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Sublocade Treatment for Narcotic Addiction

Many patients suffering from narcotic addiction and dependency are familiar with Suboxone tablets, film and Subutex. These are various form of Buprenorphine that is used to control the withdrawal symptoms associated with addiction to narcotics. Suboxone is a partial agonist and antagonist medication. What that means is that it acts as a narcotic and also has protection against excessive narcotic intake. Sublocade is a new FDA approved form of Buprenorphine that is extended- release and activated by injection into a subcutaneous area of the abdomen. When injected, it forms an implant that slowly released the Buprenorphine over a period of one month or longer.
Sublocade is administered only by a healthcare provider that is familiar with the injection process. It is used to tread adults with moderate to severe addiction to opioid drugs regardless of obtained by prescription or illegally. The medication is injected as a liquid under the skin of the abdomen (stomach). It forms an implant under the skin known as a “depot”. The “depot” may be felt as a small bump under the sin for about several weeks. As with all addiction, Sublocade is only a part of a complete treatment plan that will also require counseling.
INDICATION AND USAGE
SUBLOCADE is indicated for the treatment of moderate to severe opioid use disorder in patients who have initiated treatment with a transmucosal buprenorphine-containing product followed by a dose adjustment period for a minimum of seven days.
SUBLOCADE should be used as part of a complete treatment program that includes counseling and psychosocial support.
WARNING: RISK OF SERIOUS HARM OR DEATH WITH INTRAVENOUS ADMINISTRATION; SUBLOCADE RISK EVALUATION AND MITIGATION STRATEGY
• Serious harm or death could result if administered intravenously. SUBLOCADE forms a solid mass upon contact with body fluids and may cause occlusion, local tissue damage, and thrombo-embolic events, including life threatening pulmonary emboli, if administered intravenously.
• Because of the risk of serious harm or death that could result from intravenous self-administration, SUBLOCADE is only available through a restricted program called the SUBLOCADE REMS Program. Healthcare settings and pharmacies that order and dispense SUBLOCADE must be certified in this program and comply with the REMS requirements.
IMPORTANT SAFETY INFORMATION
Prescription use of this product is limited under the Drug Addiction Treatment Act.
CONTRAINDICATIONS
SUBLOCADE should not be administered to patients who have been shown to be hypersensitive to buprenorphine or any component of the ATRIGEL® delivery system
WARNINGS AND PRECAUTIONS
Addiction, Abuse, and Misuse: SUBLOCADE contains buprenorphine, a Schedule III controlled substance that can be abused in a manner similar to other opioids. Monitor patients for conditions indicative of diversion or progression of opioid dependence and addictive behaviors.
Respiratory Depression: Life threatening respiratory depression and death have occurred in association with buprenorphine. Warn patients of the potential danger of self-administration of benzodiazepines or other CNS depressants while under treatment with SUBLOCADE.
Neonatal Opioid Withdrawal Syndrome: Neonatal opioid withdrawal syndrome is an expected and treatable outcome of prolonged use of opioids during pregnancy.
Adrenal Insufficiency: If diagnosed, treat with physiologic replacement of corticosteroids, and wean patient off of the opioid.
Risk of Opioid Withdrawal With Abrupt Discontinuation: If treatment with SUBLOCADE is discontinued, monitor patients for several months for withdrawal and treat appropriately.
Risk of Hepatitis, Hepatic Events: Monitor liver function tests prior to and during treatment.
Risk of Withdrawal in Patients Dependent on Full Agonist Opioids: Verify that patient is clinically stable on transmucosal buprenorphine before injecting SUBLOCADE.
Treatment of Emergent Acute Pain: Treat pain with a non-opioid analgesic whenever possible. If opioid therapy is required, monitor patients closely because higher doses may be required for analgesic effect.
ADVERSE REACTIONS
Adverse reactions commonly associated with SUBLOCADE (in ≥5% of subjects) were constipation, headache, nausea, injection site pruritus, vomiting, increased hepatic enzymes, fatigue, and injection site pain.
About Opioid Use Disorder
OUD, commonly referred to as opioid addiction8, is a chronic, relapsing disease that changes the brain9. According to the DSM–5, opioid use disorder is characterized by signs and symptoms that reflect compulsive, prolonged self-administration of opioid substances that are used for no legitimate medical purpose or, if another medical condition is present that requires opioid treatment, they are used in doses greatly in excess of the amount needed for that medical condition13.
Based on 2016 data from the most recent National Survey on Drug Use and Health report, nearly 12 million Americans (age 12+ years) engaged in misuse of opioids in the last year6. Between 1999 and 2014 the rate of deadly opioid overdoses quadrupled14, and in the United States alone, an average of four people die of opioid overdose every hour of every day7. In 2015 opioids accounted for 70 percent of the negative health impact associated with drug use disorders worldwide15. Approximately 2.5 million American adults (age 18+ years old) met criteria for opioid use disorder in the past year10. The same report suggested that 935,000 adults have used heroin in the past year and 471,000 used in the past month. There were approximately 625,000 adults who had a heroin use disorder in the past year6. In a recent report by the White House Council of Economic Advisers, estimated economic costs of the opioid crisis in the U.S. were $504 billion in 201512.
About Indivior
Indivior is a global specialty pharmaceutical company with a 20-year legacy of leadership in patient advocacy and health policy while providing education on evidence-based treatment models that have revolutionized modern addiction treatment. The name is the fusion of the words individual and endeavour, and the tagline “Focus on you” makes the Company’s commitment clear. Indivior is dedicated to transforming addiction from a global human crisis to a recognized and treated chronic disease. Building on its global portfolio of opioid dependence treatments, Indivior has a strong pipeline of product candidates designed to both expand on its heritage in this category and address other chronic conditions and co-occurring disorders of addiction, including alcohol use disorder and schizophrenia. Headquartered in the United States in Richmond, VA, Indivior employs more than 900 individuals globally and its portfolio of products is available in over 40 countries worldwide. Visit www.indivior.com to learn more.

Dr. Jagodowicz provided this service and has found that treatment with Sublocade can provide a long term solution to gradual withdrawal from opioids with a series of a few injections that are performed in the office setting. The abdominal injection of the Sublocade is relatively painless and results In blockade of the receptor sites for other narcotics such as “Heroin”. With proper counseling, this may offer a solution for some patients with moderate to severe addiction.

For more information, Contact our office at (818) 360-4949

Morris Jagodowicz, M.D.

Narcotic Dependency

 

It all starts with a remedy for pain relief, or in the pursuit of pleasure. Some people become dependent on narcotics to help with their back or neck pains, others turn to drugs for their euphoric effect.  Pleasure or relief is what we are after.  Some people climb mountains, ski, or eat excessively. Some drink coffee, eat chocolate, smoke cigarettes, drink alcohol, or do drugs.  These all produce euphoria by turning on the reward activation system of the brain. This system sends increased dopamine into the frontal lobes of the brain and serotonin into the rest of the brain’s cortex. These chemicals make us feel good.  The dopamine can inhibit the activity of our frontal lobes, which dampens our critical reasoning and judgment, resulting in feeling uninhibited.. We might dance, get silly, or do crazy things. Almost all drugs that are abused turn on this reward activation system and produce euphoria. The problem is that we cannot maintain this state and we feel bad afterwards.

 

THE ADDICTIVE PERSONALITY

Why are some people more prone to becoming addicted to narcotic drugs? Is it a part of their genetics or a particular set of personality traits that make an individual predisposed to addiction? People with substance dependency are frequently at a higher risk of becoming addicted to gambling, food, pornography, exercise, compulsive buying, and excessive cell phone and internet-computer use.  What are the common traits between all addictions? Although, there may be some generalities in this list, the addictive personality usually displays signs of impulsive behavior, weak commitment to achievement of goals, sensitive to stress, lack self-esteem, seek peer-approval, extraversion, self-monitoring, and loneliness. Stress, depression, anxiety disorder, obsessive personality, and attention deficit disorder are all related to the addictive personality.

Chemically speaking, the opioid-dependent person has less dopamine release in the brain.  This dopamine can be artificially created by narcotics, cocaine, nicotine, or alcohol. This delivers the feeling of well being or self-soothing in stressful situations.

 

REWARD ACTIVATION SYSTEM

The reward activation system is what keeps us happy.  This is what keeps us feeling good.  It does this by increasing dopamine into the frontal lobes of the brain and serotonin into the rest of the brain.  The dopamine can inhibit activity in the frontal lobes and dampen our critical reasoning and judgment.  A dopamine surge corresponds to a euphoric high.  In short, our judgment might be impaired and we feel uninhibited.  We might do risky or crazy things. We are in pursuit of turning on the reward activation system.  Narcotics, as well as coffee, smoking, and alcohol can do this. The problem is that this state of euphoria can’t be maintained and we usually feel bad afterwards.

 

THE PAIN JUST KEEPS GETTING WORSE

Assuming that some people started using narcotics for a pain condition such as back or neck pain, the medication at first worked well in decreasing the pain.  As tolerance to the narcotic occurs, more and more medication is needed to control the pain.  After some time, attempts to decrease the medication, results in severe pain that was worse than the original condition.  This is because withdrawal symptoms of severe body aches played on the overall condition.  The answer was always, I need more medication from my doctor because the drugs are no longer working. When in fact, it’s the development of tolerance to the drug and not being able to obtain additional quantities, that results in withdrawal. This causes severe aches and pains.  High opiate levels cause pain sensitivity to increase. Substance dependence, is a drug user’s compulsive need to us narcotics in order to function normally. When such substances are unobtainable, the user suffers from withdrawal symptoms. In opiate withdrawal, everything hurts. Even normal uninjured parts of the body hurt. This declines gradually over a 1-3 month period and the pain threshold comes back to normal.  The important thing is to realize that there is a problem.

 

OPIATE WITHDRAWAL

Adrenaline is a natural substance in the body that helps us cope with stress and increased activity.  Opiates dampen this response to adrenaline.  This may result in sleepiness. If there is enough opiates in the system, we stop breathing and die. This is known as overdose.  The body adapts to opiates by increasing adrenaline levels. This helps prevent respiratory depression and makes the person more tolerant to higher doses.  When the opiate is stopped, the high levels of adrenaline cause withdrawal symptoms as sweats, watery eyes, runny nose, yawning, muscle twitching, and irritability. There may even be a tendency for panic attacks.

 

THE BIG LIE

We assume that the drug effect is gone when the high goes away.  The truth is that a drug induced high is followed by a low.  With repeated use, the high weakens and the low gets stronger.  A good example is cocaine.  It gives you a brief “high” followed by a depressed state.  Despite knowing that the drug is causing their bad feelings of withdrawal, pain and fatigue make people vulnerable to losing control. They go out to get more of the drug to fix the situation.. Thus begins an addiction. The person no longer has command or control over their use of the drug. The drug takes control, and all problems are interpreted as the result of too little or too much drug.

 

THE HIGH ALWAYS GOES AWAY

The high goes away and the user gradually settles down to just trying to “maintain” being normal and avoiding withdrawals “being sick”.  The trick is to gradually wean off the opiates.  Many addicts use alcohol to dampen withdrawal symptoms, and may settle into a life of alcoholism. Long acting mixed narcotics used for treating dependency, such as Suboxone, are helpful in the weaning process.

No method is perfect for treating addiction. Whether you use abstinence, Methadone or Buprenorphines (Suboxone, Subutex, or Zubsolv), the failure rate remains high.  Being motivated helps improves the numbers.  Buprenorphine activates opiate receptors only part way and stays for a long while.  Other long acting opiates such as Methadone make it easier to avoid withdrawals, but tend to be abused and can result in overdosing.  Suboxone has a ceiling effect.  This makes it unlikely that an experienced opiate user will overdose.  In fact, patients treated with Suboxone for over one year have a very low mortality rate. Using any more than 12-24 mg daily sublingual has no psychological benefit.  Suboxone and Zubsolv are formulations of Buprenorphine plus Naloxone. They dampen the roller coaster on and off cycle of opiate addiction and blocks the craving associated with opiate withdrawal.  With education, effective counseling, patients can be tapered slowly off Buprenorphines This should be the goal. A newer product such as Sublocade is an injectable form of Buprenorphine that lasts for months.

 

MORRIS JAGODOWICZ, M.D.

Varicose and Spider Vein Treatment

Varicose Veins and Spider Veins

varicose-veinsVaricose veins are big, raised, puffy blood vessels that weave. They typically create in the legs and can be seen through the skin.

Spider veins are smaller, red, purple, and blue vessels that additionally twist and turn. Spider veins are conveniently noticeable with the skin, also. They are generally noticeable on the legs and face.
Reasons for Varicose Veins and Spider Veins

A variety of factors predispose an individual to varicose veins and spider veins. These include:

Heredity
Occupations that include a great deal of standing, such as registered nurses, hairstylist, educators, and factory workers
Weight problems
Hormonal impacts of maternity, adolescence, and menopause
Making use of contraceptive pill
Postmenopausal hormonal replacement
A history of blood clots
Problems that create increased pressure in the abdomen, such as growths, irregular bowel movements, and externally used garments like bands.

Various other reported reasons consist of trauma or injury to the skin, previous blood vessel surgical treatment, and direct exposure to ultraviolet rays.

Other Risk Factors for Varicose Veins and Spider Veins

Varicose veins and spider veins create more frequently in females than in guys. They enhance in regularity with age. An estimated 30% to 60% of adults have varicose veins or spider veins.
Signs and symptoms of Varicose Veins and Spider Veins

Lots of people with varicose veins experience pain, called an aching or cramping in the legs. Other common signs consist of exhaustion, uneasyness, burning, throbbing, tingling, or heaviness in the legs. Pain from these veins is normally relieved by raising the legs or by using support pipe.

In women, signs could be even worse throughout certain parts of the menstruation or during pregnancy. Less common is swelling, abscess and a darkening of the skin, especially in the ankle joint area. Occasionally, varicose veins can form an excruciating embolism with swelling of the vein, a condition called thrombophlebitis.

Treatment Options for Varicose Veins and Spider Veins

There are 7 significant kinds of treatment for varicose veins and spider veins:

1. Support stockings. The most conservative method is just to use properly-fitting assistance hose pipe, especially when the veins create agonizing or awkward symptoms. These stockings could usually be acquired at any surgical supply shop and at some drug stores. They are available in below-the-knee, above-the-knee, and pantyhose designs.

2. Way of living changes. Good skin health, weight-loss (if needed), and strolling can help deal with varicose veins and spider veins.

3. Sclerotherapy. This procedure, which has actually been readily available given that the 1930s, is an additional treatment alternative. This procedure uses an extremely focused saline (salt) remedy or a particularly made cleaning agent that is infused directly right into the vein, creating the blood vessel to vanish slowly over 3 to 6 weeks. The treatment is easy, relatively affordable, and can be executed in an outpatient setting.

4. Endovenous laser treatment is a treatment in which a little laser fiber is inserted into the vein. Pulses of laser light are delivered inside the vein, which triggers the vein to collapse. The treatment is done as an outpatient under local anesthetic.

5. Radiofrequency occlusion. A little catheter is put right into the blood vessel. The catheter supplies radiofrequency power to the blood vessel wall surface, causing it to warm, collapse, and seal shut. The treatment is typically performed in an outpatient or office setup, in some cases under regional anesthesia.

6. Surgical procedure. Surgical strategies to treat varicose veins include ligation (tying off of a vein) and stripping (elimination of a long segment of blood vessel). Another treatment, ambulatory phlebectomy, enables the removal of huge surface veins via extremely tiny incisions that do not need stitches. Surgery may be carried out making use of local, back, or general anesthetic. The majority of people return house the same day as the procedure. Surgical treatment is generally utilized to deal with big varicose veins.

7. Lasers and extreme pulsed light. Surface area laser or extreme pulsed light treatments, such as Vasculight and PhotoDerm, are various other choices. These gadgets use heat to precisely harm or damage irregular veins. A benefit of these treatments is that no needles or sclerosing remedies are called for; however, there might be some small discomfort. Negative effects do happen, including staining or discoloration and blister development. The results are typically frustrating.

Not everybody with varicose or spider veins has discomfort or other signs and symptoms. They might desire the veins eliminated, nonetheless, for aesthetic reasons.

Insurance Coverage for Varicose Vein and Spider Vein Treatment

Several insurer cover the price of dealing with varicose veins, yet normally not spider veins. The most effective method is to talk to your insurer before taking into consideration treatment options.

Altenative Alcohol Addiction Treatment

For those alcoholics who are not assisted by the conventional methods, there are alternative alcoholism treatments. Mostly, these treatments have not been researched well. Nevertheless, many individuals have actually had success with them.

Individuals utilize drums in a group setting to enhance their recuperation. Remarkably, the procedure seems to be an effective alternative alcoholism treatment.

Lots of alternative alcoholism treatments are based on conventional Chinese medication. This type of treatment is a more holistic treatment for alcohol addiction than simply Western means. There are numerous various treatments included.

Yoga is a great tool in combating the anxiety that comes with alcohol withdrawal and healing. The mild extending and spiritual focus assist the alcoholic to release the tension that adds to their desire to drink again. Meditation is an excellent alternative alcoholism treatment for the same factor.

Acupuncture can be utilized in combination with other treatments for a well balanced approach to the mind-body connection. It, together with yoga and meditation can make other alternative alcohol addiction treatment work much better. These approaches can make a big difference in an alcoholic’s recovery.

Nutrition is an important alternative alcoholism treatment that has actually come into favor in recent times. For the main thing, problem drinkers tend to experience bad nutrition. Not only do they consume badly as a guideline, but they have physical limitations to their nutrition as well.

The little intestinal tract is influenced by the alcohol the individual drinks. This keeps nutrients from being absorbed in the regular fashion. Hence, the alcoholic does not even get the nutrition from the food that she or he does eat. Alternative alcoholism treatment should address this issue if it to succeed.

Alternative alcohol addiction treatment that worries nutrition should cover the rebalancing of blood sugar levels. The nutritional values of the foods eaten by the alcoholic are essential too.

Lots of business offer dietary supplements as alternative alcohol addiction treatment. These are high in vitamins thought to have an affect on the withdrawal and recuperation phases. Vitamin C is utilized since of its power to reduce withdrawal signs and to remove the alcohol from the tissues of the body.

The B-complex Vitamins are practical during withdrawal also. They form a part of a dietary supplement alternative alcoholism treatment. Glutamine decreases the food cravings for alcohol that an alcoholic has, and so need to be continued for a time.

When a dietary plan is drawn up for an alcoholic, plenty of vegetables will be consisted of. This is a crucial part of an alternative alcohol addiction treatment due to the fact that fiber assists get rid of toxic substances from the system.

Alternative alcoholism treatment is definitely an exceptional part of an alcoholic’s recovery. The question of whether it can work without a more formal treatment is an excellent one. More research is being done to answer that riddle.

For those alcoholics who are not helped by the conventional means, there are alternative alcoholism treatments. Nutrition is a vital alternative alcohol addiction treatment that has come into favor in current times. Alternative alcoholism treatment that concerns nutrition needs to cover the rebalancing of blood sugar levels. They form a part of a nutritional supplement option alcoholism treatment. Alternative alcohol addiction treatment is certainly an excellent part of an alcoholic’s recovery.

Excessive Underarm Sweating– What is the Easiest and Safest Remedy?

Nobody desires to talk about extreme sweating or sweaty underarms, although it’s a typical issue for a lot of people. If you suffer from excessive sweating, it’s not since you have too many sweat glands, it’s because of the nerve cell activity of those glands.

Not remarkably, a minimum of 1 % of the population deals with excessive sweating, especially excessive underarm sweating. Everybody sweats more when they are hot or nervous, but excessive sweating might be partly due to our genes. It’s crucial to manage extreme sweating, and there are many different opinions and views on ways to accomplish this. If you suffer from excessive sweating, you’veprobably already attempted the industrial antiperspirants and deodorants, and you’re still searching for a treatment for your issue.

Diet control alone will not cure extreme sweating, however can help reduce it somewhat. Specific foods, such as onions, garlic, fish, and spicy foods like curry, can be smelled in the sweat. Attempt to minimize your consumption of these types of foods.

Underarm hair holds sweat and can make the problem worse. Shave your underarms to minimize the germs accumulation if possible.

There are other expensive and more uncomfortable cures available, such as Botox injections given up really small dosages into the skin which can stop excessive sweating for 2-8 months. Botox is a poison, and it’s natural to have issues about the long term results of such treatment.

As a last resort, surgery is typically considered, where the considerate nerves that control sweating are cut. Underarm skin can be removed and can be fairly efficient, however this is not a common operation due to the scarring and is not encouraged or performed very frequently.

Natural ways to treat excessive sweating are by far the easiest and least expensive way to control the issue. It’s certainly safer to attempt diet control and natural remedies.

If you suffer from extreme sweating, it’s not due to the fact that you have too numerous sweat glands, it’s since of the nerve cell activity of those glands. Not remarkably, at least 1 % of the population suffers from extreme sweating, particularly extreme underarm sweating. Everybody sweats more when they are hot or worried, however excessive sweating may be partially due to our genes. Diet plan control alone will not cure excessive sweating, but can assist lower it somewhat.

Chemical Peels Can Improve Skin Quality

A chemical peel is a skin treatment which is used to improve and smooth out the surface of the facial skin. A chemical solution is used to remove top layers of skin which allows the dead surface skin to peel off. The peeling process leads to new skin growth which is usually smoother, healthier and less wrinkled compared to the old skin. Chemical peels should be performed by aesthetic professionals such as aesthetic doctors, nurses and beauty therapists.

Which Peel is Right For Me?

There are three different types of peel, superficial, medium and deep peels, categorised by the strength of the acid solution used in the peel and how deeply they penetrate the skin. Deeper peels penetrate the skin further and would require greater recovery time.

Superficial Chemical Peel?

Superficial peels are a good option for many people as they have a gentler effect, require no pain relief, and can be used in more skin types, including darker skin tones, with little or no “down time” or recovery time. Whereas medium and deep chemical peels cannot be used in darker skin types and it may also take a few weeks for the skin to recover from the effects of the peeling, inflammation and redness.

What Skin Conditions are Peels used to treat:

Acne- Superficial chemical peels exfoliate the skin, allowing dead skin cells to be removed more effectively, excess oils on the skin are also removed. This action unblocks hair follicles and pores and reducing the appearance of pimples and improving skin texture that is damaged by acne.

Reduce fine lines and wrinkles- especially under the eyes and around the mouth in sun damaged or ageing skin.

Rough skin Texture- chemical peels can improve rough skin texture by increasing the amount of collagen in the upper layer of the skin.

Lentigines (large freckles) which appear as dark spots on the skin, they are also called liver spots, or age spots- Large freckles can develop as a result of sun exposure and are present on sites which are exposed to excess sun such as face and arms and neck. A course of chemical peels can lighten large freckles and improve the appearance of sun damaged skin.

Melasma- is a dark skin discoloration which appears as patches commonly found on the cheeks, nose, lips, upper lip, and forehead. It is common in women who are taking hormonal treatment in the form of contraceptives or Hormone Replacement Therapy (HRT) and pregnant women. A course of chemical peels can lighten the appearance of dark discoloured skin caused by melasma.

Hyperpigmentation- caused by excess skin pigment in the skin which can result in uneven skin tone. Chemical peels can lighten and even out the tone and appearance of the skin.

Superifical peels are suitable for ethnic skins.

Superficial peels are also good preparation for medium and deep peels and are appropriate for serial applications and as a companion treatment for microdermabrasion or IPL. They can be performed prior to microdermabrasion if the skin can tolerate it to enhance the effectiveness of the treatment.

Superficial Chemical Peels Cannot be Used for

  • Superficial peels cannot eradicate deep lines and wrinkles, cure sagging skin due to sun damage or ageing or decrease the size of skin pores.
  • Chemical peels should not be used in pregnant or breast feeding women
  • If you have active cold sores or warts on the face
  • If you have any inflamed rashes, skin reactions or open wounds on the skin
  • Sunburn, need to wait 4 weeks after excessive sun exposure before having a peel
  • If you have excessively sensitive skin, including atopic eczema or dermatitis, inflammatory rosacea in the area to be treated
  • If you have a history of severe allergy or known allergy to the components of the peel including allergy to aspirin
  • If you have taken Roaccutane (a medical treatment for severe acne), within the past 12 months
  • If you have been treated with radiotherapy or chemotherapy in the past 12 months
  • If you have a history of keloid scarring

How Many Peels Do You Need?

Whilst you may see some very minor benefits after a single superficial peel, the best results are seen after a course of six peels, performed two weeks apart. Superficial peels are gentler and so the full benefits of the peels build up over a course of six treatments.

Do I Need to Prepare Before A Peel:

Six weeks before a peel you should stop any products containing retinol. Avoid electrolysis, waxing, hair removal creams and laser hair removal for an entire week prior to a chemical peel.

You may be advised to prepare the skin with products and creams for two weeks before the peel and to continue during and after the peel course. These products will improve the results of the peel and are especially important for those going on a course of peels.

What Is The Peel Procedure

During the peel your skin will be cleansed and toned and the chemical peel will be applied to your skin using a gentle brush, the peel will be left on the skin for between three and five minutes, during which time some patients may experience a mild tingling or a mild burning sensation. The procedure is not painful. After the peel a cool compresses is applied to the skin. Your skin will be moisturised and an antioxidant and a sun screen will be applied to the skin.

What Is The Chemical Peel Aftercare

After your peel you may notice that the skin is more red than usual for two hours afterwards, you may also notice that the skin feels tight or dry and or you may experience some very mild flaky skin for a few days. Rarely you may experience crusting of the skin, swelling or a reactivation of cold sores. Do not pick any spots or peel off flaky skin, avoid physical activity for 24 hours after your peel and facials for one week after your peel. It is very important to use a sunscreen during the course of your treatment and for four weeks after to prevent uneven skin tone and excess pigmentation.

To find out if a Chemical Peel is right for you, give our office a call today at (818) 360-4949 and schedule an  appointment. We’re happy to provide you with more information over the phone as well.

Varicose Vein Treatments Are Available

Anyone with spider veins will want the perfect varicose veins treatment to eliminate spider veins. These veins are veins ruined by excessive factors like body weight, standing for long periods of time and hormonal changes.

Though veins don’t actually indicate anything serious to your health, it can ruin the appearance of your legs and any other parts of the body having varicose veins. So if you want to eliminate veins, your doctor will most probably suggest sclerotherapy treatment, a great treatment option for varicose veins.

Sclerotherapy treatment is basically a collection of injections that is injected into the affected skin areas. This means that you don’t receive only a single injection, but anywhere between fifteen and twenty injections per session.

Unlike other cosmetic procedures, no preparation is required for sclerotherapy. Though sclerotherapy treatment can be administered to anyone with unpleasant veins, it does have some possible side effects, like being a trigger for allergic reactions.

Moreover, some people tend to experience mild pain and itchiness during sclerotherapy treatment. Though there may also be some distension and bruising in the area where the injection is given, you can walk and continue with your life after your session.

Smokers are advised not to smoke for a few days before sclerotheraphy treatment as tobacco substances have an effect in the blood flow in your veins. Diabetics and those with blood clotting in their veins should refrain from using sclerotherapy to eliminate veins. Even those with complicated skin infections should not have any sclerotharapy treatment.

After your sclerotherapy treatment, you are ensured that there will be no more veins on the affected area. However remember that there always is a chance of veins developing in other parts of your body.

The success of your sclerotherapy treatment depends on the abilities of your doctor. This is why it is important that you approach a competent and reliable doctor for treatment to eliminate varicose veins

Sclerotherapy is a procedure that effectively removes unattractive spider veins. If you are thinking of undergoing sclerotherapy, give our office a call to schedule the next available appointment.

Joint Pain Treatment Opens Up With PRP

Platelet-rich plasma (PRP) is an ultraconcentrate of blood that contains a large number of platelets, roughly four to seven times baseline amounts. For example, normal peripheral blood contains about six per cent platelets. A platelet-rich plasma specimen contains ninety-four per cent platelets.

Platelets are cells in the blood that are responsible for a number of tasks. First, they have factors that aid in forming a clot. Second, they have multiple growth and healing factors that help tissue injuries with recovery. Examples of these factors include platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and transforming growth factor (TGF). Healing occurs because platelet-derived growth factors stimulate the growth and multiplication of stem cells that aid in healing.

So where can PRP be used in a clinical setting? Fenton and colleagues have reported that in their hands they have been able to successfully treat a number of musculoskeletal problems including tendinopathies, ligament laxity and tears, osteoarthritis, cartilage injury, stress fractures, and non-unions. There are contraindications to the use of PRP. They are the use of anti-platelet and anti-inflammatory medication such as non-steroidal anti-inflammatory drugs, warfarin, aspirin, as well as high dose fish oil.

Patients with anemia, low platelet counts, and clotting or bleeding disorders are also not good candidates. There is some evidence that cigarette smoking also has a negative effect on the effectiveness of PRP.

In the spine, the sacroiliac joints, facet joints, costotransverse (rib) joints, and spinal ligaments have been treated.

In the shoulder, rotator cuff injuries, glenohumeral ligament issues, as well as arthritis involving the acromioclavicular joint and glenohumeral joint have been treated.

Elbow disorders such as medial and lateral epicondylitis, ulnar collateral ligament strains, biceps tendon partial tears, and osteoarthritis have been treated with PRP.

Problems in the wrist and hand such as osteoarthritis, tendon problems, and ligament strains have also responded to PRP.

In the hip, hamstring tendinosis, gluteus medius tendinosis, as well as osteoarthritis have responded to PRP.

Knee issues that have responded to PRP treatment include: tendinosis of the patellar and quadriceps tendon, collateral ligament strains, meniscus tears, osteoarthritis, and bursitis.

Disorders in the ankle and foot that have successfully responded to PRP are: tendinosis in the Achilles, peroneal, and posterior tibial tendons, as well as plantar fasciitis, osteoarthritis, ligament tears.

So it is abundantly clear that in the right hands, PRP can be a useful adjunct to current treatment measures for musculoskeletal injuries. One caveat: PRP must be administered using tenotomy technique and ultrasound guidance by an experienced practitioner.

Call us today at (818) 360-4949 to find out more about PRP and the treatment options available for your joint pain issues.

Botox Treatments Goes Beyond Cosmetic Procedures

Botox has been popular for anti-ageing treatments for many years. This exceptionally potent neurotoxin though, has found a variety of remarkable uses in modern medicine. The toxin was tested in late 1960’s by Alan Scott and Edward Schantz, who then standardised it for therapeutic use. However it was first used in 1980 to treat for conditions as “Crossed eyes” (Strabismus) a condition where the eyes are not properly aligned and “uncontrollable blinking” (Blepharospasm). Botox is approved in more than 75 countries for 20 different neurological indications and approved for cosmetic use in more than 40 countries. Let us see how Botox has transformed the lives of many people.

Migraine: Though the efficiency of Botox as a treatment for chronic migraine is under debate, studies have shown that after Botox treatment the pain caused by migraines are dormant for 3 – 4 months and the patient would hardly need any pain killers.

Back Pain: Traditional pain relief medication for back pain may not be effective on many patients. However initial studies have suggested that Botox injections are safe and provide relief to the lower back area without systemic side effects.

Cervical Dystonia: Also known as Spasmodic torticollis is a chronic neurological movement disorder involving the head and neck. Botox treatment is the commonly used to cure this disorder. It disables the movement of the antagonist muscle and allows the agonist muscle to move freely. Patients experience relief for approximately 12 to 16 weeks.

Excessive Sweating: Botox blocks the actions of the nerves that supply the sweat glands and prevents them from producing sweat.

Cerebral Palsy: Botox is injected into muscles that are either spastic or have contractures, the aim being to relieve the disability and pain produced by the inappropriately contracting muscle

Weak Bladder: Medics claim the Botox injected to the bladder wall will improve symptoms in the over 50 age group, impacting on their quality of life. It will assist them to sleep better and be more energetic reducing incontinence and would make a difference to a sufferer’s social life and general health.

Benign Prostatic Hyperplasia: A non-cancerous condition which affects half of males over 60 and is caused by abnormally large prostates. When the prostate enlarges, it squeezes the bladder triggering urinary problems, including the need to go to the toilet frequently during the day and at night. It is a progressive disorder which, if left untreated, can lead to the complete inability to urinate. This, in turn, can cause kidney damage. However, a study by scientists in Taiwan and at the American University of Pittsburgh found that just one Botox jab into the prostate eased symptoms and improved quality of life for three out of four men up to a year later.

Should you suffer from any of the above conditions; it is recommended that you consult your physician to get the correct treatment for your medical condition. The physician that you are consulting should be a qualified well experienced physician who has the knowledge and training to administer Botox.

To find out more information and whether or not Botox could be a viable treatment option for your condition, please give our office a call today at (818) 360-4949.

Substance Abuse Help Is Available

Substance abuse is defined as overindulgence and dependence on a toxic chemical/drug, which directly affects the human nervous system, behavior and various body functions. These substances or drugs have detrimental effects on the mental and physical health of an individual.

Substances that are abused include tobacco, alcohol, addicting medicines and heroin etc. People may start using drugs or indulge in substance abuse for fun, due to peer pressure, curiosity or any other reason, but due to this act, the society has to pay a significant cost. Abused substances are the psychoactive substances that cause dependence syndrome. If a person indulges in substance abuse, he/she feels a strong desire to use it, cannot control its use and cannot get over the addiction even after harmful consequences. Substance abuse can change the perception, judgment, physical control or attention of an individual.

The negative effect of substance-abuse can be seen at emergency departments and in various rehabilitation centers and hospitals. One can directly see the poor health conditions of substance-abusers and the physical trauma that they are suffering from. The rising number of substance abusers in prisons and jails also shows the connection between substance-abuse and crime.

Drugs and abused substances slow down the thinking ability, and the person is unable to judge between right and wrong. Many professionals, flourishing doctors, scientists or intelligent young students, when indulge in substance-abuse, deviate completely from their mission of life and face failure in life because of their drug habit. Some of them end up committing crimes, getting a dangerous disease, losing close relationships etc. They do not realize their true potential, forget their missions, their personal goals and hence, destroy their lives.

Substance-abuse can destroy lives by causing different diseases, impaired abilities, weak judgement and developing criminal behavior. Some drug abusers by violating laws kill innocent people and sometimes kill themselves. Common problems due to substance abuse are violent mood swings, marital problems, child abuse, rape, school problems, job problems, domestic violence, loss of friends, divorce, financial problems, suicide and loss of self-esteem and self-confidence.

Major life destroying effect of substance abuse is serious crimes. Researches and studies have revealed that a substance abuser has eighteen times greater chances of committing a crime. A person who is a poor performer, deprived and socially inactive is less likely to commit a crime than a bright socially active and economically strong substance abuser.

The mind altering effects of drugs are the root cause of violent crimes, committed by the abuser. Many of the substance abusers get into crimes like sexual assault and domestic violence under the influence of drugs. Sometimes, they get life sentence due to their crime or even years of jail. The abilities and talent of a substance abuser remains undiscovered and the person either becomes mentally retarded or commits suicide.

People lose their lives, get punished, suffer from guilt and catch fatal diseases like HIV and AIDS due to substance abuse. It is not only the life of substance abuser that is destroyed but also that of his/her family and loved ones. It is a tragedy for the family, friends and for the abuser. There is nothing positive about the substance abuse as they destroy their lives completely.

If you are looking for permanent solution for substance abuse treatment then contact our specialist today for advice and treatment. Call our office now at (818) 360-4949. We are here to help you lead the life you deserve.