The Process

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

Meperidine Withdrawal Help - New York

Never Stop Quitting
Our medical professionals are on an objective to serve, assistance, as well as raise the lives of individuals we serve through Medication- Aided Treatment (MAT). MAT is taken into consideration one of the most reliable therapy for opioid use problem by the CDC, SAMHSA, FDA as well as other federal companies. We enjoy to report 95% of our patients state they have no withdrawal signs and symptoms at 5 days.


OPIOID WITHDRAWAL New York
What is Opioid withdrawal?To understandopioid withdrawal, it is important to first comprehend what taking opioids over an extended period of time does to ones body. Taking an opioid daily for three weeks or longer brings about a change in brain chemistry which can be specified as drug tolerance. This suggests that in time, more of the medication is needed to attain the very same end result (ecstasy, pain control, or control or anxiety/depression). Reliance does not necessarily mean dependency nonetheless, which is characterized by continuously craving and continuously busying oneself with the requirement to get more of the drug. If a person that is dependent on opioids quits unexpectedly, they will likely have both physical and also emotional symptoms of withdrawal as the body is no more obtaining a medicine that it depends on. One of the most common withdrawal symptoms are flu- like in nature and also include:
1. Drippy nose

2. Muscular tissue pains

3. Indigestion, nausea or vomiting, throwing up, looseness of the bowels

4. Chills/sweats.

5. Quick heart beat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Failure to rest.

9. Exhaustion.


There are 2 major means of going into withdrawal:.

1) Suddenly quiting all opioid use without tapering down initially (spontaneous withdrawal).

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





How Much Time Does Opioid Withdrawal Last?
If you ask anyone that has actually experienced opioid withdrawal, the answer is that it is rather awkward and also in some conditions, life- threatening. Withdrawals can start as early as a couple of hours and usually last 3-5 days. Nonetheless, depending upon the seriousness of dependency and the kind of substance abuse, signs might last up to 3-6 weeks (methadone). A rough general rule is an onset of signs and symptoms take place after 2 to 3 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 satisfying your bodys physical dependence to opioids and also minimizing food cravings, we additionally have additional treatment to assist reduce the various other undesirable symptoms of withdrawal. Below is a checklist of signs and symptoms with equivalent therapy medications:.
1) Muscle mass pains, headache- acetaminophen, advil, as well as naproxen.

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

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

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

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

7) Stress and anxiety, impatience, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Family MD Concentrates On Opioid Dependency and Withdrawal Therapy.
We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patientsovercome opioid addictionand withdrawal. Begin today by arranging a virtual see with among our board- licensed medical professionals. Whether youre in your home, at the office, or on lunch break, weve got you covered and are here to make recuperation very easy. Go here to arrange currently!


MEDICATION- ASSISTED TREATMENT New York

 
At the Family members MD, our team believe there are several roads that lead from dependency to recuperation
What is Drug Assisted Treatment (FLOOR COVERING)?

Prior to we start speaking about treatment for opioid addiction, it is necessary to know what is defined as opioid addiction. Opioid addiction is identified by a solid, compulsive impulse to eat opioid medications, also when they are no more clinically required. Opioid dependency continues to be at epidemic levels in the U.S and also the numbers are only anticipated to increase. Below are some fast facts:

-More than 263,000 people died from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 people died from opioid overdose in just this past year ending in April 2021.
-10.1 million individuals mistreated prescription opioids this past year.
-Overdose deaths involving opioid have actually raised a minimum of 6 times given that 1999.

Its clear that opioids have a high capacity for causing dependency in individuals, even when they are taken as recommended. Although there are numerous roadways torecovery, only one is referred to as the most effective by the CDC and approved by multiple government firms (FDA, SAMHSA, and also various other companies), which is Medication- assisted treatment.Medication- aided therapy( MAT) entails the use of drug, along with cognitive or behavior modification, to give an all natural technique to treatingopioid addiction.

Below at The Family members MD, we integrate reducing edge innovation with floor covering treatment inRochesterNew York.
Although floor covering has actually conserved numerous clients from opioid related difficulties as well as death, much less than 20% of those suffering from opioid addiction have access to it.In addition to geographic restraints, there is a shortage of doctors that are learnt its application. According to SAMHSA, much less than 7 percent of doctors are effectively waivered to deal with opioid dependency. Tele- floor covering services, like we provide atThe Family MD, is one method to improve access to take care of those who might not otherwise be able to do so due to set you back, lack of access to or lack of availability of prescribing doctors.

The M inMATstands for details FDA approved medicine that is utilized to decrease yearnings and also physiologic dependancy on opioids. While there are multiple formulations and manufacturers, every one of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The very first 2, buprenorphine and also methadone, are both partial and also full opioid agonists respectively, whereas naltrexone is an opioid villain. While all 3 are authorized for treatment of opioid dependency, maybe the best one for the majority of individuals is buprenorphine/naloxone (Suboxone) due to its desirable profile. Because it is only a partial agonist, it stops the feelings of ecstasy when taken, minimizes desires at the exact same time, and also dissuades IV shot. For this reason, buprenorphine/naloxone (Suboxone) is the only FDA authorized therapy that is prescribed at The Family MD. With higher than 95% of individuals withdrawal cost-free at 5 days, our outcomes are a testimony to our knowledge when taking care of opioid dependency. Arrange a consultation now to talk about further how we can best assist you achieve enduring sobriety.


SHIFT FROM METHADONE New York.


What is Methadone?

Methadone is among three medicines that is FDA accepted for the treatment of opioid use.
disorder, as aMedication- assisted treatment( FLOOR COVERING). It is the first of the MAT medicines (accepted in the 1960s) and also is the most greatly researched.Unlike the other 2 drugs that are made use of in floor covering, methadoneis a full opioid agonist, which implies it carries all the risks that any various other opioid off the road would certainly have.These consist of bliss, threat of respiratory system depression, possibility of overdose, and hallucinations among other things. Because of this, various other floor covering medications such asSuboxonehave currently come to be more favored due to its minimal negative effects account. Rochester New York.



For How Long Does Methadone Withdrawal Last?

If switching fromMethadoneto an additional floor covering medication, such asSuboxone, it is first essential to.
decrease the amount of methadone one is on to 30 mg daily for at the very least one week. Once secure on this dose, methadone is discontinued entirely as well as suboxone began once mild- moderate withdrawal signs and symptoms begin to set in, which is typically after 36 hrs however may vary depending on dependency severity. After 3 to five days, withdrawal is typically complete as well as person is currently efficiently on Suboxone.

The Family MD Concentrates On Methadone Dependency and also Withdrawal Treatment.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist patients.
conquered methadone addictionand withdrawal.Get began today by arranging a digital visit with among our board- licensed doctors.Whether youre in the house, at the office, or on lunch break, weve obtained you covered and are below to make recovery easy.Click below to schedule currently.

 

  

Just how it functions
It is very important to initial quit all methadone usage. You must wait till you have light to moderate withdrawal symptoms (typically 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both extremely uneasy as well as may be dangerous. Continue as routed by your medical professional which it. Generally 95% of our clients do not have any kind of withdrawal symptoms after the initial 5-7 days of beginning Suboxone. You may likewise ask for additional medication to help ease withdrawal signs to ensure that you can proceed with your day to day activities (job, institution, and so on) without skipping a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Rochester New York 

 What is Norco?

Norco is a combination pain drug, consisting of both acetaminophen and hydrocodone. It is used to treat moderate to severe discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and it is one of the most regularly suggested opioid in the United States. It is normally for short term pain and is regularly utilized as an antitussive (cough suppressant). When over used, it can additionally be squashed as well as grunted. It takes about 10 to thirty minutes for you to feel the results ofNorcowhen taken and also results can last as much as four to six hours. Other brand name that contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and also Vicoprofen.


How Much Time Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about 6 to twelve hours after last usage. Signs and symptoms commonly come to a head around day 3 and also are usually substantially lowered by 7 to 10 days. Occasionally it is feasible to last longer than ten days depending on the severity of the addiction as well as it varies on a situation by situation basis.


The Family Members MD Concentrates On Norco Dependency as well as Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help clients overcomeNorcoaddiction andwithdrawal. Get started today by arranging a digital check out with one of our board- accredited doctors. Whether youre in the house, at work, or on lunch break, weve obtained you covered and are below to make healing very easy. Click on this link to arrange now.





How it functions
It is important to first quit all Norco usage. You should wait till you have light to moderate withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both really uncomfortable and also might be dangerous. Continue as routed by your medical professional which it. Generally 95% of our people do not have any withdrawal signs and symptoms after the very first 3-5 days of startingSuboxone. You may likewise request added medication to assist relieve withdrawal symptoms to make sure that you can proceed with your everyday tasks (job, institution, and so on) without skipping a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Rochester New York


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was initially made in 1916 from thebaine, a component of poppy plant. It is used for treatment of moderate to severe discomfort as well as is recognized for being extremely addicting. It normally begins to regulate pain within fifteen minutes and also can for approximately 6 hrs with the prompt release solution. It is also sold under the brand names Roxicodone as well as OxyContin (which is the prolonged release form), among others. The extended release form is gradually released right into the body and gives all the time pain control. Because of the slower beginning, it has much less possibility for abuse compared tooxycodonewhich has a quicker start of activity.



How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly starts regarding 8 to twelve hours after last use. Signs and symptoms typically peak around day three and seldom last longer than 5 to seven days. As always, there can be a prolonged withdrawal stage depending on the intensity of addiction and also depending upon specific aspects.

The Household MD Concentrates On Oxycodone Addiction and also Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist people overcomeoxycodone addictionandwithdrawal. Get going today by setting up a virtual visit with one of our board- licensed medical professionals. Whether youre in your home, at the office, or on lunch break, weve got you covered and are here to make healing easy. Go here to arrange currently.

 

 

Exactly how it works
It is necessary to initial stop all oxycodone use. You have to wait until you have light to moderatewithdrawal symptoms( normally 12- 72 hrs) prior to taking your initial dose of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both very uneasy and may threaten. Continue as routed by your medical professional and thats it. Normally 95% of our individuals do not have any withdrawal symptoms after the initial 3-5 days of beginning Suboxone. You may also request additional medication to help reduce withdrawal signs and symptoms to make sure that you can proceed with your everyday tasks (job, college, etc) without missing a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Rochester New York


What is Fentanyl?

Fentanyl is an artificial opioid, which indicates that it is developed by pharmaceutical companies in the laboratory. It is a very effective opioid as well as is about 50- 100 times a lot more stronger than morphine. Because of its strength, it is mainly being used for discomfort monitoring therapy of cancer clients. Of note, numerous customers are uninformed they are purchasingfentanyllaced products when they purchase opioids. Distributors do this because it makes drugs more affordable, raises potency, increases addicting residential properties, and consequently, makes thesefentanyllaced drugs very hazardous also in tiny doses. Beginning to activity is 3 to 5 mins if used intravenously. Various other usual kinds 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 concerning six to twelve hours after last use. Signs commonly come to a head around day three and seldom last longer than five to seven days. Nevertheless, it may take place relying on the severity of addiction or instance by situation basis.

The Family Members MD Concentrates On Fentanyl Dependency as well as Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomefentanyladdiction andwithdrawal. Get going today by scheduling a digital check out with one of our board- certified medical professionals. Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered and are below to make healing simple. Go here to set up currently.





How it functions
It is very important to very first stop all Fentanyl usage. You must wait up until you have light to moderate withdrawal signs (generally 12- 72 hours) before taking your very first dosage ofSuboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both extremely unpleasant and also might be dangerous. Continue as directed by your physician and thats it. Usually 95% of our clients do not have any kind of withdrawal symptoms after the initial 3-5 days of beginning Suboxone. You may additionally request added medication to assist reduce withdrawal symptoms to make sure that you can continue with your day to day activities (work, college, and so on) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Rochester New York

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the treatment of severe pain. It is a lot more frequently known asOpanaor Numorphan. It is significantly more powerful than morphine as well as is utilized to treat pain that is unresponsive to other opioid drugs. In 2017, the FDA asked the maker of oxymorphone to remove its item from the United States market and also considering that has actually been unavailable in the United States. However, expanded launch oxymorphone formulas are still available in the United States because of its somewhat lower misuse potential. The prompt launch regulates discomfort 5-10 mins if taking IV, as well as after thirty minutes if taken by mouth, and afterwards last 3-4 hrs. If taking the extensive release, 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 very important to first stop all oxymorphone usage. You must wait till you have moderate to moderate withdrawal signs (typically 12- 72 hrs) before taking your very first dosage of Suboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both very uneasy and may be dangerous. Continue as guided by your medical professional which it. Normally 95% of our people do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You may likewise ask for added medication to help alleviate withdrawal signs and symptoms so that you can continue with your daily tasks (job, school, and so on) without avoiding a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Rochester New York

 

What is Tramadol?

When it was initially accepted in 1995, tramadol was ruled out an opiate although its mechanism of action was comparable. Nonetheless, because of all the instances of misuse and also dependency, the FDA at some point marked tramadol as an abused substance in 2014. Compared with other illegal drugs nevertheless, tramadol has less capacity for abuse. Due to this, tramadol is one of the lots of usual treatments for osteo arthritis and various other uncomfortable conditions.


For How Long Does Tramadol Withdrawal Last?

The beginning of withdrawal symptoms approximately begins about thirty- 6 to seventy- 2 hours after last usage. Symptoms commonly last five to eight days. As always, there can be a prolonged withdrawal stage relying on the seriousness of addiction and depending on private variables.


The Family MD Focuses On Tramadol Addiction as well as Withdrawal Treatment

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help individuals conquer tramadol dependency and withdrawal. Begin today by setting up a digital go to with among our board- certified physicians. Whether youre at home, at the workplace, or on lunch break, weve got you covered as well as are right here to make healing easy. Click on this link to schedule currently.

 

 

How it works

It is very important to first stop all tramadol usage. You should wait until you have moderate to moderate withdrawal symptoms (generally 12- 72 hrs) before taking your very first dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both very awkward and also might be dangerous. Proceed as directed by your physician which it. Normally 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 might also request additional medication to assist relieve withdrawal signs to ensure that you can proceed with your everyday activities (work, institution, etc) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Rochester New York

 

 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 Rochester New York

 

 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 Rochester New York

 
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 Rochester New York

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has a misuse prospective similar to that of morphine, but it should not be made use of for therapy of persistent pain. Meperidine must just be utilized in the therapy of severe episodes of extreme discomfort as a result of the risk of seizures from the accumulation of meperidine metabolites, particularly normeperidine, if it is utilized long term. Along with seizures, it can also cause serotonin disorder if made use of in mix with certain medications. It is offered in intramuscular, subcutaneous, intravenous, syrup, and also tablet types.



How Long Does Meperidine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about three- twenty four hrs after last use. Signs and symptoms usually come to a head around 3 days and also start to lower in intensity after the initial week. Some signs may be presented for an extended amount of time depending upon the intensity of the dependency.

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

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid clients overcome Meperidine addiction as well as withdrawal. Begin today by arranging a digital go to with among our board- licensed physicians. Whether youre at home, at the workplace, or on lunch break, weve obtained you covered as well as are below to make healing simple. Go here to schedule currently.







Just how it functions

It is important to first quit all Meperidine usage. You need to wait till you have mild to moderate withdrawal symptoms (usually 12- 72 hours) before taking your very first dosage of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both extremely uneasy and might threaten. Proceed as guided by your physician and thats it. Typically 95% of our people do not have any type of withdrawal symptoms after the very first 5-7 days of starting Suboxone. You may also ask for added medication to help reduce withdrawal signs so that you can continue with your daily tasks (work, school, etc) without skipping a beat.