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Valtrex online overnight, and then when I tried to remove the medication, it came off and the tablet fell on bed next to me." After checking her temperature, Aisula immediately gave a new tablet and urged her to rest. Aisula, who was not under a doctor's care, was being treated for diabetes and high blood pressure. "She was fine," Dr. Aravind said of the 35-year-old. "Nothing was seriously compromised." Aisula's situation underscores how doctors' hands are often tied in cases of suspected overdose. Although an "opioid drug overdose" occurs when a person self-administers heroin or morphine in a similar manner, an overdose of pills is less common. And few medical professionals are trained to deal with individuals who self-administer. Photo "Drug overdose is such a large public health problem that it defies comprehension there is only one protocol for all types of opioid overdoses," said Dr. Michael E. Price, the executive director for policy and quality at the National Center on Addiction and Substance Abuse. "I believe that the lack of a general rule is to our detriment." In most cases, the person is already on a cocktail of drugs, including benzodiazepines, antidepressants, antipsychotics and other medications, according to experts. In addition the opioid drugs, these drugs often act on the same receptors in brain as opioids, so they can also cause euphoria and other symptoms. In contrast, the drugs typically used to treat other disorders, like schizophrenia and bipolar disorder, cannot be directly targeted by the benzodiazepine drugs. And because benzodiazepines also suppress the activity of opioid receptors, they often cause withdrawal symptoms that mimic an overdose. Drug overdose can be difficult to detect unless an ambulance arrives at the scene. So people may not know they have overdosed unless a nurse, doctor or other care provider is nearby or the drug testing that nurses normally do shows abnormal results on a urine test. "You may see one or two people a day who best online pharmacy viagra canada overdosed and didn't have a single clue," Dr. David Juurlink, a co-author of "The End Opioid Prescribing," which was published last year, wrote in an e-mail request to a reporter. "It's the worst Valtrex 1000mg $305.18 - $5.09 Per pill sort of silent epidemic." Advertisement Continue reading the main story And patients often are not told that they at risk until have overdosed. Dr. Edward Fennelly, a clinical professor of anesthesia, addiction, geriatrics, internal medicine and pharmacology at the Harvard Medical School, said he had worked at a hospital system in Connecticut which "people who were dying, in the middle of night, were not told" until they had passed out, or until the ambulance arrived. Most people with known substance abuse disorders are not aware that Zolpidem online pharmacy canada they at risk or there are symptoms of overdose or withdrawal, said Dr. Robert L. Biederman, an associate professor of medicine at the Hospital for Special Surgery. But some clinicians said it was simply not possible to treat every case of opioid overdosing. For patients who are already overdosed, medical professionals sometimes can administer buprenorphine or naloxone to block the absorption of drugs, Dr. Biederman said. But without prompt treatment, buprenorphine can take 10 or more minutes to work, giving the patient an opportunity to overdose on more drugs. The patient's health care provider may not be ready to prescribe more opioid medications, or it may not be possible for the medication to remain at a normal dosage. An expert may also ask patients in an emergency to put down their prescription pad and go to the emergency room immediately. "Often in overdose situations, the time before you lose consciousness, an overdose happens," Dr. Biederman observed. "There's no point in delaying treatment." But many patients are not ready or knowledgeable to be hospitalized for treatment, nor do they have the money to be admitted. "For a lot of people, it's not the best choice in world," Dr. Biederman said. "In addition to their medical problems, they're going to have some other problems, and a lot of times it's not safe to take your medication as prescribed." As of April, 2,852 people in the United States died of illicit drug overdoses in 2010, according to the Centers of Disease Control and Prevention state health department reports. An estimated 26,700 fatal overdoses happened that year. It is unclear how many of those deaths involved buprenorphine, or whether the medication is available or affordable in every county state. Newsletter Sign Up Continue reading the main story Please verify you're not a robot by clicking the box. Invalid email address. Please re-enter. You must select a newsletter to subscribe to.

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