The Process

Consult with an addiction specialist in the privacy of your own home

Meperidine Withdrawal Help - Illinois

Never Give Up Giving Up
Our doctors are on a mission to offer, assistance, as well as raise the lives of individuals we offer with Medication- Helped Treatment (MAT). Floor covering is taken into consideration the most effective treatment for opioid use disorder by the CDC, SAMHSA, FDA as well as various other government agencies. We enjoy to report 95% of our individuals state they have no withdrawal symptoms at 5 days.


OPIOID WITHDRAWAL Illinois
What is Opioid withdrawal?To understandopioid withdrawal, it is important to first recognize what taking opioids over an extended period of time does to ones body. Taking an opioid daily for 3 weeks or longer brings about an adjustment in brain chemistry which can be defined as medication resistance. This implies that gradually, even more of the medicine is needed to accomplish the exact same end result (bliss, pain control, or control or anxiety/depression). Reliance does not necessarily imply addiction nonetheless, which is identified by continuously desire and also continuously busying oneself with the demand to get more of the medication. If someone who hinges on opioids stops all of a sudden, they will likely have both physical as well as emotional signs of withdrawal as the body is no more receiving a medicine that it hinges on. One of the most usual withdrawal signs and symptoms are flu- like in nature and also include:
1. Dripping nose

2. Muscle mass pains

3. Indigestion, nausea or vomiting, vomiting, diarrhea

4. Chills/sweats.

5. Quick heartbeat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Inability to rest.

9. Exhaustion.


There are two primary means of going into withdrawal:.

1) Unexpectedly stopping all opioid usage without tapering down initially (spontaneous withdrawal).

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





The Length Of Time Does Opioid Withdrawal Last?
If you ask any individual who has actually experienced opioid withdrawal, the response is that it is fairly unpleasant and in some conditions, life- threatening. Withdrawals can begin as early as a few hrs as well as normally last 3-5 days. Nonetheless, depending upon the intensity of dependency as well as the type of drug used, signs may last up to 3-6 weeks (methadone). A harsh guideline is a start of symptoms take place after a couple of times the half-life of the withdrawn opioid.
Is There Anything to Make Withdrawals Easier?
While the mainstay oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), focuses on pleasing your bodys physical dependence to opioids as well as lowering cravings, we additionally have extra therapy to help reduce the other undesirable signs and symptoms of withdrawal. Below is a checklist of signs and symptoms with corresponding therapy medications:.
1) Muscular tissue pains, headache- acetaminophen, ibuprofen, as well as naproxen.

2) Muscle mass spasm- cyclobenzaprine, baclofen, and also methocarbamol.

3) Nausea or vomiting, vomiting- tigan, as well as ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Lack of ability to rest (sleeping disorders) - diphenhydramine, hydroxyzine, melatonin, trazodone, as well as doxepin.

7) Anxiousness, impatience, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Household MD Specializes in Opioid Dependency and also Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Start today by scheduling a digital browse through with among our board- accredited medical professionals. Whether youre in your home, at the workplace, or on lunch break, weve got you covered and are here to make healing very easy. Click on this link to schedule currently!


MEDICATION- ASSISTED TREATMENT Illinois

 
At the Family members MD, our team believe there are numerous roads that lead from addiction to recuperation
What is Medication Assisted Therapy (FLOOR COVERING)?

Before we begin talking about therapy for opioid addiction, it is essential to understand what is specified as opioid dependency. Opioid addiction is identified by a solid, uncontrollable desire to eat opioid medications, also when they are no longer medically required. Opioid addiction remains at epidemic degrees in the U.S as well as the numbers are only anticipated to climb. Right 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 people passed away from opioid overdose in simply this previous year ending in April 2021.
-10.1 million people mistreated prescription opioids this previous year.
-Overdose deaths involving opioid have raised a minimum of 6 times since 1999.

Its clear that opioids have a high capacity for causing addiction in individuals, even when they are taken as recommended. Although there are numerous roadways torecovery, just one is called the most efficient by the CDC as well as authorized by several federal firms (FDA, SAMHSA, as well as other firms), and that is Medication- assisted treatment.Medication- assisted therapy( MAT) involves the use of drug, together with cognitive or behavioral therapy, to supply an alternative technique to treatingopioid dependency.

Here at The Household MD, we incorporate cutting side modern technology with floor covering treatment inMaineIllinois.
Although floor covering has saved numerous clients from opioid related difficulties as well as fatality, less than 20% of those struggling with opioid dependency have access to it.In addition to geographic restraints, there is a scarcity of doctors that are trained in its application. According to SAMHSA, much less than 7 percent of physicians are efficiently waivered to deal with opioid dependency. Tele- floor covering services, like we offer atThe Household MD, is one method to enhance access to look after those who might not or else be able to do so due to cost, absence of access to or absence of schedule of prescribing medical professionals.

The M inMATstands for specific FDA approved medication that is utilized to decrease yearnings and also physiologic dependence on opioids. While there are multiple formulations and also makers, all of them can be summed up in 3 medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The very first 2, buprenorphine and also methadone, are both partial and also complete opioid agonists specifically, whereas naltrexone is an opioid villain. While all three are accepted for therapy of opioid addiction, possibly the very best one for the majority of patients is buprenorphine/naloxone (Suboxone) as a result of its positive profile. Given that it is just a partial agonist, it stops the sensations of ecstasy when taken, decreases desires at the same time, and discourages IV shot. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA authorized treatment that is suggested at The Household MD. With greater than 95% of clients withdrawal cost-free at 5 days, our outcomes are a testament to our proficiency when dealing with opioid dependency. Set up a consultation currently to go over more exactly how we can best assist you attain long-term sobriety.


SHIFT FROM METHADONE Illinois.


What is Methadone?

Methadone is just one of three drugs that is FDA accepted for the therapy of opioid usage.
disorder, as aMedication- assisted therapy( MAT). It is the very first of the floor covering medicines (accepted in the 1960s) and also is the most heavily researched.Unlike the various other two medicines that are made use of in floor covering, methadoneis a full opioid agonist, which means it carries all the threats that any type of other opioid off the street would certainly have.These include bliss, danger of breathing clinical depression, opportunity of overdose, and also hallucinations to name a few things. Because of this, various other floor covering drugs such asSuboxonehave currently become extra preferred due to its marginal side effect profile. Maine Illinois.



The Length Of Time Does Methadone Withdrawal Last?

If changing fromMethadoneto another floor covering medicine, such asSuboxone, it is initially vital to.
decrease the amount of methadone one is on to 30 mg daily for at least one week. Once stable on this dose, methadone is stopped completely and also suboxone began as soon as mild- modest withdrawal signs begin to set in, which is normally after 36 hours but may vary depending on dependency seriousness. After three to 5 days, withdrawal is usually total and also individual is currently effectively on Suboxone.

The Family Members MD Concentrates On Methadone Addiction and Withdrawal Therapy.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help clients.
conquered methadone addictionand withdrawal.Get started today by arranging a virtual check out with one of our board- accredited doctors.Whether youre at home, at the workplace, or on lunch break, weve obtained you covered as well as are here to make recuperation easy.Click right here to schedule currently.

 

  

Just how it works
It is important to very first stop all methadone usage. You must wait up until you have mild to moderate withdrawal signs and symptoms (generally 12- 72 hours) before taking your very first dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both really unpleasant and also might be dangerous. Continue as routed by your physician which it. Typically 95% of our patients do not have any type of withdrawal symptoms after the first 5-7 days of starting Suboxone. You might additionally request added drug to aid ease withdrawal signs to ensure that you can proceed with your everyday activities (job, school, and so on) without skipping a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Maine Illinois 

 What is Norco?

Norco is a mix pain drug, including both acetaminophen as well as hydrocodone. It is made use of to treat modest 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 frequently recommended opioid in the USA. It is typically for short-term discomfort and is often made use of as an antitussive (coughing suppressant). When abused, it can likewise be crushed and also snorted. It takes about ten to half an hour for you to feel the effects ofNorcowhen taken and also results can last approximately four to 6 hours. Various other brand name that contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and also Vicoprofen.


How Long Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding 6 to twelve hours after last usage. Symptoms generally peak around day three and also are generally significantly lowered by seven to 10 days. In some cases it is possible to last longer than 10 days depending upon the intensity of the dependency as well as it varies on an instance by case basis.


The Family Members MD Concentrates On Norco Addiction and Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomeNorcoaddiction andwithdrawal. Start today by scheduling an online visit with among our board- certified physicians. Whether youre at home, at the office, or on lunch break, weve got you covered and are right here to make recuperation easy. Click here to set up now.





How it functions
It is essential to initial stop all Norco use. You need to wait up until you have mild to moderate withdrawal symptoms (typically 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both extremely uncomfortable and might be dangerous. Continue as routed by your doctor and thats it. Normally 95% of our people do not have any type of withdrawal symptoms after the first 3-5 days of startingSuboxone. You may likewise ask for extra drug to help relieve withdrawal signs and symptoms so that you can proceed with your everyday tasks (work, college, etc) without missing a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Maine Illinois


What is Oxycodone?

Oxycodone is a prescription opioid drug that was initially made in 1916 from thebaine, an ingredient of poppy plant. It is made use of for treatment of moderate to serious discomfort and also is recognized for being highly habit forming. It commonly begins to regulate pain within fifteen minutes and also can for as much as 6 hrs with the immediate release solution. It is additionally sold under the brand Roxicodone as well as OxyContin (which is the extended launch type), among others. The extended launch type is gradually released right into the body and also gives around the clock pain control. As a result of the slower start, it has much less possibility for misuse compared tooxycodonewhich has a quicker onset of activity.



The Length Of Time Does Oxycodone Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about 8 to twelve hrs after last usage. Signs and symptoms commonly peak around day 3 as well as hardly ever last longer than five to 7 days. As constantly, there can be an extended withdrawal stage depending on the intensity of dependency and also depending on specific factors.

The Family Members MD Concentrates On Oxycodone Addiction and also Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid people overcomeoxycodone addictionandwithdrawal. Get started today by setting up a virtual check out with among our board- certified doctors. Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered and are right here to make recovery very easy. Go here to schedule now.

 

 

How it works
It is very important to first quit all oxycodone use. You should wait until you have moderate to moderatewithdrawal symptoms( normally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both very awkward as well as may threaten. Proceed as directed by your doctor which it. Normally 95% of our people do not have any withdrawal symptoms after the first 3-5 days of beginning Suboxone. You may additionally request additional medication to help ease withdrawal signs to ensure that you can continue with your everyday activities (work, institution, and so on) without avoiding a beat.

THERAPY FOR FENTANYL WITHDRAWAL Maine Illinois


What is Fentanyl?

Fentanyl is an artificial opioid, which means that it is developed by pharmaceutical firms in the lab. It is a really effective opioid as well as has to do with 50- 100 times a lot more stronger than morphine. Due to its strength, it is largely being made use of for discomfort management therapy of cancer cells clients. Of note, lots of users are not aware they are purchasingfentanyllaced items when they buy opioids. Distributors do this since it makes medicines more affordable, raises strength, raises addictive residential properties, and also as a result, makes thesefentanyllaced drugs very harmful also in tiny dosages. Beginning to activity is three to 5 minutes if made use of intravenously. Other typical types that it is manufactured in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), as well as in an injectable kind (Sublimaze).



How Much Time Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly begins about six to twelve hours after last usage. Symptoms normally peak around day 3 as well as hardly ever last longer than five to 7 days. Nevertheless, it might happen depending upon the severity of dependency or instance by instance basis.

The Household MD Specializes in Fentanyl Dependency and also Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help clients overcomefentanyladdiction andwithdrawal. Begin today by setting up an online check out with one of our board- certified physicians. Whether youre at home, at the office, or on lunch break, weve obtained you covered and are here to make recovery very easy. Click on this link to arrange now.





Exactly how it works
It is essential to first stop all Fentanyl use. You must wait until you have mild to modest withdrawal signs and symptoms (typically 12- 72 hours) prior to taking your initial dosage ofSuboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both very awkward and might be dangerous. Proceed as routed by your physician and thats it. Normally 95% of our clients do not have any type of withdrawal signs and symptoms after the very first 3-5 days of beginning Suboxone. You may additionally request extra drug to assist reduce withdrawal symptoms to make sure that you can continue with your daily activities (job, institution, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Maine Illinois

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the treatment of severe discomfort. It is a lot more typically known asOpanaor Numorphan. It is significantly more powerful than morphine and also is made use of to treat pain that is unresponsive to other opioid medicines. In 2017, the FDA asked the maker of oxymorphone to remove its product from the US market and also because has actually been not available in the US. Nevertheless, extended release oxymorphone solutions are still available in the US as a result of its slightly lower misuse capacity. The prompt release manages discomfort 5-10 mins if taking IV, and also after thirty minutes if taken orally, and then last 3-4 hrs. If taking the extensive launch, discomfort control lasts 12 hrs.

 

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 important to initial quit all oxymorphone usage. You must wait till you have light to moderate withdrawal signs and symptoms (usually 12- 72 hrs) before taking your first dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really uncomfortable and may be dangerous. Continue as directed by your physician and thats it. Generally 95% of our clients do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may additionally request added medication to assist relieve withdrawal signs to make sure that you can continue with your everyday activities (work, institution, etc) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Maine Illinois

 

What is Tramadol?

When it was at first authorized in 1995, tramadol was not considered an opiate although its device of activity was similar. However, due to all the instances of misuse and also addiction, the FDA ultimately assigned tramadol as an illegal drug in 2014. Compared with various other controlled substances nevertheless, tramadol has less potential for misuse. Due to this, tramadol is just one of the several common therapies for osteo arthritis and various other excruciating problems.


For How Long Does Tramadol Withdrawal Last?

The beginning of withdrawal symptoms about begins regarding thirty- six to seventy- two hrs after last usage. Symptoms usually last 5 to 8 days. As always, there can be a long term withdrawal stage depending upon the extent of dependency as well as depending on private factors.


The Family MD Specializes in Tramadol Addiction and Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help clients overcome tramadol dependency and withdrawal. Get going today by arranging a digital check out with among our board- certified doctors. Whether youre in your home, at the workplace, or on lunch break, weve got you covered as well as are right here to make recovery easy. Click on this link to schedule now.

 

 

How it works

It is necessary to first stop all tramadol use. You have to wait till you have moderate to modest withdrawal signs (usually 12- 72 hours) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really uncomfortable and might threaten. Proceed as guided by your medical professional which it. Typically 95% of our individuals do not have any withdrawal signs after the first 3-5 days of beginning Suboxone. You may also request added medicine to aid alleviate withdrawal symptoms to ensure that you can proceed with your everyday tasks (work, institution, and so on) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Maine 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 Maine 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 Maine 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 Maine Illinois

What is Meperidine?

The trademark name variation of Meperidine is called Demerol. It has an abuse potential comparable to that of morphine, yet it should not be made use of for treatment of chronic pain. Meperidine must just be used in the treatment of severe episodes of serious discomfort as a result of the risk of seizures from the accumulation of meperidine metabolites, specifically normeperidine, if it is utilized long term. Along with seizures, it can additionally trigger serotonin syndrome if used in mix with particular medicines. It is readily available in intramuscular, subcutaneous, intravenous, syrup, as well as tablet types.



How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal symptoms approximately begins about three- twenty 4 hrs after last use. Symptoms typically come to a head around 3 days as well as begin to lower in strength after the first week. Some symptoms might exist for an extended period of time depending on the severity of the dependency.

The Family Members MD Focuses On Meperidine Dependency and Withdrawal Therapy

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid clients conquer Meperidine addiction and withdrawal. Begin today by arranging a virtual check out with among our board- accredited doctors. Whether youre in the house, at the office, or on lunch break, weve got you covered and are below to make healing very easy. Click here to schedule currently.







How it works

It is important to first quit all Meperidine use. You must wait until you have mild to moderate withdrawal signs and symptoms (generally 12- 72 hours) before taking your first dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very unpleasant and also might threaten. Continue as routed by your physician which it. Usually 95% of our individuals do not have any kind of withdrawal symptoms after the initial 5-7 days of starting Suboxone. You might also request added drug to assist ease withdrawal symptoms so that you can continue with your everyday tasks (job, college, and so on) without avoiding a beat.