I have my own ‘formula’ for success when it comes to benzodiazepine detoxification. It is not the only way, but it is the way that has worked for me, and for the patients that I have treated, since starting private practice. Most of the patients that come to me for this treatment have anxiety disorders. They have become physically dependent on prescription benzodiazepines that are being taken as prescribed. They
Remeron (Mirtazapine) for Anxiety Disorders and Benzo Detox
Remeron is an antidepressant that is used in the treatment of anxiety and depressive disorders. It works by increasing the amount of the neurotransmitters serotonin and norepinephrine in the brain. Remeron also has antihistaminic properties (similar to Benadryl), which helps with anxiety and insomnia. The two main side effects that limit the use of Remeron are sedation and weight gain. I do not prescribe it to people that are of
NYC – Suboxone Outpatient Detox Treatment – Part II
Some of the patients that I discussed in my previous blog post discussing Suboxone outpatient detox eventually want to taper off of Suboxone (buprenorphine/naloxone). These patients had started using oxycodone or Oxycontin, and basically did not realize what they were getting themselves into until it was too late. I feel that it is reasonable to eventually taper off if the patient is having their first experience with opioid addiction, is
NYC – Suboxone Outpatient Detox Treatment – Part I
Suboxone outpatient detox treatment is used for dependence on opioids and opiates. When I start a patient on Suboxone (buprenorphine/naloxone), I always recommend that he or she stay on the medication at full dose for at least two months. These two months allow the patient to develop a new lifestyle and routine off of opiates and opioids of abuse. It allows time for personal and business relationships to improve. After
Stuart Kloda, MD – Xanax Detox – NYC
This is Dr. Stuart Kloda. I’m an addiction medicine physician in New York City. I have a solo private office located at Columbus Circle. Today I’m going to be talking about the outpatient detoxification, or medically supervised withdrawal, from the class of medications known as the benzodiazepines. These are drugs such as Xanax, Klonopin, Valium, and Ativan. They are frequently prescribed for anxiety and for patients with anxiety disorders. Xanax
Outpatient Medical Detox Part III: Xanax – Klonopin – Valium – Ativan
Some patients will develop somatic symptoms during their medical detox. These are symptoms such as palpitations, chest tightness, and feeling “that I want to crawl out of my skin”. These symptoms can be treated with a class of medications called beta blockers. Beta blockers are a class of heart medications that slow the heart rate down. They calm the nervous system down as well. I use Betaxolol. It is a
Outpatient Medical Detox Part II: Xanax – Klonopin – Valium – Ativan
Benzodiazepines such as Xanax are GABA-A agonists. This means that they stimulate the GABA-A receptor. Stimulation of the GABA-A receptor results in relief of anxiety. With external stimulation of this receptor, by taking Xanax, there is a resultant increase in glutamate. Glutamate can be thought of as an excitatory neurotransmitter. When the relaxing properties of GABA-A are taken away, meaning as the Klonopin or Valium decreases in dose as the
Outpatient Medical Detox Part I: Xanax – Klonopin – Valium – Ativan
Xanax, Klonopin, Valium, and Ativan belong to the class of medications known as benzodiazepines or “benzos”. They are frequently prescribed for anxiety. I will discuss Xanax here as it is the most addictive because of it’s short half-life. The effect of the drug wears off quickly. As a result, patients start taking it more frequently. With more frequent administration, tolerance (need more of the drug to have the same effect)
Stuart Kloda, MD on Suboxone Outpatient Detox for Opiates and Opioids
This is Dr. Stuart Kloda. I am an addiction medicine physician in New York City, and I have a solo private practice located at Columbus Circle. Today I’m going to talk about the outpatient detoxification from opiates such as heroin, and opioids such as Oxycontin, oxycodone, Percocet, Vicodin and Lortab. Drug and alcohol detoxification is medically supervised withdrawal. A medication that is the same or similar to the drug being
Stuart Kloda, MD – Addiction Medicine and Suboxone Doctor in New York City
Hello, my name is Dr. Stuart Kloda, and I opened a unique solo private practice specializing in Addiction Medicine in New York City. I completed a two-year fellowship in Addiction Medicine at the Addiction Institute of New York at St. Lukes & Roosevelt hospitals. I am board certified by the American Board of Addiction Medicine. I offer discreet and confidential one-on-one treatment in a beautiful office at Columbus Circle.