Framingham

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How to refer a patient

How to refer a patient with opioid addiction?

Opioids are substances that, when reaching opioid receptors, have effects similar to those of morphine.[2] Medically they are primarily used for pain relief, including anesthesia.[3] Other medical uses include suppression of diarrhea, replacement therapy for opioid use disorder, reversing opioid overdose, and suppressing cough.[3] Extremely potent opioids such as carfentanil are approved only for veterinary use.[4][5][6] Opioids are frequently used non-medically for their euphoric effects or to prevent withdrawal.[7]

Side effects of opioids may include itchiness, sedation, nausea, respiratory depression, constipation, and euphoria. Long-term use can cause tolerance, meaning that increased doses are required to achieve the same effect, and physical dependence, meaning that abruptly discontinuing the drug leads to unpleasant withdrawal symptoms.[8] The euphoria attracts recreational use and frequent, escalating recreational use of opioids typically results in addiction. An overdose or concurrent use with other depressant drugs like benzodiazepines or alcohol commonly results in death from respiratory depression.

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How to refer a patient with alcohol addiction?

In chemistry, alcohol is an organic compound that carries at least one hydroxyl functional group (−OH) bound to a saturated carbon atom.[2] The term alcohol originally referred to the primary alcohol ethanol (ethyl alcohol), which is used as a drug and is the main alcohol present in alcoholic beverages. An important class of alcohols, of which methanol and ethanol are the simplest members, includes all compounds for which the general formula is CnH2n+1OH. Simple monoalcohols that are the subject of this article include primary (RCH2OH), secondary (R2CHOH) and tertiary (R3COH) alcohols.

The suffix -ol appears in the IUPAC chemical name of all substances where the hydroxyl group is the functional group with the highest priority. When a higher priority group is present in the compound, the prefix hydroxy- is used in its IUPAC name. The suffix -ol in non-IUPAC names (such as paracetamol or cholesterol) also typically indicates that the substance is an alcohol. However, many substances that contain hydroxyl functional groups (particularly sugars, such as glucose and sucrose) have names which include neither the suffix -ol, nor the prefix hydroxy-.

Providers

Andrew Linberg

Executive Director of Mental Health, LICSW

Andrew Linberg is a Licensed Independent Clinical Social Worker and the Executive Director of Mental Health Services with over 26 years of experience in mental health, addiction, and program development.

I'm passionate about helping individuals receive the best possible treatment outcomes

Melvin Nemkov

Medical Director

Dr. Melvin Nemkov graduated from the University of Illinois College of Medicine in Chicago and has been practicing medicine and addiction medicine for 45 years and counting.

My mission is for everyone to be truly happy with their lives

Laurie Botie

Medical Doctor

Dr. Laurie Botie, a board-certified physician, graduated from Mt. Sinai School of Medicine in New York, and has been practicing family medicine for 34 years before shifting her focus to addiction medicine.

My mission is to treat each individual with respect and believe that everyone is out there doing their best to get by in life

Daria Karos

Medical Doctor

Dr. Daria Karos is a board certified physician with specialty training in addiction medicine, adolescence, and pediatrics. She has been practicing medicine for over 25 years and has been with New Horizons Medical since 2015. 

I am passionate about the necessity for whole-person care as individuals and their families seek to recover from and prevent substance use disorders

Sayf Altabaqchali

MD

Dr. Sayf Altabaqchali, a board-certified physician, graduated from Al-Nahrain University School of Medicine and has been practicing as a Doctor of Vascular Medicine for over 11 years.

My mission is to treat everyone as we would like ourselves or our family members to be treated

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Brookline
  • 358 Harvard St Brookline MA 02446
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Framingham
  • 214 Howard St Framingham MA 01702
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Quincy
  • 500 Congress St Quincy MA 02169
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