine.
“Buprenorphine-dependent people can have a
harder time withdrawing than methadone or
OxyContin addicts,” according to Dr. Cocores.
Long-term recovery for narcotic users is often
made difficult by malnutrition. The following
diet and lifestyle plan is an important
component of a winning opiate-dependence
withdrawal and recovery program.
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