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Recently, the FDA gave its approval to a new treatment for patients with an opioid substance use disorder. It is a monthly injection of an old medicine - buprenorphine. The new treatment is called Sublocade® and it reliably gives a steady dose of the buprenorphine for a whole month.

The symptoms of detoxing off of any drug are always the exact opposite of the effects that the drug delivers when it is used properly and as prescribed. For example, a drug like alcohol is a sedative that makes people calm and relaxed and will even put them into a coma if enough is taken. Withdrawal off of alcohol is the exact opposite of this: it is characterized by anxiety, tremors, shakes, agitation, rapid pulse rate, sweating, high blood pressure, and insomnia.

We recently had a patient who had been off of opiates and in recovery for around 12 months. He was receiving regular naltrexone treatment and feeling very good. Unfortunately, he hurt his back and needed surgery with a lumbar laminectomy - a very painful procedure. He was terrified that if he was exposed opiates, he would relapse, so he requested that he continue on his naltrexone treatment and go through the surgery without any opioid pain medicines at all. 

There are two main active ingredients in marijuana plants. Actually, there are a total of over 100 active ingredients, called cannabinoids, but there are two that are the most important. Everyone has heard of Tetrahydrocannabinol - THC, which is the drug that gets people high. Cannabidiol, or CBD, is the other main ingredient.

Mindfulness is the psychological process of bringing your attention to the experiences occurring in the present moment and has been used by almost all major religious and spiritual traditions for many many years. There are meditation practices in Christianity, Judaism, Buddhism, and most other religions and spiritual traditions. Meditation practices can take many forms, including sitting, breathing, and walking meditations. Meditation has many benefits, but one of the main purposes of meditation is to quiet the mind.