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Medication Policies

ADD/ADHD: Amphetamines (Ritalin, Adderall, etc.) 

We do NOT prescribe or manage the use of amphetamine (or amphetamine-type) medications. If needed, we can refer you to specialists (psychiatry) for medication management of ADD/ADHD. Being prescribed amphetamines from an outside physician does not preclude you from being a member, but we will not be responsible for starting, restarting or refilling any amphetamines for any reason for any period of time.

 Narcotics/Opioids (Lortab, Oxycodone,Tramadol etc.)

Opioids, morphine and it’s relatives, are a last resort for ongoing pain. Addressing underlying health issues, non-opiate medications (Creams, short term steroids, muscle relaxants, supplements), manual medicine techniques (Horizontal therapy, rehabilitation, massage, acupuncture, etc.) and lifestyle changes (diet, exercise, Hormone Balancing, sleep, etc.) can significantly reduce and adequately manage chronic pain. 

Long term or frequent use of narcotic medications are risky and have dangerous side effects including addiction, need for escalating dosing, dependence, withdrawal, and cognitive decline. Short term (3-7 days or less) may be needed for certain severe conditions.


ANXIETY, PANIC ATTACKS: Benzodiazepines (Xanax, Valium, Ativan, etc.)

Benzodiazepines (also known as “benzos”) are a class of medications used for a variety of purposes - including anxiety and "panic attacks". Long-term or frequent use of benzos comes with significant risk of dependence, increasing tolerance, abuse, mental function and adverse effect on physical/mental health. These issues are particularly profound with shorter-acting agents, such a alprazolam (Xanax and Ativan). 

We use non-addictive therapies/medicines For long-term control of anxiety disorders, several classes of non-benzo medications, therapies and psychology techniques have proven to be effective and safer than benzodiazapines. We do NOT prescribe the deadly duo of narcotics and bentos. Please do not ask or expect us to do so. 

If you feel you need  these medications, we will refer you to an appropriate psychiatrist who can prescribe a safe medication regimen for you. 

INSOMNIA: Sleep Medications (Ambien, Lunesta, etc.)

We encourage patients with insomnia issues to improve sleep through a variety of lifestyle changes and therapies, melatonin and hormone balancing.  Many commonly used sleep meds do not actually promote a healthy, restorative sleep, but rather sedate so a person does not awaken easily. Short-term use of sleeping medication can be an effective and safe way to deal with insomnia.  Some "sleep" meds, such as Ambien (Zolpidem) can be dangerous to use on a regular basis and should be only be used with caution.

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