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Christin Shire asked:




In the face of mounting narcotic pain killer abuse and addiction, doctors have begun to prescribe medications with a perceived lower abuse potential, and since Ultram is not as intoxicating as medications such as vicodin or oxycontin, yet does offer effective pain relief, Ultram has become increasingly used.

Ultram, although not technically a narcotic does contain a form of synthetic codeine, and although doctors prescribe the drug out of a concern over the abuse potential of other alternatives, the thousands of people who have developed potent and enduring addictions to Ultram are a testament to the dangers even of Ultram.

Ultram is addictive

Ultram does not induce a high as pleasurable as certain other pain pills, and as such is perceived to offer a lower risk of abuse, yet Ultram does offer a real pleasant sense of wellbeing and a slight narcotic buzz, and even this slight intoxication has proven sufficient to provoke considerable abuse.

Unfortunately, although the intoxication does not compare to more potent drugs, the addiction and eventual detox resembles closely those of more problematic pain pills; and some would argue that the pains of the eventual detox are as bad if not worse than with other opiates, and the duration of detox longer.

Symptoms of Ultram detox

Ultram addicts will begin experiencing symptoms of withdrawal within hours of cessation of use, and those symptoms will peak in intensity after about a day, and endure for about 4 days before gradually subsiding over a month or more. Some of the symptoms of Ultram detox are:

Nausea

Vomiting

Anxiety

Depression

Pain,

Leg restlessness

Insomnia

Seizures

The risks of seizures increase with a sudden cessation of use as opposed to a gradual tapering of consumption, and Ultram addicts are not advised to attempt a sudden detox without medical supervision and appropriate medication.

Ultram addiction treatment

Some Ultram addicts find that they cannot better their addiction and the cravings to use without professional assistance. Whenever you use a psychoactive drug above and beyond its intended medical reason you develop a psychological addiction that can be as problematic as the physical detox and withdrawal. The initial reasons for getting high may need to be dealt with therapeutically, and if these issues are left unresolved, even if you can better your physical addiction to Ultram, you run a serious risk of relapse to Ultram abuse, or to abuse of another drug.

Some patients prefer to detox in a treatment facility and undergo an intensive period of therapy as the best way to better the problem, while others prefer to taper off of the drug gradually, and then participate in outpatient treatment or therapy.

An Ultram addiction is real, the detox is serious and can be dangerous, and you are well advised to get some professional consultation or treatment help as you attempt to battle your dependency to Ultram.



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David Altfeder asked:




Millions of American live with pain. Chronic pain, daily pain, short term severe pain. Of all the medications sold by online pharmacies, by far the most common type is pain relievers. You might think then that online pharmacies are a great source of pain relievers.

Well, did you know the Drug Enforcement Agency of the United States (DEA) has busted and close over 5000 online pharmacies? Did you know that many online pharmacies sell counterfeit medication? Did you know it is a federal crime for you to order prescription drugs from outside the United States?

It is true, online pharmacies are a great source of pain relief medication. This article teaches you to order pain medication legally, from within the United States, with a legal prescription. It’s the only way to go!

First, the caveats: You cannot legally order medication from outside the United States, even if you have a prescription. We always hear about the elderly taking buses to Canada to buy cheap medicine. The fact is, as of this writing, this course is illegal. Also, you cannot legally order medicine from a pharmacy without a prescription. Many online pharmacies (including my own) have physicians on staff who review your medication request and write you a prescription if they think it’s safe. In addition, NEVER order narcotics through the mail. Forget codeine, Tylenol #3, oxycontin, demerol, percodan and percocet. You can be charged with a federal crime for buying these substances. Lastly, regardless of the medication you buy, be sure to read the package insert (or a monograph on my web site). Drugs interact with each other and with your body- the package insert will tip you off to potentially dangerous behavior with respect to the medication you ordered.

The following are quick summaries of common pain relief drugs you can order through the Internet with very little risk:

Fioricet (butalbital)

Fioricet is a combination drug. It is made up of acetaminophen, caffeine and butalbital. Acetaminophen is the same medication in Tylenol You know caffeine from coffee (or even your favorite candy bar.) Butalbital is a mild barbiturate. It relaxes you.

Medical Science does not have an explanation for the reason this combination of drugs works so well, but the fact is Fioricet (and its generic form butalbital) is highly effective for tension headache. Presumably, it relaxes the muscles in the head and neck which typically tighten during tension headaches.. This is the top selling drug at our pharmacy month after month- it really helps headaches!

Soma (carisoprodol)

Soma is a muscle relaxant. It acts by blocking electrical signals among nerves in the reticular formation of the brain and in the spinal cord. Carisoprodol, combined with rest and physical therapy, is prescribed for the short term relief of painful muscle conditions- particularly muscle spasm (where the muscle tightens and does not relax). Most back strains result in muscle spasm, so patients find carisoprodol highly effective in relieving back pain.

Celebrex (celecoxib)

Celebrex is used in the treatment of symptoms of arthritis. This includes joint pain, stiffness, swelling and inflammation. The medication does not cure arthritis, but does provide symptomatic relief. It s a nonsteroidal anti-inflammatory drug (NSAID) which relieves pain and inflammation. The drug works by blocking the production of prostaglandins in the body. Prostaglandins contribute to the pain and swelling associated with arthritis.

Ultram (tramadol)

Ultram is used for treatment of moderate to severe chronic pain. It binds to the opiod receptors on nerves (the same mechanism used by narcotics), but it has a far lower potential for dependency. It’s the closest medication to a narcotic you can order legally in the US online. It is not a NSAID (nonsteroidal anti- inflammatory drug) and does not carry the risk of stomach ulceration and internal bleeding which can accompany the use of such medications. It is often prescribed for pain associated with shingles, fibromyalgia and other chronic diseases.

Ulracet

Ultracet is a combination of acetaminophen and tramadol. It is typically prescribed for the short term (up to five days) relief of moderately severe acute pain. It is often prescribed for post-surgical pain or after dental procedures.

The ultram mechanism as described above is very similar to the mechanism employed by narcotics. Acetaminophen of course is the active ingredient in Tylenol. It works by increasing the threshold to pain (i.e. it takes more pain stimulus to cause the sensation of pain). These two drugs work by different mechanisms, and they combine to be more effective than either drug alone.

Pain relief medication can be ordered safely online, but one should exercise appropriate caution before doing so. Specifically, it’s important to determine whether you need to see a physician before ordering pain medication. If you have a sudden onset of pain which is not readily explained, you should consult a physician first. If in doubt, go to the emergency room. If however you are a patient who has been diagnosed, and pain is a recurring problem, you can conveniently order pain medication online- typically at a lower cost than the combined cost of a doctor’s appointment and the medication itself.

Copyright 2005 DeepDiscountPharmacy.net

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Carla San Gaspar asked:




On extreme cases of sinusitis or sinus infection, surgery is considered, especially if the condition is chronic. If you are presented with surgery as an option for your treatment, there are many factors you have to consider before going through the procedure.

Every surgery has risks. Only you can decide if the benefits are worth the risks. Keep in mind the facts you have to learn.



What type of surgery will it be? Get a description of the surgery.

Why does your physician think you need the surgery for your sinus infection?

Are there other options besides surgery?



To get an idea on what is involved in sinus surgery, read on about one type of surgery that treats sinus infections = an endoscopic sinus surgery.

Also called endoscopy or sinoscopy, this is a procedure used to remove blockage in the sinuses. These blockages cause sinusitis, a condition in which the sinuses swell and become clogged causing pain and impaired breathing. A thin lighted instrument called an endoscope is inserted into the nose and the doctor looks inside through an eyepiece. The endoscope beams light into different parts of the nose and the camera lens on it allows the doctor to see what is causing the blockages. Surgical instruments can be used along with the endoscope to remove the blockages and improve breathing. This surgery does not involve cutting through the skin as it is performed entirely through the nostrils.

After surgery, you will be taken to the recovery room where you will be monitored by a nurse. Most people can go home the same day following an endoscopy after you have recovered from the anesthetic. This usually takes several hours.

When you get home, be sure to rest properly and elevate your head on 2 or 3 pillows. This will minimize edema and swelling. Avoid strenuous activities for a couple of days.

Swelling on your nose, upper lip, cheeks or around your eyes for several days after surgery is a normal occurrence. This will gradually go away. You can help reduce this swelling by keeping ice on your face, bridge of your nose and eyes as much as you can tolerate. This will also help with post operative edema and pain.

Some bleeding from the nose is normal and will gradually decrease. Change your gauze dressing at least every hour or when it is saturated for the first 24 hours. After a few days, you will probably not need to use the dressing any longer. Do not take aspirin or non-steroidal anti-inflammatory medications for 3 weeks following the surgery.

Antibiotics will be prescribed for you after the surgery. You should complete the antibiotic regimen and finish all the pills. A narcotic like vicodin or hydrocodone may also be prescribed and is to be taken only when needed. If you are prescribed narcotics, you are cautioned not to drive. In some situations your doctor may give you steroids to be taken preoperatively and/or post operatively. It is very important that you take your medication as prescribed and not discontinue it just because you start to feel better. If you don’t see any improvements or your condition worsens or you develop an unexpected reaction, consult your doctor. You should not take other medications unless you have discussed it with your doctor.



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K Bakhru asked:




Vaso – Vagal Syncope

The exact mechanism of syncope is still under study. In this condition, there appears to be a transitory fall in blood pressure due to the failure of peripheral resistance. This momentary fall in blood pressure causes a decreased flow of blood to the brain, leading to syncope, during which time there is a transient/brief form of unconsciousness, and the patient may fall to the ground, if he remains standing, i.e., does not sit, or lie immediately. Before his fall, he may feel some symptoms like nausea, giddiness, vertigo, disturbance of vision/hearing, blurring of vision or odd noises in the ears, body pallor, rapid respiration and sweating, etc.

If the attack is a prolonged one, in some of the cases, even twitching/jerky movements, or open convulsions may occur, thus creating some difficulty in diagnosing the condition clinically. Such attacks occur usually only in a standing/upright position. They do not occur when the patient is either lying down or sitting. The patient is not confused after the attack, although he still may be undergoing feelings of nausea.

This problem appears particularly in normal young adults, especially in females, with no obvious pathology which could account for these attacks. Such cases are usually seen in day-to-day practice, and can be embarrassing enough to cause anxiety.

The attacks are usually precipitated when a person keeps standing for a long time, e.g., as is sometimes seen in school students when they gather for their morning prayers (childhood syncope), or in older students standing for hours in various laboratories, and similarly in policemen and soldiers, when they happen to stand on duty at one place for a considerable length of time.

Also, the attacks are aggravated when a person suddenly stands up after lying down or sitting for a long period, or when the person gets up suddenly during his sleep at midnight/morning. Further, bad news or sight of blood, i.e., emotional shock, intense fear/pain, hot weather or a stuffy atmosphere, hunger, intake of excessive alcohol or loss of fluids, i.e., dehydration etc., may also initiate these attacks.

Recovery in vaso – vagal syncope occurs after the person lies down. There is no underlying cause. There is only a failure of peripheral resistance which causes the various conditions mentioned above.

Cardiac syncope

Cardiac syncope, i.e., syncope as a result of some underlying heart disease, occurs suddenly, without any warning symptoms. In such cases, there is a sudden fall in cardiac output/blood pressure, as a result of various diseases of the heart, like arrhythmias, such as when the heart rate is very high (paroxysmal atrial tachycardia-PAT, atrial fibrillation), or in a heart block (Stokes-Adams attack) when the heart rate becomes extremely slow, or in advanced cases of aortic stenosis (aortic valve disease), which result in a decreased flow of blood to the brain, etc. Hence detailed tests like electrocardiogram ECG (with a long rhythm strip), Holter monitoring (to detect arrhythmias), echocardiography (to detect aortic / other valvular diseases), etc., are required, besides an EEG, in some cases, for specific diagnosis and treatment.



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David Faulkner asked:




Those who suffer from Chronic Fatigue Syndrome may find taking Vitamin B12 shots helps improve their mood and boosts the immune system as it creates S-Adenosylmethionine. These injections contain water soluble vitamins that also help improve the nervous system, skin, hair, eyes, mouth, and liver.

If you are interested in finding more about the studies that have been done, visit http://www.Immunesupport.com. A study featured there involves 12 females who were diagnosed with both Fibromyalgia and Chronic Fatigue Syndrome. Each female showed an increased amount of Homocysteine in their Cerebrospinal Fluid (CSF). This information helped researchers find a link between SCF, Homocysteine, and B12 with the information being tracked on a Comprehensive Psycholpathological Rating Scale.

The study provides information that having a higher level of Homocysteine in the Central Nervous System can lead to both Fibromyalgia and Chronic Fatigue Syndrome. A deficiency of B12 can also lead to Remthylation of Homocysteine. Increasing the amount of Vitamin B12 absorbed in the body will lower the effects according to the results that were found with these 12 females in this study.

Another great website to look into is http://www.DrMyhill.co.uk. You will find information on how to administer Vitamin B12 shots for effectively treating Chronic Fatigue Syndrome. In fact, Vitamin B12 is a benefit to many patients who don’t have a higher CFS. Studies conducted by Professor Martin Pall show that a person with high levels of Nitric Oxide in their body also tend to have the same symptoms of Chronic Fatigue Syndrome. Vitamin B12 helps reduce the amount of Nitric Oxide. For more info see http://www.omegaflaxseedoil.com/benefits/omega3/effects_Of_Fish_Oil_Supplementation_On_Arthritis.html on fish oil supplementation.

Other studies show that those with CFS/FMS are missing essential Vitamin B so their symptoms are more severe including their ability to be alert mentally. This eventually leads to their immune system becoming very weak. Taking Vitamin B12 shots every two weeks will help with CFS symptoms. While more research needs to continue in this area, there is significant evidence to show Vitamin B12 can assist those with high levels of Homocysteine and help them feel better.



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