✪✪✪ Methadone Informative Speech

Friday, January 07, 2022 8:52:43 AM

Methadone Informative Speech



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METHADONE (METHADOSE) - PHARMACIST REVIEW - #237

I have an article on this site about sleep problems in older adults. If you are concerned about either your brain function or your use of medications that affect your brain, I would strongly encourage you to discuss further with your health care providers. Pharmacists are another good resource, if you want to learn more about your medications and options for switching them. Great article Dr. I appreciate the information that you share. I posted a link on our website. This site and your article are very informative.

I suffer from migraine headaches and have been on Nortriptyline mg and Zonisamide mg for prevention for years. As I approach 50, I sometimes worry that my memory is getting worse and wonder if it could be a cumulative effect of these drugs? I also average hours of sleep at night due to a busy work and family schedule…which could be a factor. Any thoughts or recommendations?

But here are some general suggestions for you to consider. It might help in the short-term and improves your chances of maintaining good brain function in the long term. The research suggests that the effect of anticholinergics is cumulative. Greger of NutritionFacts. You may want to discuss these ideas with your doctors. A number of common problems can worsen memory, including hormonal changes, thryoid problems, and others.

I have more on evaluating memory problems here. Good luck and glad you find the site helpful. Your migraine disease itself could be to blame for the memory concerns. Studies are showing structural changes in brains of chronic migraine sufferers. Bupropion brand name Wellbutrin is not known to particularly worsen memory. It can increase the risk of seizures but that is mainly a concern for people who are already at higher risk for seizures.

For a list of bupropion side effects see this MayoClinic. You can also ask your pharmacist to inform you about possible cognitive side-effects of other drugs you may be considering for mood. I quit smoking last year in September. I have a lot of medical and mental issue. I used to be on a lot more pysch meds but we finally these one that work that stabilized me. I hate to see that everything that I am on is on your beer list? That is an exceptional list of medications, so I have to assume your health problems are a bit exceptional as well. Some patients find it helpful to connect with other patients who have the same diagnosis, in order to exchange information on other ways to manage the condition. My mother has mild dementia and our problem is treating her arthritis pain and neuropathy without making the dementia worse.

Her doctor said that she should stop the Gabapentin because it could make the dementia worse, but now we are trying to figure out what pain medicine to take. She has been on Tramadol and I can tell that her thinking is confused when she is taking it a lot. It is unfortunately hard to find an oral pain medication that is effective with neuropathy and has absolutely no cognitive side-effects. Sorry doctor all you have to do is a quick google search to see that sometimes severe short term memory loss occurs in many patients who take gabapentin.

It was included in the list , in the table of medications to adjust in people with decreased kidney function. If you come across any such studies, please let me know. Thanks for this information Leslie. I am only 48 but I have been taking gabapentin for almost a year now to help with side effects of Tamoxifen that I have had to take for three years now to prevent breast cancer recurrence. The Tamoxifen threw me into early menopause and my sleep and mood were really suffering. The gabapentin has helped me with both. My cognitive function feels a bit fuzzy in the morning but it wears off quickly.

I do worry about the long term effects of taking it but honestly it has been the only thing that has worked for me. I had tried lots of other medication and I continue to run, rock climb, crossfit five days a week and am vegan. But none of the other medication or lifestyle changes was helping my sleep. This does. So I really appreciate your research on this topic. I too am going to keep my eyes open to new studies but so far so good from what I can tell. Glad if the article was helpful. Sometimes the benefits of taking certain medications seem to outweigh the risks.

What is most important is to make a careful thoughtful decision and to look into alternatives, which it sounds like you are doing. Good luck. Agree with you Doc. Bob V was quite disrespectful there. Thank you for your thoughtful, educated and FREE advice. About two months ago, he increased Ambien intake to slightly larger doses If you are concerned about his memory, then reducing his Ambien is a good idea. Be sure to talk with his doctor to get medical advice tailored to him. This is hard for people to cope with, and in older adults who are having memory problems, the worsened sleep-problems can make their thinking and memory even worse in the short-term. You will also want to ask the doctor to help you assess for other problems that might be worsening his memory, because medication side-effects are only one of many things that can worsen memory.

For more on what the doctor should check for, see this article: How We Diagnose Dementia. It lists the most common non-dementia causes of worsening memory. In terms of whether the memory loss is reversible: that will depend on what is causing it. Especially as people get older and older, they are more likely to be developing underlying brain changes that will cause memory problems even if they are on no medications and other otherwise optimize their brain health. To help your grandfather optimize his brain health, I cover a number of proven approaches in this post: How to Promote Brain Health.

I also had long term pain from sciatica and persistent insomnia for years. Much of my difficulty is fear of not sleeping if I give up the Temazepam. CBT might help but where can I get help? You can also ask your doctor for help finding an in-person therapist. Regarding your sleep difficulties and restless leg syndrome RLS : are you still seeing the sleep specialist regularly? I am 62 yrs old and take Gabepentin mg per day and a low dose of Premarin. I was taking a generic form of Lipitor. Started having memory problems and dr pulled me off cholesterol meds for 6 months with instructions to walk.

Have to go back. Worried about having to go back in it. Does name brand Lipitor cause memory problems? Also have been worrying about everything and have gained a bunch of weight. Your thoughts please. For instance, for the symptoms you describe could be caused by thyroid problems, other hormonal imbalances, depression, and many other conditions. Statins do reduce the risk of having cardiovascular events. But if you want to get your other symptoms sorted out first, you are probably not placing yourself at very high risk by taking another 6 months off the statin while you get the rest of your health concerns addressed. You should also make sure you understand what is the likelihood that taking a statin will prevent a major cardiovascular event.

For instance, in people who have already had a heart attack which means they are at high risk , studies suggest that one person in 40 is helped by taking a statin for 5 years. Namenda is the brand name for memantine. There has also been some researching suggesting it might help with vascular dementia, but again, the research is not very impressive. I also take 1 cap Tamsolusin at night for prostate. I have lately begun experiencing problems relating to short memory losses that I never had before. Which of my mess do you suppose could be causing my memory loss problem. I know and understand that age is akways a factor but I had been fairly healthy before being diagnosed with a kidney related uritheleal carcinoma almost a year ago that metastasized after removal of affected kidney.

Medications are a common cause or contributor to memory difficulties, but there are also many other potential causes, especially given your age and current health problems. So if you are concerned, I would recommend that you bring it up with your doctor. Very interesting article. Unfortunately in the case of my mom who is getting up there in years, she has a rare disease that has required a mixture of drugs to help her with a great amount of foot pain, and other side effects, to avoid pain, bring her into more medications. She and I both know that this affects her cognitive ability and she has built up these medications and the need for them for her rare — burning foot syndrome disease.

The Opiods are required to keep her pain down to an average level of 7 instead of 10 flares. She still gets ten flares, swelling of the feet and bleeding from almost any moderate use. She also occassionally takes pills like an antihistimine at night Benadryl, which is bad of course and another risk. And takes blood pressure medication, perhaps the only pill not on the list. And takes Flexerol sometimes which is also on the list.

She has also taken other pills very short term. We know it was caused by symptoms related to nerve medication. Risperdol caused permanent flares and damage which has happened since It totally took her out of any chance of a normal type of life. What is interesting is that she worked through many medications to get to this point with this mixture to be a baseline that helps her, but the side effects of course can be difficult. Also some unconventional things we have tried showed some promise in masking her rare burning feet symptoms. Risperdol is an antagonist to many of the Seretonin 5ht receptors and blocks action from these, calming down or inhibiting those nerves.

Ironically some rare and seldom tried medications like 0. If mySeretonin theory is really correct for these rare cases. Mom had reactions which matched the reactions of some side effects of amitriptyline in the cream. When we had a cream prescribed without the amitriptylin, those side effects went away. A very small percentage of people have reported amitriptyline as causing mild or more moderate burning foot syndrome to occur in their feet. I found on Wikepedia that amitriptyline is a antagonist for almost all the same nerve locations on the 5HT Serotonin sites that Risperdol affects.

Except Risperdol is a irreversable antagonist to 5HT7 which amitriptyline may not be. In any event a lot of these pills have rare side effects and they will be listed in the fine print. My thoughts, but this is from an extremely rare or seemingly rare condition, is if you have burning feet sensation, even mild from tricyclic antidepresents, by all means work on staying away from them and avoid Risperdone, because it may be much worse.

This of course is a really bad and rare situation, where we have an old lady isolated by extreme pain, and limited in her physical movement. The pills a very strong and rare mixture, are required to keep the pain to a kind of low level torture, but flares will still happen. And unfortunately there has been little in the way of an alternative. We have tried some odd things, like Ketamine cream and even temporary nerve blocks of the tibial nerve using an injection to numb the site as if surgery was going to happen. That to test to see if a more permanent nerve block could work, and this rare and for this rare condition.

Both Ketamine and the nerve block worked. The nerve blocks were temporary. The ketamine had other side effects. Believe it or not environmental chilling is the only thing that helps the pain, although the drugs can help. The situation for this rare condition doctors often go their entire practice without seeing one case is one of heavy duty drugs. But others have it and have little or no releif. When some pills are used in a mixture, for example the muscle relaxer Flexerol was mentioned and she has taken that for another injury, those mixed with other drugs, Cymbalta, and DMX cough syrip Tussin DM can cause Serotonin syndrome, which is a symptom that can be difficult to tell apart from other Neuropathy nerve damage.

In the case of my mom at times the mixture of a muscle relaxant in the mix to treat a different injury , caused some temporary cold and numbing symptoms to briefly appear in the feet, which made them cold and appear more like Raynauds syndrome, which can have numbness and cold white blanched skin patches, so some can have hot and cold symptoms. But with the rare burning foot syndrome, one will often just have hot or any activity trigger a flare, in the worse cases they are completely painful, about the equivalent to the worse pain you could get in any one location.

And those with the worse case versions have really almost no mobility at all. And they just have an unending flow of drugs, to try to cope with the pain. Although they are stuck with the drugs, the cognitive and all other side effects can come into play and be a risk. She also takes blood pressure medication. And when in a hospital visit she lost so much sleep she had very bad symptoms, also being off some of the medication Ativan withdrawal and this gave her delirium. It may be a kind of subtle difference in diagnosis, but the effects can often practically be the same. My mom can slip into a delerium like state, for example lose a lot of sleep and then almost fall into narcoleptic like sudden sleep states into REM sleep.

This probably from lack of sleep and drug side effects. He has some of the signs of cognitive and memory decline especially. How much do you let the aging parent age and decline, because they have some of that right and want to be independent, and when do you step in as a child and try to take over more. So for some of us, the road is very long indeed. Sorry to type such a long and rather depressing report. But the other issues you describe, including the strain of helping older parents and the catchs re medications and their side-effects…those are unfortunately quite common.

Your parents are lucky to have your help. Re taking care of yourself, managing the autonomy-vs-helping dilemmas, and the financial challenges: I would encourage you to regularly connect with other family caregivers. The foot pain is probably erythromelalgia. I have it and treat it with cymbalta. Rare conditions are tricky. There is more on erythromelalgia here: Incidence of erythromelalgia: a population-based study in Olmsted County, Minnesota.

I am 64 years old. I took ditropan for a number of years until I switched to mybetriq about 5 years ago. Would there be last effects of the ditto pan on my brain? Ditropan oxybutynin is a medication for overactive bladder which is has strong anticholinergic activity. Once you stop the medication and it has cleared out of the body, it will no longer be directly affecting the brain. However, research suggests that past use of anticholinergic drugs does increase the risk of developing dementia. This seems to be related to the cumulative amount of anticholinergic drugs a person has taken: Cumulative Use of Strong Anticholinergic Medications and Incident Dementia.

Generally, if people are worried about their brain health or brain function, I recommend that they not worry too much about past medications, and instead focus on making sure that they are NOW doing everything possible to optimize their brain health. This includes: — making sure they check their current medications, and minimize anticholinergics and others known to be risky for brain health — avoid vitamin B12 deficiency — manage and minimize sleep deprivation, chronic stress, depression, and anxiety, using non-drug methods as much as possible. I am 60 and have been taking oxtbutynin for 3 years and have a mci diagnosis.

Are there any medications for overactive bladder that are not anticholineric? Mirabegron brand name Myrbetriq? All the other drugs are anticholinergic. If you have overactive bladder, it might be a good idea to discuss non-drug treatments and make sure you have given them a good try. They include addressing any medical conditions or medications that can aggravate urge incontinence, pelvic floor exercises, bladder training, and treating vaginal atrophy if you have any with estrogen. You can learn more about these approaches here: Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence Good luck!

Is topical Benadryl safe to use? Yes, a topical preparation of Benadryl is much better when it comes to brain health. It is indeed localized. So…I literally just stopped taking it tonight. Besides the above, is there any proven way I might encourage acetylcholine activity in my brain? First and foremost, congratulations on quitting smoking nine years ago and on now taking action to identify and reduce medications that might be affecting your brain. Both are good steps to take, to protect your brain health. The Harvard Health blog has a good article summarizing this research here: Common anticholinergic drugs like Benadryl linked to increased dementia risk.

Instead, I would encourage you to consider a more comprehensive approach to maintaining brain health. I list several ways to do this here: How to Promote Brain Health. For you in particular, you might start by working on your sleep and your stress. Some approaches, such as cognitive behavioral therapy and meditation, can help with both. Thank you! I will check the article out. I spend lots of time on the computer to wind down when I get home, and these glasses seem to really help with the sleep issue. So, possibly no need for other interventions. Yes, there is research suggesting that exposure to computers and smartphone screens and tablets can interfere with sleep.

I personally have installed a red-filter program on all my devices. I use F. But the glasses can be a good solution too. My elderly father 92 , was tragically awarded guardianship over my elderly Mom My Mom has had short term memory issues for some time and yes, she took Xanax because it is very difficult living with my Dad. Right before my Dad got guardianship, he committed my Mom to a Memory Care facility for elderly persons with advanced dementia. I, the daughter, have no rights in this situation, but this is abuse! How can I make it clear — to whom? I have communicated to the guardian ad litem that Xanax causes memory loss and that I suspected that my Mom does not have dementia because she is capable of forming new synapses but the GAL ignored my statements.

What can I do? Does my Mom have the right not to be treated with a brain-damaging drug? Does she have any rights in this situation? This sounds like a difficult situation. I think you will need to consult an elderlaw attorney in the state where your mother is located. Before you do this, you can also try to contact your local Area Agency on Aging; they may be able to point you towards less expensive local resources available to assist with your concerns. However, I believe that if a guardian has been appointed by the court system, then you will probably need to work through whichever system your state has for holding guardians accountable for health decisions.

Benzodiazepines such as Xanax do increase the risk of falls and confusion. However, in individual cases, the risks always have to be balanced against likely benefits. I am 52 years old and have taken Doxepin, 25 mg. Initially it was the only medication that somewhat relieved chest and throat constriction after being poisoned by inhalation of wood stain. I have now stopped for good. I am terrified that I have done irreparable damage and am doomed to this frightening disease.

I have spoken to my PCP about this, but his contention is that this is quite a low dose, but even so, the years of cumulative use still scares me. What is your opinion? I work in healthcare and have direct experience working with people suffering with dementia, and I do hope to avoid this fate. The past is past. What is most important is that you have stopped taking this medication now. I have a list of recommendations here: How to Promote Brain Health.

Do try to not stress or worry too much about dementia in the future…that is unlikely to improve your brain health and might possibly worsen it. Do what you can and then accept that the future is unknown and difficult diseases — such as dementia — may or may not happen. I am just seeing your response, and wanted to thank you for taking time out of your busy schedule to address my concerns. A follow up question if I might…The study that I am familiar with linking Doxepin and dementia states the cohort studied were all over age Do you know if these folks had been taking these drugs earlier in their life as well as post age 65? If you were regularly taking anticholinergics for a while, then you may have slightly increased your risk of dementia.

But since dementia is pretty common in people who live to a ripe old age, most people have a fair risk of developing it whether or not they took anticholinergics. So really…we should all be somewhat concerned that we might get dementia, and we should all find ways to make peace with this possibility preferably while planning ahead for the possibility, as that could really help us and our families should we develop dementia.

Otherwise, we should all do what we can to optimize and maintain our brain health. Appreciate you working in this area. SSRI-type antidepressants, such as fluoxetine brand name Prozac are not particularly known to cause cognitive impairment. However, we still know relatively little about what the effects — and risks — are of continuing such antidepressants long-term. You can learn more here: Long-term antidepressant use: patient perspectives of benefits and adverse effects. If you have concerns about your memory or thinking changing, I would encourage you to keep discussing this with your doctor.

Tests such as MRIs and EKGs are not sufficient; your doctors need to assess your thinking with tests for that purpose, and they should also assess you for other conditions that can cause changes in speech or thinking. I am 58 years old and I was recently prescribed Dutasteride 0. I have been taking the medication once per day for the past several months. Have you ever heard of this drug causing memory issues with people? I know that this drug is normally used for prostate issues in men.

If this drug does cause memory issues will the symptoms go away once discontinued? The use of such drugs in women is much more recent, and as far as I can tell, not much is known about the impact on memory. At age 58, there are certainly many reasons to develop a feeling of mild memory problems. If you are concerned, I recommend bringing it up with your doctor, and consider an evaluation for mild cognitive impairment. My mom who,is 81 was taking xanax and depakote for Alzehemiers and dementia…she declined after my sister died suddenly of a PE.. These meds were making her to drowsy ,she also had restoril ordered as needed. I am a RN and when she was hospitalized for dehydration I had a geropsych Dr see her. I loved your article and I needed to read it..

One approach, for helping people who were previously on shorter-acting benzos such as xanax, is to switch to a low dose of long-acting benzo, and then very slowly taper that down. However, I probably would not combine this approach with continuing temazepam — as you may know, temazepam brand name Restoril is a benzodiazepine too. Be sure to look at the brochure, as it shows a tapering schedule. I also have an article on dementia and sleep problems here: How to Manage Sleep Problems in Dementia. I would encourage you to keep bringing up your questions and concerns with the geropsych provider. Having reached my 60s, a widow living alone, I am trying to live healthy and to be my own best advocate.

I get checks for eyes, hearing, heart, etc. My mother lived to 95 and there were signs of gradual loss resulting in only slight loss of cognition. Your site is wonderful and a tremendous resource. It is informative and makes me far more knowledgeable when I talk with my doctor. I now know more of what to ask and what to watch for even in my own behavior. Thank you so very much!!! God bless you! Is is possible that Lipitor is causing my 88 year old Mom problems with short term memory? Doctor is advising she has dementia symptoms. The clock draw test is a good one, in that it requires a fair amount of mental coordination and processing.

I even fear if i might relapse if i am the only one. Congratulations on quitting your Ambien! Others have been able to taper and stop sleeping pills as well. Cara Tannenbaum of the Canadian Deprescribing Network has developed some educational brochures that were proven to help people stop these kinds of risky medications. But i was talking about ambien and this post was about benzos, I guess ambien is more harmful than benzos.

Ambien is less well studied than benzos, especially when it comes to long-term use and whether it might affect dementia risk. In the short-term, it certainly affects thinking abilities and balance the next day, even in younger people. For this reason, in geriatrics we generally recommend that older adults avoid drugs like Ambien. But have you seen others too?? Who have been off ambien and been fine after that?

May be by using meditation, or natural therapies. Yes, I have seen older adults manage to discontinue Ambien. Is the brain fog something that would subside, eventually, after discontinuing Benadryl for sleep? Many health problems can cause the brain to feel foggy. Sleep-deprivation and stress can also contribute. Thank you so much for taking the time to research, write and publish your informative and RATIONAL articles- SO very helpful for those of us navigating health issues for our aging parents!

Starting with 5mg for trial for 8 days, and afterwards increased to 10mg each day after no side effect was shown during the trial period. Before this medication, my mom suffers from dizziness and serious fatigue almost every day with low mood. Today is the 4th day on 10mg. Her doctor said that those physical symptoms were actually due to depression. Is it true? Thanks a lot. The tricky thing about dizziness and fatigue is that SO many things can cause them, in an older person. Depression is also usually associated with one of two key symptoms: frequent sadness or losing interest in things that used to give pleasure.

We also have to ask about concerning related symptoms using questions, and physically examine the person. What is good is that your mother seems to be improving. Hard to say whether it is due to her new SSRI; usually they take weeks to have an effect. Also, you should know that the scientific research generally finds that antidepressants work no better than placebo, for treatment of depression in people with dementia. There is an excellent review article available here: What is the therapeutic value of antidepressants in dementia? A narrative review.

In terms of side-effects or potential harms: Vortioxetine brand name Brintellix in some countries is one of the newest SSRIs, so it has less of a track record than some of the other SSRIs we often use in geriatrics. Here is a recent review I found, on this newer SSRI: Profile of vortioxetine in the treatment of major depressive disorder: an overview of the primary and secondary literature. So, generally I recommend people pay close attention when trying antidepressants in dementia.

If the person is not clearly better on the drug, it may be safer to discontinue it. If you become concerned again about dizziness or fatigue, I would recommend asking the doctor more questions about what else it might be, and what tests have been done to rule out other possibilities. Thank you so much for providing those useful articles. Some anticonvulsants are sedating or associated with fall risk.

This is not so surprising when you think about it; the whole point of antiseizure medication is to reduce the activity of neurons in the brain. I think the bigger problem with gabapentin is that in many randomized studies, it turns out to not be all that effective for the conditions that it is often prescribed for. Do any of these potentially exacerbate risk for dementia? Tryptophan is an amino acid precursor to serotonin and melatonin.

Some research has found that low magnesium levels are associated with a higher risk of Alzheimers, but g study found that both high and low serum magnesium levels were associated with a higher risk of dementia. This suggests that too little magnesium is a problem and that too much might be a problem as well. I comment further on the use of magnesium for insomnia here. Probably the best and safest way to try to reduce insomnia and anxiety is to use non-drug methods, preferably in combination e. Excellent blog. Thanks very much. I am in the process of tapering my 83 year old mother with mild dementia off of Ranitidine. She also takes 40 mg of Nexium prescribed several years ago for acid reflux and 12 hour Allegra Fexofenadine twice daily.

Should I speak to her MD about moving her to Claritin or another alternative? What about the Nexium? Once she is off of the Ranitidine, I would like to slowly taper her off of the Nexium to see if she really still needs to take it. She has been taking 4 mg of Medrol daily for 2 years which her internist believes helped her cognitively. We have been working with a rheumatologist to taper her off of the Medrol because we believed it contributed to her muscle weakness, recurrent UTIs and speaking issues. Now down to 1 mg and her muscles are much better. Does long term use of 4 mg of Medrol daily contribute to her dementia issues? Alternatively, have you heard of Medrol in that dosage helping with dementia — i. She has good long term memory short term memory is shot and needs round the clock care but is aware of everything going on despite inability to express herself.

This is methylprednisolone, a glucocorticoid also known as a type of steroid , very similar to prednisone. Glucocorticoids are potent anti-inflammatories. By far the most common chronic use is to treat auto-immune diseases, but they do cause quite serious side-effects when used chronically, including some of the problems you mention. Prednisone and other corticosteroids. Honestly, I have never heard of glucocorticoids being used to improve cognitive function, in fact they are known to cause a variety of cognitive and psychiatric side-effects.

If your internist has recommended this, I would suggest asking him or her to provide you with information on why they believe this is likely to be helpful. Psychiatric complications of treatment with corticosteroids: review with case report. Glucocorticoids do need to be tapered down carefully, once a person has been taking them for a significant length of time; rheumatologists are usually quite experienced in helping people taper these medications. Regarding the treatment of potential GERD gastroesophageal reflux disease , you may want to ask the doctor why she is on both ranitidine a histamine 2 receptor agonist and Nexium a proton pump inhibitor.

Usually something like ranitidine is used for mild cases, and studies find that it declines in effectiveness in people who use it continuously. For people with severe or persisting symptoms, a PPI such as Nexium is more commonly used. In terms of her Allegra, you could certainly try switching to Claritin or a nasal steroid. Good luck shepherding her through this process. It seems the sooner canabis is legalised and proper use of it is made, especially for older people who are often taking cocktails of drugs from their GP, some of which are to treat side-effects of others. With no side effects and a range of conditions cannabis can treat, including; glaucoma, depression, nervousness, insomnia, various kinds of pain, not to mention cancer, epilepsy and and other conditions now being investigated by cannabis researchers.

Seems to me the perfect drug for the old. I agree that cannabis could be promising, but first I would want to know more about the long-term effects on older adults, esp as regards memory, thinking, and falls. This is especially important if the situation suggests a person might take the medication for years. Historically most research on cannabis has been done on younger people, but now research is starting to be done on older adults. Melatonin does appear to be safe. Hi, I got diagnosed with Bipolar disorder in after a break with my fiance, I went to the doctor and told him I am depressed and he gave me antidepressant after that I went into mania and psychosis…I got started with Olganzapine for 1 year, after that I tried to stop smoking cigarette I asked the doctor and he gave me Chantix I again went into Mania and psychosis….

I am on two mood stabilisers is it effecting my mind and will it effect my memoryin the long run??? The AMA said lawmakers need to "act now" to address the overdose crisis. Harmon, MD. We use PDMPs as a tool, but they are not a panacea. Patients need policymakers, health insurance plans, national pharmacy chains and other stakeholders to change their focus and help us remove barriers to evidence-based care.

Sign In or Subscribe for Free. Subscribe Print This. Home » Drug War Chronicle » Issue Permission to Reprint: This article is licensed under a modified Creative Commons Attribution license. Looking for the easiest way to join the anti-drug war movement? My doctor did not tell me any of this. Just read your post and I know how you feel. However, each case is different and you should not stress based on what you read,. As long as you follow their instructions on how be stay healthy you will be fine. Is your cirrhosis from drinking. I am only asking because mine is and i have been dealing with it for just about two years.

But i thank the good lor i have been gettin better and doin good. I think my dr. Is even alittle surprised by it all in the beginning they thought for sure i would need a transplant but not anymore. My cirrhosis is from pain pills that my doctor kept pumping me full of that doctor will remain nameless because i refuse to lett another person go thru what she has done too me. I was 22 when I was diagnosed. I spent month in the hospital not knowing what was happening to me. I have a very healthy diet I never drink alcohol, never liked it I was and always have been positive And I survived. I am 60 years old and diagnosed cirrhosis of liver by USG.

LFT and other blood tests are normal and no other compli cations. Can I stop medicine? Hi everyone, I am 52 years old and was told I have end stage liver failure the last week of January and I also most died twice and have spent 2 months out of the past 7 in the hospital 15 days in the icu, however, I am hear to tell you that not all is lost regardless of what you hear or read. I have been out of the hospital for almost 3 months now and I went through knee replacement surgery and it came out great and I am up and walking after 3 weeks with almost no pain. I did this by swimming an hour every morning, eating all the right foods making sure to get all the vitamins that my body needs through diet alone. Now my wife thinks I should get a second opinion to really see if Im healing.

If I was told I was and I feel great then even if the doctor was wrong why would I want to know. Im positive in my attitude, Im doing all the right things and I feel better than I have in years. God bless all of you, stay positive and heal! Check out Interferon. Another is Viekirax-Exviera Harvoni. It might be the other one with the price difference. One of the treatments is very expensive. I wish you and your dad the best. My mom is so bad off right now that we are waiting for a transplant. Take care! God bless. Hi Brett: diagnosed with hep c in just finished treatment over past year and it no longer exists.

I do have stage 3 cirrohsis due to the hep. Just wondering do you experience any abdominal or back pain? Thank you for your words of encouragement. I was given months in March. I no longer drink and am striving to become healthy. I feel great. God has blessed me. My meld is now around a 6. God has my back. Thank you for your words. I have the same experience but are still worried sometimes. My liver has turned around to be better after 6 years of the diagnose and I feel great right now.

No alcohol, eat well, take long walks, stay healthy does it so far. I was in the hospital waiting to die, was very closed to death 3times,but I got better- some say I was lucky, that too, but I believe I helped myself buy not stressing and being positive. I was 22 then, and I am still here after all these years. Of course I receive treatment now and Ive been under constant monitoring every since,going to see the specialist every 4 months for test. Can you tell me if you have had check ups over the years. What happened and why so long in hospital? What symptoms did you have? And how are you now? Do you have special diet?

When you were in hospital did they think you would die?? Also can I ask what caused your liver disease at the age of 20?? Please how do u do it? I have the same problem now, am so worried , please how can I meet you for advices on what to eat and what not to eat, etc Thank u. Wow, that is really nice, 20 years. I was diagnosed with stage 7 18 months ago.

I feel ok, you know cirrhosis is a quiet disease with no symptoms until the end stage of the disease. I am 64 plus 20 years Hope will last that much if I take care of myself. Thanks for sharing you experience. I know this does not happen to everybody but I would let that decision to my father God. I been living with this disease since My doctor in a beginning told me that I would die, but thank god for another wonderful doctor who preform a tips surgery and every since then I been feeling great. Every 6 months I go for checkups to make sure my liver function well, and so far I been so lucky and living healthy life. Please my aunt is going threw the same thing if u mind me asking what did the doctors do to heal you back. I was wondering if you had ascities in your abdomen.

I will see a GI Jan 12th. I am scared of death as I watched my beautiful husband die a slow death due to a brain injury. I have had my abdomen drained 3 times and I am about to go in this week to have it done again. I am trying to stay positive. I do not drink alcohol anymore. I was able to do it without withdrawal on my own. For the most part I am pretty healthy.

Please give me more insight. Hi Lisa. I was diagnosed in Sept. Doctors put me on diuretics and I was drained times a week. It took my liver a year to heal itself to the point where now I only go for abdomen drainage every six-seven weeks, even then the liquid is minimal. In the meantime I ate salt free, lots and lots of fruits, vegetables and protein-rich meat, yoghurt and drank lots of tea. I took long walks, lifted smaller weights regularly, to keep my muscles active. My doctor admitted at my last visit, that he gave me 3 months to live when I saw him with my condition. In other words the appearance of ascitis is reversible in a relatively short time.

Keep your spirits up! Hi, my dad is a heavy drinker and is 68 yrs old. He wakes up drinks a coffee, smokes a cigarette around am. After that he goes back to bed and reawakes between am. He eats one time a day and sadly is his supper and he goes to sleep by 10 pm. I want to talk to my brother and sisters and arrange Our dad to a rehab center but I am afraid it might not be a good deacion. Anyone has some good advice? The sooner he stops everything he will get better and he will will get longer and healthier life.

Thank you for sharing your story and from what you are saying he most likely does have cirrhosis which is stage 4 in liver decease but sadly the only person that can stop him is him. But what I do know if he keeps drinking and he is that bad he could die with in just a few months to a year if he stops now possibly up to 3 yrs. I am sorry for the pain your whole family must be going through watching your dad slowly kill himself, because that is what he is doing. Now before anyone jumps all over me for saying that, I am married to a man who is an alcoholic whose drink of choice was beer, and he carried on a very serious love affair with beer for 50 years.

Well, his love of beer led to a number of health problems, including Type II Diabetes. He started having other health issues obesity, distended stomach, pancreatitis, constant abdominal pain, nausea, fatigue, muscle wasting, umbilical hernia, etc. His primary care doc never diagnosed the alcoholic liver disease because he LIED to the doctor about his drinking something lots of medical folks tell me alcoholics generally do. He ended up in the ER with acute renal failure — almost died, then after three weeks in the hospital he went into a hepatic coma and almost died. That was the first we knew anything about liver disease, and it was almost too late! So once he came out of the coma and got stabilized — never once admitting that he was an alcoholic — his lower intestine got caught in his umbilical hernia and he almost died again.

Once you have symptoms of decompensated cirrhosis, which your father does the swollen abdomen is likely Ascites, and his swollen feet and legs may be edema caused by cirrhosis. I suspect if he had an endoscopy they would likely find swollen veins in his esophagus the liver cannot repair itself. The damage is too great. The smoking would greatly increase his chances of liver cancer, especially with cirrhosis. IF you can get him to go to the doctor to have his liver checked, you may save his life. My husband almost died from End Stage Liver Disease three times. He finally got the message. He stopped drinking entirely and has been sober for over two years.

He has a wonderful liver specialist who has him on the proper course of meds, and we watch his diet to be sure it is well balanced with a minimum of sodium. He has never been a smoker. Can your mother get your dad to agree to let her go to the doc with him? Even when my hubby almost DIED he continued to lie about his drinking to the docs in the hospital, but I told them the truth. He absolutely refuses to go to rehab though. Just curious, you say your dad has a distended belly. Are his legs and arms skinny? Since he is doing so much drinking and not much eating, there could be some muscle wasting, which could put him into kidney failure trust me.

It has been a long, scary road for us, but I am grateful my husband chose to live. He knows that if he starts drinking again, he will die. Let his doc break the rest of the news to him. He will take it better from his doctor. The doc will be able to feel the cirrhotic liver just by palpating his abdomen, and he can tell the difference between fat and ascites as well. What could be the the stage is this is the case? Not sure…there are many factors involved.

One thing she can do is talk to a dietitian. Also, excersie everyday. Those gym records will be used when showing how much she cares about her health…when the time comes to be on the list. My dad is at a Meld 31…we have been prepared for years…and so glad we were! Stage 4 of liver disease is the cirrhosis then you have 3 different stages of the cirrhosis A, B, and C those are numbers lower numbers are better the highest is C 10 to 15 points at the number 15 she would need a possible transplant. I am Freeman , 40 years old from chennai India. I am suffering from liver cirrohsis for past seven months.

I was under homeopathy treatment for one month. But when I checked all my reports have gone worse. Now i was admitted in hospital for fever and shivering. The doctors are telling to get liver transplanted within one month. I am very much worried. Absolutely no drinking, smoking, Tylenol, etc. Her liver doc will tell her what to do. My mum is an alcoholic and is currently in hospital. Each case is different. If she was diagnosed then doctors will decide on a treatment and monitoring. Most cases there are no symptom and people live a long normal life, if they are looking after themselves,but it all depends what coused the liver cirrhosis.

He needs to go to a liver specialist. He or She will tell you what to do and what stage your mother has. That is a great attitude Paul, tumb up. Hope u are doing better everyday. God Bless You and everyone in here. I was diagnosed with fatty liver…cirossis last year. I am scared of it. I dont eat right I dont think, I an very picky. I would like to know if any of the foods I eat are good for me?

I am 47 yrs old. Scott, pls email me at thingo33 gmail. I wanna tell you about my brother who just had liver cancer and how he pulled through. I am not much with technology now aday. Hi Scott, I have been diagnosed as well, also 47, I have been told and have read to avoid alcohol at all cost, no salt, enough thaimain vitamin b Try something different every day if exercise bores you. Good Luck and it scared me also and still does but dont believe everything you readm read the first story. Take care Scott. Martin Try not to be scared try to enjoy your life God Bless everyone.

Scott, do you have a hepatologist — a liver specialist? If not, get one! Take the meds and do what the doc tells you. Ours even had us meet with a dietician. If you are married, take your wife to your appointments. She needs to know everything the doc tells you. If not married, take a really good friend to help be your support system. Mike, are you taking Lactulose every day? The itching is normal in cirrhosis, but the confusion might be a symptom of hepatic encephalopathy which could kill you.

I know; it darn near killed my husband, and if he skips his Lactulose he gets a tad confused. I went through all the jaundice and got got fluid drained 2. I have high ammonia levels. What stage am I in? That is the tool used to determine whether and when you may be eligible for transplant. But Mike, I am very serious. Go to your liver doc and talk about the high ammonia levels and get on Lactulose! When any human digests food, the digestive process releases toxins into the digestive tract. One of these toxins is ammonia, and the more protein you eat, the more ammonia you will produce. Now, as those toxins pass through the digestive system they are processed through the liver.

A healthy liver can neutralize them. A cirrhotic liver cannot, which means that those toxins, including ammonia, will pass through to your lower intestine. The ammonia is particularly troublesome because once it gets into your colon the ammonia molecules are small enough that they can pass through the wall of your lower intestine and enter your bloodstream, going ultimately to your brain.

Now, we can all handle a little ammonia in our blood, but too much ammonia will cause mental confusion, speech impairment, coma and ultimately death. More is better. This is how you get the ammonia out of your system. Put him in hospice and let him die. He is still alive two years later and doing quite well. So Lactulose. It is a liquid sugar, that acts both as a laxative, and, at a molecular level, bonds with the ammonia molecules in your lower intestine to make the ammonia molecules too big to get into your bloodstream. If you take it every day it will not only keep things moving, it will prevent your ammonia levels from rising.

Hep c medication waiting for my last blood test negative at 4 weeks. Only one person. Told me about lactaloose and that was a emergency Dr when I admitted myself thats right … my liver Dr and nurses never told me anything about it so I looked it up my liver Dr said no dont take that take fiber drinks glad i didnt listen to him i still get a but confused but have 3 movements a day I. Anyway lactaloose the saver god bless everyone I wish you all the best. I am Glad to read this informative description of this deadly disease.

Hope everybody will understand all the details. It really sounds like if you were taking the information straight from a nursing book. You may think lucky her, but sunce age11 i have battled crohns ive been butchered 6 times and had all the complications that go with crohns abscess fistula etc, pretty much spent many dYs in hospital im not complaining- im actually relieved i have some thing that may out me out of my misery, i have no one to talkto so writing this helps, if i get 10 years i can say i did good, fyi im a 45 year ild sucessful woman, i just happen to be sick of my bad luck my pain is constant ive had 35 plus years and managed to get by but i dont want to get by anymore.

It hurts too much. If you have fatty liver, is there something that can be done to prevent that from becoming cirrhosis? The liver has amazing powers to heal itself — until it becomes cirrhotic. Talk to your doc. Is cirrhosis really inevitable? Yes I know everyone dies but I would like to make his life comfortable so he wants to keep it he also smokes and he had hep C before I met him so it was very long ago so there was already liver damage there. I would like to know if anyone has tried acupuncture or followed a diet prescribed by a nutritionist and has anyone tried the paleo diet and does that work?

Your answers would be greatly appreciated God bless you all. Let his doctor and a nutritionist tell both of you what a healthy liver diet would be. My husband has almost died from ESLD. Two years later he is doing great! We are so grateful to his liver specialist. Hello MIGirl, yes, ascites. He now has muscle wasting, his ascites presents so severely he must be drained 4 times a month or more. He is wasting away. He quit drinking alcohol, but not smoking. He follows his medicine regime, but still is getting worse. His score is Any comments? Thank you, peace and prayers, Sara. Sara, is your husband on the liver transplant list? If he needs paracentesis fluid draining as often as you say, things sound pretty bad.

The forgetfulness is likely hepatic encephalopathy. Is he taking Lactulose? Is he taking diuretics to alleviate the ascites? Does he have a good liver doctor? And how are you? When my husband suddenly presented serious complications of end stage liver disease I had to come to terms with the idea that he would not be around much longer and I started figuring out what I will do when he is gone. Even though he is now stable, I still have to have a plan for when he dies. He is not a candidate for transplant, so even though we have been able to keep him stable, eventually this will kill him. Having my own plan gives me a sense of peace, and I am able to enjoy every extra day that he has been given.

I have cirrosis, prior to that a heroin junkie, with no side effects. From 16, to 35 now 38, i met my demon, alcohol, we had a bubble, but all along he was laughing at me, not with me. Find prick. Any way 2. Stopped smoking, stopped heroin stopped methadone, class A narcotics. You want to go to a better place. The demons want to take you and your soul to the infernos where you will suffer forever without end. Hope you still here by now. Hi, you guys. I was recently diagnosed with cirrhosis of the liver. I will be starting a Hep C treatment next month and my doctor is optimistic that it will add a few years to my life. Am I bummed out about it? Not really. I have a firm belief that life continues and I have to admit that I look forward to the greatest human adventure.

I am a happy man! Life continues.

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