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For those requiring a higher level of care, such as medical detoxification for heroin or opiate withdrawal, or 24/7 sober companion and oversight services, there exist recovery coaching firms that specialize in providing what could often be described as an alternative to inpatient or outpatient treatment. [citation needed]
In March 2011, Amazon announced that subscriptions to The New York Times through its Kindle e-readers would grant access to nytimes.com, [90] followed by the Barnes & Noble Nook in April. [91] In March 2023, Amazon ceased sales on newspaper subscriptions through Kindle Newsstand [92] and canceled existing subscriptions in September. [93]
The CDC reported recently that heroin-related overdose deaths jumped 39 percent nationwide between 2012 and 2013, surging to 8,257. In the past decade, Arizona’s heroin deaths rose by more than 90 percent. New York City had 420 heroin overdose deaths in 2013 — the most in a decade.
The severity of symptoms can be assessed by validated withdrawal scales, such as the Clinical Opiate Withdrawal Scale (COWS). [15] There is no test to diagnose for morphine withdrawal. [7] However, a toxicology test using urine is conducted to determine if withdrawal symptoms are caused by other non-opioid drugs or a combination of both. [7]
Toby Fischer lives in South Dakota, where just 27 doctors are certified to prescribe buprenorphine -- a medication that blunts the symptoms of withdrawal from heroin and opioid painkillers. A Huffington Post analysis of government data found nearly half of all counties in America don't have such a certified physician. So every month, Fischer and his mother drive to Colorado to pick up their ...
The number of prescribers rose last year after doctors no longer needed to get a special waiver to prescribe the drug, while the number of patients filling prescriptions barely budged.
Drug detoxification (informally, detox) is variously construed or interpreted as a type of "medical" intervention or technique in regards to a physical dependence mediated by a drug; as well as the process and experience of a withdrawal syndrome or any of the treatments for acute drug overdose (toxidrome).
Since 2000, fatal overdose rates involving heroin and prescription painkillers have increased by 200 percent, according to the Centers for Disease Control and Prevention. From 2013 to 2014 alone, the rates jumped by 14 percent.