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I just heard an incredibly disturbing report on National Public Radio (NPR) this morning. The report was called: Fentanyl-Laced Cocaine Becoming A Deadly Problem Among Drug Users.

More and more people are dying from using cocaine laced with fentanyl.

1. Go slow or go fast, either way, be prepared for inevitable side effects.

Getting off benzos such as Ativan®, Xanax®, and Klonopin® is tough. Detailed methods for slow weaning abound, but that doesn’t guarantee a symptom-free withdrawal. Several of our Coleman Institute locations provide a medically assisted benzo detox to safely remove most benzos from the body in a week, and provide medications to deal with the usual side effects.

It was a pretty typical day at the Coleman Institute. Patients were being seen in various stages of recovery: a patient at the beginning of a detox off Opana®, another a few days into a detox off Xanax®, a person scheduled to get Vivitrol® but who had relapsed on Vicodin®, a gentleman following up with three months of sobriety off alcohol, a repeat naltrexone implant for a patient now 8 months off heroin, and one patient, Caitlin*, who was on her eighth and final day of an Accelerated Opioid Detox from 130 mg of methadone.

I started a new patient, Jimmy, for his Accelerated Opioid Detox today. He thought he was coming off heroin, but his urine also revealed fentanyl…almost a daily occurrence now at the Coleman Institute. He was here with his father, Bob, who didn’t really understand about finding fentanyl in the urine.

Patients who have stopped using opiates and gone through the withdrawal process often wonder why their energy is so low and ask about ways they might boost it.

After extended use of opioid pain medications such as Oxycontin®, Percocet®, Opana®, Dilaudid®, Vicodin®, etc., stopping is no easy matter. Neither are the first several weeks afterwards. Cessation of these opioid medications leaves the brain with a deficit of dopamine, the neurotransmitter associated with pleasure and reward.

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