Buprocare contains buprenorphine which is used in opioid substitution therapy. Buprenorphine is a long acting opioid agent which is medically safe and pure.
So stopping buprenorphine suddenly will cause withdrawal symptoms. You need detoxification if you want to completely stop medication. Consult your psychiatrist to help you get out of it. You can contact me for further help.
If you are comfortable with only one Buprocare N then continue at same dose provided no withdrawal symptoms are there. Continue it till your psychiatrist advise. Mirtaz 7.5 mg is probably given for sleep problems. Its a antidepressant but with such minimal dosage we use it in managing sleep problems.
MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
It is a trans dermal release of the medication which leads to systemic action as a strong pain killer (buprenorphine) the other patch is duragesic (fentanyl) the effect lasts for 48-72 hrs, when the patch needs to be changed.
Feel free to contact me directly if you want to discuss this further.
Yes, there are possible side-effects when using buprenorphine and you must at all times keep your doctor informed and get treated for the same. You may talk to your doctor and find out the possible effects depending on the dosage you are taking. Please work along with your doctor int his matter and I hope you are also seeking addiction counseling as well.
M.B.B.S., MS - Orthopaedics, DNB (Orthopedics), Diploma in Orthopaedics, Fellowships in Joint Replacement & Sports Medicine, Fellowship in arthroscopy & sports medicine (DOA Fellow), Fellowship in Joint Replacement & Sports Medicine, FICS(USA), Diploma in Football Medicine (FIFA)
Orthopedic Doctor, Delhi
Hello the mri suggests a mild bony compression fracture with compression of spinal nerves at certain areas. If the pain persists despite rest and traction, it's advisable to undergo surgery to release the compression on the nerves. Long term nerve compression can lead to intractable pain and weakness in legs also.
Get in touch to share the reports and discuss further plan.
We can't permanently end this problem because of her age but I will suggest her to take injection vitcofol 2 cc intramuscularly every alternate days for five pricks over the buttocks through a health professional.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
you are over weight, with bmi 27.81kg/m2, this is one of the reasons for improper control of blood sugar. But still 183 mg/100 ml, is not that bad. If you are really serious on reducing weight then exercising is a must. How to take out time is your decision. One way is to have a tread mill machine at home and exercise. Please let me know the hba1c%, which gives an idea about long term sugar control.