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<blockquote data-quote="Jasen Bruce" data-source="post: 27940" data-attributes="member: 14"><p><strong>Post-Acute Withdrawal Syndrome</strong></p><p></p><p>Post Acute Withdrawal syndrome can last from 30 days to 1 year after discontinuing opiates depending on the person's use. Symptoms associated with PAWS begin at some point after acute withdrawal has ceased and can last for a long time if left untreated. PAWS is rarely discussed in conventional medicine and many patients are left in the dark, not understanding why they are not feeling better, and suffering in silence. During PAWS is where the patient is at the highest risk for relapse. PAWS symptoms also often get misdiagnosed by physicians who then place patients on unnecessary medications leading to more problems. </p><p> </p><p> Post-Acute-Withdrawal Syndrome (PAWS) refers to a set of impairments that can persist for weeks or months after the abstaining from a substance of abuse. PAWS may also be referred to as post-withdrawal syndrome, prolonged withdrawal syndrome, or protracted withdrawal syndrome. The condition is marked by symptoms similar to those found in mood disorders and anxiety disorders, including mood swings, insomnia, and increased levels of anxiety even without any apparent stimulus.</p><p> </p><p> PAWS symptoms most commonly manifest after a withdrawal period from alcohol, benzodiazepines and opioids, but have been known to occur with (cessation of) use of other psychoactive substances. It is estimated that 90 percent of recovering opioid users experience the syndrome to some degree as do 75 percent of recovering alcohol and psychotropic abusers. The precise mechanisms behind PAWS are still being investigated, but scientists believe the physical changes to the brain that occur during substance abuse and are responsible for increased tolerance to the substance are responsible for the</p><p> </p><p> </p><p>Common symptoms of post acute withdrawal syndrome are: •Psychosocial dysfunction</p><p>•Anhedonia</p><p>•Depression</p><p>•Impaired interpersonal skills</p><p>•Obsessive-compulsive behavior</p><p>•Feelings of guilt</p><p>•Autonomic disturbances</p><p>•Pessimistic thoughts</p><p>•Impaired concentration</p><p>•Lack of initiative</p><p>•Craving</p><p>•Inability to think clearly</p><p>•Memory problems</p><p>•Emotional overreactions or numbness</p><p>•Sleep disturbances</p><p>•Physical coordination problems</p><p>•Stress sensitivity</p><p>•Increased sensitivity to pain</p><p>•Panic disorder</p><p>•Generalized anxiety disorder</p><p>•Sleep disturbance (dreams of using, behaviors associated with the life style)</p><p> </p><p> Symptoms occur intermittently, but are not always present. They are made worse by stress or other triggers and may arise at unexpected times and for no apparent reason. They may last for a short while or longer. Any of the following may trigger a temporary return or worsening of the symptoms of post acute withdrawal syndrome:[citation needed] •Stressful and/or frustrating situations</p><p>•Multitasking</p><p>•Feelings of anxiety, fearfulness or anger</p><p>•Social Conflicts</p><p>•Unrealistic expectations of oneself</p><p> </p><p>PAWS Treatment:</p><p> </p><p> This phase will utilize hormones, nutrition, and therapies to assist the brain as it heals from long term opiate use. Some of these supplements, such as DL Phenylalanine, will help the patient manage some physical symptoms along with helping the central-nervous-system increase its production of neuro-hormones. </p><p></p><p><strong>Many symptoms of withdrawal are caused by the reduction of sex hormones and neurotransmitters resulting from long term opiate use. It is important to perform a complete hormone and metabolic blood test to determine and treat any deficiencies. Take special notice to the patients testosterone level and thyroid (T3) function, typically altered in long term opiate users. Restoring testosterone which will subsequently improve neuroendocrine balance will help improve quality of life for the patient in addition to possibly reducing the duration of PAWS. </strong></p><p> <strong></strong></p><p> The patient must refrain from ANY chemical that negatively interacts with receptors especially those that are affected by opiates. For the best and more effective recovery, patients should refrain from using:</p><p> •Alcohol</p><p>•Opiates of any kind</p><p>•Benzodiazepines</p><p>•Stimulants including OTC, prescription, and illicit</p><p>• CBD</p><p> cannabis medications have shown to be safe and to provide comfort for patients experiencing PAWS.</p></blockquote><p></p>
[QUOTE="Jasen Bruce, post: 27940, member: 14"] [b]Post-Acute Withdrawal Syndrome[/b] Post Acute Withdrawal syndrome can last from 30 days to 1 year after discontinuing opiates depending on the person's use. Symptoms associated with PAWS begin at some point after acute withdrawal has ceased and can last for a long time if left untreated. PAWS is rarely discussed in conventional medicine and many patients are left in the dark, not understanding why they are not feeling better, and suffering in silence. During PAWS is where the patient is at the highest risk for relapse. PAWS symptoms also often get misdiagnosed by physicians who then place patients on unnecessary medications leading to more problems. Post-Acute-Withdrawal Syndrome (PAWS) refers to a set of impairments that can persist for weeks or months after the abstaining from a substance of abuse. PAWS may also be referred to as post-withdrawal syndrome, prolonged withdrawal syndrome, or protracted withdrawal syndrome. The condition is marked by symptoms similar to those found in mood disorders and anxiety disorders, including mood swings, insomnia, and increased levels of anxiety even without any apparent stimulus. PAWS symptoms most commonly manifest after a withdrawal period from alcohol, benzodiazepines and opioids, but have been known to occur with (cessation of) use of other psychoactive substances. It is estimated that 90 percent of recovering opioid users experience the syndrome to some degree as do 75 percent of recovering alcohol and psychotropic abusers. The precise mechanisms behind PAWS are still being investigated, but scientists believe the physical changes to the brain that occur during substance abuse and are responsible for increased tolerance to the substance are responsible for the Common symptoms of post acute withdrawal syndrome are: •Psychosocial dysfunction •Anhedonia •Depression •Impaired interpersonal skills •Obsessive-compulsive behavior •Feelings of guilt •Autonomic disturbances •Pessimistic thoughts •Impaired concentration •Lack of initiative •Craving •Inability to think clearly •Memory problems •Emotional overreactions or numbness •Sleep disturbances •Physical coordination problems •Stress sensitivity •Increased sensitivity to pain •Panic disorder •Generalized anxiety disorder •Sleep disturbance (dreams of using, behaviors associated with the life style) Symptoms occur intermittently, but are not always present. They are made worse by stress or other triggers and may arise at unexpected times and for no apparent reason. They may last for a short while or longer. Any of the following may trigger a temporary return or worsening of the symptoms of post acute withdrawal syndrome:[citation needed] •Stressful and/or frustrating situations •Multitasking •Feelings of anxiety, fearfulness or anger •Social Conflicts •Unrealistic expectations of oneself PAWS Treatment: This phase will utilize hormones, nutrition, and therapies to assist the brain as it heals from long term opiate use. Some of these supplements, such as DL Phenylalanine, will help the patient manage some physical symptoms along with helping the central-nervous-system increase its production of neuro-hormones. [B]Many symptoms of withdrawal are caused by the reduction of sex hormones and neurotransmitters resulting from long term opiate use. It is important to perform a complete hormone and metabolic blood test to determine and treat any deficiencies. Take special notice to the patients testosterone level and thyroid (T3) function, typically altered in long term opiate users. Restoring testosterone which will subsequently improve neuroendocrine balance will help improve quality of life for the patient in addition to possibly reducing the duration of PAWS. [/B] The patient must refrain from ANY chemical that negatively interacts with receptors especially those that are affected by opiates. For the best and more effective recovery, patients should refrain from using: •Alcohol •Opiates of any kind •Benzodiazepines •Stimulants including OTC, prescription, and illicit • CBD cannabis medications have shown to be safe and to provide comfort for patients experiencing PAWS. [/QUOTE]
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