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Heroin Addiction Treatment

Heroin Addiction Treatment

Heroin Addiction Treatment

Medical Detox (Also Sometimes Known as Rapid Detox)

Heroin withdrawal symptoms begin within about 12 hours of a last dose, peak in intensity after 2 or 3 days and last for a week or longer. Although heroin withdrawal symptoms are very rarely dangerous, the detox period is very tough.

Medically supervised opiate detox programs use medications to minimize the severity of withdrawal symptoms and keep patients under 24 hour a day observation, to ensure safety and maximal comfort. Many medical detox programs will use drugs such as Subutex or methadone to help transition away from illicit opiates.

Ultra Rapid Detox

During an ultra rapid detox, opiate addicts are placed under anesthesia and administered medications that accelerate the withdrawal process. In theory, opiate addicts wake up from the anesthesia having passed through the worst of the pains while unconscious, and are ready after a day or two of recuperation, to get back to work.

In reality, ultra rapid detox can be dangerous (people have died) whereas a medical detox is almost never dangerous. It is far more expensive than a medically supervised withdrawal and clinical observations indicate that patients undergoing the procedure still endure considerable discomfort.

Additionally, very few ultra rapid detox practitioners combine the medical procedure with any substantial behavioral therapy or continuing support, leaving those in recovery very vulnerable to opiate (or other drug) relapse.

While the American Society of Addiction Medicine does not explicitly condemn the practice, it advises people to consider the procedure only after comparing the dangers and advantages of ultra rapid detox with a conventional medical detox and to submit to the anesthesia only in an environment equipped with life saving medical equipment at the ready and with trained medical staff.

Methadone

Although methadone treatment has some drawbacks, no treatment works better than methadone in keeping people free from opiate relapse.

Methadone maintenance is a form of opiate substitution therapy; you switch from heroin, a drug of abuse that causes negative health and behavioral effects onto methadone, a legal opiate that allows you to function normally in society. Since you do not switch off opiates completely, you do not feel any withdrawal symptoms while on methadone.

Methadone is a generally well tolerated medication that does not damage any of the body’s organs or systems, even if used over a long period of time.

Taking an appropriate dosage of methadone once a day removes drug cravings and withdrawal symptoms entirely. Unfortunately, because taking a very high dosage of methadone can lead to intoxication, access to the medication is tightly controlled. When starting out in methadone treatment, you will have to travel daily to a methadone clinic to take your dose under supervision. Over time, patients who comply with clinic rules can earn greater take home doses, eventually earning the right of monthly visits.

Methadone removes drug cravings and allows people to participate fully in behavioral therapies, to get back on track at work or school, or with family, and to regain health and well being. Some people choose to continue taking methadone indefinitely, others eventually decide to gradually reduce their dosage of the medication and ultimately quit entirely.

Problematically, although methadone works very well, it is not an easy drug to quit using. Many people consider the withdrawal off methadone more difficult than a heroin withdrawal; it certainly takes longer. Many methadone users now transition onto buprenorphine (which has an easier withdrawal syndrome) prior to quitting opiates entirely.

Buprenorphine (Suboxone)

Buprenorphine works similarly to methadone, as an opiate substitution medication; once you take buprenorphine, you feel no drug cravings or symptoms of heroin withdrawal.

Buprenorphine is FDA approved for the treatment of heroin addiction when sold as Suboxone or Subutex. Suboxone contains 2 active ingredients, buprenorphine and naloxone. The buprenorphine binds to opiate receptors in the brain (similarly to methadone) and keeps you from feeling withdrawal symptoms and the naloxone is added to make the drug difficult to abuse.

Because Suboxone is less easily abused than methadone, it can be prescribed in month long doses – people taking Suboxone do not have to travel to a methadone clinic each day like users of methadone do. Additionally, the eventual syndrome of withdrawal off Suboxone is considered far milder when compared to methadone. Unfortunately, some people cannot get full withdrawal symptoms relief from Suboxone. People who had very heavy heroin habits often need to take the much stronger drug, methadone, to feel real relief.

Naltrexone

Naltrexone is another medication that can be used in the treatment of opiate addiction. Naltrexone works by binding to opiate receptors in the brain, essentially plugging these receptors up. If you take heroin after taking naltrexone, the heroin cannot access the opiate receptors in the brain and so causes no effect.

Naltrexone can help very motivated people stay abstinent. Problematically, only oral forms of the medication are FDA approved for the treatment of opiate addiction and so should an addict in recovery wish to use again, all she needs to do is stop taking the naltrexone pills. Some clinics advertise the use of an injectable pellet of very slow release naltrexone, which can provide much longer lasting effects, but these naltrexone pellets are not yet FDA approved for the treatment of opiate addiction.

Naltrexone (unlike methadone and buprenorphine) will not reduce the severity of withdrawal symptoms. Clinical studies show that both methadone and buprenorphine work better than naltrexone in keeping people from opiate relapse. Naltrexone is less widely used than either buprenorphine or methadone.

Behavioral Therapies

Behavioral therapies, such as cognitive behavioral therapy or contingency management, have shown some efficacy in helping people break free from opiate addiction. For best chances of success though, the National Institute on Drug Addiction (NIDA) recommends combining behavioral therapies with pharmacological therapies (such as methadone or buprenorphine treatment) in one comprehensive treatment plan.

Cognitive behavioral therapy (CBT) is an evidence based treatment that teaches those in recovery new strategies for maintaining abstinence. Addicts learn what environmental factors put them at risk of relapse, are taught to avoid these "triggers" if at all possible and taught strategies for overcoming temptation that does inevitably occur.

Behavioral therapies such as CBT require engagement in the therapeutic process and a practicing of the techniques learned. People stabilized on medications like methadone or buprenorphine are much more able to engage in this process than people struggling to overcome drug cravings and withdrawal symptoms.
 
Support Groups

Many opiate addicts in recovery find that attendance and participation in support groups, such as 12 steps based programs, can be helpful. People who attend meetings can access viable drug-free social support systems, can make sober friendships, and can discuss the trials and tribulations of opiate recovery with others who truly understand the journey.

Some opiate addicts in recovery find Narcotics Anonymous (NA) helpful, while others prefer Methadone Anonymous (MA) or other non step based support groups.

Meetings are free, easily found in most urban centers and can complement a more comprehensive recovery program.

What Heroin Treatment Is Best for You?

The best form of treatment is one that meets your needs and works for you, and no form of treatment is best for everyone.

In general, people seem to have the best success when combining methadone or Suboxone maintenance therapies with behavioral therapy and other treatment elements, such as participation in support groups or regular attendance at 12 steps meetings.

Some people prefer to break free completely from opiates and choose instead a medical detox followed by a comprehensive program of behavioral therapies and other addiction treatments.

A heroin addiction is difficult but beatable. Whatever route to sobriety you choose, know that treatment works, but that it takes time - there are no quick and easy fixes; and that people that stay involved in treatment for a year or longer have a much better chance of staying clean for good.

Heroin Addiction

Heroin Addiction

Heroin Addiction

Heroin FAQs

What Is Heroin?

• Heroin is an illicit opiate drug, derived from morphine. It is sold as a white or brown powder, or as a black/brown tarry substance
• It is a very potent analgesic substance that works very fast and produces a powerful euphoria and sense of well being
• It is very addictive – the regular use for only a week or so can result in a physical dependence

How Is Heroin Administered?

Heroin users administer the drug in one of three ways, by:

• Snorting in intranasaly
• Smoking it
• Injecting it into a vein, or less commonly, into a muscle

Who Uses Heroin?

The National Survey on Drug Use and Health conducted in 2007 reveals that 3.8 million Americans have tried heroin at least once and 366 000 had used it in the past year. In 2007, more than 100 000 people tried heroin for the first time.

How Does Heroin Affect the Brain?

Heroin is an opiate drug, able to directly stimulate the opiate receptors in the brain. When a person takes heroin, the drug passes through the blood brain barrier and suffuses the brain with opiates. These opiates activate neurotransmitter receptors in areas of the brain responsible for regulating pleasure and pain. Once heroin activates the brain’s opiate receptors, a person feels significant analgesia, as well as euphoria and contentment. 

Regular use of heroin over time leads to physical changes in the brain. With chronic use, heroin causes a reduction in the numbers of opiate receptors in the brain. Once these receptors are reduced in number, a person needs a greater amount of heroin to feel the same high (tolerance) and the person will feel symptoms of withdrawal when not using heroin (physical dependence).

The brain adapts easily and quickly to heroin use, becoming physically dependent on the powerful substance after only a short time of regular use. This easy development of physical dependence is one primary reason why heroin is so addictive and so tough to quit.

What Are the Characteristics of a Heroin High?

There is no denying that using heroin makes a person feel very good. It produces an intense high, that depending on the route of administration, can induce a minute or two long rush that users describe as almost “orgasmic’ in nature. Other characteristics of a heroin high include:

• A powerful sense of well being, free from worry
• A sleepy drowsy sedation
• Nodding, an awake but dreamlike state
• A feeling of warmth
• Slowed breathing

A heroin high lasts for up to 5 hours.

What Are the Short Term Health Consequences of Heroin Use?

Heroin can cause feelings of nausea and induce vomiting when taken by inexperienced users or when taken in large doses. Other medical consequences of acute heroin use can include:

• Mental confusion and slurred speech
• Analgesia
• Decreased respiration and heart rate
• Sweating
• Itchiness
• Constricted pupils
• A reduced cough reflux

The most significant acute consequence of heroin use is overdose, which can easily be fatal. Symptoms of heroin overdose include:

• Very shallow breathing or no respiration
• Convulsions
• Coma
• Cold and clammy feeling skin
• Extremely constricted pupils (pinpoint)

A heroin overdose is easily countered with a dosage of naloxone, a heroin antidote. Unfortunately, many people who overdose die before health care workers can administer an injection of the life-saving drug.

What Are the Long Term Heath Consequences of Heroin Use?

The chronic use of heroin can lead to devastating health consequences. Although heroin in itself is not a particularly toxic substance, the means of administration, the lifestyle associated with heroin use and the impurities present in street level heroin all combine to put chronic heroin users at great risk of a number of medical conditions and the risk of an early death.

Health consequences of chronic heroin use can include:

• HIV or hepatitis B or C infection - Injecting heroin (or even sharing straws) transfers blood born infectious disease between users. IV drug users face an extremely high risk of hepatitis C and a high risk of HIV.
• Cognitive impairments – long term heroin use seems to cause reduced cognitive functioning
• Skin infections – unsanitary injection practices can lead to skin abscesses and even gangrene
• Track marks – injection scars
• Botulism – users of black-tar heroin are at an elevated risk of very toxic botulism spores
• Bacterial infections – resulting from poor injection practices; these can lead to cardiac infections that increase the risk of heart failure
• Collapsed veins – frequent injections can lead to vein scarring or collapsed veins
• Malnutrition – heroin suppresses appetite and chronic users are sometimes more likely to spend money on drugs, than food
• Organ damage – resulting from a reduction in blood flow as a consequence of vein damage
• Pneumonia – The heroin lifestyle reduces the overall health of the addict, increasing susceptibility to pneumonia and even tuberculosis

Put simply, people using heroin are far more likely to die an early death than people not using heroin.

What Are the Withdrawal Symptoms of Heroin?

Heroin addiction perpetuates itself in part due to the intense withdrawal symptoms that occur with abstinence. Also known as “dope sickness”, heroin withdrawal symptoms begin within about a half day after last use, peak after 2 or 3 days and continue for between 4 days and a week with severity.

Symptoms of heroin withdrawal can include:

• Nausea
• Vomiting
• Headache
• Muscle aches and pains
• Yawning
• Diarrhea
• Runny sinuses
• Depression
• Anxiety
• Restlessness
• Sweating
• Restless legs or “kicking”
• Stomach cramps

Heroin withdrawal symptoms can be very unpleasant, yet unlike alcohol withdrawal symptoms, they are rarely dangerous.

Fortunately, medications exist that can greatly diminish the intensity, or even eliminate, withdrawal symptoms.

Heroin and Pregnancy

Pregnant women should not use heroin. Using heroin while pregnant can:

• Lead to miscarriage or obstetric complications
• Cause abnormal fetal growth
• Cause low birth weights
• Cause a  syndrome of infant opiate addiction
• Increase the risks of transferring HIV or hepatitis C to the baby

Pregnant women addicted to heroin should not try to detox “cold turkey” from the drug, as the severe withdrawal symptoms can induce miscarriage. Methadone opiate replacement therapy is currently the recommended treatment of choice for pregnant heroin using women.

Heroin Treatment Options

Heroin treatment options include

• Opiate replacement medications, such as methadone or Suboxone (buprenorphine)
• Medical detox and psychosocial addiction treatment
• 12 steps support groups

Al-Azhar Al-Sharif Mosque Cairo Egypt

Al-Azhar Al-Sharif Mosque Cairo Egypt

Al-Azhar Al-Sharif Mosque Cairo Egypt

Al-Azhar Al-Sharif Mosque

Site

 This mosque in is located in the square of Al-Azhar, the first Fatimied monument in Egypt, has established this mosque leader Gawhar al-secaly order of his master faithful goats to the religion of Allah, may start the work in this mosque on Saturday 24 May of the year AH 359 / 4-4 970 A.C, has been building in month of Ramadan in 361 AH, was held by the first prayer for Friday, June 22 AD 972.

Information about the mosque
Built this mosque in the first command to be a mosque of Fatimid Cairo and takes the place of the mosque of Ahmed Ibn Tulun, and this is combined most important effects of the Fatimid period, then turned the mosque next to the school to teach students the assets of the Shi'a sect (the doctrine of Fatimid), but Salah al-Din and his successors have been arrested prayer in this mosque for 100 years or so because he was condemning the doctrine Sunni, and was between the years 565 AH / AD 1169, and even year 665 AH / 1266 AD, and what was the Mamluk era flourished this mosque again and became months Mosque in Islamic countries, but became an institute Islamic to go delegations of students from all Islamic countries all over the world.Also states that the commander Mamluk Baybars when he took office has renewed the mosque and began in his building and Idah and fix ceilings and an ax, bedding and decorated and updated by the compartment good, and returned to Al-Azhar Friday sermon, and since that time have increased the importance of Al-Azhar mosque and became one of the highest mosque in Cairo.

The most beautiful place in the world Sharm el-Sheikh

The most beautiful place in the world Sharm el-Sheikh

The most beautiful place in the world Sharm el-Sheikh

Wonderful holiday in Sharm el-Sheikh

Sharm El Sheikh is located in the Sinai Peninsula in Egypt, the largest city in South Sinai

Is the center of international tourism. Famous for its diving. South of Ras Mohammed are natural. Was the most popular tourist city in the Sinai, the development of the tourist activity significantly in recent years and the significance of Sharm el-Sheikh in the position at the head of the Red Sea, it is then divided into the Gulfs of Suez and Aqaba, which led to an environment more unique is the key element in the tourist attractions are located in and around the most important reserves natural in the Ras Mohammed and Nabq. 

  And to Sharm el-Sheikh are islands of Tiran and Sanafir at the entrance to the Gulf of Aqaba .. Among the most important areas and Ras Nasrani Ras Umm Sid to the Ras Mohammed. Each day, The city of Sharm el-Sheikh in South Sinai Governorate new, so it had yesterday discovers something different if it were today, this is the truth that turned them this vast desert and majestic mountains at the crossroads of the Gulf of Aqaba and Suez and the Red Sea to the modern city in 10 years only, which empowered the Sharm el-Sheikh to win UNESCO prize for being selected among the top five cities, peace in the world among 400 cities worldwide

The Sharm el-Sheikh of the newest areas of recreation and relaxation in the world, and within ten years became the 150 hotels most are designed to be a resort, that is, the hotel itself enriches the tourist search for fun and recreation in another place, The hotel in which all means of entertainment, and there are restaurants, luxury and that are happy tourists, including progress of Oriental food and Western, as well as cafes and nightclubs confused tourist to choose between them, they are multiple activities, from horseback riding or play tennis, or the amusement of children, to water skiing, or snorkeling or diving trips or water for the enjoyment of riches water and natural that tourists can be watched in the sea, a boat on the glass.

Has recently visited British Prime Minister Tony Blair on his visit Egypt's tourist city of Sharm el-Sheikh is always referred to as "the land of peace" because the land is witnessing a lot of political and scientific conferences and tourism. Masraladid was hosted figures from the world and held many conferences on home soil in order to support world peace in general.

  

The Nile Cruises and The Restaurants Egypt 2012

The Nile Cruises and The Restaurants 2012

The Nile Cruises and The Restaurants 2012

The Nile Cruises and The Restaurants Egypt 2012

 

 

 

 

Many tourists visited Egypt described  the Nile waters that  it fresher water in the world until it was time to drink them must return to Egypt again.
This argument has been proven correct so keen a number of restaurants to set up positions on one side of the river as well to vessels and floating restaurants, which takes you on a journey takes two hours on the pages of the River Nile with the preparation of the desires of meals to choose from it what you will

 

 

And diverse program of entertainment after a hard day's work or during your tour tourist in Cairo Which extends for as long as your confusion between the type of Nile Cruises that you enjoy  with it, there are several types of it

 

 The types of the Nile Cruises :

1- Restaurants fixed (non-animated) built on the Nile

2 - There are boats that take you on a journey to lunch or dinner for two hours

3 - There is a small vehicle or the so-called «itemize; enumerate» in Nile Cruise You determine the time.

4 - on the Nile Taatmhoa Kaaabi means walking like that of the non-Arab on the Corniche