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In this video on opioid withdrawal and also what it's like to detox from narcotics, dual board accredited psychoanalyst Dr. Domenick Sportelli and MedCircle host Kyle Kittleson response …
– Opiate usage problem treatment: what are the options?
– What does opioid withdrawal seem like?
– Exist methods to deal with opioid use problem signs?
– Exist different treatment alternatives for opioid usage withdrawal?
Watch the full series right here:
Video topics:
00:00 Introductory
00:29 Opioid detox 101
02:36 What opioid withdrawal seems like
03:37 Detoxification choice 1: Encouraging care
05:36 "This is a debatable technique of detoxification"
06:30 Detoxification alternative 2: Tapering approach (& types).
10:44 The "CATTLE" Range (what you require to understand).
12:11 Why some people are against the tapering method.
13:06 Why Dr. Dom favors the tapering method.
13:29 That is eligible for Suboxone? (Maintenance treatment 101).
16:21 Opiate usage problem rehabilitation 101.
19:15 Why "regression becomes part of recuperation".
21:41 Every supporter requires to recognize this.
22:59 One crucial quality in addicts who remain sober.
26:12 Just how advocates can assist make sure recovery.
27:49 How to prevent allowing (& in fact sustain an addict).
36:18 "This is the very best part of my work".
36:57 What to enjoy next.
#OpioidCrisis #Addiction #MentalHealth.
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I did suboxon for quite a while to get off of opiates. I started sublingual sub and then cut the strip very small every day and weaned off of opiates that way. Been off six years now.
Loving this series! Very important and I am learning alot to understand opioid addiction better. His empathy and passion for helping others is needed!
Hi! I am a heroin addict. This is very informative and super accurate. I will say though that methadone & suboxone are very addictive in reality, even sold on the streets. That would be the only correction I would make. Great video!
The analogy relating cancer to addiction and relapse was very powerful for me. So true. Recovery needs love and understanding not shame and guilt.
Thank you i appreciate that. I didn’t mean to hurt anyone else you know. ❤️
Great video. I would just like to mention my experience being from Quebec/Canada. After multiple OD’s and rehabs/”conveniential therapy” for my crippling IV heroin/fentanyl/coke addiction I have had amazing success with kadian(extended release morphine) in conjunction with safe supply(hydromorphone) which I take every morning. This keeps me stable, and my cravings for other illicit substances are non existent. I don’t drink or smoke, I workout everyday and I am a productive member of the society and not in jail or dead. It consider myself truly lucky to live here. Just wanted to share my experience.
Very informative but I’d also say that there are so many caveats to addiction to opioids or anything really. That 3 days of hell thing really only applies to someone who’s only been using a few years vs someone like me who used opioids for almost 20 years!!! I remember those first 5 years everytime I got off then temporarily, it was always 72 hours almost on the dot! When I finally got too old for this sh!t and stopped after almost 20 years, omg it was like 2 weeks of feelin like crap with the first 4 days being the worst!! The longer you use, the more “use-to” opioids your receptors become and that longevity or consistency is what really screws you over so just remember kids, if you’ve only been using like 5 years or less (which is still a long time no doubt), it’s MUCH easier to get over that physical first part than it is when you stop after 15-20 years
I’m documenting my methadone detox from 160mgs-0. I’m 10 months methadone free! 💪. It sucked and is still not leveled out. I did my own slow taper. Awesome video…thank you! Healing vibes, love and blessings to you all!!!!💪✌️❤️
Good for you, doc; relapse IS a part of the DISEASE of ADDICTION. Thanks for recognizing that.
This doctor knows his MEDICINE/Practice. I’ve been in and out of recovery on and off for about 20 years. Please don’t try to make this man wrong in any kind of way because he will shut you down every time. God bless this doctor, they are saving lives. Opiate addiction does not discriminate it devastates all nationalities 🙏🏾🙏🏾🙏🏽🙏🏼🙏🏻🙏. This is the current epidemic of drugs let’s tackle it,treat it without over criminalizing it.
this doctor gave absolute amazing, compassionate advice. i’ve been opioid free (methadone) for two weeks now… and watching this video encouraged me to remain clean. thank you.
@Kanika Newsome Thanks, Kanika– I just realized how many times I used the word “point”…uhg!! Peace.
@1060michaelg 🙏🏾💛
Xdcfgg
Withdrawal should NOT be minimized. Yes, the memory of how HORRIBLE it was is so powerful.
Went thru all natural detox drive days of hell. But I was only at the doorstep. 70 more days of severe PAWS. Anxiety and continuous panic attacks plus all other detox symptoms magnified by 200.
I was fortunately only physically addicted (10 years morphine, 450mg ER/day). Even if I were dying with cancer pain, I would kill myself before using an opiate again. The agony of withdrawal cured me forever to even consider using it again!
very true
how did you detox from methadone?
@mmmaaaabbb God bless you and keep with you. You did it and that’s what matters.
Those of you who are withdrawing/detoxing now, like I am, remember you’re NOT alone! We’re in this tough process together and we’ll come out of it even stronger. Hang in there! ☺️🤝
It’s amazing how much this man truly understands the detox process
@Rick writes i can tell You never use subuxone or methadone cuz both are the worst whitdraws i use subuxone for 2 years and the whitdraws was crazy SO i go back to methadone and i been here since 2004 cuz the whitdraws are worst then any opioids ,it take a up to a year to feel fine after detox both subuxone and methadone SO if You don’t use this drugs before for years My friend You don’t know nothing about opioids and whitdraws,heroín ,Xanax and percocet are a walk in the park beside methadone and subuxone ok.
👆👆👆look up that handle, he ships worldwide , and he got shrooms, Dmt, lsd, mmda, kat ,psilocybin, Xanax,chocolate bars, he’s got a lot…🍄 💊🍫🔌……..
There is no shame or harm going on methadone suboxone I’m ex Australian army I had my 1st dose of methadone today they gave me a months worth to take home cost $0.00 as we have universal health care methadone is a very cheap drug to make I was on over 500mg of morphine dilorded oxy etc from a IED blast in Afghanistan
We need more People like him I LOVE the way he walked them through the hard part wish there were more Doctors like him and less Doctors who give them the Drugs
@High caliber exclusive from where You are ? Cus here in USA we have all those treatments too n they are free.
@A M sound like You are from Hawai right ! There in Hawai they have the same programs like here in the Main land ,do You read about vivitrol or subuclode? Read about it ok. Good look !
@Jesus Malave yes MAT treatment. Not HAT treatment
Your so awesome for that comment. Thank you!
@Otterbaby some way some how there it’s something or some one who love You or You love ,search for that inside of You ,when we use drugs for SO long and we stop ,we don’t know how to deal whit sobriety we forget to act normal, our receptores in the brain are desconected listen i am on drugs for more then 30 years much more, the las 19 years on methadone 2 on subuxone n right now i don’t know how i feel My brain it’s killing ,to be real i don’t Even want to live cus i don’t know what’s been a normal it’s ,but i look inside of Me n My Good Lord tell me no thats not the way do deal whit your life..listen get clean be around positive persons by somebody in life ,You are somebody You have to keep looking for You ,for your person ,who You are why GOD send You to the earth ,You Will find your self n You Will on the stand that You are not the only one whit drugs problems there t’s more persons in worst positition then you,they are in the street no family at all ,whit a deseases daying n still want to live ,You have to stop thinking like that by positive,You make the first move to a better life ,You just cut the chain who have You in tha position ,life it’s good go for man,it’s time to chain your mind to be a better perdón don’t let your mind play whit You remember depression it’s part of the proses ok..GBY n take care ok.
@Jesus Malavewell i hang around with nobody and do other durgs to feel pleaseure at all…it feels like nothing is meaningful anymore and so i dint care if i die doing too much of a drug or make acidents with my bike..i takre carzy risks everyday….but i dont kill myelf..i would enver do that its just so inriguing to hope for it.. 😮
@Otterbaby what can i Say it’s up to You ,we chose this life we have to deal whit ,one think for sure You don’t suffer what a suffer not Even close ,You don’t use half of the heroín i use ,You don’t do half of the time i do in prisión You don’t get cold as many times i do You don go yo a hospital ,programs ,detox Center like i do ,right now You are detoxing heroín,i am detoxing methadone wish it’s a 100 time worst and the whitdraws can last 2 years and You know what i want to be clean i want to live a normal life ..like i Say try to talk to You help You in the proses but look like You don’t want to help your selp..it’s up to You do what ever You think it’s better for your life ,it’s always i light at the end of the túnel but if You don’t walk true it,You never Will SEE that light..good luck n do what ever You want to do ok.
@Otterbaby My Friends it’s not the same call the dévil then to SEE him come ok..stop doing crazy stuff cus one day You Will regret that ok. Life it’s good ,no matter what My friend look around it’s people worst then You ok.
Hi, my name is Gary and first and foremost I just wanted to thank you for these very informative videos. So I am currently using and I have a very bad fentanyl addiction. I wish I had the monetary resources to do this rapid withdrawal while under sedation but that isn’t an option. I strongly feel that stronger medications are needed for opioid withdrawal. I’ve been told doctors don’t like giving narcotics to an addict to detox them, well besides the methadone or suboxone. If I were to be given a decent doesage of a benzo I would get through the process much better. I feel that medications like clondine, vistorol and some others I can’t think of right now just don’t do it. It isn’t like I’m asking to be prescribed anything long-term it’s strictly to help during the detox process. I don’t know I’m rambling here I guess I was just curious on your thoughts of using stronger medications to help people successfully getting through it
That’s awesome. I’ve been sober from methadone and heroin and benzos for 4 years. It gets better!
Well said 👍👍
The feeling of “just being done” is the key to getting well. It has to be your decision. I’m not an addict but had a bad eating disorder. This was the exact thought that made me get better. Just woke up one day and said enough.
That one hit me too. People just don’t understand or aren’t educated. Even if they are nobody truly understands unless you been through addiction and withdrawals yourself.
Good for you brother , hang in there . A lot of temptation and life stressors that will bring on addiction for a recovering addict. We as humans just need to learn to deal with life and the pain it causes whether it be emotionally or physically. I pray for all my brothers and sisters who are addicts or recovering addicts . I won’t stop praying for us
@Rella Rando you taper yourself down on methadone. It depends on how much the user took of the opiates-opioids they were using before the methadone . Everyone’s drug intake is different. I would say people usually start on anywhere from 20mg-40mg on methadone and taper down 1mg- 3mg every 7-10 days . That’s the proper way to taper . Some people do 1mg every 3 days . It just depends on the person and how bad their addiction was but 1-3mg every 7-10 days is the safest way in my opinion . Recovery is good but it is only the beginning . sobriety is also a tough challenge for people .
I’m on my way to recovery . Addiction destroyed relationships in my life , changed me as a person and is holding me back in life from what I want to accomplish. I am currently on 10mg of methadone tapering 2-3mg every 10-14 days. Started at 40mg . Almost there . Give you guys and update only to give hope to those that are struggling and it’s possible if you really want recovery. You have to really want it and be done with it . I recently turned to god and in Jesus name he is helping me with my battle . Also dealing with major anxiety and depression from a horrible breakup with my ex. Kind of going through a major turning point in my life right now . The question is what am I gonna do about it ? am I gonna sit here and stay the same or am I going to grow and change . I want the old me to die and be reborn so help me god .
This is probably one of the best interviews about addiction I have ever heard. Solid doctor. Solid interviewer. This is fantastic.
Ur right !!! I was younger and more able to go 3 days of hell , now it is more excruciating on 4,5,6 day, so long term use vrs short term is so dam different , especially 20 yrs of use / ouch
@1060michaelg 3 days into withdrawal is rough, that is right in the thick of it. Opiate withdrawal is hellish too get thur
This is true
I am in the same boat right now 10 mg but i am in methadone for 19 years and i was in 90 mg…i don’t know but 2 or 3 mg every 10 to 14 days it’s tu much to soon ,You Will feel the gorilla in your back soon ,just take it easy i try that before SO many times and fail,i Will go down 1 mg every 2 weeks cuz i am feeling the heat right now…good luck ..
Exactly
@Jesus Malave I agree. I was determined not to be on methadone. Rapid drop every 2 weeks. Got down to 18ml. It went wrong. I’m now back on 75ml
@Nick Johns don’t be mad at your self , it’s happen toooo often when people try to detox methadone,we want to detox fast but sadly that dosn’t work whit methadone,now stay there couples weeks and go down slowly 1 mg every 2 weeks or SO ….i am in 9 mg and i feel the whitdraws but i Will take My time ,this time i can’t make the same mistake…good luck ok.
These youtube channels are all owned by big brother. They pretend to care, but what they are really doing is selling you on another drug.
@D – Hall if you’ve tapered painlessly off of methadone buprenorphine will be a cake walk lol
@Dan Ds I really hope so. Everyone’s biology is different tho, we might react very differently to the same thing. Also, I know exactly how to get off methadone and I’m comfortable with it, this is all brand new. Also, with methadone you know exactly what mg you’re taking each day. Right now, I’m cutting up 8mg strips into quarters (cause they’re all I can get), but what’s the smallest amount I can cut an 8mg into? These are just my concerns but your reply was encouraging. Thanks
Saved my life
@JMR start running
How you doing now?
How much money did you spend on drugs in total?
I did the detox at the conleman institute in Boston and theh did good the problem is after you go home
@Eurin Paulino it’s better to take buprenorphine for a short period of time after you leave. Then taper
Your too nice,that pisses me off that he’s promoting it as non addictive and not getting you high. That’s bullshit and if he actually knew what he was talking about he’d know that. Or he does and hes lier
I down to 12 mil , please tell me something positive, the time goes slowly and I super anxious to hear something good. I in u.k.
@Jesus Malave I on 12 mil , how are you , please say
I down to 14 / 12 mil per day , like to know how and what stage your at
@Laura Grams I on 14 / 12 .Dow 2 mill ever two weeks . I was 120 per day for 24 years.
How are you virtual friend ?
@Sabina Koka I was on 120 , now on 14 mil , it is not the best , any positive information would be appreciated
@JMR I down to 14 Mill from 120 … 25 years on . How are you fellow?
I quit opiates right when fentanyl was getting put in everything and I overdosed after taking what I thought was OxyContin and I was lucky I didn’t die. I was desperate for help quitting and thankfully my doctor got me on a suboxone program and literally saved my life.
The agony of withdrawal cured me completely too… from fear of the next withdrawal
And what to do now heheh😅If I’m not afraid even of THAT anymore.
@1060michaelg He also misspoke at 8:23 when he said naloxone is naltrexone. While both are opioid antagonists, they are very different medications. Naloxone (Narcan) is used in emergency situations to reverse the effects of opioid overdose. It is fast acting and will likely put the patient into almost immediate precipitated withdrawal (which is better than the alternative…death). It only works on opioids. Naltrexone, on the other hand, can be used with opioid and alcohol addiction. It’s used to help reduce cravings. There are 3 forms of naltrexone; oral, injectable (Vivitrol), and the implant he mentioned in the video. Vivitrol is pretty expensive ($1200 – $1800 per injection). It is preferred (if your insurance covers it) to naltrexone (a pill you take daily) in that you only have to get the injection once per month. I have no idea how much the implant is (lasts for 10 – 12 weeks) but I imagine it is considerably more expensive than Vivitrol.
Thank you for this comment… Makes me a little less anxious about the hell I’m going to experience since I’ve been using 5 years at this point. I’m starting to feel like maybe I’m making it worse in my head, after all, I’ve never used a needle and I’m only 24. This was the reminder I needed that if I stop now it will be that much easier, thank you. Any further encouragement is appreciated and welcomed
@Thrasher Box I took a nytol while withdrawing it nearly killed me
@Hughie Davies hang in there bro right with you! On day 3 right now
@Thrasher Box thank you 😌👍
@Jesus Malave hey you! How are you? How you’re doing ok honey. You’re in my prayers x
@Southern Forest Gypsy Oklahoma is definitely very country I’ve always wanted to visit Australia it sounds like a beautiful land and I love horses I grew up riding horses I’m only 28 but this addiction makes me feel ancient I’m so tired of it