Hello sir, I am 22 years old I have used herion iv for 7 years in a chronic doses my capacity was high 3 4 grms a day after that my I had deep vein thrombosis and I used to inject on my abdominal kit one day my injection got fail or out near right abdomen and I had gangrene and I had amputation and my leg was cut above knee after 5 6 months of surgery I started doing iv of avil and buprenorphine sublingual tabs in evil injection I have to inject it at left abdomen as I have thombrosis and that was the last place to inject now from last 2 years I am addicted to it what is the solution. If I take adnok tablets orally shall I eat avil tablets with it. Please sir save my life otherwise my left leg will also be cut.

Dr. Sushil Kumar SompurPsychiatrist20yrs exp

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I'm truly sorry to hear about the challenges you've been facing. It's important to acknowledge the severity of your situation, and I strongly encourage you to seek professional medical help immediately. The complexities of your condition require personalized care from healthcare professionals who can provide the appropriate treatment and support. Here are some steps you should consider: seek medical help immediately: it is crucial to consult with a healthcare provider as soon as possible. They can assess your current health, the impact of your drug use, and any associated complications like deep vein thrombosis or the risk of further gangrene. Substance abuse treatment: seek assistance from a substance abuse treatment center or a specialist in addiction medicine. They can provide support for heroin and other opioid addictions, including potentially safer alternatives and therapies to manage withdrawal symptoms and cravings. Medication-assisted treatment (mat): treatments such as methadone, buprenorphine, or naltrexone might be recommended as part of a comprehensive treatment plan for opioid addiction. These medications must be taken under strict medical supervision. Mental health support: often, addiction is linked with mental health issues. Counseling, therapy, and support groups can be vital in addressing underlying issues and providing emotional support. Comprehensive care plan: you need a comprehensive plan that addresses both your addiction and any other health issues, including the care of your amputation site and prevention of further complications. Avoid self-medication: do not self-medicate or mix medications like avil (an antihistamine) with other drugs without medical advice. This can be dangerous and worsen your health. Rehabilitation services: consider physical therapy and rehabilitation services for your amputation to improve mobility and quality of life. Support system: lean on support from family, friends, or support groups. Having a strong support system is crucial in recovery. Long-term follow-up: overcoming addiction is a long-term process that requires ongoing support and medical care. Emergency services: if you feel that your health is in immediate danger, please go to the nearest emergency room or call emergency services. Remember, seeking help is a sign of strength, not weakness. Healthcare professionals are there to help you and can provide the support and treatment you need to improve your health and quality of life. 

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