The Process

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Online Suboxone Doctors Help - California

Never Stop Stopping
Our physicians get on a goal to serve, assistance, and boost the lives of people we offer via Medication- Aided Treatment (FLOOR COVERING). Floor covering is thought about one of the most effective therapy for opioid use disorder by the CDC, SAMHSA, FDA as well as various other government agencies. We enjoy to report 95% of our patients state they have no withdrawal symptoms at 5 days.


OPIOID WITHDRAWAL California
What is Opioid withdrawal?To understandopioid withdrawal, it is necessary to first understand what taking opioids over an extended period of time does to ones body. Taking an opioid day-to-day for three weeks or longer brings about an adjustment in mind chemistry which can be defined as medication tolerance. This suggests that with time, more of the medicine is needed to achieve the very same result (ecstasy, discomfort control, or control or anxiety/depression). Dependancy does not always mean dependency nonetheless, which is identified by constantly food craving and also constantly preoccupying oneself with the need to obtain more of the medication. If a person who hinges on opioids quits all of a sudden, they will likely have both physical and emotional symptoms of withdrawal as the body is no longer getting a medicine that it hinges on. The most usual withdrawal symptoms are flu- like in nature and also include:
1. Runny nose

2. Muscle mass pains

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

4. Chills/sweats.

5. Rapid heartbeat.

6. Goosebumps on the skin.

7. Stress and anxiety.

8. Lack of ability to sleep.

9. Tiredness.


There are 2 main ways of going into withdrawal:.

1) Suddenly stopping all opioid usage without tapering down first (spontaneous withdrawal).

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





For How Long Does Opioid Withdrawal Last?
If you ask anyone who has experienced opioid withdrawal, the solution is that it is rather uncomfortable and in some scenarios, life- threatening. Withdrawals can start as early as a few hrs and also typically last 3-5 days. Nevertheless, relying on the seriousness of dependency and the sort of substance abuse, signs might last approximately 3-6 weeks (methadone). A harsh rule of thumb is a start of symptoms occur after a couple of times the half-life of the withdrawn opioid.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), concentrates on satisfying your bodys physical reliance to opioids and minimizing food cravings, we also have added therapy to help relieve the various other unpleasant symptoms of withdrawal. Below is a list of symptoms with matching therapy medications:.
1) Muscle pains, headache- acetaminophen, ibuprofen, as well as naproxen.

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

3) Nausea or vomiting, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

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

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


The Family MD Focuses On Opioid Addiction and Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patientsovercome opioid addictionand withdrawal. Get going today by arranging a virtual check out with among our board- accredited medical professionals. Whether youre in your home, at work, or on lunch break, weve got you covered as well as are below to make recuperation very easy. Click here to schedule currently!


MEDICATION- ASSISTED TREATMENT California

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

Prior to we start speaking about treatment for opioid dependency, it is essential to understand what is defined as opioid addiction. Opioid addiction is characterized by a strong, uncontrollable urge to consume opioid drugs, even when they are no more medically required. Opioid dependency stays at epidemic levels in the U.S and the numbers are only expected to rise. 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 just this previous year finishing in April 2021.
-10.1 million individuals mistreated prescription opioids this past year.
-Overdose fatalities entailing opioid have enhanced at least 6 times since 1999.

Its clear that opioids have a high capacity for causing addiction in individuals, also when they are taken as suggested. Although there are several roads torecovery, only one is described as the most effective by the CDC and also approved by several government companies (FDA, SAMHSA, and various other companies), and that is Medication- assisted treatment.Medication- aided treatment( FLOOR COVERING) entails the use of medication, together with cognitive or behavior modification, to offer an alternative method to treatingopioid addiction.

Here at The Family MD, we combine cutting side modern technology with floor covering therapy inSan PedroCalifornia.
Although MAT has saved numerous patients from opioid relevant complications as well as fatality, less than 20% of those suffering from opioid addiction have accessibility to it.In addition to geographical restraints, there is a lack of medical professionals that are trained in its application. According to SAMHSA, less than 7 percent of medical professionals are efficiently waivered to treat opioid dependency. Tele- floor covering services, like we offer atThe Family members MD, is one way to enhance access to care for those who might not otherwise be able to do so because of set you back, lack of accessibility to or lack of accessibility of suggesting medical professionals.

The M inMATstands for specific FDA approved medication that is used to lower food cravings and also physiologic dependence on opioids. While there are numerous formulations and also manufacturers, all of them can be summed up in 3 medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The very first two, buprenorphine as well as methadone, are both partial and complete opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all three are authorized for therapy of opioid dependency, probably the most effective one for the majority of clients is buprenorphine/naloxone (Suboxone) as a result of its beneficial account. Because it is just a partial agonist, it prevents the sensations of bliss when taken, lowers yearnings at the exact same time, and dissuades IV shot. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA accepted treatment that is recommended at The Family MD. With greater than 95% of patients withdrawal cost-free at 5 days, our outcomes are a testimony to our competence when managing opioid dependency. Set up a consultation currently to go over further just how we can best aid you attain enduring soberness.


TRANSITION FROM METHADONE California.


What is Methadone?

Methadone is among 3 medicines that is FDA authorized for the treatment of opioid use.
disorder, as aMedication- assisted treatment( MAT). It is the initial of the MAT medications (approved in the 1960s) as well as is the most greatly researched.Unlike the other 2 medicines that are used in floor covering, methadoneis a complete opioid agonist, which suggests it lugs all the dangers that any type of various other opioid off the road would certainly have.These consist of ecstasy, risk of breathing depression, possibility of overdose, and hallucinations to name a few points. Because of this, various other floor covering drugs such asSuboxonehave now become extra liked because of its very little adverse effects profile. San Pedro California.



The Length Of Time Does Methadone Withdrawal Last?

If changing fromMethadoneto an additional MAT drug, such asSuboxone, it is first vital to.
decrease the amount of methadone one is on to 30 mg daily for at the very least one week. When steady on this dose, methadone is discontinued completely as well as suboxone started when mild- modest withdrawal signs begin to embed in, which is typically after 36 hours yet might differ depending on dependency intensity. After 3 to 5 days, withdrawal is usually full and individual is now successfully on Suboxone.

The Household MD Specializes in Methadone Dependency as well as Withdrawal Treatment.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid people.
conquered methadone addictionand withdrawal.Get started today by scheduling an online check out with among our board- licensed doctors.Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered and also are right here to make healing easy.Click right here to set up currently.

 

  

Exactly how it functions
It is important to first quit all methadone usage. You should wait until you have moderate to modest withdrawal signs and symptoms (typically 12- 72 hours) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both extremely uncomfortable and might be dangerous. Continue as directed by your medical professional and thats it. Usually 95% of our individuals do not have any kind of withdrawal symptoms after the very first 5-7 days of beginning Suboxone. You may likewise ask for extra drug to aid alleviate withdrawal signs to ensure that you can proceed with your day to day activities (work, school, and so on) without avoiding a beat.


 

TREATMENT FOR NORCO WITHDRAWAL San Pedro California 

 What is Norco?

Norco is a mix pain medicine, including both acetaminophen and also hydrocodone. It is made use of to treat moderate to extreme discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is stemmed from either codeine or thebaine and also it is the most regularly recommended opioid in the United States. It is usually for short term pain and is often made use of as an antitussive (coughing suppressant). When mistreated, it can additionally be squashed and snorted. It takes about 10 to half an hour for you to feel the effects ofNorcowhen taken and also results can last approximately four to six hrs. Other brand name which contain both hydrocodone as well as acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, as well as Vicoprofen.


How Much Time Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding six to twelve hours after last use. Symptoms commonly peak around day three and are usually considerably decreased by seven to ten days. Often it is possible to last longer than ten days depending on the severity of the addiction and also it varies on a situation by case basis.


The Household MD Concentrates On Norco Addiction and also Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid people overcomeNorcoaddiction andwithdrawal. Get going today by setting up an online visit with among our board- certified doctors. Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are below to make recovery simple. Visit this site to arrange now.





How it functions
It is necessary to very first stop all Norco use. You should wait till you have mild to modest withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both very uncomfortable as well as might threaten. Continue as directed by your physician which it. Usually 95% of our clients do not have any type of withdrawal signs and symptoms after the initial 3-5 days of startingSuboxone. You may additionally request additional drug to assist reduce withdrawal signs and symptoms so that you can proceed with your day to day activities (work, institution, etc) without skipping a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL San Pedro California


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was initially made in 1916 from thebaine, a component of poppy plant. It is made use of for treatment of moderate to serious discomfort and also is understood for being extremely habit forming. It commonly begins to control discomfort within fifteen mins and can for as much as 6 hrs with the instant release formulation. It is additionally offered under the brand Roxicodone as well as OxyContin (which is the extensive launch kind), among others. The prolonged release form is slowly released into the body and provides around the clock pain control. Due to the slower onset, it has much less potential for abuse contrasted tooxycodonewhich has a quicker onset of action.



For How Long Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts about eight to twelve hrs after last usage. Signs generally peak around day 3 as well as seldom last longer than five to seven days. As constantly, there can be a long term withdrawal phase relying on the seriousness of addiction and also depending upon private aspects.

The Family MD Specializes in Oxycodone Dependency as well as Withdrawal Treatment

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist individuals overcomeoxycodone addictionandwithdrawal. Get going today by scheduling a virtual visit with among our board- accredited doctors. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and also are right here to make recuperation simple. Visit this site to set up currently.

 

 

Exactly how it functions
It is very important to very first stop all oxycodone usage. You need to wait till you have mild to moderatewithdrawal symptoms( usually 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very unpleasant and also may threaten. Proceed as routed by your physician which it. Typically 95% of our people do not have any type of withdrawal symptoms after the very first 3-5 days of starting Suboxone. You might additionally ask for additional medication to aid ease withdrawal signs to ensure that you can continue with your everyday tasks (job, college, and so on) without skipping a beat.

THERAPY FOR FENTANYL WITHDRAWAL San Pedro California


What is Fentanyl?

Fentanyl is an artificial opioid, which suggests that it is created by pharmaceutical business in the lab. It is a really powerful opioid and also is about 50- 100 times extra stronger than morphine. As a result of its potency, it is primarily being utilized for pain administration therapy of cancer clients. Of note, many customers are not aware they are purchasingfentanyllaced items when they purchase opioids. Distributors do this because it makes drugs more affordable, increases strength, boosts habit forming homes, and therefore, makes thesefentanyllaced drugs exceptionally hazardous also in tiny dosages. Onset to action is three to five minutes if made use of intravenously. Other usual types that it is manufactured in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), as well as in an injectable form (Sublimaze).



For How Long Does Fentanyl Withdrawal Last?

The start ofwithdrawal symptomsroughly starts regarding 6 to twelve hrs after last usage. Signs and symptoms generally peak around day three and also seldom last longer than 5 to 7 days. Nevertheless, it might occur relying on the severity of dependency or instance by instance basis.

The Family Members MD Concentrates On Fentanyl Dependency and Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help patients overcomefentanyladdiction andwithdrawal. Begin today by arranging an online browse through with one of our board- licensed doctors. Whether youre at home, at work, or on lunch break, weve got you covered and also are below to make recuperation easy. Visit this site to set up now.





Exactly how it functions
It is important to very first stop all Fentanyl use. You have to wait till you have moderate to modest withdrawal signs (normally 12- 72 hours) prior to taking your initial dose ofSuboxone. If it is taken prematurely, it can require you into precipitated withdrawal, which is both very uneasy and also might threaten. Proceed as guided by your doctor and thats it. Typically 95% of our people do not have any withdrawal symptoms after the very first 3-5 days of starting Suboxone. You might likewise ask for extra medicine to help reduce withdrawal signs and symptoms to ensure that you can continue with your everyday tasks (job, institution, and so on) without avoiding a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL San Pedro California

 

What is Oxymorphone?

Oxymorphoneis an extremely potentopioidindicated for the therapy of serious pain. It is extra generally recognized asOpanaor Numorphan. It is dramatically more powerful than morphine and is made use of to deal with discomfort that is unresponsive to various other opioid medicines. In 2017, the FDA asked the manufacturer of oxymorphone to eliminate its product from the US market and considering that has been inaccessible in the United States. Nevertheless, expanded launch oxymorphone solutions are still available in the United States due to its slightly lower misuse potential. The prompt launch controls pain 5-10 minutes if taking IV, and also after 30 minutes if taken by mouth, and afterwards last 3-4 hrs. If taking the extensive release, 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 necessary to first stop all oxymorphone usage. You need to wait until you have mild to modest withdrawal signs and symptoms (normally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken prematurely, it can require you right into precipitated withdrawal, which is both extremely uneasy as well as may be dangerous. Continue as directed by your medical professional and thats it. Typically 95% of our patients do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may also ask for additional medication to help relieve withdrawal signs to ensure that you can continue with your daily tasks (job, school, etc) without skipping a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL San Pedro California

 

What is Tramadol?

When it was initially authorized in 1995, tramadol was ruled out an opiate even though its device of activity was comparable. Nevertheless, due to all the instances of abuse and dependency, the FDA eventually designated tramadol as a controlled substance in 2014. Compared to other abused substances nonetheless, tramadol has less possibility for misuse. Because of this, tramadol is among the several typical treatments for osteo arthritis and other agonizing problems.


For How Long Does Tramadol Withdrawal Last?

The start of withdrawal signs and symptoms approximately begins regarding thirty- six to seventy- 2 hours after last usage. Signs normally last 5 to 8 days. As always, there can be an extended withdrawal phase depending upon the seriousness of dependency and also depending upon private factors.


The Family Members MD Specializes in Tramadol Dependency as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid people conquer tramadol addiction and also withdrawal. Start today by scheduling a virtual check out with one of our board- accredited medical professionals. Whether youre in the house, at work, or on lunch break, weve got you covered and also are below to make healing simple. Click here to set up currently.

 

 

How it works

It is essential to first stop all tramadol usage. You must wait up until you have mild to modest withdrawal signs (usually 12- 72 hrs) prior to taking your initial dosage of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both really awkward and may be dangerous. Proceed as directed by your medical professional which it. Usually 95% of our individuals do not have any withdrawal signs after the initial 3-5 days of beginning Suboxone. You may also ask for extra medicine to aid ease withdrawal symptoms so that you can proceed with your everyday tasks (work, college, and so on) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL San Pedro California

 

 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 San Pedro California

 

 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 San Pedro California

 
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 San Pedro California

What is Meperidine?

The trademark name variation of Meperidine is called Demerol. It has an abuse potential comparable to that of morphine, however it ought to not be made use of for therapy of chronic pain. Meperidine must only be made use of in the therapy of severe episodes of extreme pain because of the risk of seizures from the buildup of meperidine metabolites, specifically normeperidine, if it is made use of long term. In addition to seizures, it can also cause serotonin syndrome if made use of in combination with specific medicines. It is readily available in intramuscular, subcutaneous, intravenous, syrup, and also tablet types.



How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal signs and symptoms roughly starts regarding three- twenty four hours after last use. Signs generally come to a head around three days as well as start to decrease in intensity after the initial week. Some signs and symptoms may exist for a prolonged time period depending upon the seriousness of the addiction.

The Family MD Focuses On Meperidine Addiction and Withdrawal Therapy

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help patients get rid of Meperidine dependency as well as withdrawal. Start today by arranging a virtual browse through with one of our board- certified physicians. Whether youre at home, at the workplace, or on lunch break, weve obtained you covered and also are below to make recuperation simple. Click on this link to schedule now.







How it functions

It is necessary to initial quit all Meperidine usage. You need to wait up 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 force you right into precipitated withdrawal, which is both really awkward and may threaten. Proceed as guided by your physician which it. Normally 95% of our patients do not have any type of withdrawal symptoms after the initial 5-7 days of beginning Suboxone. You might also request extra medication to aid alleviate withdrawal signs and symptoms to make sure that you can continue with your day to day activities (job, school, etc) without missing a beat.