NAD+ Therapy For Opioid Withdrawal/Alcohol Withdrawal, & Other Bio-Hacking Methods For Recovery

Detoxing from opioids, alcohol, and other drugs do not have to be horrific experiences.

Using a powerful and natural method of detox known as NAD+ Therapy, many patients report having an easy time coming off addictive substances and a significant reduction or even total elimination of cravings. (more…)

More Proof that Lofexidine ( Lucemyra) is a Big Waste of Money

 

A while ago I wrote a blog about Lofexidine ( Lucemyra). I basically said that there’s not a ton of data but what seemed clear is that it’s crazy ridiculous expensive and really not any better than Clonidine. At a 1000X higher price. Well, I proved to be right.

Dr. David Juurlink MD Ph.D. from Sunnybrook Health Sciences in Toronto, Canda wrote a terrific summary of the most complete, robust up to date study on lofexidine. Just published in the May/June 2019 edition of the Journal of Addiction Medicine. ” Safety and Efficacy of Lofexidine for Medically Managed Opioid Withdrawal: A Randomized Controlled Clinical Trial” Fishman MD, Tirado MD, Alam MD.etc. al.

This was a multicenter Double-blind placebo-controlled study of 603 patients at 18 different US Centers. Keep in mind two of the authors are paid consultants to the manufacturer of Lofexidine. What did we learn?

  1. Lofexidine does slightly reduce withdrawal compared to placebo.
  2. As mentioned in my previous blog,  Lofexidine and Clonidine are pharmacologically and structurally similar
  3. A review of all randomized trials comparing lofexidine with clonidine in patients suffering opioid withdrawal have shown the reduction of withdrawal symptoms are the same.
  4. The benefit of lofexidine on withdrawal is maximal by day 2. No difference from placebo is evident by day 7.
  5. Clonidine has slightly more side effects such as light-headed, dizzy and drowsy.
  6. 7 days of Lofexidine in the US is about $1700 compared to $1 for Clonidine

” In short, lofexidine can be viewed as a slightly safer version of clonidine that offers patients with opioid withdrawal marginal clinical benefit for perhaps a few days, at a cost of more than $3000o over a typical 2 week treatment period.”.

 

Drug company price gouging for a “me too” drug for the most desperate and vulnerable of patients.

 

Ken Starr MD

Helping Your Loved One Through Addiction

This weeks post is from our guest contributor Bethany Hatton.  PreventAddiction.info

Helping Your Loved One Through Addiction

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Getting Back on Track in Recovery

This weeks blog comes to us from our guest Bethany at Preventaddiction.info

Anyone who’s ever struggled with a drug or alcohol problem knows that checking yourself into rehab and maintaining sobriety is only half the battle. Getting your life back on track can be even more daunting. But before getting started, it’s important to release the shame of the addiction itself, or it can be impossible to have the confidence and fortitude to move forward. Once you let go of shame, it’s time to focus on repairing your life. Here are the key things that should be on every recovery survivor’s to-do list. (more…)

5 Steps to Reclaiming Your Sobriety After Relapse

IF YOU HAVE RECENTLY EXPERIENCED A RELAPSE DURING ADDICTION RECOVERY, YOU MAY BE GOING THROUGH MANY DIFFERENT EMOTIONS. ANGER, CONFUSION, AND DISAPPOINTMENT ARE ALL COMMON WHEN YOU RELAPSE, BUT WHERE DO YOU GO FROM THERE? DEALING WITH A RELAPSE MEANS FINDING WAYS TO GET BACK ON TRACK AND AVOID LETTING THIS DERAIL YOUR RECOVERY.

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Lofexidine (Lucemyra) a “new” drug for opiate withdrawal?

You will soon hear about an “amazing” new drug called Lucemyra (Lofexidine). It was just approved (fast tracked even) to treat patients with opioid withdrawal. Wow! This is just what we need, an amazing breakthrough drug that will allow tens of thousands of patients to get off opiates. This is the first non-opiate FDA approved drug to treat opiate withdrawal. This will surely end the opiate epidemic we struggle with today. Right? (more…)

John Oliver on Rehab. Nailed it!

The Rehab Industry Needs Rehab


This past week John Oliver took an in-depth look at the rehab industry. As a former Medical Director for a residential program, I appreciated his critical analysis of the industry. Like all businesses, there are both good and bad players. But when your business model thrives on your customers failing and needing your services again, we need to look critically at their motivation. I can summarize the motivation of the rehab industry; bill insurance as much as possible, for as long as possible. There you go, I said it. This is what I saw when I was a medical director and this is why I’m not doing it anymore. There is fraud, insurance abuse and lack of oversight in this industry. (more…)

Promote Wellness, Not Addiction Treatment

Focus on Wellness, not Substance Abuse Treatment

When I originally started my addiction practice, I named my company The Addiction Medicine Group. This seemed like a logical title for a dedicated group of professionals treating substance abuse and at the time it was. The practice was limited to substance abuse treatment. We offered detox, support, and recovery programs primarily for alcohol, opiate and benzodiazepine dependence.

 

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Now offering Addiction Medicine Specialty consultation to residential and detox programs in California, Washington, and Oregon.

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