Injury, PAIN AND SUBSTANCE ABUSE Michael L. Fox, D.O.

What happens When it starts

How it all begins Genetics Dysfunction Exposure

The brain,genetics family,exposure What drugs? What happens?

The evolution of the disease Misuse Abuse Disease

Have you ever had a problem?”no” do you know what I mean by “problem” “Problems” – Doctor – Psychiatrist – Legal – Family – Self – Job – School “CAGE” – Screen – Diagnosis

Now that we know there is a problem,lets do this Detox Rehab

Things that roll together Co morbid disorders – Pain – Depression

America’s Prescription Drugs of Choice Love to get from the doctors – Opiates – Benzodiazepines

Elicit Drugs of Choice Opiates Stimulants Benzodiazepines Cannabis

America’s Drugs of Choice Alcohol Nicotine

Drugs I Hate Ultram Ativan Xanex Klonopin Ambien Sonata Lunesta Valium Soma Adderall Vyvanse Concerta Ritalin Librium Librax Vicodin OxyContin Opana Morphine Dilaudid Fioricet

The Problem with Docs Psychiatrists Pain Doctors Primary Care Physicians FACT: 5.6% of physicians prescribe 70% of pain pills

Drugs I Love Straterra Abilify Wellbutrin Catapres Suboxone Butrans Patch Pristiq Seroquel Cymbalta Depakote Neuronton Lyrica Elavil Pamelor Sinequan Effexor

Treatment of Pain Antidepressants Neuroleptics Buprenorphine – Suboxone NO BENZODIAZEPINES

Treatment of Depression NO BENZODIAZEPINES