Caffeine Addiction Recovery Month on October, 2017: how to break my addiction to weedcoffeesugar?
October, 2017 is Caffeine Addiction Recovery Month 2017. Caffeine Addiction Recovery Month Caffeine Addiction Recovery
You have some insights into where you can overcome addictive behaviour - I suggest you read up on smart recovery online. See attached link. You can participate entirely online.
I need advice about addiction, rehabilitation and life events.?
You are very seriously concerned about your friend which can clearly be seen by the length, structure, and quality of your written question, so I will do my very best to answer you. I have been using Vicoden which is slightly different than Percocet for about 5 years under a doctor's care, and I have been off Vicoden for 3 periods of time during that 5 year span, so I am very familiar with rehab. However, with Percocet which Oxycodone/ Acetaminophen it is chemically slightly different than the Hydrocodone in Vicoden. The difference is that Oxycodone can create a physical dependency, so quitting is more difficult.
You were a little unclear in her initial dosage before rehab; going from what you wrote, 10/350 3 pills 4x per day that is 120mg of Oxycodone and . 4200mg of Acetaminophen which is over the safe amount and has, most likely, caused some liver damage at this point.
First of all, regarding your statement about about the means to acquire Percocet from the pain mangement doctor, let me say this about detoxification. You said they were wanting to stay 60 days, which is more than enough time to transition from her current usage to zero. The can also find a non-narcotic substitute to address her pain management as well as getting Xray or other more advanced images of her ACL so they can see what actual damage still exists.
Second, the possible dangers of the other drugs they added: Fluvoxamine is an anti depressant for the treatment of Major Depressive Disorder and Obsessive Compulsive Disorder. Your friend is 26, and this drug carries an increased risk of suicidal thoughts or actions in young adults, so I would not recommend this drug, because it can not be used safely once she exits the rehab facility, and it will take time to be removed from her system. Their are other anti depressants that would be better. She needs to talk to a doctor about this, this is very important. Additionally, if she drinks coffee or soda with caffeine it will increase caffeine levels. You mentioned taking her to a psychiatrist. Make sure he has a thorough medical background questionnaire on her, and he should find the right anti-depressant. Maybe even bringing him in to transition her discharge would be even more helpful.
Naloxone is an inverse opiod antagonist, and this drug will help her withdraw. I would have her talk to the Doctor, or even get a second Doctor's opinion on this medication.
Clonazepam is a benzodiazepine which has anti anxiety, anticonvuslant, muscle relaxant, sedative which is great initially for short term like her first 15 days as in in patient, but you can get addicted to these very easily and build a tolerance which may make your body think you need more of this drug, which is not recommended for someone in addiction recovery, so I would have her transitioned after the first 15 days to Clorazepate which I would use for only another 15 days while transitioning to zero mg per day of this medication. Clorazepate is very similar to Clonazpam but you will not build a tolerance to it, and while it is addictive, it is a good drug to transition to zero on for the second two weeks.
I don't think the rehab center is working in the best prescription needs of the patient, but you haven't mentioned what else they are doing for. Like I said, a good hospital would definitely re-image her ACL and find out how much her actual pain needs are based on her physical condition. A good rehab center will have lots of outlets for the patient to occupy their time, as keeping busy and keeping your mind off the aggravation of withdrawal is important. So to answer your question, on whether the rehab center is doing harm depends a lot on what else they are doing to combat her addition.
What you do need to do is, with her permission, speak with her doctors, and the psychiatrist you want to secure for her, and after the psychiatrist has had time to get a medical background on her and meet with her a few times, speak with doctors and the psychiatrist about what their exceptions are for her in home care and get a vivid plan from the doctors. Have them put in writing for you, so you can refer to it later. This is a treatment plan. It can show the first 30 days, the next 30 days, the next 90 days, and the next 90 days. To be honest Addition recover is life-time battle, but the war is pretty much hard fought and won in the first 6 months to one year following rehab. Once she gets out of rehab, and has been home for a days to a week, I would recommend she do something vocationally; either work part time (not full time at first) or educational depending on her current educational level and what she wants to pursue. Again, occupying time and staying busy are important. You don't want her sitting around with nothing do but think.
Mike, I hope this helps you.
Why does tea aggravate my GERD but not coffee?
Tea is like that. Teas made from loose tea leaves from the camellia sinensis plant have three chemical components that fall into that category: fluoride, caffeine, and tannin.
Caffeine: Its use may also cause an increase in stomach acid, and can worsen ulcers.
Tannin: It has been suggested that tannin (see this article ) increases the risk of nasal and esophageal cancer.