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If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear. But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416
Images from Niagara Falls are going viral online, showing the stark difference in how Canadian and American companies and customers are handling social distancing guidance during the pandemic.The pictures and videos being shared compare two boats, one with a lot of people onboard and one with very few people onboard. The Canadian tour boats are seen with hardly any people onboard, while the American boats have people shoulder-to-shoulder. @samatha.1617 Niagara Falls, the Canadian boat versus the American boat ##maidofthemist ##canada ##niagarafalls ##fyp? Titanic - Titanic For those not familiar with the international site along the New York-Ontario border, on the American side is a company operating boat tours called Maid of the Mist which gives its passengers blue rain ponchos and on the Canadian side is Hornblower Cruises which gives their riders red ponchos.Maid of the Mist recently posted on Twitter thanking their customers for social distancing. 977
If you think you may have been exposed to COVID-19, contact your health care provider immediately. If you have health-related questions or concerns, contact your healthcare provider. For general questions about COVID-19 or information about community resources, call 2-1-1.SAN DIEGO (KGTV) -- A lot of fear stemming from the Coronavirus comes from the fact that it is so new and that it is unraveling in real-time. Many people remain confused about the exact symptoms, as many healthcare professionals tell them to look for cold or flu-like symptoms. But what exactly does that mean? PODCAST: Supervisor Nathan Fletcher talks about coronavirus and how newly approved stimulus bill will impact San Diego County10News sat down with Dr. Abisola Olulade from Sharp Rees Stealy Downtown, who broke it down. According to the Centers for Disease Control and Prevention [CDC], these are the common symptoms for the cold, flu, and Coronavirus.The Cold:SneezingCoughStuffy NoseSore ThroatThe Flu:FeverAchesChillsFatigueSneezingCoughHeadacheThe Coronavirus:FeverCoughShortness of BreathThere are many overlaps. But Dr. Olulade said the most significant difference is the respiratory aspect of shortness of breath. When a patient experiences that, that is a cause for serious Coronavirus concern. "I would say that the main thing that is different about the Coronavirus is that, more so than the others, it causes shortness of breath. It’s rare for the others to cause shortness of breath," Dr. Olulade said. When should you go to the doctor? Dr. Olulade said, do not panic and run out the door immediately. First, make sure you have a fever, cough, and especially shortness of breath. Then, call your doctor to let them know of your specific symptoms so that the hospital or doctor's office can prepare for your potential arrival. For example, you may need a special type of room to be set up. You may not.Dr. Olulade said if you are in general good health, with no pre-existing conditions, and have no recent travel history, you may be asked to stay home and self-quarantine for the time being. Testing for you may not be prioritized. However, if you are presenting Coronavirus symptoms, have pre-existing conditions that make your immune system compromised, or have recent travel history, you may be asked to come in immediately to get tested. It all depends on that phonecall. Listen to their advice and proceed. 2413
If you’re tuning into the new “Looney Tunes Cartoons” on HBO Max, you may notice a slight edit made to the classic show’s “wabbit” hunter.In the 2020 reboot, producers decided that Elmer Fudd would no longer carry a gun in his endless pursuit of Bugs Bunny. Neither will any other characters for that matter.“We’re not doing guns,” showrunner Peter Browngardt told The New York Times.Browngardt said other forms of “Looney Tunes” violence is still baked into the show, whether that involve sticks of dynamite, intricate booby traps, falling anvils or bank safes.“But we can do cartoony violence — TNT, the Acme stuff. All that was kind of grandfathered in,” Browngardt added.It seems Elmer Fudd may have a new weapon on choice in the show, In a scene titled “Dynamite Dance,” he’s seen chasing Bugs with a scythe before the famous bunny outsmarts him with sticks of dynamite.Producers of the show are wrapping production on the first 1,000 minutes of cartoons, which comes to about 200 cartoons in all, The Times reports.The “Looney Tunes” reboot premiered on HBO Max on May 27, with a total of 30 shorts in 10 episodes. 1128
If you are a fan of Olive Garden's pasta, it is time to rejoice - assuming you have a fast internet connection. For the first time in company history, Olive Garden is offering its Never Ending Pasta Pass for an entire year to up to 1,000 "superfans" on Thursday, Aug. 23. The company warns you'll have to act fast. For 0, customers can purchase a pass good for unlimited pasta, homemade sauces, pasta toppings, soup or salad and breadsticks for the entire year. Sales begin at PastaPass.com on Thursday at 2 p.m. ET. For those unable to get the 52-week offer, Olive Garden will also sell at the same time an eight-week pasta pass for 0. The eight-week pasta pass can be redeemed from Sept. 24 through Nov. 18. Supplies of the eight-week pasta pass are also limited to 23,000."We have the most passionate fans who look forward to Pasta Pass and Never Ending Pasta Bowl throughout the year, and they've made it clear that eight weeks just isn't long enough," said Jennifer Arguello, executive vice president of marketing for Olive Garden. "So we listened, and we're excited to give our guests more of what they've been asking for – an Annual Pasta Pass that extends our Never Ending Pasta Bowl promotion year-round." In 2017, Olive Garden said that it ran out of 23,000 pasta passes instantaneously. 1353