Transition From Methadone Help - Arizona

Never ever Quit Giving Up
Our physicians get on an objective to offer, assistance, and also boost the lives of people we serve via Medication- Aided Therapy (FLOOR COVERING). Floor covering is thought about one of the most efficient treatment for opioid use disorder by the CDC, SAMHSA, FDA and also various other government agencies. We enjoy to report 95% of our people state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Arizona
What is Opioid withdrawal?To understandopioid withdrawal, it is important to initially recognize what taking opioids over an extended period of time does to ones body. Taking an opioid day-to-day for three weeks or longer leads to an adjustment in brain chemistry which can be defined as drug resistance. This means that in time, more of the medicine is needed to accomplish the exact same result (bliss, pain control, or control or anxiety/depression). Reliance does not necessarily indicate addiction nonetheless, which is characterized by frequently food craving and also continually busying oneself with the requirement to get more of the medicine. If somebody who is dependent on opioids stops instantly, they will likely have both physical and emotional signs and symptoms 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 pains

3. Indigestion, nausea, throwing up, diarrhea

4. Chills/sweats.

5. Quick heartbeat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Lack of ability to sleep.

9. Tiredness.


There are two major means of going into withdrawal:.

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

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





The Length Of Time Does Opioid Withdrawal Last?
If you ask anyone who has experienced opioid withdrawal, the solution is that it is fairly unpleasant as well as in some conditions, life- threatening. Withdrawals can begin as early as a few hours and usually last 3-5 days. Nonetheless, depending on the intensity of addiction as well as the type of substance abuse, signs may last as much as 3-6 weeks (methadone). A rough guideline is a beginning of signs 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), focuses on pleasing your bodys physical dependancy to opioids and also minimizing yearnings, we likewise have extra treatment to assist ease the various other unpleasant signs of withdrawal. Below is a checklist of symptoms with corresponding treatment medications:.
1) Muscle mass pains, headache- acetaminophen, advil, and naproxen.

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

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

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

6) Inability to sleep (insomnia) - diphenhydramine, hydroxyzine, melatonin, trazodone, and also doxepin.

7) Anxiety, irritability, restlessness- diphenhydramine, hydroxyzine, and clonidine.


The Family MD Focuses On Opioid Dependency and also Withdrawal Therapy.
We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Get started today by arranging a digital check out with one of our board- certified physicians. Whether youre in your home, at work, or on lunch break, weve obtained you covered and are here to make healing simple. Go here to set up currently!

MEDICATION- ASSISTED TREATMENT Arizona

 
At the Household MD, we believe there are several roadways that lead from addiction to recovery
What is Drug Assisted Therapy (MAT)?

Before we begin talking about therapy for opioid addiction, it is important to recognize what is specified as opioid dependency. Opioid dependency is characterized by a solid, uncontrollable urge to consume opioid drugs, also when they are no more clinically required. Opioid addiction remains at epidemic degrees in the U.S and the numbers are only expected to increase. Right here are some quick facts:

-More than 263,000 individuals passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 people died from opioid overdose in just this past year finishing in April 2021.
-10.1 million individuals mistreated prescription opioids this previous year.
-Overdose deaths involving opioid have actually boosted at least 6 times given that 1999.

Its clear that opioids have a high capacity for creating addiction in people, also when they are taken as prescribed. Although there are multiple roads torecovery, just one is referred to as one of the most efficient by the CDC and also approved by several federal companies (FDA, SAMHSA, and other companies), which is Medication- assisted treatment.Medication- assisted therapy( FLOOR COVERING) includes using drug, in conjunction with cognitive or behavior modification, to offer a holistic approach to treatingopioid addiction.

Here at The Family members MD, we incorporate cutting side modern technology with MAT treatment inTempeArizona.
Although floor covering has saved countless people from opioid associated problems as well as death, less than 20% of those experiencing opioid dependency have accessibility to it.In addition to geographical restraints, there is a shortage of medical professionals that are trained in its application. According to SAMHSA, less than 7 percent of medical professionals are efficiently waivered to deal with opioid addiction. Tele- floor covering services, like we offer atThe Family members MD, is one means to enhance access to look after those that might not or else be able to do so as a result of set you back, absence of access to or absence of schedule of prescribing doctors.

The M inMATstands for particular FDA approved medication that is used to lower yearnings and also physiologic dependancy on opioids. While there are several formulas as well as producers, every one of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first 2, buprenorphine and methadone, are both partial and also full opioid agonists specifically, whereas naltrexone is an opioid villain. While all three are accepted for treatment of opioid addiction, probably the most effective one for most patients is buprenorphine/naloxone (Suboxone) because of its favorable account. Because it is only a partial agonist, it prevents the feelings of bliss when taken, reduces cravings at the very same time, and also discourages IV shot. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA accepted therapy that is recommended at The Family MD. With more than 95% of people withdrawal cost-free at 5 days, our results are a testament to our proficiency when dealing with opioid addiction. Set up an appointment currently to review further just how we can best help you achieve long lasting sobriety.


SHIFT FROM METHADONE Arizona.


What is Methadone?

Methadone is one of three medications that is FDA authorized for the treatment of opioid use.
problem, as aMedication- assisted therapy( MAT). It is the initial of the MAT medications (approved in the 1960s) and also is one of the most heavily researched.Unlike the various other two drugs that are used in MAT, methadoneis a full opioid agonist, which suggests it carries all the threats that any type of other opioid off the street would certainly have.These include ecstasy, threat of respiratory clinical depression, possibility of overdose, as well as hallucinations to name a few points. Because of this, various other MAT medicines such asSuboxonehave now end up being a lot more favored because of its marginal negative effects account. Tempe Arizona.



For How Long Does Methadone Withdrawal Last?

If switching fromMethadoneto one more MAT medicine, such asSuboxone, it is initially vital to.
decrease the quantity of methadone one is on to 30 mg daily for a minimum of one week. Once stable on this dose, methadone is discontinued entirely and also suboxone started as soon as mild- moderate withdrawal signs begin to embed in, which is generally after 36 hours yet might differ depending on dependency intensity. After three to five days, withdrawal is generally full and person is now efficiently on Suboxone.

The Family Members MD Focuses On Methadone Dependency and Withdrawal Treatment.

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid individuals.
gotten over methadone addictionand withdrawal.Get started today by setting up an online check out with one of our board- licensed doctors.Whether youre in the house, at the workplace, or on lunch break, weve obtained you covered and are below to make recovery easy.Click here to set up currently.

 

  

How it works
It is essential to initial quit all methadone use. You must wait till you have light to moderate withdrawal signs and symptoms (generally 12- 72 hours) 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. Continue as guided by your physician which it. Generally 95% of our clients do not have any kind of withdrawal signs after the very first 5-7 days of starting Suboxone. You may likewise request added medicine to aid ease withdrawal signs and symptoms to make sure that you can continue with your everyday tasks (work, school, and so on) without avoiding a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Tempe Arizona 

 What is Norco?

Norco is a combination discomfort drug, including both acetaminophen as well as hydrocodone. It is made use of to treat moderate to serious discomfort. 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 United States. It is generally for short-term discomfort and also is regularly made use of as an antitussive (coughing suppressant). When mistreated, it can additionally be crushed and snorted. It takes about 10 to half an hour for you to feel the effects ofNorcowhen taken as well as results can last up to four to 6 hours. Other trade names that contain both hydrocodone and also acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and Vicoprofen.


The Length Of Time Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding six to twelve hours after last use. Symptoms generally peak around day 3 and are normally significantly lowered by seven to 10 days. Sometimes it is feasible to last longer than ten days relying on the seriousness of the addiction and it varies on a situation by situation basis.


The Household MD Focuses On Norco Addiction and Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist individuals overcomeNorcoaddiction andwithdrawal. Get started today by arranging an online browse through with one of our board- licensed doctors. Whether youre in the house, at work, or on lunch break, weve obtained you covered and also are here to make recovery easy. Click here to schedule currently.





Exactly how it works
It is essential to initial quit all Norco use. You should wait until you have moderate to moderate withdrawal symptoms (typically 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both really awkward and also might threaten. Proceed as guided by your medical professional and thats it. Normally 95% of our people do not have any kind of withdrawal signs after the very first 3-5 days of startingSuboxone. You might also request extra drug to aid alleviate withdrawal signs and symptoms to ensure that you can proceed with your daily tasks (job, college, and so on) without skipping a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Tempe Arizona


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was first made in 1916 from thebaine, a component of poppy plant. It is made use of for therapy of moderate to severe discomfort and is understood for being extremely addictive. It usually starts to manage discomfort within fifteen minutes and also can for approximately six hours with the instant launch formula. It is likewise offered under the trademark name Roxicodone as well as OxyContin (which is the prolonged launch kind), among others. The extended launch type is gradually launched right into the body and provides around the clock discomfort control. Due to the slower start, it has less possibility for misuse contrasted tooxycodonewhich has a quicker onset of action.



For How Long Does Oxycodone Withdrawal Last?

The beginning ofwithdrawal symptomsroughly begins concerning eight to twelve hours after last use. Signs and symptoms usually come to a head around day 3 as well as hardly ever last longer than five to 7 days. As always, there can be a prolonged withdrawal phase relying on the intensity of addiction and relying on private variables.

The Family Members MD Specializes in Oxycodone Addiction and also Withdrawal Treatment

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeoxycodone addictionandwithdrawal. Get started today by setting up a digital browse through with one of our board- licensed medical professionals. Whether youre at home, at the office, or on lunch break, weve obtained you covered and are below to make recovery very easy. Visit this site to arrange now.

 

 

Just how it works
It is important to first stop all oxycodone use. You have to wait until you have mild to moderatewithdrawal signs and symptoms( usually 12- 72 hrs) before taking your first dosage of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both extremely awkward and also may threaten. Proceed as routed by your physician and thats it. Typically 95% of our clients do not have any withdrawal signs after the initial 3-5 days of beginning Suboxone. You may also ask for extra medicine to aid alleviate withdrawal signs to ensure that you can continue with your day to day activities (job, college, and so on) without skipping a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Tempe Arizona


What is Fentanyl?

Fentanyl is an artificial opioid, which indicates that it is produced by pharmaceutical business in the lab. It is a very powerful opioid and also has to do with 50- 100 times a lot more stronger than morphine. As a result of its strength, it is primarily being made use of for pain administration therapy of cancer patients. Of note, numerous users are uninformed they are purchasingfentanyllaced products when they acquire opioids. Distributors do this since it makes medications more affordable, increases effectiveness, enhances habit forming homes, and as a result, makes thesefentanyllaced drugs exceptionally harmful even in little dosages. Start to activity is three to 5 mins if utilized intravenously. Other common kinds that it is made in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), and also in an injectable kind (Sublimaze).



How Long Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about six to twelve hrs after last use. Signs normally peak around day three as well as hardly ever last longer than 5 to seven days. Nevertheless, it may happen relying on the intensity of dependency or instance by instance basis.

The Family Members MD Specializes in Fentanyl Dependency and Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomefentanyladdiction andwithdrawal. Start today by setting up a digital browse through with one of our board- licensed doctors. Whether youre at home, at work, or on lunch break, weve got you covered and are right here to make recovery very easy. Click here to set up currently.





How it functions
It is necessary to first quit all Fentanyl usage. You should wait until you have mild to moderate withdrawal symptoms (typically 12- 72 hours) prior to taking your first dosage ofSuboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both really unpleasant as well as may be dangerous. Continue as guided by your medical professional and thats it. Normally 95% of our patients do not have any type of withdrawal signs and symptoms after the initial 3-5 days of starting Suboxone. You might additionally request added medicine to aid ease withdrawal signs to ensure that you can continue with your daily tasks (job, institution, and so on) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Tempe Arizona

 

What is Oxymorphone?

Oxymorphoneis a highly potentopioidindicated for the treatment of severe discomfort. It is a lot more frequently understood asOpanaor Numorphan. It is considerably more powerful than morphine and is used to treat pain that is unresponsive to other opioid medicines. In 2017, the FDA asked the maker of oxymorphone to eliminate its item from the US market and considering that has been unavailable in the US. Nonetheless, prolonged release oxymorphone formulas are still readily available in the United States as a result of its slightly lower misuse potential. The instant launch regulates discomfort 5-10 mins if taking IV, and after half an hour if taken by mouth, and afterwards last 3-4 hrs. If taking the prolonged 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 important to initial quit all oxymorphone usage. You have to wait until you have mild to modest withdrawal signs (generally 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really unpleasant as well as might threaten. Proceed as directed by your doctor and thats it. Generally 95% of our clients do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may additionally ask for additional drug to assist reduce withdrawal signs to make sure that you can proceed with your everyday tasks (work, school, etc) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Tempe Arizona

 

What is Tramadol?

When it was at first authorized in 1995, tramadol was ruled out an opiate despite the fact that its system of activity was similar. Nevertheless, as a result of all the instances of misuse as well as dependency, the FDA at some point assigned tramadol as an illegal drug in 2014. Compared with other illegal drugs however, tramadol has much less capacity for misuse. Due to this, tramadol is one of the lots of common treatments for osteoarthritis as well as other excruciating conditions.


How Long Does Tramadol Withdrawal Last?

The onset of withdrawal symptoms roughly starts regarding thirty- six to seventy- two hrs after last usage. Signs normally last 5 to 8 days. As always, there can be a prolonged withdrawal stage depending on the seriousness of addiction as well as depending on individual elements.


The Family MD Concentrates On Tramadol Addiction and also Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid patients conquer tramadol addiction and also withdrawal. Get going today by scheduling a digital check out with one of our board- certified medical professionals. Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are here to make recuperation simple. Click on this link to schedule currently.

 

 

How it works

It is necessary to very first stop all tramadol usage. You must wait till you have mild to modest withdrawal signs and symptoms (typically 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely uncomfortable and also may threaten. Proceed as directed by your medical professional which it. Normally 95% of our individuals do not have any withdrawal signs and symptoms after the first 3-5 days of beginning Suboxone. You might additionally ask for additional drug to aid alleviate withdrawal signs and symptoms to make sure that you can continue with your daily activities (work, school, and so on) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Tempe Arizona

 

 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 Tempe Arizona

 

 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 Tempe Arizona

 
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 Tempe Arizona

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has a misuse possible comparable to that of morphine, but it should not be utilized for treatment of persistent pain. Meperidine ought to only be used in the treatment of intense episodes of extreme discomfort as a result of the danger of seizures from the build-up of meperidine metabolites, particularly normeperidine, if it is made use of long term. Along with seizures, it can likewise trigger serotonin syndrome if made use of in mix with specific drugs. It is available in intramuscular, subcutaneous, intravenous, syrup, and also tablet types.



For How Long Does Meperidine Withdrawal Last?

The beginning of withdrawal symptoms approximately begins about three- twenty 4 hours after last usage. Symptoms usually peak around three days as well as start to lower in intensity after the very first week. Some signs might exist for a prolonged amount of time depending on the seriousness of the addiction.

The Family MD Focuses On Meperidine Dependency and Withdrawal Therapy

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid clients overcome Meperidine dependency and also withdrawal. Get started today by scheduling an online see with one of our board- certified medical professionals. Whether youre at home, at work, or on lunch break, weve got you covered as well as are here to make recuperation easy. Click here to arrange now.







Just how it works

It is important to very first stop all Meperidine usage. You have to wait till you have moderate to modest withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both extremely uncomfortable as well as might be dangerous. Proceed as routed by your medical professional which it. Usually 95% of our patients do not have any withdrawal signs after the initial 5-7 days of beginning Suboxone. You might additionally ask for added medicine to aid relieve withdrawal signs and symptoms to make sure that you can continue with your day to day tasks (job, institution, etc) without skipping a beat.