Dangerous Detox: Anesthesia Assisted Rapid Opioid Detoxification (AAROD)
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- Опубликовано: 4 окт 2024
- Disclaimer: This video does not comment on any particular clinic or practitioner; no clinics or practitioners are named in the video either. The video relates my views on the medical procedure known as "Anesthesia Assisted Rapid Opioid Detoxification" also known as AAROD. The American Society of Addiction Medicine (ASAM) specifically warns patients and doctors against the use of AAROD for the treatment of opioid withdrawal due to the risks of the procedure and the availability of safer alternatives for the treatment of withdrawal. An individual claiming to represent "Advanced Rapid Detox" asked me to specifically mention that the celebrity Jordan Peterson was never a patient of Advanced Rapid Detox and to clarify that this video does not comment on the quality of their medical practice; I had no knowledge of this business at the time this video was recorded, and this business is not named in the video. As always, I encourage you to speak with a medical professional and ensure that you are fully aware of the risks and benefits before committing to any course of treatment. 07/13/2023
WATCH THIS VIDEO BEFORE YOU SIGN UP FOR ANESTHESIA ASSISTED RAPID OPIOID DETOXIFICATION OR THE "WAISMANN METHOD" OF OPIOID DETOXIFICATION.
[Edit: When I made this video, I had no idea that AAROD was still being practiced in the United States in the year of our Lord 2023 AD. I thought that the practice had died out in the 2000's and was relegated to Eastern European countries. I was wrong, as there are RUclips videos promoting this procedure to vulnerable patients. Watch this video and research the complications before you commit to treatment. Even better, get a second opinion from your primary doctor or an addiction specialist, if possible.]
Opioid withdrawal can be miserable and some people would do anything to avoid that misery. Anesthesia Assisted Rapid Opiate Detoxification (AAROD) was created as a technique to ameliorate the pain of withdrawal. In AAROD, patients are sedated using general anesthesia and given opioid reversal agents to rapidly induce opioid withdrawal. In theory, the patient goes to sleep dependent on opioids and wakes up free of that dependence, having suffered no discomfort during the process. In practice, however, there is no free lunch, and the procedure carries a high risk of complications, including those that can cause permanent disability and death.
For this reason, the American Society of Addiction Medicine discourages the procedure in favor of equally effective, but far safer methods, such as medically managed withdrawal with buprenorphine or methadone maintenance therapy.
In my video, I discuss the harms of AAROD using a case series of medical complications caused by AAROD performed at a single clinic over a nine-month period in 2012. Yes, I also discuss the case of Jordan Peterson, who was harmed by a related procedure known as Anesthesia Assisted Rapid Benzodiazepine Withdrawal.
If you have questions about AAROD or addiction which do not pertain to a specific patient or personal medical issue, leave them in the comments below. I promise to read them all. If you have ideas for new video topics, leave those in the comments as well.
If you or some you love are seeking treatment for addiction, please visit my website (ntehealth.com) where you can contact me in order to schedule a screening interview.
If you or someone you love is suffering from problematic drug or alcohol addiction use and is seeking treatment, contact us today.
northtampaexec...
We are here to help.
North Tampa Executive Health Clinic is directed by Dr. Jack McGeachy. He provides confidential and comfortable addiction treatments and therapy for opioid and alcohol use disorder. Rather than a rehab or detox, meaning that each patient is cared for one-on-one by a medical doctor, in contrast to other treatment programs. Book your in office appointment in the Tampa office or via video conferencing today.
I'm a recovering opiate addict who used methadone to treat my disease and I can unequivocally say that it saved my life. I always recommend MAT to people i know addicted to opiates/opioids.
Thank you for sharing your experience Danielle!
Buprenorphine and methadone are both great treatments for opioid use disorder and have saved countless lives.
I like the idea of sedation for the first 72 hours. That would be amazing but the high dose of naloxone of 80 to 130 mgs is absolutely insane. I'm not doctor but for example a suboxone strip of 8 mg will have 2 mg of nalaxone and 8 mg of buprenophine. Naloxone is such a nauseating drug. 80 mg would have me puking for literally days on end and I would die from dehydration. Precipitating the withdrawal with that much naloxone does seem completely absurd.
Just wait till you've been on methadone for 20 plus years then tell me how great it is. Its slowly killing you
Thank you for sharing. The info helps & inspires people to do the right thing for their bodies & families
@@JackMcG_MDyea but I've been stuck on methadone for years and not everyone can stay on this forever. I went from 120 mg to 79 mg detoxing 1 mg a week and I still feel symptoms. Dr. Waismann at ANR clinic sounds great where they put u to sleep and than reset opiate receptors but he wants 20k a patient so only rich can get the treatment...not fair. This dependency is not living it's surviving and some of us rather be dead than stay like this forever!
I went through rapid opiate detox in 2019. I was bedridden for months. It's definitely a heavy detox on the body, but my mind was clear. Because my mind was clear, with no heavy depression, i was able to push through the months of physical misery.
That sounds like quite an arduous journey. I hope that you're doing better now.
I'd say that a taper would be MUCH easier.
I'm glad you could handle it I don't think I could. I'm 57 years old and I have severe chronic pain. I've been on pain meds since 2006
@@lc-bb6bd ruclips.net/video/1bvyaJgeiG8/видео.html
Find a good doctor and taper down... If you feel ready. Sometimes you need just a little kick in the ass... But be gentle and go slow. Did it after up to 300mg Morphin for almost a decade. Needed a year to taper down. Started yoga and meditation. Hit the gym also. Find something you are doing out of passion.
Ive been on methadone for 6 months now, it is awesome to be able to have a life again.
Thanks for the comment and very glad to hear that!
Me too
I went through two Rapid Opioid Detox’s with the Coleman Institute of medicine and addiction. Their method used the naltrexone method where they flood your system with IV Naltrexone which speeds up the WD process along with a multitude of comfort meds (Valium, Baclofen, Clonidine and a few others) so you’re asleep through or most of the process. It’s a 4-5 day process where you come in every morning and detox for 6-8 hours and then go home and come back the next day and repeat. On the final day they do a UA to make sure all opioids are out of your system then they insert a 2 month Naltrexone Subcutaneous implant. I didn’t have any discomfort through my two rapid opioid detoxes. I was on 120-300mg of oxycodone for 3 years
Thank you for sharing your personal experience! I'm glad to hear that you had a positive experience.
I think it worked for you cuz you where doing such a small amount of opiates 300mgs of oxy is like one bag of fent nowadays and people are doing a ton of fent
In 7 days ,u could detox yourself at home & save yourself $20 grand
@@donkeyballs3307 Exactly right!
The detox phase of addiction treatment is the least important part. Save your money for proven treatments.
300mgs of oxy is still quite a decent dose..my brother had complications (lung scaring) from a spontaneous pneumonthorax, that's a collapsed lung, he was only doing 20 mg oxy and he quite cold turkey with zero problems, still, dunno how he did that...@@mikehikes710
Good thing rapid detox worked for me. Every procedure has a risk but being 29 and using heroin for 14 years and wanting my life back was worth doing rapid detox.
I'm glad that you had a safe experience.
Did you receive on-going treatment afterward?
@@JackMcG_MD I have therapy & go to AA/NA meetings & still off everything.
How Were your cravings post procedure?
Bro I’m poor and lost 10 years to the drug now I’m on fentanyl I’m just searching and searching for an answer.. it’s 430 in the morning here in Texas and I’m just devastated where my life is.. I’m living a double life but always broke trying to hide my pain.. can you talk with me on how much it costed out of pocket?
@@Karmafuzion2.0 kind of horrendous, but I was also detoxing from benzos also, everyone is different.
I am a nurse and I've seen narcan given in the recovery room after a patient got too much pain medication. I saw how he sat straight up in the bed and projectile vomited. It didn't look pleasant at all
You're describing precipitated withdrawal (PW) from naloxone. It's a terrible experience and a good reason to titrate naloxone doses carefully, when the circumstances allow.
I also have a video about PW from buprenorphine (Suboxone) and how to prevent it: ruclips.net/video/yhRWh2UGww0/видео.html
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BS I just went through this and it saved my entire life. Thank you ANR CLINIC YOU ARE ALL ANGELS.
I am glad for you! It's not easy what you've done.
Not everyone experiences a complication from AAROD. Many will successfully detox and have a splendid recovery.
However, the rate of complications is much higher than other detoxification methods, and some of the complications can lead to permanent disability or even death. There is no evidence that AAROD provides better long-term results than other treatments. For these reasons, the American Society of Addiction Medicine recommends against AAROD for the treatment of opioid withdrawal.
@@JackMcG_MD methadone is just a legal opioid my life is completely changed only 9 days out!! And nobody has ever died from the procedure. It’s $$$$$$ but getting your life back is priceless. I can FEEL again!! 🙏♥️
@@JackMcG_MD whats AAROD?
Anesthesia Assisted Rapid Opioid Detoxification. It is the procedure I describe in the video and the procedure that the commenter above is describing. @@jasonvaillancourt2724
@@JackMcG_MD thank you
I can't thank you enough for this information. I had heard about this method, but no details. Wow is that scary ! Thanks again Doctor ! You got my subscription!
Thank you so much, it's an honor to make these videos for the community!
Wow as a nurse that sounds very dangerous. How can the body handle that!? Ovbiously it cannot. That procedure way to risky for sure!
Yup, which is why no Medical Board or Association recommends AAROD for treatment of opioid dependence. The benefits are just not worth the risk, especially now that we have buprenorphine (Suboxone) widely available.
Yet you still see doctors who should know better advertising it to patients, which blows my mind. I'm pretty sure there is a doctor on RUclips who promotes this procedure (a lot of the viewers on his videos link to my video).
Bradycardia 0:42
1. He didn’t come to “Advanced Rapid Detox” so you should probably NOT quote the name of our medical practice.
2. We do OPIATE detox Under Sedation. Jordan Peterson was addicted to BENZODIAZEPINES.
3. A rapid detox NOT resolve benzodiazepines addiction.
4. We treat 500 patients a year for the past 17 years with no issues.
5. Our patients are SAFELY under IV sedation while the doctor uses medication to reverse the OPIATE from the receptor.
Once they are cleared, we give patients VIVITROL to stop cravings.
Again, don’t quote OUR business name OR our process when it’s not relevant to what you are discussing.
@@Honey81762 Hi, I responded to your other comment, but for visibility purposes I wanted to add this here as well. At no point during the video or in the description do I name any individual clinic or practitioner. May I ask why you think I am calling out your clinic by name?
As an aside, I make it clear in the video that Peterson underwent a procedure related to, but distinct from AAROD. If you simply peruse the thumbnail and title, I can see how you might get the impression that Peterson underwent AAROD, but I make clear that he underwent a rapid benzodiazepine detoxification under sedation.
@@JackMcG_MD you DO mention Waissman Institute. Although we are not affiliated, they do excellent work.
We also do not practice accelerated detox.
We do opiate reversal under IV sedation. And thank God, retreat, 500 patients every year and have had no incidents in 17 years.
As opposed to scaring people from getting the help they need and deserve, talk about options for recovery.
Frightening people with sensationalistic headlines keeps people trapped in addiction.
I'm no medical doctor but I don't think it takes one to realize how dangerous something like this can be! Especially with the benzo story. Oh I felt for that guy! 😢 Benzo withdrawal on crack! That's how I imagine this went for him.
My benzo withdrawal was torture. Light hurt, sound hurt, everything was amplied negatively. I couldn't walk straight. I had to hold on to things to get around. It was insane. That's just some of the physical part. The mental issues that come with it are even worse. Extreme panic attacks & paranoia. Agrophobia, major depression, auditory, visual, & olfactory hallucinations. Cognitive impairment, CNS damage, seizures, sucidal thoughts & behaviors, etc. Some of this stuff can last for months/years. Poor guy!! Thats just awful & i hope he got the care he truly needed afterwards.
It's scary how the brain just goes haywire with alcohol & benzo withdrawal! Everything is just fried for a while. It's fascinating to me at the same time to know what my brain was doing & why. Why do i still have tremors & other issues years later? I love learning about the brain! Such a deep, complex, & fascinating piece of machinery! Medicine & recreational drugs may have damaged mine but it's still going & that alone amazes me!
Absolutely. That's the reason that the American Society for Addiction Medicine (ASAM) specifically recommends against anesthesia assisted rapid opioid detox. Rapid detox for benzos is so recklessly dangerous that you can't even find a clinic in North America which provides the service.
I'm so glad you are off benzos, those are the WORST withdrawals and they are extremely dangerous! Benzos were never intended for use over a few weeks. Imo, doctors should have more training on addictive medications, because alot of them prescribe them like they're candy, then don't understand they have to be TAPERED off, not just cut off abruptly. My uncle is a pharmacist, and he knows FAR more about medications than your average doctor who actually has the prescribing power! Makes NO sense...
good thing ive read into all these quack treatments and watched your videos, I quit a 2 year Heroin and Fentanyl habit cold turkey 2 weeks ago, using Kratom to deal with PAWS right now, it really helps and kills my cravings. I was gonna use Suboxone in case withdrawal got unbearable but wanted the pain of withdrawal to serve as a reminder on why I should stay sober. Thanks Doc
Thanks for sharing your experience and for your kind words.
When I made this video, I didn't even think that AAROD was still being marketed to patients, given its high rate of complications. When I found videos on RUclips still marketing the treatment in 2023, it blew my mind!
Things like this are why addiction medicine gets a bad reputation and it's part of the reason I created this channel.
@@JackMcG_MD absolutely, I believe it's still the mindset ingrained in people that the addict does not know what's best for him and AAROD is probably, I may be wrong, usually a decision pushed by the family. Simple withdrawal has always felt so traumatic on my body, I'm 24 years old and each time I quit I feel legitimately disabled and as if I have zero stamina, with how bad it feels alone the idea of forcing a Precipitated withdrawal as fast as possible even under supervision is bound to leave some sort of damage with how quickly the body shifts from depressant mode to devoid of opiates
Waw, you're seriously amazing and strong!
Jesus bro, I wish you the very best ❤
If you're using kratom then it's not cold turkey, that phrase means to quit without any kind of replacement. I'm curious how well the kratom works for the withdrawl, does it take it away completely? How much do you have to take and how long does it last? I'd imagine it takes quite alot. Good luck. For me it was Methadone that helped.
Jordan Peterson was treated for benzodiazepines. This has nothing to do with that.
Thanks for the comment, Ace!
If you watch the video till the end, you'll see that I address that. Peterson was treated with Anesthesia Assisted Rapid Benzodiazepine Detoxification, which is essentially the same procedure as AAROD, except it uses flumazenil instead of naloxone.
Flumazenil AAROD is not a safe method
Yeah just mentioning his name for view's
@@patricksullivan436 You figured out how RUclips works! Congrats.
Being serious for a moment, he did undergo a similar anesthesia-assisted detox for benzodiazepines. A procedure even more dangerous than AAROD for reasons mentioned in the video.
@@Honey81762 Neither is AAROD for alot of people...also, for benzos, wouldn't it be AARBD?
I guess were screwed. the CDC put out new guidelines on opiates and the big thing they are finding out is if a person is in real pain a lot of times tapering just doesn’t work. That’s just flat out cruel.
Liked and subscribed. Thanks for your videos mate, they’re very much appreciated. Love and light from Melbourne Australia 🇦🇺🤝🏻🇺🇸
Oh my goodness! One day I was looking up how to deal with opioid withdrawal because I was sick of taking pain meds. I have a chronic illness and chronic pain but I got dependent on the pain meds physically and I was so tired of the stupid and stressful cycle of doctor's and pharmacy. So I call a treatment center that offers this only in Detroit to see if they had other places close to me but they didn't. Insurance doesn't even cover it and its super expensive. Its 10,000 dollars up front. I was so discouraged because I was withdrawaling and I was at my wits end. I decided to go to a clinic that helped me with suboxone and I am glad I went this route instead of AAROD. This is scary. Thank you for the correct information about this because they never mentioned anything like this. Only how to get a credit card to pay for the procedure.
Thanks for sharing your experiences, Corietta.
Cost is another factor that I didn't cover in the video. Insurance rarely covers the cost of AAROD, as professional societies advise against the treatment, and therefore most clinic offering AAROD demand cash payment, typically in the thousands of dollars range. You can get quality care for addiction for much less than the cost of AAROD.
I hope that you are doing better now!
Its all about the money. A problem the gov let slide. Pill mills, where they over prescribed to get a ton of money from prescriptions,open borders flooding the USA with fentanyl or heroin. Yeah the G ov cares. Lol😂😂😂
I am an ER Nurse and your videos are very informative...thank you
I don't want to die a heroin addict... for the love of GOD! 11 years straight. I've never overdosed...even when mixing alcohol and various benzodiazepines.... I just use to function but I'm SICK of it! I don't want to depend on methadone or suboxone ...I'm fed up with chasing things just to feel "normal". I hear ibogaine is a cure all for addiction, specifically opioid addiction....where can I get this? Is it even true!???
Thank you for taking the time to reach out.
In regards to your question about Ibogaine, look forward to my next video coming this Tuesday! I will share my thoughts regarding Ibogaine in that video.
There is help available. Ask your doctor about a prescription for Suboxone (every doctor in the US with a DEA license can now prescribe it for opioid use disorder). If you don't have a doctor, look for a local treatment center and call them to schedule an evaluation.
I wish you luck in recovery!
I would most definitely recommend Suboxone treatment to address your opioid dependence. Suboxone is a partial opioid agonist. Meaning it has buprenorphine,”synthetic morphine” in the pill. It also has 2mg of naloxone in it,a opioid blocker that stops other opiates from binding to the brain receptors. You will have to detox a full 48 hours before you start taking Suboxone treatment therapy. Because if you start taking Suboxone while you still have heroin in your system it will throw you in acute opioid withdrawal. I highly recommend Suboxone treatment over methadone treatment for opioid dependence treatment. The combination of buprenorphine/Naloxone will make it much easier to handle your opioid dependence,while giving you a higher success rate of not relapsing. Once you decide to taper off the medication your doctor will work with you step by step of the way. He will take you down very slowly,listening to your body and making the detox process as painless as possible. From most medical professionals they will all tell you that detoxing from Suboxone is much more manageable with a lot less detox symptoms than methadone. With help and guidance from your doctor you can make it through these difficult times with your opioid addiction. Remember,overcoming your physical dependence on opioid addiction is just the first step. You will need to remain in outpatient rehabilitation programs like N/A meetings to keep you mentally on track. I wish you the best my friend. You can do it with determination and family support!
There has to be success stories, right? I mean there are risks to every procedure. Do those risks outweigh the benefits of this procedure working? Also, people keep giving their stories of precipitated withdrawal or narcan. People, these patients are under anesthesia. Their brain is essentially asleep. You can not feel pain without the brain.
I'm not saying this procedure is safe. But the idea of this procedure makes so much sense to me and anyone who has been in withdrawal. The question, "can't you knock me out for the withdrawal" has probably been asked by every addict in the world.
Safer protocols of this procedure will be developed but unfortunately there has to be sacrafices to get there. Those are my thoughts anyways.
> The question, "can't you knock me out for the withdrawal" has probably been asked by every addict in the world.
Good point Chad, this is the idea that motivates people to undergo AAROD and why it has such appeal.
However, there are methods for addressing withdrawal symptoms which are much safer and cheaper than AAROD, which is why the American Association of Addiction Medicine specifically warns its members against the practice in their practice guidelines: www.asam.org/quality-care/clinical-guidelines/national-practice-guideline
The problem is that AAROD will never really be safe compared to medications like buprenorphine and methadone because it involves general anesthesia, which carries inherent risks, and the use of high dose naloxone or naltrexone, which are known to cause pulmonary edema and cardiovascular collapse when given in high doses.
Even if AAROD was made perfectly safe, or as safe as other treatments, it only addresses one factor of substance use disorder, namely physical dependence. Too often, it is implied to patients that they only need one AAROD treatment and thereafter they will be cured of their opioid use disorder; this is false, and they will relapse without ongoing intervention which addresses the psychological and social underpinning of addiction. They are also highly vulnerable to OD afterwards, as the procedure decreases their opioid tolerance.
As I say in the video, I have no doubt that many people have had success with AAROD, but that doesn't negate the inherent risk of the procedure. It's important that people have accurate information so they can make informed decisions about their medical treatment.
Thank you for your comment; I can tell that you really engaged with the video! It's great to have this discussion, as I think it will help others.
@@JackMcG_MD buprenorphine and methadone give back a life to the patient But at the end the patient will be addict buprenorphine and methadone! what is the treatment or procedure to stop buprenorphine and methadone?
I came off methadone 70 mil a day cold turkey before that i was on heroin it was the worst i nearly lost my mind
70 mg to zero is a big step down! And the methadone withdrawals can last for a substantial time. I hope that you are doing better now.
I had ptecipitated eithdrawal when starting bupe. Most horrific experience of my life.
Sorry to hear about that. I hope you're doing better now.
As a patient receiving Opiate Agonist Therapy in the form of Suboxone for the last six years I feel I have the required perspective to say: ARE THEY OUT OF THEIR FREAKING MINDS??? I did the white knuckle cold turkey thing twice, once for three days and once for four and the withdrawal wasnt even beginning to let up. I can say with confidence that after 48 hours not one tiny molecule of dope was in my system, I was using fentanyl and carfentanyl and neither are lipophillic so they were probably gone after 12 to 24 hours.All I got for my effots was PTSD that is triggered by the faintest twinge of decompensated opioid receptors.
You could fertilize a dozen acres with the pure unadulterated shitty someone would feel when they come around.They might be detoxed but withdrawal lasts until new neurons grow and old ones regain their potential, I dont care how much naltrexone you pump in.
Any clinic offering this is preying on peoples desire to be "done" and back to "normal". I have seen the ads and they sound like Dr.Phil opened a chain of franchise detox clinics. "You are just trading one drug for another, you are still a dirty lowlife addict and the dope pusher doc is laughing in his M2 as he drives away with your life savings.
I exaggerate, but not much. Sending someone home after 48 hours is a recipe for disaster. Most addicts have a hit or two in the bookcase ans the second they remember it they will be in the john fixing up but WHUPS! Their tolerance is lower and now they are dead, cue the thoughts and prayers.
Dont listen to anyone that tries to sell you on anything other than Suboxone and a long long long long as long as it takes to do it painlessly, taper off. I will do it when my kid graduates and i can retire to the country, till then 20mg suboxone a day, enough to kill three normies. If all the things they say about how bad that is are true, why do I feel fine, have a career again and the ability to be a good father? Maybe i am delusional or a liar and some scumbag from a dope clinic that caters to misinformed parents is right, sure, that could happen.
Thank you for sharing your experience! I share your reticence about AAROD clinics.
There is also this thing called methadone too. Not sure if you have heard of it. Suboxone is not the only thing out there.
@@chadhiggins9944ive been told its harder to come off methadone
I am on 32mg a day and function quite well. It kills most of my pain and I never ever feel doped up.
Thanks for reminding me about my bookcase secret stash$
Remember when Dr Lance Gooberman did a procedure live on the Montel Williams Show back in the 1990s?
I thought they banned it in the US shortly after
Can AAROD be administered over a longer period of time? Also, can AAROD be used for someone who has been on buprenorphine for 15 years? I would like to stop using suboxone. Since I've been on it all these years, I doubt I could detox on my own.
Would Naltrexone work to detox from Bup? Since Bup contains Naltrexone.
Recently, I had surgery to fix my shattered clavical, and the pain is just too much.
Good questions!
You can't really extend AAROD over a longer period of time, because it relies on the patient being sedated under anesthesia to prevent the discomfort of rapid opioid withdrawal.
In general, AAROD is not a recommended method of detox anymore due to the known risks and poor long-term outcomes. The American Society of Addiction Medicine specifically recommends against AAROD for treatment of opioid withdrawal.
Much safer is a slow taper of the buprenorphine, around 10% reduction per month. The patient can also take clonidine and gabapentin to treat withdrawal symptoms in the final phase when they stop taking opioids all together.
It is also important to ask why we are tapering buprenorphine in the first place. If it related to pain, there are other options.
You should ask the doctor who prescribes your buprenorphine about these questions; they can address your concerns and create a plan for you based on your individual circumstances. If they aren't interested or can't help, seek out a second opinion. Good luck!
@@JackMcG_MD
Exactly what I'm doing currently. It's the only thing that I've found to get off Suboxone
I remember hearing about the Wiessman method years ago....always seemed hokey to me....good video....wat ya think about Ibogaine?
Good instincts. If something sounds too good to be true, it probably is. There is no free lunch in life and that includes treatment for addiction.
Ibogaine video is in production right now! Subscribe to catch it when it drops.
@@JackMcG_MD will do....
I was addicted to prescription pain killers for 5 years then went to a methadone clinic for 5 years... highest dose was 135mls then tapered down to 30mls and cold turkey from the 30mls, hardest thing ive ever done 3 straight weeks of acute withdrawals then post acute withdrawals set in... i am almost 7 weeks off the methadone and still not feeling like myself but I keep pushing through because my desire to get off all opiates was greater than my urges to keep using. I do get random craving but I know they will pass...There is no easy way out of opiate addiction sadly.
Thank you for sharing your experiences. What you said is very true; there is no easy way out of addiction. Sadly, a lot of people think that AAROD is that easy fix and some clinics exploit this to make money.
Hi, how are you doing ? Um, I'm a 53 male, from NZ, I take twenty 5mg methadone tabs twice a day, chronic pain from broken bones etc. (bone grafts, skin grafts, internal and external rods for over a year) so yeah I know EXACTLY what you must be going through, people really don't have the slightest clue what withdrawals feel like...the turbo charged anxiety, that sinking shaking feeling deep in your gut, the the sweats, shakes, shivers, the turbo charged dysphoria no words do it justice, do they ? Just wondering, is your liquid 1mg per mL ? I'm assuming it must be because 5mg per mL would mean a elephant sized dose , also, why did you go cold turkey from 30 mg ? to my thinking that would have been the hardest way to do it, why not just continue to taper down to zero, probably would be easier on you, no ?
@ashleyobrien4937 Hey thanks for reaching out. I am at day 71 today!... yes it must make it hard for you while you have physical pain to deal with... The reason I went cold turkey instead of continuing with the 1ml taper is once I got down to around 40ml it wasn't holding me anymore and I couldn't drop as quickly so I ended up being in withdrawals anyways but it was dragging on because it got to a point I could only go down 1ml a month sometimes having to skip a month and I was feeling bad anyways. So I figured I could feel really bad for a shorter period of time versus feeling moderately bad for months possibly years more trying to come off it slowly... it was really affecting me I was struggling everyday even with my 1ml taper so I figured it couldn't hurt to at least try. Once my son got out of school for the summer at the end of June I decided to try so July 3rd was my last day taking any methadone and I spend the entire summer in rough shape not able to do very, but it ended up being worth it because I made it to 71 days which is crazy because I could hardly make it 24-hours without it before..But I had it in my head that it didn't matter how bad I felt physically and mentally I was done. Hardest thing ive EVER done and by day 16 I had to take myself to the hospital just to be checked out to make sure I was alright and I was but they gave me anxiety medication to help me get through the rest of the withdrawals because I was having soul crushing anxiety...Had to look at my old bottle but it shows 30mg is 3.0mls...Still have some anxiety and I still wake alot during the night but it's much better than the first month and a half... sorry for such a long msg lol
Appreciate you sharing that , and yeah, I totally get your logic, trying to power through the last bit when the methadone isn't enough to keep you right..
@@KnewEyes1990Our quit dates are very close. My last dose was July 5. I also spent the summer going through the roughest parts of withdrawal. Nights I just rocked back and forth and froze to death. I wasn't going to spend another day on methadone. I was on 30mg a day and tapered over 2½ months down to zero. Was very uncomfortable but the real monster was after zero. Sleep is still fleeting and I get a peep of normalcy and that keeps me going. So very proud of you.
I dont understand how it would work. You are in withdrawal because your brain is no longer producing endorphins. This is just putting you through precipitated withdrawal under anesthesia for 1 day. Opioid withdrawal can last for a month.
It’s not that your brain is not producing endorphins rather your brain’s produced so many endorphins that it’s like the receptors are now indifferent to all the endorphins floating around. Look up ANR TREATMENT for better information
Great vid!
Thanks!
I went through a rapid natural withdrawal coming off a 100ml of methadone and heroin and alcohol in just two weeks in a detox clinic. Following a three week nightmare holiday where a doctor prescribed various Benzodiazepines to help I was still in a real mess when I turned up at the designated rehab. Following many months without sleep on my release after what I thought was a mild virus I ended up with severe chest pains and pins and needles in my arm and vomiting. Rushed to the hospital the ECG revealed I had something called pericarditis and cardiomyopathy and I’m convinced it was the trauma of my detox and lack of sleep that caused it at the age of just 29 in 2005
I did rapid detox off methadone in farmington mi and it's best choice I ever made.they keep u 4 days and u have your own private nurse. I had no pain or anything. I was not incubated
Whats yhe name of the clinic ?
Great job
@@Alcom6 rapid detox in Farmington mi
The name of the clinic?
Ibogaine is the only way to really and truly spare yourself the entire misery of acute withdrawal. It was my experience after a single ibogaine treatment that I may have experienced 15 percent of discomfort from withdrawal. Restless legs at night and insomnia were the only real symptoms I experienced.
Thanks for the comment, Anthony! I made a video covering Ibogaine: ruclips.net/video/5gJAbkSDPJI/видео.html
You should watch the video, but the takeaway is that ibogaine is not well tested and there are substantial barriers preventing it from being used as a widespread addiction treatment.
@JackMcG_MD it's definitely not for everyone I had great success. Others I was treated with didn't fare as well it's situation dependent.... like everything else. I'll check it out doc
I'm in Maryland, I have iboga in powder, grinded right from the tree stump. It's potent stuff
@@ariesevokes3897 ok
How can I do this please I need off subs
Do you have anything to recommend instead for people who are solely in need of assistance for dependency? There’s very little in terms of treatment/therapies for addressing chemical dependency alone. Not everyone dependent on opioids is chasing a high. Some of us have never gotten high, and have responsibly used prescribed medications as directed without increasing dosage or misusing. There’s very little information or options availible for those who sincerely only need physical assistance to eliminate the chemical dependence. Rapid detox or a treatment option that doesn’t merely replace current effective pain medication with a synthetic version to which also comes with dependency is very counter intuitive for this particular type of patient. Albeit a seemingly rare exception to the common treatment seeker…still very legitimate request for help, for the withdrawal side effects alone. Thoughts?
Good question. In theory, any medical doctor could manage a taper. A slow taper is the preferred method, and it can be done with either the drug itself or the patient switched to buprenorphine. In practice, many doctors refuse to participate in tapering for a variety of reasons.
Rapid detox is no more effective than a slow taper managed by a physician, but it is substantially more risky. That's why the American Society of Addiction Medicine specifically advises against Rapid Detoxification.
This is general knowledge and not medical advice tailored to your situation; I cannot provide more detail without examining you in person. The best start would be to speak with the doctor who prescribes your medications (or the one responsible for prescribing the one you are dependent on). It's their responsibility to either treat you or refer you to someone who can.
@@JackMcG_MD I’m terrified to speak to my doctor about how I’m feeling. I believe I will be immediately referred to the multidisciplinary clinic and abruptly taken off my medication. That’s why I’ve researched options like the Weismann method or Coleman institute. Once you’re in a class of people being referred elsewhere or discussing removing meds, they treat you the same way they treat abusers. You’re lumped altogether as if you have the same circumstances. Then the actual pain itself is ignored and all the focus is on removing meds. I should note my care is through the VA. I’m a Combat Disabled Veteran. From what I’ve read, there are numerous types of a rapid detox. Not all perform the same process. Are there any you’ve looked into that you don’t believe to be as harmful as whichever you’re warning about here? I’ve heard some tremendous testimonies for cases like mine with rapid detox type options. Maybe not for people with disorders and long term substance treatment needs, but I think unique cases like mine it’s worth discussing further. I’m not asking for personal medical advice, just general opinions on situations similar. Also, it can be very difficult to trust the authorities you mention, as their corruption is what’s led to the crisis we’re in. The establishment medicine model has been broken for decades. Difficult to trust their recommendations for a variety of reasons. Seems they don’t benefit from things like rapid detox, and prefer to hook us on synthetic options as that’s more $$ longer term which also needs tapering and causes dependency.
You would think after this much time and how large of a problem the opiod/fentanyl epidemic is there would be more and other viable detox options out there besides suboxone/methadone.
I understand the mindset that makes AAROD appealing as a treatment; people desperately want to stop using opioids but they fear the suffering of withdrawal.
That said, I doubt there will be any substantive advancements in withdrawal treatment for the near future. Suboxone and methadone are safe and work well enough that any new treatment will have a hard time justifying its value.
Kind of like how the US has used AR pattern rifles for six decades; they work well enough and a replacement has to be substantially better to justify the cost of development and replacement.
Ultimately, detox is really not that important in the grand scheme of addiction treatment. More important are the treatments that come afterwards.
What have you heard about ketamine and eliminating fentanyl withdrawal?? Would that be something I could be prescribed at my local pharmacy for by my MAT specialist? Thank you!
Good question
Good question!
Ketamine has been touted as a treatment for numerous chronic conditions, including treatment-resistant depression, chronic pain, and addiction. There are a lot of anecdotal reports but I'm not aware of any solid scientific evidence suggesting ketamine is helpful for opioid withdrawal or opioid use disorder.
I will have to research and make a new video. I have an upcoming video about Ibogaine that I plan to release on Thursday--be sure to subscribe so you don't miss it.
You can get intra nasal ketamine by an online clinic.
Nasal ketamine from your local pharmacy will be very expensive.
Iv ketamine clinics are around but it’s like $500 a treatment.
I would see if you can do ibogaine treatment and goto at least a 30 days rehab after.
Ive heard good things
I can't believe this detox procedure is allowed outside of the hospital. I am interested in ANR
I've done 6 of these. In my experience it works great off heroin but absolutely does not work off methadone.
I’ve never abused anything, but I am dependent on bupe. I had a car accident and had to take oxy for two years. Fast forward to now I’ve been stuck on buprenorphine for over 10 years. I tried sublocade and brixadi to taper off without success. Unfortunately, my body doesn’t process the injections like it should. I also had problems processing oral meds as well. My blood levels and urine test are still negative for bupe even with the highest dose of sublocade and brixadi. I’m looking for an answer because the doctors that I’ve seen are not sure what to do at this point. If you have any recommendations or have been through this, please let me know! Thanks!
I know I probably wouldn't survive detoxing off of my pain medications.
Detox from opioids can be performed safely, but you should never attempt it without first speaking with your physician; it takes a careful plan to be successful.
There's also the question of whether it is even worth it to attempt detox. Again, something to speak with your physician about.
You will survive, if your actually wanting too. I thought the EXACT same way, but do it professionally
@@JackMcG_MDwas prescribed Percocet & a Fentanyl patch by my Pain Management Doctor after 2 failed back surgeries , the last one took out all my Lumbar discs & fused my spine, 2 failed spinal cord stimulator trials, physical therapy, and rounds and rounds of injections. I’ve been going to the same pain management clinic for 11 years . Last month I had my usual 3 month check up , everything routine. Except , they never sent in my meds to my pharmacy. The same pharmacy I’ve used for 11 years. I called the clinic and they said my prescriptions were pending and the would be sent by the end of the day. But they didn’t send them. I called 5 days in a row and they said the same thing, oh they’re pending. I explained I was completely out of my meds but I still didn’t hear back from them. I went into withdrawal and have been sick for 3 weeks. I have a fever of 100°-101°, gastrointestinal severe issues , the chills, my skins feels like it’s burning, shaking , and I e had several horrible Hallucinations, which I didn’t know could happen . I haven’t eaten any solid food for about 12 days. I don’t understand why they did this to me. I’ve been on the same amount/dosage of medications for 10 years . I’ve never asked for more, I’ve never missed an appointment or even been late. I get tested every 3 months to make sure on on my meds. They must’ve know what a horrible withdrawal I’d get after being on it constantly for 10 years. I still feel like I’m half dead plus the back & nerve pain and my Arachnoiditis is so painful. Do you know if this is a normal thing pain clinics do to their patients?
We do sedation, Detox?, we are our patients safely sleep through Opiate withdrawals while the doctor uses medication to eliminate the Opiates from the Patients system. This is all done in a private hospital. And we’ve been treating patients for 16 years with no incidents. Our patients are given medication‘s for any symptoms that may arise as post acute withdrawals, and they are put on vivid trawl, which is not addictive and stops cravings.
Thanks for your comment!
How do you square your practice with the recommendation against using sedation or anesthesia during rapid opioid detoxification, published by the American Society for Addiction Medicine? Not to mention the well-recognized inferiority of naltrexone compared to MOUD with methadone or buprenorphine.
Do you discuss these facts with patients prior to the procedure so they are fully informed of the risks and benefits?
I fully support patient autonomy, but patients can't make informed decisions without a full and accurate accounting of the facts.
Link to ASAM's clinical guideline for reference:
www.asam.org/quality-care/clinical-guidelines/national-practice-guideline
Yep you guys helped me!!! I'm clean and not going back after 15 lomg years on methadone. U guys gave my life back
Usually I'm not one to comment on spelling and grammar, but your services are definitely drawn into question if you can't even properly spell Vivitrol.
Diazepam and clonidine are the best non-opioid drugs to use in acute withdrawal but its effectiveness is dose dependent. I would say up to the equivalent of 200mg oral morphine/day, almost ALL the acute symptoms can be cured starting with 4 times a day using 10-20mg diazepam dosed on a tapering schedule over 3 or 4 days.
Thank you
Welcome!
Are we no longer allowed to say dead? Unalive???
Thank u for the insite…
I would love to do a ketamine infusion for the 1st week straight, the worst would be over with & this would help SO many people!!!! Or put me completely out for that long! Id do it in a heartbeat! 🙏 Wish this was an option....
Try Kratom instead.
That's the appeal of AAROD. But there is no free lunch when it comes to opioid withdrawal.
@@JackMcG_MD my biggest thing is when my heart starts palpating & so dizzy to stand I feel like im gonna pass out. Suboxone itself put me in the hospital. So its cold turkey withdrawls & nothing for my already existing anxiety. I would love to be put under tho. I know its a rough ride & sucks I have to go thru it again. Good news is once my surgeries is over I can withdrawl for the Last & final time. And just be Done with it. ❤️ And never back on it again!
@@russianaloha4576 Did you read where I suggested kratom? Or do you just want to suffer thru it?
Ibogaine is the “cure” for opiate addiction. One dose, no withdrawals, and about 15 hours later you’re no longer dependent on opiates.
why arent these people warned about the health risks? risk your life for a rapid detox. whats the big hurry?
Good question!
Before any medical procedure, the physician should inform the patient of the risks and benefits so that the patient can decide whether or not to undergo the procedure.
I suspect, however, that the physicians performing AAROD downplay the risks either because they have a vested interest in convincing the patient to undergo the procedure or they believe that they can prevent these complications because they are more skilled than other doctors.
I'm glad that people are watching the video and learning the risks of AAROD.
Unalive? There's a word for that isn't there?
Listen here smart guy; I went to doctor school, not using-smart-words school.
(For real though, I thought that it might reduce the odds of RUclips shadow restricting the video if I avoided the D-E-A-D word; other creators seemed to go out of their way to avoid it, so I did too. Now, I'm not sure it actually matters.)
@@JackMcG_MD What is the difference between a a ROD and a ANR Clinic Advanced Opioid Treatment Center
What’s the difference in aarod vs anr?
69 subscribers? cant be that good of a dr
RUclips subscriber count is, of course, the best metric by which to judge doctors.
As the average doctor has zero subs, that actually puts me in the top one percent of all physicians worldwide! Thank you Evo ManiaC for your support! 😂
@@JackMcG_MD😂😂😂
@@JackMcG_MD 🤣
Do you think this treatment has any medically appropriate place at all? Perhaps for addicted patients who feel that the withdrawal portion of recovery is the biggest hurdle for them and for whom cannot be expected to ever thrive or achieve sobriety due to many years of opioid addiction and with many failed attempts at other standard treatments? Or do you think it has no place in medicine at all?
The American Society of Addiction Medicine recommends against AAROD given the risks. There are much safer methods to treat withdrawal. I agree, as AAROD isn't even very effective. I've met so many patients who have been through multiple AAROD treatments and relapsed each time.
" much safer" less successful right? I mean cloinidine and baclofen thats inhuman man. You forget to tell everyone medicinces havent gotten any better for 50 yrs. Treating SS of Wd. BIG PHARMA QANTS YOU HOOKED ON MONEY MAKERS LIKE BUP METHADONE ETC
How do you induce general anesthesia without opioid agonists let alone giving a whole bunch of antagonists.
You are correct that giving opioids for sedation would be counter to the goals of AAROD. However, there are many different classes of drugs that can induce anesthesia. The exact drug depends on the particular protocol that the doctor (typically an anesthesiologist) is following, but can include propofol, midazolam, etomidate, ketamine, or inhalational anesthetics. Propofol is common because it allows you to provide "total intravenous anesthesia" (TIVA), thereby avoiding the need for expensive equipment to handle gases; it also has a rapid onset of action and is metabolized quickly, so you can tightly control the depth of anesthesia on a minute-to-minute basis.
AAROD is similar to general anesthesia for surgery, but it differs because there is no need to treat pain or paralyze the patient. Therefore, the doctor can simply use medications that obliterate consciousness. The patient is experiencing the discomfort and pain of withdrawal while under sedation, but they won't remember it after waking up from sedation because the anesthetic drugs prevent the formation of new memories.
Potassium deficiency came up more than one. Does this process have some interaction with potassium?
Great question!
Low potassium increases the risks of deadly cardiac arrhythmias. This is why we take the time to check potassium levels in hospital patients and give supplemental potassium when levels are low.
I'm not exactly sure how, but there are reports that naloxone to lower potassium levels. Since AAROD involves the use of huge doses of naloxone for prolonged periods, it makes sense that many of these patients have low potassium.
Poor oral intake can also lower potassium levels, and therefore a person undergoing a stressful procedure might have low potassium levels because they are eating less.
I think ill pass on that😮 sounds sketchy to me
The American Society of Addiction Medicine (ASAM) agrees!
Dr mcgeachy do u have any info on ibogaine treatment
Believe it or not, yes! Here's a link to the video: ruclips.net/video/5gJAbkSDPJI/видео.html
If doing microdosing once you get to day 5 6 a 7 when Do you stop the fetanyl use know you are in the clear
The particulars depend on the protocol being followed. That said, one popular schedule has patients stop using full agonist opioids at day seven.
There's a lot that goes into deciding on a particular protocol for an individual patient and it requires individualized medical advice from a doctor who has evaluated you personally. Therefore, I am unable to give any specific advice on RUclips.
Weird how different people are, I always found the physical symptoms of opioid withdrawal to be easy to deal with its not til day 3 the crazy depression that I find hard to deal with combined with bad insomnia
The insomnia and depression are often the worse part of withdrawal for many of my patients and it leads them to use just so they can get some sleep.
Worst part is that it can take 3-6 weeks before the insomnia resolves.
@@JackMcG_MD yeah that's my case, bad insomnia ever since i broke my jaw when I was 18, and got pumped with ungodly amounts of morphine then some kind of liquid painkiller after i got it wired shut for a few weeks. Thankfully I never got into shooting up but boy does that memory of having morphine straight through the IV in the hospital remain as crisp as a memory can. I assume the physical symptoms would be much worse for people who shoot it.
I know someone who spent a alot of money on this woke up syill scick goes and using what he was doing before this because he had lost his tolence he over dosed
That's terrible! That's a good example of why I am deeply skeptical of AAROD.
Chelmsford Private Hospital tragedy .FYI 😢Sydney ,Australia.
Wow, I had not heard of "Deep Sleep Therapy" previously! That's wild. Thank you for sharing with me.
That guy probably had a bad reaction to the naltrexone
In Jordan Petersons defense, he claimed he was experiencing akathisia. What’s interesting is if he wanted, he could have gone back to Canada and applied for assisted death from his claim of suffering alone.🎉
I don't like what he says but I do feel bad for the man, who was (and probably still is) suffering. It's a shame he felt that there were no options for treatment aside from flying to Russia to participate in a recklessly dangerous detoxification procedure.
He underwent a form of rapid benzodiazepine detoxification under anesthesia, which is similar to AAROD and more dangerous.@@PHL82
@@JackMcG_MDyou don’t like what he says so you use deception in the title in this video to get clicks so ppl see you lie About this guy. What kind of doctor are you ?
Hi, thanks for taking the time to write a comment. I think you may be reading more into the situation than is actually present. If you watched the video to the end, you'll see that I make no comment on Peterson's philosophies or teachings. Additionally, I explain the nuance that he did not undergo AAROD, but instead a related procedure for treatment of benzodiazepine dependency. Both procedures are dangerous, but rapid benzodiazepine detoxification is so much more dangerous that no one in North America offers it (which is why Peterson had to travel to Russia.)
Unfortunately, it's not possible to fully express such a complicated topic in a RUclips thumbnail, so I understand the confusion. Your comment is timely, because I am updating the thumbnail to better reflect the contents of the video (it's tiring to hear the same comments over and over from folks who didn't watch the video to the end!). @@PHL82
@@JackMcG_MDwhat is the name of this procedure? I just rewatched Petersons 3 hour testimony regarding his benzo dependency and withdrawal/detox. He talked about it at length and never once did he say he was sedated. What is the medication given to induce benzo detox?
This would definitely be worth it if addiction was primarily about physical addiction, but really, it’s about mental emotional and spiritual matters. Your beat down depressed, and it’s like your brain has an incessant. Need to follow the same ingrained habit loop.
I’m not a doctor, but I almost wonder if like OCD medication would help or something because it is like your brain just Hones in on these one or two things and can’t stop obsessing with it
Absolutely true. AAROD is ultimately pointless because it really doesn't matter how you detox from opioids, but rather what happens afterward.
Unfotunately its the physical w/d symptoms that are so excruciatingly painful that an incredibly high percentage of patients are unable to find success in staying clean long for enough to even address the mental side.
Yes it def needs to be a focus but it makes no diff if you cant make it past the phys part first.
1. He didn’t come to “Advanced Rapid Detox” so you should probably NOT quote the name of our medical practice.
2. We do OPIATE detox Under Sedation. Jordan Peterson was addicted to BENZODIAZEPINES.
3. A rapid detox NOT resolve benzodiazepines addiction.
4. We treat 500 patients a year for the past 17 years with no issues.
5. Our patients are SAFELY under IV sedation while the doctor uses medication to reverse the OPIATE from the receptor.
Once they are cleared, we give patients VIVITROL to stop cravings.
Again, don’t quote OUR business name OR our process when it’s not relevant to what you are discussing.
The medication that was used on Jordan Peterson for benzo. Detox isn’t even indicated. No wonder it almost killed him. But don’t use advanced rapid detox as an example and don’t use Waissman -that’s not what we do.
Hi Honey, thank you for sharing your perspective!
Allow me to respond to your concerns:
1. At no point during the video do I mention any clinics or practitioners by name. The patient complications I describe in the video occurred at an unnamed clinic in New York and were published by the New York Department of Health. Prior to our interaction, I had never heard of "Advanced Rapid Detox" and I was not actually aware of the fact that AAROD is still practiced in the US (I thought it died out with the adoption of buprenorphine and the publication of a string of deaths related
to the practice in the early 2000's). AAROD is the term I use throughout the video and it stands for "Anesthesia Assisted Rapid Opioid Detoxification" which is the academic term for the practice. RUclips links videos on similar topics and this is likely why your viewers were directed to my video.
2. As I mention in the video, Peterson underwent a related but distinct procedure "Anesthesia Assisted Rapid Benzodiazepine Detoxification" which is a procedure with more risk than AAROD. Rapid Benzodiazepine Detoxification is so dangerous that no North American clinics provide the service, necessitating Peterson to travel to Russia. This is a misunderstanding that other commentors have made, likely because they skipped that part of the video. This misunderstanding is understandable as I used his case as a hook to entice viewers to watch the video and I can see how someone who simply looked at the thumbnail could make the mistake.
3. Agreed with no reservations. I'd add that AAROD does not resolve Opioid Use Disorder, but merely treats the withdrawal. The American Society for Addiction Medicine (ASAM) specifically warns against using AAROD for the management of acute opioid withdrawal because there are far safer and cheaper therapies available.
4. Glad to hear it. ASAM still recommends against the procedure. I do support patients having a choice of treatment options, but they need to be informed of the risks and benefits. Risks including pulmonary edema from large quantities of naloxone, electrolyte derangements which can cause cardiac arrhythmias, and the risks inherent to any sedation. The benefit of AAROD is amelioration of opioid withdrawal symptoms, but the procedure does nothing to address the underlying opioid use disorder and the patient will still require ongoing therapy. Existing medications like methadone and buprenorphine can also treat withdrawal with a much lower risk of adverse complications; if non-opioid treatment is desired, clonidine and gabapentin can help. If I was a patient, it doesn't make much sense to pay for an expensive procedure with potential for serious adverse risks, when I could just take FDA approved medications which will treat my symptoms just as well. Patients can save the money they would have spent on AAROD and use it for therapy to address the root cause.
5. Yes, noted. It sounds like the clinic you describe practices AAROD.
Just to reiterate, the name of your clinic is never mentioned in the video or its description. This video names no individual clinics or practitioners. It is not intended to comment on the quality of services delivered by any particular practice. Instead, it is my expression of my views on the practice of AAROD, which are in line with the recommendations of the American Society of Addiction Medicine (ASAM) and supported by scientific evidence.
@@JackMcG_MD you do mention Waisman Institute. And while we are not affiliated, they do excellent work. At AdvancedRapidDetox, we do not do accelerated Detox we do Opiate reversal under Iv sedation. We are grateful to treat 500 patients every year for the past 17 years with no incidents. Using sensationalistic headlines keeps people trapped in addiction. Instead, use your expertise and influence to help people get the help they need want and deserve. I’m not saying that the method we use is the only method, but we certainly work with people toward the goal of sobriety, as opposed to keeping them locked in fear.
@@Honey81762 I understand the source of your confusion. I wrote "Waisman Method" in the video description, not "Waisman Institute." Waisman Method is sometimes used as a term to describe AAROD.
You use the term "we", so I assume that you work at "Advanced Rapid Detox"?
@@JackMcG_MD We would like to address some inaccuracies in your post. Firstly, Waismann Method® is a registered trademark and the registered name of our "reputable organization". Secondly, your information regarding detoxification under sedation is incorrect, misleading, and potentially hazardous. We kindly request that you remove our name from your promotional materials. If you are genuinely interested in acquiring accurate and reliable information about detoxification under sedation, we invite you to consult our highly qualified quadruple board-certified medical director, who will be more than willing to provide you with the correct knowledge.
What about PAWS? That can last up to a year or more!
For sure! PAWS can be a huge stumbling block on the road to recovery.
Unfortunately, AAROD does nothing to address PAWS, which is another reason to skip this treatment.
@@JackMcG_MDactually the place I went in farmington mi gets u in touch with counseling and na after and they keep up with u.
I never suffered from PAWS after my taper. I took 8 mg films for 16 YEARS. I tapered correctly with my Doc. It's been one year and 7 months now and i quit smoking 7 months ago. In free😂
it was a benzo detox fool
Hi David! If you watch the video to the end, you'll see that I address that. Peterson underwent Anesthesia Assisted Rapid Benzodiazepine Detox, which is largely the same procedure as AAROD, except the benzodiazepine antagonist flumazenil is used in place of naloxone. Both are risky procedures, but the use of flumazenil in particular is scary because it can induce intractable seizures which don't respond to standard medications.
It's also dependency, not addiction.
@@THXx1138 Thanks for the comment!
Let's talk about that. Physical dependence and addiction are often used synonymously but they really aren't. You can be dependent on a substance but not addicted; addiction refers to the constellation of behaviors related to use of a substance, which have an overall negative impact on a person's life.
I have no idea if Peterson met the criteria for benzodiazepine use disorder or not. That's why I use the word dependency in the video when discussing Peterson (I'm not sure you actually watched that part of the video, lovesilk1).
1:43 bradycardia 1:48
I really loved your video until you claimed you can use methadone to treat withdrawal symptoms. Methadone is nore addictive than heroin or fentanyl. You are just recommending cross addicting addicts to a harder drug. Sick
Doc edit your videos with info graphics or any other detail graphic please not only your face..belive me i like your given info about topic but seeing u all the time even i like ur humor in other videos,this is disturbing like teen videos,click bait
This is an older video, and my style has evolved a lot since then.
Hey kids, don't do drugs.
Just say no.❤
Thanks for sharing your comment.
While it's never a good idea to start using recreational drugs, it doesn't change the fact that some people do and we need to help those people who develop substance use disorder.
@@JackMcG_MD I use cannabis. And have tried EVERYTHING.
Ketamine therapy has been a Dream therapy for depression and chronic pain.
I am in a study at Stanford. First with IV monitored injections and now with nose spray. The most effective yet.
Every pleasure has its edge of pain.
Now pay for your ticket and don't complain.
Very true. There's no such thing as a free lunch in life and if someone is trying to tell you otherwise, you should be skeptical.
That said, there are very effective treatment for opioid withdrawal that are far safer than AAROD, namely buprenorphine (Suboxone) and methadone.
Most drs don’t talk about habit forming medication so it’s not quite that simple
And why don't u talk about all the people that stay clean after compared to 7 cases u can only come up with. How about all the bad effects of methadone?? I couldn't lose weight. I was always tired no matter what I was on. My hair was falling out. Cost me $800 month outta pocket. I always had nightmares and no matter how slow I tapered I would get down to 30 and be sick. Your part of the problem pushing methadone. Couldn't be about kickback u get could it?
Thank you for sharing your experience. Everyone has a unique recovery journey, and there are multiple ways to approach treatment.
That said, there are some treatments in which the risks outweigh the benefits. The American Society of Addiction Medicine specifically advises against AAROD because the risks outweigh the expected benefits. The negative outcomes I discuss in this video are simply examples of what can happen.
What about the upsides? Well, it reduces the discomfort from withdrawal. That's it. The patient still needs ongoing treatment for their opioid use disorder. Detox is part of recovery, but it is a small part, far from the most important.
Something I see again and again is patients who undergo AAROD and then almost immediately relapse into drug use. Sometimes, it is opioids, and other times, it is another substance. That is because they assumed that AAROD "cured" their addiction, which is the mindset promoted by AAROD clinics.
In regard to methadone, I do not prescribe the drug to my patients. Methadone needs to be dispensed from specially licensed treatment centers. Buprenorphine (Suboxone and Subutex) are generic drugs and are relatively cheap now. That means there is not much incentive for drug makers to promote these medications anymore. I do not receive any money from drug makers for prescribing one drug over another. To do so would be illegal.
AAROD clinics charge their clients thousands of dollars for a single treatment of dubious efficacy. Who's the one with the profit motive?
@@JackMcG_MD sure whatever u say...I've paid over $70,000 to the clinic..so yea they def have a financial profit
U wanna talk statistics Trends in methadone-involved overdose deaths showed a step increase starting in April 2020 both with (54.2 deaths per month; 95 % CI: 39.4-68.9
I kind of went through rapid detox although without the sedation part. Went to detox, took 2mg of buprenorphine and went into precipitated withdrawal. This was not my first time. It’s absolute hell for about 4 hours but I got through it. Don’t read those words lightly. When I say “hell” I mean worse than that. I mean the worst pain physically and mentally you can imagine x100. I do not recommend it. But the next day after taking comfort meds to sleep I was done with withdrawal. Again, do not do this if you’re reading this. I had actually done it at home 3 other times. I have never in my life before that or presently ever thought about unalive myself. But that precipitated withdrawal had me considering it. “Luckily” I had “something else” to get me out of it. Go to a reputable detox facility and do it the right way.
Precipitated withdrawal is one of the worst thing that a human being can experience. It won't end you but it can feel like that.
Hope that you're doing better now. It sounds like you are.
For anyone reading this, I actually have a video about PW and how to prevent it: ruclips.net/video/yhRWh2UGww0/видео.html
@@JackMcG_MD I’m actually doing very well. Over 9 months sober. I’m working, being a father, and being a husband. Living a responsible life is so much better. I’m thankful to be here living my second chance.
Go to a methadone clinic…. Just what I would expect to hear from someone who is trained to push life long prescriptions at all costs
Thanks for sharing your perspective! What's your experience with methadone?
The last 3 clinics I had attended were somehow giving me clean urine results every month even though I was still using daily, and in most cases just an hour or 2 prior to dosing. So, yeah, there’s something crooked about it. With the evolution of the drug formerly known as heroin and fentanyl, I believe that the clinics know that their days are numbered. With the growing amount of tranquilizers in the drug and whatnot, other substances that methadone is not effective at treating, I’d be scared too if I was in the methadone business. It’s just not as effective as it used to be for the reasons I stated above
@@chrissnatchko7795 I appreciate you sharing your thoughts. It sounds like you are concerned that methadone isn't effective because fentanyl is contaminated with new drugs and that some methadone clinics may be diluting doses or substituting an inert substance for methadone.
You are correct that more and more "heroin" and fentanyl are being contaminated with untested research chemicals and veterinary medications like xylazine. However, the basics of opioid addiction haven't changed and treatment can still help regardless of the particulars of which substance a person uses. We aren't sure what the best way to address xyalzine dependence is, but there are options. Methadone and Suboxone will still work for fentanyl.
While it's possible that the clinic might be dispensing diluted or substituted methadone, it's unlikely. There are very strict controls against diversion and if a clinic was diverting medications or dispensing fake methadone, they would be in serious trouble. It's more likely that those urine tests were simply inaccurate; they can be unreliable depending on the time of day, the hydration status of the person, and the unique metabolic makeup of the individual. If there is ever a question about a urine drug test, confirmatory serum testing ought to be performed by taking a blood sample for testing. Serum levels are more accurate.
I don't personally treat my patients with methadone, because I do not have the license required to dispense methadone, but I do think that methadone is a good treatment option for opioid use disorder. It's very effective in improving quality of life and decreasing risk of medical complications and death. The history of methadone is also very interesting and I'm working on a three video series just about the history of methadone. Even if you disagree with methadone treatment, it's history is fascinating!
Suboxone works but it took me 6 days of detoxing before taking my sub and I still hit precipitative withdrawal hard for about 48 hours I took another strip and it had worked and took me out of withdrawl but I still needed to take 8mgs every few hours to prevent going back to withdrawl it was to the point I was running out of my strips well before my next refill I tried the sublocade shot and it did nothing to keep me out of withdrawl I ended up buying subs of the streets and it got to the point I may as well just be back on the fentanyl just maintaining my symptoms doing the minimum amount i think this aarod therapy is the only answer for me at this point I’m desperate
Avg 20k for Weismann method but I think soon junkies will be able to do this at home with heart monitors and o2 sensors to keep them alive during anesthesia propofol is easy to dose by weight
Home AAROD? That would be impressive, but ill-advised. Propofol is also quite tricky to dose correctly; there's a reason anesthesiologists spend so much time in training!
Lol he went thru benzodiazepine detox and rapid opiate detox is still available in the USA not in Canada anymore
If you watch the video, I explain this. Both procedures are recklessly dangerous.
I am stuck in this cycle of suboxone abuse and then quitting thema and going to kratom or hydros and i want to quit so bad i been doing this over a year now going betrween all three and then detoxing for a month or 2 and going right back and everytime i go back i just want to quit again and it makes me feel like crap, i know relaps is apart of it but i can not keep doing this, the depression is killing me and i am going through so much stressful stuff in real life it always drags me back into my addictions! What do you recommend i want to quit and be done wiith it all for good but after so long in to sobrity i always go back! I am 24 hours clean once more and i want to keep it this way for good no more of any of it the detox is not so bad yet but the depression is rough and i know it all goes away i am so worried that i am doing this all for nothing and i will just go back please help!
So sorry to hear that. I can't give medical advice on RUclips but I would encourage you to seek out local treatment options; there are very effective treatments for addiction nowadays which do work and will improve your physical and mental well-being.
I wish you the best!
@@JackMcG_MD thank you very much I really do appreciate it, and yes I am gonna try to go to counseling or therapy to help me get through this I already let all my friends and family know what's going on and I am feeling a little better today soon will be 72hours clean and I know I just got to keep going and telling my self that I am better off and feel better without them especially after 3 months it keeps getting better
@@honestamerican5 I know your pain. I was doing something similar until August of 2021 I came off the Suboxone and got hooked on fentanyl. I was addicted to fentanyl for a year. I never wanted to do therapy and go to an inpatient/outpatient program. I didn’t think that kind of thing worked. But I wanted my life back. I wanted to be a better me. I’m thankful everyday now that I did it right this time. There is a proven method because it really does work. You can’t fix addiction if you don’t treat your underlying issues. I went to a detox facility followed by an inpatient program, followed by an intensive outpatient program. I’m currently over 9 months sober and going to individual therapy and group once or twice a month. I’ve never been better. I know it seems like a long road. But it’s not. You’re worth it. Do it the right way and do the therapy. If I can do it. I know you can.
@@honestamerican5 let me know if you have any questions. I’ll answer what I can.
@@hoot1141 Thank you so much for the help I truly do appreciate it and you have gave me so much hope because I know it's possible to get past all of this and be happy again. I am doing better with the detox today it's day 4 and I am feeling better, I still not sleeping but I know that will come back to me and energy sucks but I been pushing myself to keep going and I am already happy knowing I am getting free again. Also I am gonna make a counselor and therapists appointment today, I know that it will help to have someone to talk to about the struggle and what I am going through I know my family is getting tired of hearing about it. I do have one question if you don't mind, do you still get the paws even tho you are clean so long?
Too bad it didn't :/
All I can say is that Peterson is a weird little man and I am still confused why he has so much fame.
All these issues you presented seem to be from massive doses of narcan like you said .
A lot of the problem seems to be related to the naloxone megadose. There is also a risk from sedation as well.