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  quote[0]="<h3>A Day At The Doctors Office</h3><p>Do you ever wonder when you go to the doctor each time the receptionist ask you for your insurance card? I sure do. I went to the same doctor for 10 years seems they would know me by now or have made a copy of my insurance card. Have you ever read the sign that says payment due when services rendered, just to hear the lady ask you for your co-payment before you’ve even had the chance to sit down? Or how about after sitting for a long time in the waiting room, they call you back just to take your blood pressure than send you back out in the waiting room again. Or they call you back just to have you wait in another area. I have always felt this was a tactic to make you feel like your getting somewhere when your really not. How about while waiting, your Doctor happens to see you, and he does all he can do not to make eye contact with you, or if you do they act like your a perfect stranger.</p> <p>How about that study I heard where the average time actually spent with the doctor is about three minutes. I then have to ask myself the question, why am I waiting so long in the waiting room. Or how about the one when the pharmaceutical rep just walks in asking for the Doctor and they tell them to come on back. I guess those free game tickets, or the free day at the spa is really more important than my health. These are just some of the mysteries I have never figured out when going to the doctor.</p> <p>Those days are history. Knowing what medications I need each month, knowing already my diagnosis, obtaining prescription medications online is the wave of the future. If I need to get my pain medication, I have a consultation with a U.S Physician. I receive a 90 day supply of pain medication. You get the initial scipt filled, plus two refills which can be filled on the 25th day. Same goes for my treatment of my anxiety. All medications are written by U.S Physicians and filled by U.S. Pharmacies. Such medications as <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Hydrocodone\">Hydrocodone</a>, <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Vicodin\">Vicodin</a>, Lortab, Xanax are available. When receiving other non controlled medicatons for my migraine headaches, high cholestoral, ocassional depression, and a few other meds, I receive a free conslultation from a U.S. Physician and filled again by a U.S. Pharmacy. These medications are shipped usually by overnight delivery.</p> <p>With this type of service available, more and more people are turning to the internet for their medication needs. Why wait hours in a doctors office, why pay the outrageous office visit fees, why feel treated like a number and not a person, when you can get the meds you need delivered to your door at a great low price. With so many people losing their healthcare benefits, losing their insurance, more people will be getting their medication online. So days at the doctors office to get your prescriptions are numbered.</p> "
  quote[1]="<h3>About <b>Ultram</b> and Chronic Pain</h3><p>If you’re using <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Ultram\">Ultram</a> for chronic pain, you are not alone.  This medication is quickly becoming one of the first choices for doctors and patients alike.  Many are using <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Ultram\">Ultram</a> for chronic pain and finding relief with their choice.</p> <p>   Ultram is what is called an extended release medicine, meaning that the medicine continues to break down in your system over the course of a 24-hour period, giving you continuous relief throughout the day.  This is as opposed to a medication like aspirin, which breaks down almost immediately and gives you some relief but wears off just as quickly.  Using Ultram for chronic pain is good for those who have problems day and night with their pain and cannot get relief even when in bed or when trying to sleep.</p> <p>   Ultram for chronic pain is also preferred among so many sufferers because it is very easy to take.  The dosage is one pill a day, every day.  You can take it on an empty stomach or after you’ve eaten, so you can choose the time of day you take the pill; you just need to take it at the same time every day.  This makes it very easy for those who have a hard time remembering to take their pill after a meal.</p> <p>   Those who are taking Ultram for chronic pain report great results.  While they still typically have some limitations and there are of course side effects, many have a tremendous amount of relief from their pain consistently.  If you are considering use Ultram for chronic pain, you should definitely speak to your doctor, and if this medication is prescribed, be sure you follow his or her instructions carefully.</p> "
  quote[2]="<h3>Dilaudid: Prescription Drug Abuse & Testing</h3><p>Dilaudid is the trade name of hydromorphone hydrochloride which is a hydrogenated ketone of morphine that is used as an opioid analgesic to treat moderate to severe pain. White coat clad chaps call it 4, 5?-epoxy-3-hydroxy-17 methylmorphinan-6-one hydrochloride in their language.</p> <p>   Some bacteria have been shown to be able to turn morphine into hydromorphone. As reported in the July 1993 issue of Applied Environmental Bacteriology, the bacterium Pseudomonas putida, serotype M10, a naturally occurring NADH-dependent morphinone reductase which lives in an aqueous solution containing morphine, forms a significant amount of hydromophone as an intermediary metabolite. Same way, codeine may also be turned into <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Hydrocodone\">Hydrocodone</a>.</p> <p>   Dilaudid Prescription, Dosage & Administration:</p> <p>   Dilaudid, a narcotic analgesic, is prescribed drug for the relief of moderate to severe pain due to biliary colic (pain caused by an obstruction in the gallbladder or bile duct), burns, cancer, heart attack, injury (soft tissue and bone), renal colic (sharp lower back and groin pain usually caused by the passage of a stone through the ureter) & surgery etc. </p> <p>   Hydromorphone comes as a tablet and also in liquid form & thus can be taken orally. It also comes as a rectal suppository. Each 5 ml of Dilaudid oral liquid usually contains 5 mg of hydromorphone hydrochloride. In addition, other ingredients may include purified water, methylparaben, propylparaben, sucrose, and glycerin. Dilaudid oral liquid may contain traces of sodium metabisulfite. Although, dosage is adjusted by physician according to the severity of the pain and the response of the patient, however, frequently, oral forms are taken every 4-6 hours while the suppository is usually used every 6-8 hours. </p> <p>   Dilaudid Abuse:</p> <p>   Hydromorphone has been observed to be one of those habit-forming drugs. Hydromorphone is largely abused in US and is subject to criminal diversion.  So, you should never take a larger dose than what is prescribed by your physician. Taking it more often or for a longer period than what your doctor tells you to is equally harmful and must be avoided at all costs.</p> <p>   Effects of Dilaudid Abuse:</p> <p>   Adverse effects of hydromorphone i.e. Dilaudid are similar to those of other opioid analgesics, and represent an extension of pharmacological effects of the opioid drug class. The major hazards of hydromorphone include respiratory and CNS depression. The most frequently observed adverse effects are sedation, nausea, vomiting, constipation, lightheadedness, dizziness and sweating. </p> <p>   Physical Dependence on Dilaudid:</p> <p>   Opioid analgesics such as Dilaudid may cause psychological and physical dependence. Physical dependence results in withdrawal symptoms in patients who abruptly discontinue the drug. Physical dependence usually does not occur to a clinically significant degree until after several weeks of continued opioid usage, but it may occur after as little as a week of opioid use. Physical dependence and tolerance are separate and distinct from abuse and addiction. </p> <p>   Miscellaneous:</p> <p>   If you are sensitive to or have ever had an allergic reaction to Dilaudid or narcotic painkillers, you should not take this medication.</p> <p>   To limit abuse of opioid drugs like Dilaudid it is necessary to properly assess the patient, employ proper prescription practices, periodically re-evaluate the opioid therapy, and properly dispense and store the drugs.</p> <p>   Demerol Testing:</p> <p>   As with other drugs, a diverse array of techniques is available to test for Dilaudid abuse. As anticipated, some amount of Dilaudid remains unchanged while rest of it forms different metabolites.</p> <p>   These unchanged Dilaudid or Dilaudid derivatives and their metabolized products can be detected using any of the following methods:</p> <p>   •Urine based Dilaudid/metabolite testing<br />   •Hair follicle based Dilaudid/metabolite detection<br />   •GC based Dilaudid/metabolite detection<br />   •Mass spec based Dilaudid/metabolite testing <br />   •Dilaudid/metabolite-specific antibody based diagnostic kits</p> "
  quote[3]="<h3>What Medication is There for Migraine Headaches?</h3><p>If you’ve ever had a bad migraine, you know that regular pain killers just don’t help dull the pain. Luckily, there are medications specifically designed to treat migraines. In fact, there are three different types of medications for people with migraines. There are medications that prevent the onset of these painful vascular headaches, medications that treat migraines after they start and medications that help control symptoms that migraines can cause.</p> <p>   Preventative medications are wonderful when they work. Imagine being able to stop that blinding pain before it even starts. Three popular preventative prescriptions are cataflam, lodine and ansaid.</p> <p>   Abortive medications can help stop a migraine after it has already begun. Some common abortive medications are ibuprofen, ketaprofen, naproxen, ergotamine tartrate, rizatriptan and frovatriptan.</p> <p>   Symptomatic medications have been developed to help control nausea and vomiting that have been caused by migraines. Common symptomatic medications include throazine, compazine, tigran, phenergan and reglan.</p> <p>   Usually, a medication that is prescribed most often is the most effective choice. Triptans are prescribed more frequently than any other type of migraine medication. They work by targeting the blood vessels in your skull to alleviate pressure. With less pressure, the pain is alleviated.</p> <p>   If you need immediate relief for migraines, you may be interested in some of the over the counter (OTC) remedies available. Ibuprofen, Tylenol and aspirin are the most popular OTC choices for treating migraines without a prescription. These drugs can help relieve a bit of the pain associated with a migraine and can also help control nausea and vomiting. However, these medications should only be used for occassional migraines. If you have chronic migraines, be sure you talk to your doctor about additional treatment options.</p> <p>   One new, effective method doctors are using to treat migraines is the nasal spray. When you use a medication that is transmitted through nasal spray, you get the treatment right into your bloodstream, which brings relief much more quickly than oral medications. In addition, nasal sprays help you avoid vomiting from the added upset of oral medication going into an already touchy stomach. Imitrex is one of the most well known nasal migraine sprays.</p> <p>   Even if you prefer to avoid prescription medications, if you have had a migraine that lasted longer than 48 hours or have frequent migraines, you should make an appointment with your doctor to see if he or she recommends that you try a prescription migraine medication to alleviate your symptoms or to lessen the number of migraines you have. In fact, you should also see  your doctor even if you are only planning to take OTC medication for your migraine, since you could have an allergy to one of them.</p> "
  quote[4]="<h3>Natural Hearling Herbs - The Natural Form Of Herb: <b>Vicodin</b></h3><p><a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Vicodin\">Vicodin</a> is an analgesic that’s quite well known though the world knows it as painkiller. Allopathic is less prevalent because its cure require more time than conventional treatment forms. Now there is a large percentage of world population who would choose natural herbs that heal instead of drugs that do heal but have side effects as well. Almost all diseases can be cured by the way of herbs. All the existing herbs or those things that is given by nature gives benefits to humans with less side effects or none at all.</p> <p> Devil’s claw, is one such herb that is famous in Africa & Europe that has been prevalent for many past centuries and is now finding acceptance all across America. This herb has the power (nothing spiritual at all) where skeletal system is nurtured. Studies have reported to it being the same as cortisone. It reduces the brutality of pain in all joints and tissues that are connected to joints.</p> <p> Insomnia & pain get help via hops. The nervous systems receive plenty of aid from hops, as it is nutrient rich. The blockages of spleen & liver are opened, the blood gets cleaned, from gravel part veins are cleaned, loosen the belly and spurts up urine.</p> <p> To lessen body anxiety, nervousness and pain hysteria, Passionflower has been proved to be very successful and this is done by give new lease of life to the nervous system. Over the years Passionflower has been utilized in both homeopathic & herbal medication for nervous exhaustion, pain, asthma, attention deficit-disorder & insomnia.</p> <p> Joint and muscle pain come when there is stress and anxiety. You can receive relief from pain, backache, spinal & muscular itchiness with quercetin, trace minerals of Coral calcium, sea cucumber extract that guarantees potency and white willow bark.</p> <p> The brutal effects of chronic fatigue and the symptoms for instance depression, aching muscles, concentrating difficulties, aching joints, anxiety, loss of appetite, irritability, recurrent infections, mood swings, sleep disturbances, muscle pain, swollen glands, crushing fatigue & memory loss can now he fought with these milk thistle extract, red clover extract, extract of cat’s claw, garlic extract, eleuthero extract, ginkgo biloba extract & gamma-aminobutyric acid (GABA).</p> <p> Vicodin is recommended at the time of Gout, which is an unbearable condition. This is a particular arthritis form that happens due to joints having excessive uric acid . The pain can be treated as well as the tenderness in joints & inflammation more so when it pain in the bid toe by using Burdock, hyssop, kelp, juniper, trace minerals having coral calcium, cayenne forty thousand heat units and alfalfa. Its usefulness in arthritis aches & pain is undoubtedly very good.</p> <p> Vocodin is highly effective for headaches. All of us go through a headache all the time and few of us spend every day suffering from it. In such a case drugs that give side effects should be stopped. Completely discontinue them and switch over to herbs that are effective, they too cure headaches and lastly prevent it from showing up again. Herbs aid you in fighting headaches originating from allergies, stress, circulation disturbances, sinus infection, environmental toxins, tension, fever, vitamin C, Quercetin, trace minerals having coral calcium, bromelain, cayenne ninety thousand heat units & ginkgo biloba.</p> "
  quote[5]="<h3>Treximet A New Migraine Drug</h3><p>On May 16th, Glaxo-Smith-Kline Pharmaceuticals, the makers of <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Imitrex\">Imitrex</a>, announced that they were releasing a new drug for the treatment of migraines. The new drug was to be called Treximet and according to the makers, was to be a vast improvement over <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Imitrex\">Imitrex</a>. Like <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Imitrex\">Imitrex</a>, it is made to be taken at the onset of a migraine, but is supposed to work faster and better to reduce migraine pain. GSK has spent several years and millions of dollars researching and “pre-marketing” Treximet in anticipation of FDA approval and product launch.</p> <p> So what’s the deal? Is this really better than Imitrex alone? From a strict treatment point of view, yes, the medication probably is better than Imitrex alone for a migraine. The reason for this is twofold. First of all, several years ago, Dr. Silberstein of the Jefferson Headache Center was able to demonstrate through research, that Imitrex combined with naprosyn taken at the onset of a migraine was better in treating that migraine than either drug alone. Such a combination is deemed synergistic, meaning basically that two plus two equals ten. Naprosyn is the prescription form of Aleve which is sold over the counter and is an anti-inflammatory. Once this research was confirmed, GSK began to develop a combination drug.</p> <p> The second reason this drug might be better is something called RT technology. GSK has developed this and uses it currently for its Imitrex tablets. Think of it as “burst” technology as the tablet does burst apart when it begins to dissolve. This may speed absorption, and speed is of the essence when treating a bad migraine.</p> <p> All treatment benefits aside, is Treximet really a great deal? Well for some, maybe not. One of the reasons a combination drug is usually developed is because the patent on the original drug is about to expire. And sure enough, that is what is happening to Imitrex this year. Unfortunately, samples of Imitrex are rapidly disappearing from doctor’s offices. For those who have prescription coverage, the best answer is to ask for a prescription for naprosyn and take both pills at the onset of a migraine. Failing that you could just take two Aleve tablets with your Imitrex.</p> <p> For those with no prescription coverage, hang in there! Two pharmaceutical companies who make generic drugs have announced that they will be manufacturing sumatriptan (generic Imitrex) by the end of 2008. Once that is available, it will open up the availability of the drug for millions of migraineurs who previously could not afford the drug. Even with no prescription coverage, the generic may be cheap enough to afford by paying cash. The downside to generics is, different fillers which are cheaper are used in manufacture. GSK still holds the patent on RT technology so it most probably will not be available in the generic sumatriptan.</p> <p> As will all medications in the class of triptans, you cannot take these medications if you are pregnant, have uncontrolled hypertension or heart problems such as coronary artery disease. Check with your provider to be sure before taking any new medication and remember, treat early and treat fast to get rid of migraines.</p> "
  quote[6]="<h3>How to Cure Your Drug Addiction Without Entering a Drug Rehab Program</h3><p>A drug addiction is strongly desiring to take a drug that makes you feel good. For example, snorting cocaine makes you energetic, alert, euphoric, with increased mental clarity. Once you’re addicted to a drug, abstaining from it becomes a nightmare. For example, abstaining from cocaine can cause agitation, depression, extreme fatigue, anxiety, angry outbursts, lack of motivation, vomiting, shaking, irritability, muscle pain, and disturbed sleep. </p> <p>  Thorndike’s Law of Effect</p> <p>  Simply put, what keeps you addicted is that taking the drug makes you feel good, and avoiding it makes you feel awful. This coincides with Thorndike’s Law of Effect: If a reward follows a particular behavior, that behavior probably will be repeated; if a punishment follows a particular behavior, that behavior probably won’t be repeated. </p> <p>  For example, feeling good is your reward for snorting cocaine; feeling awful is your punishment for avoiding cocaine. So what are you going to do? This is why it’s so difficult to abstain from an addiction. </p> <p>  You have a drug addiction and can’t quit. Now what? Don’t despair; there’s a way out. The trick is seeing your addiction differently - seeing it for what it really is. </p> <p>  Unemployable, Lonely, and Sick</p> <p>  Though taking your drug makes you feel good immediately, it makes you feel awful in the long run. For example, snorting cocaine will eventually cause health problems such as heart disease, heart attacks, respiratory failure, strokes, seizures, gastrointestinal problems, convulsions, nausea, blurred vision, chest pain, fever, muscle spasms, and coma. If you think that these health problems are bad, long-term cocaine snorting causes social problems such as lying, stealing, absenteeism at work, and sometimes even prostitution. </p> <p>  So basically, long-term cocaine use causes you unemployment due to your work absenteeism, loss of friends and family due to your lying and stealing, and sickness due to cocaine’s damaging effects on your body. Cocaine ultimately transforms you into a loser - unemployable, lonely, and sick! </p> <p>  Other popular recreational drugs such as crack, heroin, crystal meth, Vicodin, ecstasy, and OxyContin also ultimately transform you into a loser - unemployable, lonely, and sick! </p> <p>  Thorndike’s Law of Effect Revisited</p> <p>  Now let’s revisit Thorndike’s Law of Effect: If a reward follows a particular behavior, that behavior probably will be repeated; if a punishment follows a particular behavior, that behavior probably won’t be repeated. </p> <p>  Being unemployable, lonely, and sick is your punishment for taking your desired drug over time; being employed, loved, and healthy is your reward for avoiding your desired drug over time. So what are you going to do? </p> <p>  Classical Conditioning</p> <p>  Wait a minute! Reading this article won’t help you! Once done reading, you’ll go back to snorting cocaine, smoking crack, shooting heroin, popping OxyContin, or whatever it is you do. </p> <p>  That’s why I’m introducing a powerfully effective self-help intervention that you must do regularly. This self-help intervention is called Classical Conditioning. Simply put, Classical Conditioning consists of pairing a particular feeling with a particular event over and over again until they become automatically associated with each other. </p> <p>  Let’s say that you have a cocaine addiction and want to quit. So instead of feeling good after snorting cocaine, you want to feel awful. What makes you feel awful? Electric shock? Okay, we’ll use this. </p> <p>  So each time you snort cocaine, you give yourself a severe electric shock. You feel awful each time. Eventually, you’ll automatically associate snorting cocaine with feeling awful - without the electric shock! Thus, curing yourself of cocaine addiction.</p> <p>  Nevertheless, electrically shocking yourself isn’t socially acceptable and will attract unwanted attention. We need something more discreet. What’s more discreet than the hidden thoughts inside your head? Can you use your thoughts to make yourself feel awful? Let’s see. </p> <p>  You just snorted cocaine and want to make yourself feel awful for doing it. So you think, “By using cocaine, I’m making myself into a complete loser. I’m now becoming totally unemployable, lonely, and sick. Worthless. Useless. A hopeless piece of crap. Good for nothing.” How do you feel? Awful, right? </p> <p>  So if you think along these lines each time you snort cocaine, you’ll eventually learn to associate snorting cocaine with feeling awful - without using your thoughts to make yourself feel awful! Thus, curing yourself of cocaine addiction. </p> <p>  Points to Ponder</p> <p>  This article is tailored to those addicted to hard drugs such as cocaine, crack, heroin, crystal meth, Vicodin, ecstasy, and OxyContin. Nevertheless, the intervention discussed here can be used, with some minor adjustments, to overcome addictions to the softer drugs. </p> <p>  For example, smoking cigarettes doesn’t necessarily cause unemployment or loneliness. But it does cause health problems such as emphysema, heart disease, stroke, cancer, birth defects, green teeth, and spider veins. So rather than thinking of yourself as becoming unemployable, lonely, and sick each time you smoke a cigarette, you just simply think of yourself as becoming sick. </p> <p>  Conclusion</p> <p>  In the past, drug addiction was seen as an overpowering and unmanageable disease. And the addict, using his own willpower, was seen as powerless against this disease. Therefore the addict was encouraged to join a support group that might lead him to a spiritual awakening. </p> <p>  Currently, drug addiction is seen as self-destructive behavior maintained by the reward of taking a drug (feeling good) and the punishment of abstaining from it (withdrawal symptoms). Given this, a scientific intervention such as Classical Conditioning can effectively cure it. </p> <p>  Though I’m scientifically inclined, I do believe in the power of prayer; since I’ve seen it work in my own life. So by all means, pray to be free from your addiction; then go forth and free yourself with Classical Conditioning.</p> "
  quote[7]="<h3>Patients Prescribed <b>Tramadol</b> Less Likely To Develop Dependency</h3><p>Most people live their lives taking their health for granted, as long as they are feeling no pain. But if they happen to suffer a physical injury, the first thing on their mind is finding a way to reduce the pain. <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> is one of the most widely used pain relief medicines available to patients who are in need of treatment for moderate to severe pain. It is an analgesic, or pain killer that works on the brain and nervous systems in somewhat mysterious ways. While it is classified as an opioid, it is very much unlike any other pain relief medicine in this classification such as morhine and codeine. It is not considered to be a controlled substance in the United States, which means that it can be obtained with a standard prescription from any medical doctor. Patients can even buy <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> at an online pharmacy via one of the many US licensed pharmacies on the Internet. </p> <p>  A German pharmaceutical company named Grunenthal GmbH invented <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> in their laboratory near the end of the 1970s. At that time they gave it the name Tramal. Since then they have sold the rights to a wide variety of companies around the world who have come up with a lot of different names. A company in Argentina markets it as Calmador. In Sweden a company sells it as Tradolan. In Isreal it is sold as Tramadex, and in South Korea this particular medicine can be purchased as Tandol. Ultram and Ultracet are other names for this prescription drug in the United States. Today there are over 55 different brand names for <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> worldwide. </p> <p>  There is releatively little negative health related press attached to <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> as a prescription medicine, mostly because it is not abused recreationally as much as some other opioids. The reported negative side effects of Tramadol abuse are nausea, abnormal sweating, vomiting, constipation and seizures. These side effects can create a very unpleasant experience if this drug is abused, which puts it low on the lists of prescription drugs for experimental drug users. </p> <p>  Tramadol is available by a prescription from US licensed physicians and legal to be purchased online at US licensed pharmacies or at any pharmacy. This is due to the fact that this synthetic agent is less likely to cause a dependency if used for an extended period of time. This is an important factor when doctors consider the long term health of their patients who take a prescribed medicine for pain.</p> <p>  Unlike other prescription drugs in its class, Tramadol has a relatively mild effect on the mu opioid receptor. This is a nerve receptor that is located in the periaqueductal grey area of the brain, otherwise known as the midbrain grey matter area. It is responsible for what is called the Gate Control Theory of pain relief. Opioids such as morphine and vicodin bind very easily to it and inhibit the pathway of the neurons that are being sent to the brain to register pain. The Gate Control Theory is the basis of most modern analgesics and it has revolutionized the way pain can be managed. </p> <p>  This affinity to the mu opioid receptor can also be responsible for the creation of a dependency to the opioid drug that is being used. However, Tramadol has a weaker affinity to this  receptor than the other opioids in its class, which means that addiction is less likely to occur. Thus, the health of the patient is compromised less by taking this particular medicine to reduce their pain. </p> <p>  Tramadol can be taken in many different forms including orally in a pill or tablet form, rectally with suppositories, injected and with an IV in hospitals. The dosages range from 50 to 400 milligrams per day, which is determined by the attending physician. </p> <p>  While it is true that the mild agonism of the mu opioid receptor is partially responsible for the effectiveness of Tramadol in treating pain, doctors and scientists are not quite sure about the other details of why Tramadol works. They know that it is something to do with the effect it has on the noradrenergic and serotonergic systems in the human body. </p> <p>  The serotonergic system involves the neurotransmitter known as serotonin which is responsible for many different functions in the human body. Among its many duties serotonin is in charge of the regulation of various moods such as anger, as well as the regulation of sleeping patterns and appetite. It is created in the intestines by the amino acid tryptophan. </p> <p>  The noradrenergic system is responsible for such things as the fight or flight response we get when we are placed in a very stressful and dangerous situation. When a situation like this happens, norepinephrine which is also know as noradrenaline is sent to the part of the brain that controls attention and response processing. This hormone and neurotransmitter comes from a gland located in a part of the brain stem called the locus ceruleous. A neurotransmitter system is activated that sends neurons instantly along the spinal cord and distributes them to all parts of the body through millions of nerve pathways.</p> <p>  When norepinephrine is triggered the subjects heart rate increases, glucose is released into the bloodstream from stored up energy and all the muscles of the skeletin experience an increase in blood flow. The subject also experiences increased alertness and arousal. Studies have shown that the effect Tramadol has on the noradrenergic system may also have something to do with the decreased risk of developing a dependency, although the reason why is still not known. </p> <p>  Treating and controlling pain has come a long way in the past 100 years. The discovery of opioid based prescription drugs like morhine, codeine and vicodin have revolutionized pain treatment and brought relief to millions around the world who suffer from moderate to severe pain. However, there has been a negative health side effect from this benefit and it is the creation of dependencies on these drugs for millions of patients who took their prescribed pain medicine for extended periods of time. </p> <p>  Tramadol is a synthetic opioid medicine and it may be in the same class as the natural opiate based prescription drugs morphine and vicodin, but it has two very big differences from these two medicines. For one, it is not considered to be a controlled substance in the United States. This means that US licensed physicians can prescribe this analgesic to patients who can buy it at any pharmacy or online pharmacy that happens to be one of the many US licensed pharmacies on the Internet.</p> <p>  But the biggest thing that makes Tramadol different than other prescription drug opioids is that it can alleviate pain with a much lower chance of causing an addiction to the drug. This is very important when you consider the long term health of  people who take pain medicine for extended periods of time.</p> "
  quote[8]="<h3><b>Ultram</b>: Prescription Drug Abuse & Testing</h3><p><a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Ultram\">Ultram</a> is the trade name for <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> which is an atypical opioid. It is a synthetic agent, as a 4-phenyl-piperidine analogue of codeine, and appears to have actions on the GABAergic, noradrenergic and serotonergic systems & is thus used as a centrally acting analgesic for treating moderate to severe pain.</p> <p>   <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> is usually marketed as the hydrochloride salt (<a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Tramadol\">Tramadol</a> hydrochloride) and is available in both injectable (intravenous and/or intramuscular) and oral preparations. It is also available in conjunction with paracetamol. </p> <p>   Ultram Prescription:</p> <p>   Ultram is used to relieve moderate to moderately severe pain. Ultram extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Ultram belongs to the class of drugs called opiate agonists. It works by changing the way the body senses pain.</p> <p>   Tramadol comes as a tablet and an extended-release (long-acting) tablet to take by mouth. The regular tablet is usually taken with or without food every 4-6 hours as needed. The extended-release tablet should be taken once a day. Oral doses range from 50–400 mg daily, with up to 600 mg daily when given IV/IM. The formulation containing APAP contains 37.5 mg of Tramadol and 325 mg of paracetamol, intended for oral administration with a common dosing recommendation of one or two tabs every four to six hours although final dosage is decided by physician and is highly case specific. </p> <p>   Ultram Abuse:</p> <p>   MedWatch is a FDA database of adverse events of case reports voluntarily submitted to the FDA. From 1999 through September 2004, the FDA received 766 case reports of Tramadol abuse. It is most commonly abused by narcotic addicts, chronic pain patients, and health professionals.</p> <p>   Tramadol is approximately 10% as potent as morphine, when given by the IV/IM route. It is a potent habit-forming substance. Tramadol is not currently scheduled by the U.S. DEA, unlike other opioid analgesics. Nevertheless, the prescribing information for Ultram warns that Tramadol may induce psychological and physical dependence of the morphine-type. In addition, there are widespread reports by consumers of extremely difficult withdrawal experiences. A controlled study that compared different medications found that the percent of subjects who scored positive for abuse at least once during the 12-month follow-up were 2.5% for NSAIDs, 2.7% for Tramadol, and 4.9% for hydrocodone. Taking more Tramadol / Ultram than what is prescribed by your doctor may cause serious side effects or death.</p> <p>   Effects of Ultram Abuse:</p> <p>   The most commonly reported adverse drug reactions are nausea, vomiting and sweating. Drowsiness is reported, although it is less of an issue than with other opioids. Respiratory depression, a common side effect of opioids, is not clinically significant in normal doses. Serious potential consequences of over dosage are respiratory depression, lethargy, coma, seizure, cardiac arrest and death. Fatalities have been reported in post marketing in association with both intentional and unintentional overdose with Ultram. </p> <p>   Ultram may induce psychic and physical dependence of the morphine-type opioids. Dependence and abuse, including drug-seeking behavior and taking illicit actions to obtain the drug are not limited to those patients with prior history of opioid dependence. The risk in patients with substance abuse has been observed to be higher. Ultram is associated with craving and tolerance development. Withdrawal symptoms may occur if Ultram is discontinued abruptly. These symptoms may be relieved by reinstitution of opioid therapy followed by a gradual, tapered dose reduction of the medication combined with symptomatic support.</p> "
  quote[9]="<h3>What You Can Do if You Have Arthritis Pain</h3><p>If you were to ask the average person what it means to have rheumatoid arthritis or RA, they would probably think first of deformed joints and pain. Modern therapies have greatly reduced the amount of joint damage for the vast majority of patients, but pain is still an issue. Some medications take considerable time to work and pain control is important early on as well as during flares.</p> <p>Of course, the best treatment for pain is eliminating the cause of it. In the case of RA, this means controlling the disease and the underlying inflammation. Doing this reduces pain and reduces damage that leads to chronic pain. For about 90% of RA patients, good control of RA symptoms means good pain relief as well. However, that still leaves the newly diagnosed and the unfortunate 10% in need of analgesics and other pain control measures.</p> <p>Acute pain is usually treated with traditional analgesics including opiates like those found in codeine, hydrocodone and morphine to name a few. Less severe pain may be treated with over the counter medications and also by the use of NSAIDs or non-steroidal anti-inflammatory drugs. These are the drugs like ibuprofen, naproxen, diclofenac, piroxicam, <a target=\"_blank\" href=\"http://top.darkss.info/out.php?s_id=5&q=Celebrex\">Celebrex</a> and the like. These have the advantage of treating the inflammation itself as well as relieving pain and may be used as part of the protocol of treatment. They have the disadvantage of irritation of the digestive system and even blood loss or ulcers as a result.</p> <p>Ordinary acetaminophen can be used for mild pain in RA and other conditions. While it is easier on the stomach, it does not treat inflammation itself. It might be chosen, for example, in a pregnant patient for whom other drugs might be inappropriate.</p> <p>Steroidal drugs also can ease pain by controlling inflammation. Prednisone and other steroids can be given by mouth and are sometimes injected directly into an affected joint to treat inflammation directly. Such injections may also have a local anesthetic included and provide extra pain relief. Local anesthetics are also used to inject “trigger points” in select patients but are more common in other rheumatic illnesses such as fibromyalgia.</p> <p>Since RA pain may become chronic, complementary and alternative therapies may also be added. Physical therapy and occupational therapy can help a patient to be more comfortable and may use assistive devices such as TENS units to control pain without drugs. Some physicians employ herbal remedies and nutritional supplements such as fish oils to help control pain. Others may refer patients for chiropractic treatments or acupuncture.</p> <p>When pain is a large part of an RA patient’s case, a visit to a pain specialist is usually set up to get the best pain control with the best quality of life. Pain is a relative for some RA patients but it can be managed with the right combination of therapies for virtually everyone.</p> "
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