Meperidine Withdrawal Help - Illinois

Never ever Stop Giving Up
Our physicians are on an objective to serve, support, and boost the lives of people we serve through Medication- Helped Treatment (FLOOR COVERING). Floor covering is taken into consideration one of the most effective treatment for opioid use problem by the CDC, SAMHSA, FDA as well as various other government companies. We more than happy to report 95% of our people state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Illinois
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to initially comprehend what taking opioids over a long period of time does to ones body. Taking an opioid everyday for 3 weeks or longer results in an adjustment in brain chemistry which can be defined as drug tolerance. This indicates that gradually, more of the drug is needed to accomplish the same end result (euphoria, discomfort control, or control or anxiety/depression). Dependence does not necessarily mean dependency however, which is identified by continuously food craving as well as continually busying oneself with the requirement to obtain even more of the medication. If a person that hinges on opioids stops all of a sudden, they will likely have both physical and also mental signs and symptoms of withdrawal as the body is no more receiving a drug that it is dependent on. The most typical withdrawal signs are flu- like in nature as well as include:
1. Dripping nose

2. Muscular tissue pains

3. Upset stomach, nausea or vomiting, throwing up, diarrhea

4. Chills/sweats.

5. Quick heartbeat.

6. Goosebumps on the skin.

7. Anxiety.

8. Inability to rest.

9. Exhaustion.


There are 2 primary methods of entering into withdrawal:.

1) All of a sudden stopping all opioid use without tapering down initially (spontaneous withdrawal).

2) Taking an opioid antagonist like naloxone (contained in suboxone) or naltrexone prematurely (precipitated withdrawal).





How Much Time Does Opioid Withdrawal Last?
If you ask anyone that has actually experienced opioid withdrawal, the solution is that it is rather uneasy as well as in some situations, life- harmful. Withdrawals can start as early as a couple of hours and generally last 3-5 days. However, relying on the extent of dependency as well as the kind of drug used, signs may last as much as 3-6 weeks (methadone). A rough guideline is a beginning of signs occur after two to three times the half-life of the taken out opioid.
Is There Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on pleasing your bodys physical dependancy to opioids as well as decreasing yearnings, we additionally have extra treatment to help alleviate the various other undesirable symptoms of withdrawal. Below is a list of signs and symptoms with equivalent treatment medications:.
1) Muscle mass aches, headache- acetaminophen, ibuprofen, and also naproxen.

2) Muscular tissue spasm- cyclobenzaprine, baclofen, and also methocarbamol.

3) Queasiness, vomiting- tigan, as well as ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

6) Lack of ability to sleep (sleeping disorders) - diphenhydramine, hydroxyzine, melatonin, trazodone, and also doxepin.

7) Anxiety, irritability, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Household MD Specializes in Opioid Dependency and also Withdrawal Treatment.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Get going today by arranging a virtual check out with one of our board- accredited physicians. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered and also are below to make healing simple. Visit this site to arrange currently!

MEDICATION- ASSISTED TREATMENT Illinois

 
At the Household MD, our team believe there are numerous roads that lead from dependency to recovery
What is Medication Assisted Treatment (FLOOR COVERING)?

Before we start speaking about therapy for opioid dependency, it is very important to understand what is defined as opioid dependency. Opioid addiction is identified by a solid, uncontrollable impulse to consume opioid medications, also when they are no more medically called for. Opioid addiction remains at epidemic levels in the U.S and the numbers are only anticipated to increase. Here are some fast facts:

-More than 263,000 people passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals passed away from opioid overdose in simply this past year ending in April 2021.
-10.1 million people mistreated prescription opioids this previous year.
-Overdose fatalities entailing opioid have increased a minimum of 6 times because 1999.

Its clear that opioids have a high capacity for triggering dependency in individuals, even when they are taken as suggested. Although there are multiple roadways torecovery, only one is called one of the most effective by the CDC and also authorized by several federal agencies (FDA, SAMHSA, and also other firms), and that is Medication- assisted treatment.Medication- aided therapy( MAT) includes making use of drug, combined with cognitive or behavioral therapy, to supply a holistic technique to treatingopioid addiction.

Below at The Household MD, we integrate reducing edge innovation with MAT treatment inCapital TownshipIllinois.
Although floor covering has conserved numerous clients from opioid associated complications and fatality, much less than 20% of those struggling with opioid dependency have access to it.In enhancement to geographical restraints, there is a lack of medical professionals that are trained in its application. According to SAMHSA, less than 7 percent of doctors are efficiently waivered to deal with opioid dependency. Tele- MAT solutions, like we provide atThe Household MD, is one method to improve access to take care of those that may not or else be able to do so as a result of cost, absence of access to or absence of accessibility of prescribing doctors.

The M inMATstands for specific FDA authorized medication that is used to decrease desires and also physiologic reliance on opioids. While there are several solutions as well as manufacturers, every one of them can be summed up in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial 2, buprenorphine and also methadone, are both partial as well as full opioid agonists specifically, whereas naltrexone is an opioid villain. While all 3 are authorized for therapy of opioid dependency, probably the most effective one for the majority of individuals is buprenorphine/naloxone (Suboxone) as a result of its positive account. Because it is just a partial agonist, it protects against the feelings of euphoria when taken, reduces desires at the exact same time, and prevents IV injection. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA approved treatment that is recommended at The Household MD. With higher than 95% of patients withdrawal free at 5 days, our outcomes are a testament to our know-how when taking care of opioid dependency. Set up a consultation currently to discuss further how we can best aid you achieve lasting soberness.


TRANSITION FROM METHADONE Illinois.


What is Methadone?

Methadone is one of three drugs that is FDA authorized for the therapy of opioid usage.
condition, as aMedication- assisted treatment( FLOOR COVERING). It is the very first of the MAT medicines (accepted in the 1960s) as well as is one of the most greatly researched.Unlike the various other two drugs that are used in MAT, methadoneis a full opioid agonist, which means it lugs all the threats that any kind of other opioid off the road would have.These include ecstasy, threat of respiratory anxiety, possibility of overdose, as well as hallucinations to name a few points. Due to this, other MAT drugs such asSuboxonehave currently become much more liked because of its marginal side effect profile. Capital Township Illinois.



For How Long Does Methadone Withdrawal Last?

If changing fromMethadoneto one more MAT medication, such asSuboxone, it is initially crucial to.
decrease the quantity of methadone one is on to 30 mg daily for at least one week. Once stable on this dose, methadone is discontinued completely as well as suboxone began when mild- modest withdrawal signs and symptoms start to set in, which is generally after 36 hrs however might differ depending on dependency severity. After three to five days, withdrawal is typically complete and also individual is now effectively on Suboxone.

The Family Members MD Focuses On Methadone Addiction as well as Withdrawal Therapy.

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist clients.
gotten over methadone addictionand withdrawal.Get began today by setting up a virtual browse through with among our board- accredited doctors.Whether youre in the house, at the office, or on lunch break, weve got you covered and are here to make healing easy.Click right here to schedule currently.

 

  

How it works
It is very important to first quit all methadone usage. You must wait until you have light to modest withdrawal signs and symptoms (usually 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really awkward as well as may be dangerous. Continue as routed by your doctor which it. Usually 95% of our people do not have any withdrawal signs and symptoms after the initial 5-7 days of starting Suboxone. You may additionally request extra drug to aid reduce withdrawal symptoms to ensure that you can proceed with your day to day tasks (job, college, and so on) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Capital Township Illinois 

 What is Norco?

Norco is a mix pain medicine, including both acetaminophen as well as hydrocodone. It is made use of to deal with moderate to extreme pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is stemmed from either codeine or thebaine as well as it is one of the most regularly prescribed opioid in the USA. It is normally for short term discomfort as well as is regularly utilized as an antitussive (cough suppressant). When mistreated, it can also be squashed and also grunted. It takes about ten to thirty minutes for you to feel the effects ofNorcowhen taken as well as impacts can last approximately 4 to 6 hours. Other trade names which contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and also Vicoprofen.


For How Long Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins about 6 to twelve hours after last use. Signs and symptoms usually come to a head around day 3 and are generally substantially decreased by seven to ten days. In some cases it is possible to last longer than 10 days depending on the severity of the dependency and also it differs on a case by instance basis.


The Family MD Focuses On Norco Dependency and Withdrawal Treatment

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to help patients overcomeNorcoaddiction andwithdrawal. Get started today by scheduling a virtual browse through with one of our board- licensed doctors. Whether youre in your home, at work, or on lunch break, weve got you covered as well as are here to make healing easy. Click on this link to arrange now.





How it functions
It is necessary to initial stop all Norco use. You must wait up until you have mild to moderate withdrawal symptoms (typically 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very awkward and also may be dangerous. Proceed as routed by your doctor and thats it. Normally 95% of our individuals do not have any type of withdrawal signs after the very first 3-5 days of startingSuboxone. You might also ask for added medication to help ease withdrawal symptoms to make sure that you can continue with your day to day tasks (job, school, etc) without missing a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Capital Township Illinois


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was first made in 1916 from thebaine, an active ingredient of poppy plant. It is made use of for treatment of modest to serious pain and also is recognized for being extremely addictive. It commonly begins to manage discomfort within fifteen mins and also can for as much as six hrs with the immediate launch formula. It is likewise marketed under the brand names Roxicodone and also OxyContin (which is the prolonged release kind), to name a few. The extensive release type is slowly launched right into the body and also offers around the clock pain control. As a result of the slower beginning, it has much less potential for misuse compared tooxycodonewhich has a quicker start of action.



How Much Time Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts concerning eight to twelve hrs after last use. Symptoms generally come to a head around day 3 and also hardly ever last longer than five to 7 days. As constantly, there can be a prolonged withdrawal stage depending on the extent of addiction and also depending upon individual elements.

The Family Members MD Focuses On Oxycodone Addiction and also Withdrawal Treatment

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist people overcomeoxycodone addictionandwithdrawal. Get started today by scheduling a virtual go to with one of our board- accredited doctors. Whether youre at home, at work, or on lunch break, weve got you covered and also are right here to make recuperation easy. Click here to schedule currently.

 

 

Just how it functions
It is very important to initial stop all oxycodone use. You must wait up until you have moderate to moderatewithdrawal symptoms( normally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really unpleasant and may be dangerous. Proceed as guided by your doctor and thats it. Usually 95% of our people do not have any type of withdrawal signs and symptoms after the very first 3-5 days of starting Suboxone. You may likewise request added medication to help relieve withdrawal signs to make sure that you can continue with your everyday activities (work, school, and so on) without skipping a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Capital Township Illinois


What is Fentanyl?

Fentanyl is a synthetic opioid, which means that it is produced by pharmaceutical companies in the laboratory. It is a really effective opioid and is about 50- 100 times much more stronger than morphine. Due to its strength, it is mostly being utilized for pain management therapy of cancer patients. Of note, several users are uninformed they are purchasingfentanyllaced products when they buy opioids. Distributors do this since it makes drugs more affordable, increases strength, raises addictive residential properties, and because of this, makes thesefentanyllaced medicines incredibly harmful even in tiny doses. Beginning to action is three to five mins if made use of intravenously. Various other usual types that it is made in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and also in an injectable form (Sublimaze).



How Long Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about 6 to twelve hours after last use. Signs and symptoms commonly peak around day three and seldom last longer than 5 to seven days. Nonetheless, it may take place relying on the seriousness of dependency or case by instance basis.

The Household MD Focuses On Fentanyl Addiction and also Withdrawal Treatment

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist clients overcomefentanyladdiction andwithdrawal. Get started today by arranging a digital see with among our board- certified physicians. Whether youre in your home, at work, or on lunch break, weve got you covered as well as are here to make recovery easy. Visit this site to set up now.





Exactly how it functions
It is very important to very first quit all Fentanyl use. You have to wait till you have light to modest withdrawal signs and symptoms (generally 12- 72 hrs) before taking your first dosage ofSuboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both very unpleasant and also might threaten. Proceed as routed by your medical professional and thats it. Generally 95% of our clients do not have any withdrawal symptoms after the first 3-5 days of beginning Suboxone. You may also ask for extra drug to assist ease withdrawal signs so that you can continue with your day to day activities (work, institution, etc) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Capital Township Illinois

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the treatment of serious discomfort. It is more generally known asOpanaor Numorphan. It is considerably more powerful than morphine and is utilized to deal with pain that is less competent to other opioid drugs. In 2017, the FDA asked the producer of oxymorphone to eliminate its product from the United States market and considering that has been inaccessible in the United States. Nevertheless, extended release oxymorphone formulations are still readily available in the US because of its a little lower abuse possibility. The prompt release manages discomfort 5-10 minutes if taking IV, and after half an hour if taken by mouth, and then last 3-4 hours. If taking the extensive launch, discomfort control lasts 12 hours.

 

How Long Does Oxymorphone/Opana Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to forty eight hours after last use. Symptoms typically intensify at two to five days and peak during the first week.
 

The Family MD Specializes in Oxymorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome oxymorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is essential to first quit all oxymorphone use. You should wait till you have light to moderate withdrawal symptoms (usually 12- 72 hours) before taking your initial dosage of Suboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both really uncomfortable as well as might be dangerous. Proceed as guided by your physician and thats it. Typically 95% of our individuals do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may also ask for additional medication to help ease withdrawal signs to ensure that you can proceed with your daily activities (work, institution, etc) without avoiding a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Capital Township Illinois

 

What is Tramadol?

When it was initially accepted in 1995, tramadol was ruled out an opiate although its device of activity was comparable. Nonetheless, due to all the cases of abuse and also addiction, the FDA ultimately assigned tramadol as a dangerous drug in 2014. Compared with other abused substances however, tramadol has less potential for abuse. Due to this, tramadol is among the lots of common treatments for osteoarthritis and also other agonizing conditions.


For How Long Does Tramadol Withdrawal Last?

The start of withdrawal symptoms roughly begins about thirty- 6 to seventy- two hrs after last use. Signs and symptoms typically last 5 to 8 days. As always, there can be a prolonged withdrawal stage depending upon the extent of dependency as well as depending on specific aspects.


The Household MD Focuses On Tramadol Dependency and also Withdrawal Therapy

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid individuals conquer tramadol addiction as well as withdrawal. Get started today by scheduling a virtual browse through with one of our board- licensed physicians. Whether youre in your home, at work, or on lunch break, weve obtained you covered as well as are below to make recuperation easy. Visit this site to arrange currently.

 

 

How it works

It is essential to initial quit all tramadol use. You need to wait until you have moderate to moderate withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your initial dosage of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both extremely awkward and might threaten. Proceed as directed by your physician and thats it. Typically 95% of our patients do not have any kind of withdrawal signs and symptoms after the initial 3-5 days of starting Suboxone. You may likewise request added medication to assist alleviate withdrawal symptoms so that you can continue with your daily tasks (job, institution, etc) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Capital Township Illinois

 

 What is Codeine?

Codeine is an opiate that is commonly found is prescription- grade cough suppressants. Tylenol 3, a popular painkiller, is codeine combined with acetaminophen. Because codeine- based cough syrups are less regulated that some other opiates considered to be more dangerous (Such as morphine and oxycodone), it is relatively easy to start getting and abusing it. Once ingested, codeine is converted into morphine in the body, thus producing similar effects but to a lesser degree.  

 

 How Long Does Codeine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week. The final phase of codeine withdrawal can last anywhere from one week after last dose and can linger for months.

The Family MD Specializes in Tramadol Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome tramadol addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is important to first stop all methadone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous.  Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR MORPHINE WITHDRAWAL Capital Township Illinois

 

 What is Morphine?

Morphine is considered the classic opioid analgesic with which other painkillers are compared. It is a non- synthetic narcotic that is derived from opium and has a high potential for abuse. Traditionally morphine was almost exclusively used by injection, but the variety of pharmaceutical forms that it is marketed as today supports its use by oral and other routes of administration.  

 

How Long Does Morphine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week.

The Family MD Specializes in Morphine Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome morphine addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

 

How it works

It is important to first stop all morphine use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR HYDROMORPHONE WITHDRAWAL Capital Township Illinois

 
What is Hydromorphone?

Hydromorphone, also commonly known as dilaudid, is an opioid medication used to treat severe pain. It is a semi- synthetic opioid that is derived from morphine, however it is 2-8x more potent than morphine. It has higher addictive potential because of its shorter duration to onset and causes greater sedation. It is used to treat pain that is not controlled by other opiate medications.  

 

 How Long Does Hydromorphone Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to eight hours after last use. Symptoms typically intensify and peak at one to two days. After three days the symptoms should start to subside and are generally resolved after the first week.

The Family MD Specializes in Hydromorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome hydromorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

  

How it works

It is important to first stop all hydromorphone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .
 

TREATMENT FOR MEPERIDINE WITHDRAWAL Capital Township Illinois

What is Meperidine?

The brand version of Meperidine is called Demerol. It has a misuse potential comparable to that of morphine, but it should not be utilized for treatment of chronic pain. Meperidine ought to just be used in the therapy of severe episodes of serious pain because of the threat of seizures from the build-up of meperidine metabolites, namely normeperidine, if it is used long term. In addition to seizures, it can additionally trigger serotonin syndrome if utilized in mix with certain medications. It is readily available in intramuscular, subcutaneous, intravenous, syrup, and also tablet types.



How Much Time Does Meperidine Withdrawal Last?

The onset of withdrawal signs approximately starts concerning three- twenty four hrs after last use. Signs commonly come to a head around three days and also begin to reduce in intensity after the very first week. Some signs may be presented for a long term amount of time relying on the severity of the dependency.

The Household MD Focuses On Meperidine Dependency as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid patients get rid of Meperidine dependency as well as withdrawal. Start today by scheduling an online go to with one of our board- accredited doctors. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered as well as are here to make healing very easy. Click here to arrange currently.







Exactly how it works

It is important to very first stop all Meperidine use. You need to wait until you have mild to moderate withdrawal signs and symptoms (normally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely awkward and also might threaten. Proceed as guided by your physician and thats it. Normally 95% of our people do not have any withdrawal signs after the first 5-7 days of beginning Suboxone. You might additionally ask for extra drug to help reduce withdrawal symptoms so that you can continue with your everyday activities (job, college, and so on) without skipping a beat.