Opioid Addiction and its Treatment, Dr. Belis Aladag | UCLAMDChat

[@monikastouff2370]

Dr. Aladag is the most caring Dr. I have ever met! Thank you Dr. Aladag ❤

[@sunnydaygina]

Dr. Aladag was my MD but not for addiction medicine. I just found out she left and I feel so sad. She was one of my favorite doctors.❤️😢

[@stevenellerbee686]

Regardless of what a lot of you commenters uninformed on this topic have to say, she is extremely knowledgeable on the subject. As a former opioid addict, suboxone has really been a miracle medication for myself. Honestly, at first I used it as a crutch when I couldn't get the painkillers I abused. But even then, I was able to function and it helped me not do very stupid things that serious addicts do when in severe withdrawal. Overtime, when I decided I was finally ready, I started taking it on a regular basis and cut the illicit drugs out of my life, which I honestly believe would not have been possible without suboxone. After I stabilized on it for a period of time and had the opportunity to build my life eliminating old bad habits and creating new good habits, I tapered down until I was eventually able to stop taking it. It wasn't easy, but Suboxone gave me a significantly easier pathway to take when I was ready, and when I was not ready it allowed me to still work, function, and planted a seed in my mind that there is hope. I had to see a doctor to get prescribed suboxone, and taking that step to get professional help allowed me to see the opportunities for help that I had been desperate for. If anyone is struggling with an opioid/opiate addiction, I highly suggest talking to a doctor about Suboxone. It will give you a path out, and at worst, it will give you the time and opportunity to think twice before you do some stupid shit that will land you in jail, in the hospital, or hurting the ones you love.

[@Cbd_7ohm]

Kratom is better.

[@martinnibataan7046]

I have been on MATs for years (suboxone) My quality of life is fantastic, I pay taxes, take care of my family, own a home and work for a living and recieve zero government support. I may have to be on this medication for the rest of my life So what? The recovery community adds to the stigma when some nicotine use disorder, overly caffeinated glucose abuser starts whining about someone on MATs not really being 'clean' Are diabetics 'clean' Or hypertension patients taking blood pressure meds? Or the numerous other conditions that require medication? often for life! The recovery community needs to look in the mirror. If someone is a functional member of society, contributing to that society with a high quality of life, what more can a person ask for? We need every tool in the tool box to combat this epidemic Stop the stigma and preconceptions MATs save lives Everyone wins when addicts get help, stop stealing, get their life together and start caring for themselves, their familys and their community's

[@TheoverseasPakistani-sz1bb]

-Kinder- Martinni Bataan thank you for that. i have just startet a MAT. and needed to hear that its ok. i am not strong enough right now to stay completely clean. i need tools for when i start craving and i need to learn thise tools while on a MAT.

[@xxmadmanxx9882]

Mean Martinni Bataan well said!

[@AZEROONE]

I have confidence when she said 15:20 " unlike alcohol where withdrawal could be fatal, withdrawal from opioid heroin etc not fatal, think that way" 💯✌

[@joshuacalebbevington]

Damn ive mixed them little bit hope it doesnt fuck my taper..

[@joshuacalebbevington]

How are you doing¿♡?

[@christopherberg8273]

Methadone is way harder to kick than heroin.

[@littlecozettescrew6818]

@Karen Houser I believe she is referring to the fact that alchol WD’s can involve seziers that can be fatal, while opiate WD’s don’t

[@donkeyballs3307]

​@@littlecozettescrew6818u can die from opiod withdrawal, from a stroke or dehydration

[@brookeshipman9968]

I hate Suboxone I've been on it for 10 years.. now I'm trying to come off and it's a nightmare.. pls don't get on Suboxone or methadone...

[@brookeshipman9968]

Just pissed off an ill all the time with terrible headaches . Everyones different but if I can do it w/o so much better off... Awesome presentation

[@buzzerbill4018]

the pain from the slow pace of this talk made me want to self medicate

[@myrabae8815]

Thank you doctor. Very informative. Keep up the good work!

[@seanmckinnon4612]

Addiction and dependence are very different. Addiction is behavioral in nature and its symptoms include continuing a behavior inspite of negative consequences. Dependence is physical. Lots of people are dependent on medications without being addicted like a diabetic is dependent on insulin but not addicted to it.

[@JanSparkles1]

Sean McKinnon Thank you for explaining.

[@RMw1252]

Yes ...👍👍👍 ....

[@DropdownDropdown]

I disagree somewhat here, if you are prescribed let's say Duragesic 100mcg/hr aka Fentanyl Patches, which release certain amounts of medication every hour for 48-72hrs, with say Roxicodone 30mg 4x daily every 4hrs for breakthrough pain. You are already getting 120mg Roxicodone IR, and the Duragesic Patch releases around an hourly equivalent dose of 10mg oxycodone, so that's always being released continuously every hour. The 100mcg/hr for 72hrs so each day it releases an equivalent of around 240mg oxycodone daily so 360mg total.....That person is Addicted and they are not chasing drugs because they are prescribed plenty and don't run out early, but they do get high, and if they got cut off their medications their BEHAVIOR would certainly change due to withdrawal and then I guess they go from Dependent to addicted. Dependent imo has always been a word used to sugar coat Addiction.......because both are dependent and addicted.

[@alexakin9053]

@@DropdownDropdown This isnt accurate. Many people with chronic pain (especially terminal patients) report experiencing no high. Experiencing a sudden withdrawal does not mean you have become "addicted". Physical dependence and withdrawals are experienced with many medications that have no euphoric affects. Many people on fentanyl patches can be weaned off slowly without issue if their illness gets better. Also, most doctors would not prescribe that much fentanyl and oxycodone together. Normally someone would only take oxycodone as needed if they are on fentanyl patches.

[@DRIFTWOODJONES43]

Whatever bruh addiction/dependence in the realm of substances are one an the same

[@griffisjm]

Man last time I relapsed I tried to go back to my subs while only in mild withdrawal, if you think going through withdrawal is bad precipitated withdrawal was HELL

[@IamNotaThreat]

there's a shot called vivitrol which is, naltrexone - the blocker in suboxone, that lasts 30 days and will put you into precipitated withdrawal, making you instantly horribly sick if you decide to use any opioids. you can take it approximately 7-10 days after you've last ingested any opiiods/suboxone. it's used as a psychological deterrent and helps reduce cravings. it's like having someone watching your back at all times, greatly reducing the chance of relapse. i'm pretty sure most insurances cover it and many places administer it for free. good luck!

[@whitiscool1]

+IamNotaThreat naltrexone is not in suboxone. suboxone contains buprenorphine and naloxone, and the naloxone actually is inactive. the opiate buprenorphine itself is what blocks other opiates.

[@samdilworth1989]

getting the vivitrol shot Tuesday. if the shot is 8 days after last use i should be fine right?

[@mattb9054]

I've been on Suboxone for 2 years now. I am prescribed the tablets because my insurance won't cover the film. It doesn't dissolve as well and I seem to waste a lot. So I've been breaking it up into a powder and guiding it under my tongue using a folded piece of paper. It dissolves much better and I get a lot stronger effect from the Beup 👍

[@cr-nd8qh]

I might try that once

[@laurenmahrie1805]

What happens if you are on suboxone and need to have a surgery that requires pain relief after surgery?

[@stephencellucci]

+Lauren Fernandes you can push that out with more dope.

[@jamesnelson1743]

Swap to other opioid Pryor to surgery. Break ya leg n the bones sticking out . Tylanol wil be all ya having while you rithe in agony

[@mattb9054]

They will switch you to Subutex it's the Beuprnorphine without the naloxone blocker

[@giovannisanchez1519]

Man you've been right on the Mark about everything you said. About to withdraw about everything that is exactly what people go through I am one on Suboxone and I'm trying to wean myself off of that I wish you would let other doctors know so that way they understand where we are coming from some of us come from knee injury some of us come from surgery some of us come from elbow or knee surgeries some of us come from shoulder surgeries and then they put us on narcotics and then sometimes we can't help it that we get addicted to this stuff and we need help doctors and understanding please help us please help us we need no threats from doctors we need nothing but help Ensure treatment and understanding I have a good job great job a job I can retire from but I need to be able to see my doctor every two months so I don't lose my job a lot of jobs do not understand that we need to go to the doctor once a month so doctors need to be real lenient with us and our careers

[@sandymiller3209]

Need help been on 300 mg Morphine for 20 years and PM doctor said that CDC put out new guidelines so he sent me a Cert Letter describing how to Detox in 2 weeks. I have been abandoned by my doctor and left on my own to die.

[@Nick-vf3wf]

Get on methadone or suboxone

[@johnniepeck8003]

Get on suboxone

[@cherrylow9818]

It’s for your own good

[@karaconigio5373]

When in doubt please order Kratom to get somewhat through so you’re not too sick. Until you can figure out what you need to do. I’m scared for you it’s hard.

[@karaconigio5373]

Cherrie Cher Just had a curiosity why do you say that? I mean… Have you suffered opioid withdrawal at all?

[@thesadprofessor]

Very serious subject very sensible presented...

[@dougiequick1]

IMHO the severe restriction of virtually ALL recreational drugs except alcohol plays a huge role in people choosing really powerful RX or street narcotic options....But what IF we developed a drug(s) or drug cocktails that provided SOMETHING tangible for miserable people ....by combining drugs in certain combination with other compounds that would limit the amount any reasonable person would want to take and just sell that over the counter OR allow prescriptions for anyone that wants it with the stipulation a person has to drop samples regularly simply to keep people honest and hopefully prevent problems.

[@UNOwen-ih8mg]

Benzodiazepines do have severe withdrawals though. Who wrote this!?!

[@Sonofwill]

And it can be fatal with benzodiazepines through seizures, she is just reading ball shit

[@jesusdiscipledon1499]

This lady is just another suboxone peddler.

[@cinsationalcinema1776]

Turok, not the dinosaur hunter, the adult film star truth

[@martinnibataan7046]

@@jesusdiscipledon1499 Yeah and they peddle insulin, thyroid medications blood pressure meds and all sorts of shit, pop open another beer and bitch some more about it

[@Deadgamerae]

Brother becareful benzos are more addictive than opioids

[@giovannisanchez1519]

Three years before that I find out a friend of mine Stacy who took the two lorcets and to Somers every 8 hours dyed her heart stopped she never had the opportunity to get on Suboxone or anything to help her stop taking pain medication she died as well

[@giovannisanchez1519]

methadone is the worst when you have to go into a clinic before you go to work that is the worst I'm hoping that our best chance is off of Suboxone and weaning herself off of this drug permanently

[@giovannisanchez1519]

When are dodgers going to come up with a medication that block those receptors for the need for drugs

[@GR8APE69]

@Giovanni Sanchez That's what naltrexone (Vivitrol) is. It blocks anything from binding to your opioid receptors. Still, you have opioid receptors for a reason. Your body uses them in order to make use of your natural endorphins.

[@TheJesussfreak]

Can somebody please answer me this question that is taking Suboxone when you take it do you swallow the saliva of the medication or do you spit it out?

[@AZEROONE]

Sometime disappear swallow little by little but lot may be diarrhea, Sometime lots of saliva I spit. Sayhowidid

[@sabirchaudhry1706]

Supposes to put it it under the tongue and allowing it to dissolve.

[@cr-nd8qh]

I swallow after I hold on mouth for awhile.

[@andrew6536]

Com on.. you work at UCLA, you already talked about binding affinity on opioid receptors, so you understand how it works. you should know the Naloxone has a lower binding affinity than buprenorphine rendering it COMPLETELY useless, you can still IV suboxone. Its literally marketing practice so they can patent buprenorphine.

[@cr-nd8qh]

Yep I snort it all the time. I hate the taste

[@Staminist-MMF-80]

Guys! I have a serious question! ATM, I am on a daily dose of 100mg of methadone, and I want to detox myself and switch to Buprenorphine (Sub). Or rather - this is my plan (detox starts in 2-3 months from today because - reasons). I never tried nor seen Sub/Bup (I'm from Europe, so the names are different I believe), had anyone done this and what should I be prepared for? Is there a huge difference, or is the feeling similar? ANY advice would help! Thanks in advance!

[@SlytigerSurvival]

Staminist I went from Methadone to Suboxone and I am happier with a high dose of at least 30 mg of Suboxone. Do not worry, the transition is easy and fine.

[@Staminist-MMF-80]

@@SlytigerSurvival Thanks for the reply.

[@lastpiece1316]

I’m in a sub program. As I’m aware the sub withdrawals are several that lasts for 2weeks or 3 weeks depends how many years ya been in the sun program and I’m like a year in the sub program and I tried doing cold turkey. On my 4th day without subs the withdrawals were to much I had to go to the ER.

[@brookeshipman9968]

@@lastpiece1316 did you get off them.. I'm trying to get off it sucks.. I'll make it too day 3 and the withdrawals are so bad I can't do it

[@GR8APE69]

@@brookeshipman9968 Yeah, you shouldn't be quitting suboxone cold turkey from your regular dose. Your doctor should taper you WAY down to a dose that is a fraction of a milligram, THEN detox you off of it.

[@JanSparkles1]

I would suggest stepping out of the powerpoint's way, stand at a slight angle where you can see the screen without breaking your neck to see a slide each time, it is so annoying. Besides, I like writing down information and see what is presented and with you blocking part of the screen is not helping. And less neck line, be professional, especially with a Dr.'s lab coat.

[@AucklandGuy30]

Awesome talk, thank you so much.

[@christopherberg8273]

As a x methadone user, why do you allow people to raise their dosage anytime you want, but wont let you lower your dose. People wake up , why do you think methadone clinics are usually on a corner?

[@baker740]

Excellent presentation , wish my buddy would watch this , Xanax has him so bad

[@lovehueclique]

Ryan McDowall dam that’s shitty. If you don’t mind me asking, how’s he doing now?

[@pamelam1211]

Is there a greater chance of a relapse with opioid addiction than alcohol. A family member is a recovered alcoholic and now weaning off pain meds. He is using suboxonr

[@seanmckinnon4612]

Pamela M Opiod addiction is a chronic brain disease with a high danger of relapse

[@jonglover2207]

Why have I put so much weight on whilst on methadond

[@christopherberg8273]

She will recommend suboxone, which is very dangerous if the opioids aren't out of your system. Methadone is way more addictive than Heroin.

[@megatron222]

not really heroin is Way more addictive. you try methadone one time your not gonna care to try it again but if your on it the withdrawals are alot longer and harder

[@dustinmiser377]

I been addicted to pain meds for 8 years I'm 25 now I've been all over trying to get help in my area east tennessee an i been turned down everywhere even i went to the e.r i was withdrawing so bad an they they did is gave me a i.v an that watery stuff but anyways now its a month later i got a bill for athousand dollars i lost everything, i tried going to a subboxing doctor around here its 350 dollars before they will even see you an i ain't got it i don't know what to do even i thought about ending my life

[@m74d3]

Dustin Miser When was the longest you went without using? Apparently it can take like 32 weeks to a year of not using before you feel normal again, but it can be done. It takes your brain a long time to recover and start producing normal amounts of endorphins and natural opioids.

[@dustinmiser377]

5 days bro i go thru withdrawals an get tired of freezing sweatin shaking etc an keep re using im on day 4 now i believe ima do it this time

[@dustinmiser377]

Yea I'm ok thanks for asking

[@Red-Envelope]

heyyy boyyy you can do it bro, day 4 your past the worst of the physicals! Good job man that's something to be proud of... I struggle myself with oxycodone addiction and am ready to get off this shit and get my life back. If your interested, check out free from hell blog/forum with ppl like us to talk to and a love chat room and calm support channel on KZbin with Ryan Donnelly. He has amazing videos that cover Everything you need to know about opiate withdrawal and addiction.

[@Red-Envelope]

heyyy boyyy I just realized that post was 2 years ago... I'm stupid lol

[@manicmurph]

She's cute. I've been on both and fuck methadone and suboxone. Now that we have kratom those should be saved for only the worst addicts. Everybody at my clinic abuses it and is on a bunch of other shit with it. It's not the answer.

[@dougiequick1]

We have a problem simply because people are unhappy with their condition ....trying to be gods over them is not the solution ....educate them, tell them the truth but finally it is the call of each person how they want to live. When doctors fail to educate rightly THEN they can feel badly but doctors are not responsible for the choices of free people. Doctors simply need to tell patients the statistics ...sir mam do you REALLY want to risk going down this road? A lot of people never come back you know....it is a very real risk you are taking but if you are honestly miserable in pain and really understand how it very well might ruin your life as you know it? Then okay I will write the RX ....if it were ME however? I would try anything else first ....truly

[@hungrymogwai7342]

was this suppose to teach us something cause there wasnt anything i didnt already know.an if ur crowd arent capable of logical sense then maybe should focus ur efforts else where if u cant rap ur head around it

[@giovannisanchez1519]

My ex girlfriend died May 2018I was just trying to find out how she was doing his 2019 October and I'm trying to find out how she's doing and I find out she died from overdose of somas and pain pills

[@joshuacalebbevington]

Was she on this shit also?

[@megatron222]

soma and pain pills is terrible combo im sorry to hear that

[@cr-nd8qh]

Wow I just looked at her .

[@MsScruffy4]

FOR MOST-- THE BEST AND CHEAPEST HELP -- GET A DR. WHO WILL RX PURE BUPRENORPHINE. NOTHING ELSE . TAPER TO ZERO AS AN OUTPATIENT. WORKS.

[@t6998]

try kratom all natural drug

[@karimalameddine5092]

This talk is very disturbing! We must get away from the disease model of addiction.

[@gamergirlmars]

Feeding patients Narcan every single day can not be good for a person. Seems crazy.

[@michaelcordova9302]

Suboxone work it just 350 to start i can help msm

[@cinsationalcinema1776]

Try kratom... it works for many

[@thomasboatwright1593]

S

[@suzetteprutsok6275]

sloooooowwwww lowwwwww lowwwwwww lowwwww

[@monikastouff2370]

Dr. Aladag is the most caring Dr. I have ever met! Thank you Dr. Aladag ❤