Vivitrol Persuasive Speech

This is a chronic pain patient and has been on pain medication. However, the exact duration of use of opioids is unknown. In addition, there is no documentation of VAS pain levels with or without the use of medication. There is no opioid agreement of file. There is no reported functional benefit and pain relief from the medication. Furthermore, there is no mention of the absence of aberrant behaviors and absence of side effects of Tramadol. In addition, there is no mention of compliance and continued efficacy of the medication. There were no UDS or CURES reports available for review. Medical necessity of Tramadol has not been substantiated. Recommend non-certification. Non-certification here does not imply an abrupt cessation for a patient who may be at risk for withdrawal symptoms. Discontinuance should include a tapering prior to discontinuation to avoid withdrawal

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and

Narcotic analgesics, especially morphine are underused for pain control with in the medical field. This underuse is because medical professionals, including doctors, fear patient addiction, side effects and possible lose of their licenses. These fears deny adequate healing and a better quality of life to those who would benefit from a more effective use of these drugs, as done in hospice care.

America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted

Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.

Denton Treatment Services treats clients of opioid addictions in the Denton County area. The area is known to be populated with many types of opioid addictions including heroin, cocaine, cannabis, amphetamines, methamphetamines, etc. Rehabilitation programs offered consist of detoxification, halfway house, Naltrexone (oral), Substance Abuse Treatment, and Vivitrol (Injectable Naltrexone). The treatment center is methadone based which means that they provide an alternative drug to manage withdrawal affects for both short and long term substance management. Methadone is typically used to ease the pain of clients in preventing relapse. Level of care offered are partial hospitalization/day treatment and outpatient day treatment or partial

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The National Center on Addiction and Substance Abuse provides guidelines and recommendations to healthcare providers in terms of how to screen for an addiction. Opioid addiction is screened primarily through patient interviews involving both specific and open ended questions about their lifestyle, mood, and drug use. A psychiatric exam may also be administered to look for psychological factors indicating an addiction such as depression, anxiety, and other psychological symptoms related to addiction and withdrawal. Withdrawal is evaluated by gradually taking a patient off opioids and if symptoms of withdrawal are found the severity of the withdrawal itself is then evaluated.2 If a patient is diagnosed with an addiction to opioids then the transition to tertiary prevention, or treatment will occur. However, treatment will only occur if early detection and screening techniques are utilized fully by healthcare provider otherwise it is likely an overdose will kill the opioid

Addiction to prescription drugs has remained an ongoing problem for residents of West Virginia. In 2014, 26.2% of all drug rehab enrollments in West Virginia cited other opiates as their primary reason for entering treatment. The category known as other opiates includes non-prescription use of methadone, codeine, morphine, oxycodone, hydromorphone, meperidine, opium, and other drugs with morphine-like effects. Coming in a close second as the most commonly reported substance of abuse among West Virginia drug rehab centers was alcohol addiction. 25.4% of the person’s entering treatment in the state during 2014 listed alcohol as their primary substance of abuse.

Vivitrol is an intramuscular, extended-release formula of naltrexone (XR-NTX), which is given once monthly to detoxified opiate dependent patients who wish to abstain from opiate use. Vivitrol is also used to treat alcohol dependent patients, but this paper will focus on its effects on opiate addicted patients. Naltrexone is an opioid receptor antagonist, which blocks the euphoric effects of heroin and prescription opiates by binding to opiate receptors in the brain and blocking the action of the neurotransmitters. The Vivitrol injection releases naltrexone slowly over the course of 4 weeks. The time-release system works by encasing the naltrexone in biodegradable microsphere-polymers, which break down at different rates to maintain therapeutic levels of naltrexone over a 4-week period. Vivitrol suppresses effects such as euphoria, pain relief, sedation, physical tolerance, and physical dependence. This medication, like other extended release injections, is designed to address patient medication-noncompliance. It is recommended that patient have no opiates left in their system for a period of 7 days before starting a Vivitrol regimen. Vivitrol is generally well tolerated with few adverse side effects. One study found the most common side effects to be pain at the injection site, nasopharyngitis, insomnia, and hypertension (Syed, 2013).

Vicodin is an opioid painkiller that is made from a combination of acetaminophen and hydrocodone. Although acetaminophen is an over-the-counter medications, it is increases the potency of hydrocodone, making Vicodin a stronger opioid that is designed to relieve moderate to severe pain.

Tramadol is not the same as other prescribed pain killers. Those like codeine or hydrocodone; which are in fact, commonly known for being far less addictive. Although, people can and do develop an addiction to it. Tramadol is most commonly prescribed by physicians to make pain more tolerable for individuals to handle. Other conditions tramadol maybe used include, that of restless legs syndrome, migraines, withdrawal of other more addictive medications, fibromyalgia, and obsessive compulsive disorder. And there are so many more; in fact, I was prescribed tramadol for lower abdominal pain along with a nausea med to counteract and minimize the nausea side effects that it causes and had no really issues. It allowed me to function normally without the constant pain. This favored drug is for people suffering chronic painful conditions. It has the ability to be well accepted without any huge risk of dependence on it. And, also without the more serious side effects if it is in fact, used

Thank you for the info! I’ve not actually not seen a list of NRC schools divided like this before. Thankfully, it looks like almost all of the U.S. programs I am interested in are listed under the Western or Eastern Europe/Eurasia studies columns.

The Vimax patch nonetheless, could be a actual lifesaver for those that have difficulties swallowing pills or