Julia M Aharonov, DO  
Female, 55
Pontiac, MI

Specialties: Addiction, Drug abuse and dependence

Interests: My family
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Post Rapid Opiate Detox Naltrexone Therapy. Do I need it and what are my choices?

Aug 28, 2011 - 7 comments

Rapid opiate detox is a safe and effective procedure used to release opiates from the body. The detoxification drug treatment procedure involves administering intravenous medications that remove and block the narcotics from the opioid receptors in the central nervous system while the patient is safely and comfortably asleep. The detox is done under anesthesia to avoid extreme discomfort and pain that usually accompanies opioid withdrawal. A complex mix of medications, honed over years of research and experience is given to counteract the manifestations of the withdrawal before and after the detox procedure,

A small implant containing Naltrexone is usually placed under the skin while the patient is still under sedation. The Naltrexone implant slowly releases medication to continually block opiates from getting into the central nervous system opioid receptors. This helps the patient overcome the physical symptoms of drug addiction and tremendously reduces opiate cravings . The Naltrexone implant will dissolve entirely in approximately two months.

Some opiate users decide to detox on their own and deal with the horror of withdrawals without being treated with the rapid opiate detox method. For these patients we highly recommend the use of the Naltrexone maintenance treatment. These patients are highly vulnerable to going back to the use of opiates, because their psyche has not yet fully adapted to the new state of "being a non-user". Consequently some sort of insurance policy or a defense shield  has to be in effect to protect such patients. As an opiate blocker, Naltrexone will provide such a protection.

I recommend one of these two routes for the administration of Naltrexone:

Our first preferred route is the Naltrexone pellet implant that is placed underneath the skin through a minor surgical procedure. This pellet will provide protection for two months as the medicine is absorbed gradually. This protection is provided on a continuous daily basis as the patient proceeds with daily business and activities. This method is economically affordable for the two month protection period.

The other method of Naltrexone treatment is the injectable route which protects only for one month at an expensive price of $1200.00. At MDS Rapid Drug Detox center we provide such services for those patients who proceed to detox on their own without undergoing the rapid detox method. The patient has to be challenged with an opiate blocker to determine eligibility for the procedure. We prefer to place a pellet implant as it provides opiate blockage for two months at $1000.00. We suggest implants for a period of six to twelve months to allow time for full psychological adaptation.

Another choice, of course, is the daily oral Naltrexone. This choice demands daily re-commitment on the part of the patient, which in my opinion is a heavy burden to load on anyone, especially a recent addict.  Unless there are some very good medical reasons against the two previous choices, we always recommend to stay away form this particular option.

Some of those medical reasons may be a pending surgery which may necessitate narcotics for acute pain control, or that the detox was done not for the purpose of complete withdrawal from all narcotic, but for the "resetting" of the body of a patient with chronic pain.  Such patients develop extremely high tolerance to narcotics and a need for extraordinarily high dosages.  In such cases our procedure can be done to "reset" the amount of receptors they have developed as well to reevaluate the actual pain the experience.  After chronic use of narcotics patients develop condition termed by the doctors as "hyperalgesia", so that the pain they experience does not correspond well to the actual psychopathology that exists. By taking them off of all the narcotics for the period of six to eight weeks allows their doctors to evaluate and help treat them better and more appropriately.

In those cases we may hold off on implanting the Naltrexone pellet and work hand in hand with the patient's chronic pain physician to determine their needs in the future.

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Avatar universal
by pavi22, Oct 14, 2011
can you please say what is right ovary haemorrhagic follicle?

on oct 4th PDS..
Report. 3 rd day scan

UTERUS:  Anteverted, measures 84 mm in length, 34 mm A.P. and 35mm across. Normal myometrial, endometrial and cavitary echoes are noted. Cervix normal.

The ovaries measure
Right ovary: 33 x 20 mm
Left ovary: 25 x 10 mm

Follicless seen in right ovary:
F1 - 8.0 mm
F2 - 6.7 mm
F3 - 5.7 mm

Follicless seen in right ovary
F1 - 6.4 mm
F2 - 4.0 mm
F3 - 3.3 mm
F4 - 32 mm
pouch of douglas is clear. No other adnexal pathology noted.

1684282 tn?1505701570
by Julia M Aharonov, DOBlank, Oct 15, 2011
You need to address this question to GYN expert forum and your own gynecologist as well.

Avatar universal
by WNTOFF309, Jan 05, 2012
Ive been taking methadone for almost 5 years and tried a few times getting off and it has went terrible every time, it was cold turkey. The first time was in treatment and was coming off of 250 to 300mg daily and went thru the suboxone treatment and it went bad. The other time i tried to do suboxone again and stayed sick for over 2 weeks and gave up and went back everytime. The only reason i am on methadone is because i have broken my back 2 times and constantly have kidney stones. The reason i am scared of the implant is because i have a kidney stone atleast every 3 weeks  and had one when i was on suboxone and couldnt have anything for the pain and they wouldnt put me under to take the pain and couldnt take it without anything "it was the worst pain i ever experienced" these are just some issues i would like to talk about before trying to do the treatment, Thanks for your time

1684282 tn?1505701570
by Julia M Aharonov, DOBlank, Jan 05, 2012
There are ways to address all these issues without being dependent on drugs.  Have you discussed with your urologist why you are making kidney stones in such frequency? Has he aver given you some dietary tips? For instance, did you know that dietary factors that increase the risk of stone formation include low fluid intake, and high dietary intake of animal protein, sodium, refined sugars, fructose and high fructose corn syrup, oxalate, grapefruit juice, apple juice, and cola drinks.
High calcium intake increases formation of stone, however high dietary intake of potassium appears to reduce the risk of stone formation because potassium promotes the urinary excretion of citrate, an inhibitor of urinary crystal formation. High dietary intake of magnesium also appears to reduce the risk of stone formation because like citrate, magnesium is also an inhibitor of urinary crystal formation.
That aside, there are different way of approaching Naltrexone therapy after our MDS Detox procedure is done. We can go though all of it when you call us, we answer all the question in detail, address all your concerns and if you want to talk to me or Dr. George personally, we will call you back as soon as we can. So just call and talk to Ann at 888-637-6968. We are there 24/7.

Avatar universal
by Grmalj99, May 05, 2012
Hi! I desperatly need some help with naltrexone! I am from Chicago and I had a 12 month naltrexone implant done on may 13th 2011 and 3 days ago I had an accident where i broke my left foot really bad, and i can not take no pain killers for it im taking some ibuprofen and naproxen but it is not helping at all and the pain is extruciating and i do not know what to do! Does anyone know when can i take a pain killer if i had done my implant on may 13 2011? when does it wear off and what should i do? Thanks a lot

Avatar universal
by mizmack, Feb 01, 2014
I went to er.yadda yadda wound up in psych ward for 5 days.told them missed dr.appointment for pain meds (im i had accident rhabdo kyolitis n lamanectomy between 6/13-9/13 still use chair at times took aelf off p,pills taken subs 1 mth 1 x day bot prescribed,,they found subs in blood ..but because u wasnt prescribed them only perks made me knck cold ..csmr home now between wed 1-15 n ?on 1-20 i was in 2 hosptials four ambulances etc ..mon 1-20 5 pm felt strange couldnt speak hold up head etc,,ambulance took forever n ee wday i dont know what it was seizure stroke both but im afraid .,or i have right sided menigeoma non cancerous brain tumer im scared too death to have what ever it was ..??ive had seizure before tgis felt like i passed a clot any ideas what it was ,

Avatar universal
by mizmack, Feb 01, 2014
Help is it true people with brain injury or seizure disorders sholid not take subuxon.

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