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06.15.2008

Stadol Addiction and Detoxification

Posed to be a less harmful prescription drug, Stadol NS (butorphanol), a nasal spray, form of painkiller, in reality, has been exposed to be the cause for several deaths. The FDA has logged a significant amount of deaths and severe addictions report associated with Stadol. The spray has been linked to hundreds of cases of addiction and numerous deaths.

Expressed as Tartrate salt, the nasal spray contains a composition of Butorphanol tartrate, a crystalline substance. One milligram of the salt is equivalent to 0.68 mg of the free base. The n-octanol/aqueous buffer partition coefficient of butorphanol is 180:1 at pH 7.5.

The Stadol Injection, USP, is a sterile, parenteral, aqueous solution of butorphanol tartrate for intravenous or intramuscularly administration. In addition to 1 or 2 mg of butorphanol tartrate, each mL of solution contains 3.3 mg of citric acid, 6.4 mg sodium citrate, and 6.4 mg sodium chloride, and 0.1 mg benzethonium chloride (in multiple dose vial only) and a preservative.

STADOL NS is an aqueous solution of butorphanol tartate for administration as a metered spray to the nasal mucosa. Each bottle of STADOL NS contains 2.5 ml of a 10 mg/ml solution of butorphanol tartate with sodium chloride, citric acid, and benzethonium chloride in purified water with sodium hydroxide and/or hydrochloric acid added to adjust the pH to 5.0.

The nasal spray is a pain reliever for moderate or severe pain. The patient is put under butorphanol dose every 3-4 hours either as a nasal sprays or injected into the buttock or hip muscle or into a vein. Typically prescribed for patients recovering from surgery, or migraine headaches the nasal spray works by binding to the pain receptors in the brain.

Factors to be considered before taking the dose are age, body weight, physical status, and underlying pathological condition, use of other drugs, type of anesthesia to be used, and surgical procedure involved. Use in the elderly, patients with hepatic or renal disease or in labor requires extra caution.

Associated with occurrence of abuse and dependence with most reports involving outpatient treatment of chronic painful conditions, Butorphanol tartrate can be life threatening. People may experience asthenia/lethargy, headache, sensation of heat, dry mouth, nausea and/or vomiting stomach pain, anxiety, dizziness, insomnia, nervousness, cough, nasal congestion and/or irritation, sweating, blurred vision, ear pain, and tinnitus (ringing in ears).

Detox Program


Rapid Detoxification is a short-term treatment of Stadol addiction where it minimize or eliminates the signs and symptoms related with opiate withdrawal, thereby decreasing the chances of relapse to opiate dependence. However, it is not meant to replace a comprehensive treatment program, but rather act as a stepping-stone to help an individual tolerate the withdrawal symptoms from opiates with much greater comfort. Once 'clean' of all opiates, abusers are strongly advised to begin the work of addiction recovery by getting involved in some form of counseling.

Behavioral Therapy


Behavioral therapies can include counseling, psychotherapy, support groups, or family therapy. For a long-term success, medical therapy alone hardly ever helps, thus effective treatment of such drug addiction requires plenty of attention. Medical treatment should be combined with concurrent behavioral therapies and provision for social services.

Methadone Treatment


These treatment programs use Methadone, a long acting opiod, which helps to stabilize the lives of people who are dependent on opiates and reduce the harm related to drug use.

Methadone is a narcotic, medication lasting for around 24-36 hours per dose. It is an effective and legal substitute for heroin or other narcotics (e.g., morphine, percocet, percodan, dilaudid, codeine, etc.) It works best when combined with other services and involvements as it helps patients return to stable social, economic, and home environment.
Patients are provided with individual and group counseling to promote relapse prevention, further, the treatment program addresses multiple medical issues.

DEA’s Approach


Currently DEA’s approach has been introduced to combat the diversion of pharmaceutical controlled substances. These approaches include; liaison with the healthcare community, the pharmaceutical industry, and other domestic and international agencies; education of medical professionals regarding various scams that are used to obtain controlled substances for illicit purposes; and the investigation of suspected diverters.


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