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Thursday, June 19, 2014

For better pain control, add a benzo? (Part 1 - Trauma)

If a patient is in pain, should we also be treating their anxiety more aggressively? Some medical practitioners feel strongly that we should be.  In part 1, I'll discuss the evidence for using "benzos" (e.g. midazolam, lorazepam) for traumatic pain. The (forthcoming) part 2 will discuss using benzos to treat the pain of cardiac ischemia. 
Bourbon, for example, can treat the anxiety of MI.
Source: Not the NEJM
Trauma, pain, and benzos
Many paramedics believe that they could control traumatic pain better, and reduce morphine or fentanyl dosing, if they were allowed to add a benzodiazepine, like midazolam or Ativan. Different reasons are offered for this approach, such as the role of anxiety, the spasming of muscles in trauma, or the difficulty in controlling pain quickly with just opioids. An interesting new EMS study adds some evidence to this discussion.

The French authors of  "Does midazolam enhance pain control in prehospital management of traumatic severe pain?" enrolled patients who had a traumatic injury, and who described their pain as at least a "6" on a 10-point scale. 

All of the patients got morphine, and good doses too! The first dose was 0.1 mg/kg, and then repeat doses of 3 mg PRN every 3 minutes were administered, until the pain was down to a “3.” 

Half of these patients also received 0.04 mg/kg IV of midazolam at the same time as the initial dose of morphine, while the other half received a placebo injection.


So, did adding the benzo help? It appears not. Surprisingly, the patients who received midazolam had about the same pain relief as the placebo group. 



Unsurprisingly, they also had much higher rates of sedation: 44%, versus only 7% for the placebo group. They also found a strong trend for more hypoxia in the benzo group: 13% versus 2% for placebo. Lastly, there was no difference in the total doses of morphine given.


So, unless you're looking to "snow" more patients, this isn't a good approach!


How does this agree with other studies?

Pretty well. For example, an ED study done with kids with fractured arms also looked at morphine ± midazolam for pain control. Similar to the present study, they found no advantage in pain control, but more "drowsiness." (In the graph, "VAS" means pain level.)



The Bottom Line
When I interviewed medics for a study I did a few years ago, I was surprised to hear that many medics, from both rural and urban locations across New England, felt strongly about giving benzos for acute traumatic pain.  Here's a sample quote from one of the subjects:


Ref.

Despite having personally worked as a medic at a few of the places I visited, I was surprised to hear this perspective. Adding benzos for pain control is not common (or usually even permitted) in the emergency departments where these medics trained. 

Unless we are trying to sedate a patient, severe pain is probably best controlled with opioids only.

76 comments:

  1. Maybe they should try a study where they give Versed to the EMS crew instead of the patient.

    ReplyDelete
    Replies
    1. Your point, while ostensibly humorous, likely gets at the truth of the matter.

      Anxiety in a patient, or at least the perception of it, is highly uncomfortable for medical caregivers. We just don't have the same reflex to treat a patient's pain, while addressing the anxiety is often seen as a priority.

      (And fever. Gotta treat fever!)

      Delete
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    1. I Want To Appreciate Dr.OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com

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  25. I recommend doctor razor herbal medicine to anyone battling with Herpes Infection...I am so happy to be finally cured of herpes simplex virus  by herbalist Razor,Ever since i was diagnosed with the virus i have been using medical drugs to suppress it, i later realized it was causing more damage to my health than the virus,i opted for herbs and got to find out about the great work herbalist Doctor razor have been doing with his herbal remedy. i contacted him and he promised to help me get rid of it,after 4 days i received a package fro the delivery service and it was from the doctor who sent me the herbal treatment in Dallas,Texas USA, And he instructed me on how i was going too take in for the 18 days. After completing the dosage he told e to go for a medical checkup and when i did the doctors conducted some test on me but they were stunned that my status was now negative,they conducted several test on me to be sure. i even went to Medical City Dallas Hospital, where they conducted another test and it was still negative. I am so grateful to you herbal doctor razor , God will continue to prosper you,i pray the world gets to know about you and your herbal exploits. Reach him on his email : drrazorherbalhome@gmail.com Whatsapp/Call his cell phone on +2349065420442. PLEASE SHARE , SO THE WORLD CAN GET TO KNOW ABOUT HIM

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  26. I Want To Appreciate Dr.OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com

    Or Cell Whatsapp Number +2348101755322 thank you

    ReplyDelete
  27. I want to thank Dr Emu a very powerful spell caster who help me to bring my husband back to me, few month ago i have a serious problem with my husband, to the extend that he left the house, and he started dating another woman and he stayed with the woman, i tried all i can to bring him back, but all my effort was useless until the day my friend came to my house and i told her every thing that had happened between me and my husband, then she told me of a powerful spell caster who help her when she was in the same problem I then contact Dr Emu and told him every thing and he told me not to worry my self again that my husband will come back to me after he has cast a spell on him, i thought it was a joke, after he had finish casting the spell, he told me that he had just finish casting the spell, to my greatest surprise within 48 hours, my husband really came back begging me to forgive him, if you need his help you can contact him with via email: Emutemple@gmail.com or add him up on his whatsapp +2347012841542 is willing to help any body that need his help.

    ReplyDelete
  28. I'm 61 years old, I contracted hpv in 2011' I has be taking lot treatment for it and embarrassed some months ago the wart stated coming out seriously, I used lot recommendation because there was lot warts around my anus and was so . but today I'm totally happy I got the virus eliminated by using natural treatment from Dr Onokun herbal center after his treatment I got cured. all the warts went away' seriously believed Dr Onokun he have the cure for human papillomavirus because he has eliminated hpv been in my body since 2011, Dr Onokun make it possible for me. Here is Dr Onokun email: dronokunherbalcure@gmail.com or website: https:// Dronokunherbalcure.wordpress.com/ page at: https://www.facebook.com/naturaltreatmentcenter1 he is welled capable of curing terrible diseases.

    ReplyDelete
  29. Greatest thanks to Dr Oyagu for his herbal drugs that he prepared for me and when i start using it in just 2weeks i was completely cured and that ended my HERPES SIMPLEX 1&2 DISEASE i am so happy and grateful to Dr Oyagu . after reading about him on a testimony of Jason Cash on a blogger. i knew suddenly Dr Oyagu was the right Doctor to cure my HERPES SIMPLEX 1&2 DISEASE. i discuss with Dr Oyagu and he prepared a herbal medicine for me and when it got sent to me in south korean . i used the herbal medicine and 2weeks and i went to check up again. after 15years of suffering from HERPES SIMPLEX 1&2 at last i am smiling once again. Dr Oyagu also has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE AND MANY MORE. I oblige everyone to contact this powerful herbalist Dr Oyagu and be free from your suffering. contact his WhatsApp line: +2348101755322 or his Email:Oyaguherbalhome@gmail.com

    ReplyDelete
  30. I being hearing about this blank ATM card for a while and i never really paid any interest to it because of my doubts. Until one day i discovered a hacking guy called RICK HACKER WORLD , he is really good at what he is doing. Back to the point, I inquired about The Blank ATM Card. If it works or even Exist. They told me Yes and that its a card programmed for random money withdraws without being noticed and can also be used for free online purchases. This was shocking and i still had my doubts. Then i gave it a try and asked for the card and agreed to their terms and conditions. Hoping and praying it was not fake. One week later i received my card and tried with the closest ATM machine close to me, It worked like magic. I was able to withdraw up to 5,000 Euro. This was unbelievable. So far i order a ATM Card of $ 100,000 Euro without any stress of being caught. I don't know why i am posting this here, i just felt this might help those of us in need of financial stability. blank ATM has really change my life. If you want to contact them, Here is the email address: rickatmcardoffer@gmail.com or Whatsapp: +254750078353.

    ReplyDelete

  31. i already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr oyagu, in the net from a lady called Rebecca i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally free from Herpes. i want to say a very big thank you to DR oyagu for what he has done in my life. feel free to leave him a message on email oyaguherbalhome@gmail.com and also WhatsApp him +2348101755322..
    He can still be able to help you with this herbs medicine:
    1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT

    ReplyDelete
  32. I Want To Appreciate Dr.OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com
    Or Cell Whatsapp Number +2348101755322 thank you

    ReplyDelete
  33. I was diagnosed of herpes in 2017 and I tried all possible means to get cure but all to no avail until i saw a post in a health forum about a herbal doctor from Africa who prepare herbal medicine to cure all kind of diseases including herpes virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email i bought the herpes herbal medicine and received it through DHL within 7 days and used it as prescribed, i tested negative to hepatitis b virus within 3 weeks of usage, Do not loose hope too soon contact him If you need his help you can Email him wealthylovespell@gmail.com for easy and fast communication you can also call or add him on whats-app with this number +2348105150446 and i am confident he will help you too.

    ReplyDelete
  34. Am Laura Mildred by name, i was diagnosed with Herpes 4 years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw Mr. Morrison Hansen post on how Dr. Emu saved him from Herpes with herbal medicine i contacted Dr. Emu on his Email: Emutemple@gmail.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me and told me how to use it, after 14 days of usage I went to see the doctor for test,then the result was negative, am the happiest woman on earth now thanks to Dr. Emu God bless you. Email him at: Emutemple@gmail.com Call or Whats-app him: +2347012841542 

    ReplyDelete
  35. I Want To Appreciate Dr. OMOLOWA for his great deeds, I Was Diagnosed With Herpes Virus Last 2018, And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr. OMOLOWA Cure Herpes Virus I Decided To Contact Dr. OMOLOWA I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I Know That There Are So Many People That Have The Same Herpes Virus Please contact Dr OMOLOWA To Help You Too, And Help Me To Thank Dr. OMOLOWA For Curing Me, I’m Cured By Dr. OMOLOWA Herbal Medicine, His Contact Email:(dr.omolowa@gmail.com) Or Cell Whatsapp Number +2347014035034 thank you so much DR.OMOLOWA. He can also cure other diseases/infections 

    ReplyDelete
  36. Am Lucy Morgan from Atlanta Georgia  i was suffering from genital herpes, oral herpes, shingles. Before I came in contact with dr. Kham It is no longer news that the Acquired immune deficiency syndrome Herpes Virus is increasing by the day, The fear is that many people living with the sickness are scared of saying it because of the stigma that comes along with it.I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it.I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world had crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could live a normal life if I took my medications, In a bid to look for a lasting solution to my predicament, I sought for solutions from the voodoo world. I went online and searched for every powerful trado-medical practitioner that I could severe, because I heard that the African Voodoo Priests had a cure for Herpes syndrome. It was after a little time searching the web that I came across one Dr. Kham website who offered to help me, He gave me some steps to follow and I meticulously carried out all his instructions. Two days ago to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that " I am NEGATIVE" You can free yourself of this Herpes virus by consulting this great African Voodoo Priest via this EMAIL dr.khamcaregiver@gmail.com or dr.khamcaregiver@outlook.com]  WHATSAPP NUMBER +2348159922297, You can Also Visit his website to know more about him at > https://drkhamherbalhealingcenter.wordpress.com/    

    HE CONFIDENTLY TOLD ME HE CAN ALSO SOLVE THE FOLLOWING PROBLEMS WITH ANY DELAY IN TIME

    PREGNANCY spell

    EPILEPSY cure spell

    GENPILENCI

    HIV AIDS.

    PREGNANCY

    DIABETICS

    STROKE.

    EXPANDS OF PENIS BREAST

    H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5.

    HUMAN PAPILLOMAVIRUS

    HERPES.

    SYPHILIS.

    CANCER.

    HEPATITIS A B and C.

    HIGH BLOOD PRESSURES AND BODY BOILS.

    ReplyDelete
  37. My husband changed dramatically towards me, doesn’t communicate anymore.He disrespects me and accuses me falsely of infidelity because of wicked gossip …but I’m simply AMAZED at the results of Dr. Todd who did reunion love spell for me. Everything is going so well and EXACTLY how he said it would be. Even though it took 3 days to fully progress, it was so worth it because things are just about at perfection! How he took my situation and completely turned it around to give me exactly what I wanted is beyond me, but something I will never question and just be completely grateful, God Bless Dr.Todd for turning sorrow happiness. Dr.Todd's contact; manifestspellcast@gmail.com
    http://manifestspellcast.blogspot.com
    https://manifestspellcast.wordpress.com

    ReplyDelete
  38. I’ve been Feeling weak and always feeling sleepy for some time which I went for a test and I was told I’m Herpes positive so I followed a wide variety of medical treatments, I have even combined with different pills and antibiotics without clear results. My health was deteriorating more and more. But thanks to a herbal DR herbs method that I found on the internet to achieve the results i wanted, i knew from the beginning that this could help me, and I began to follow the method from Dr Aziba and the results were wonderful: I recommend you to get in contact with him via
    Email: priestazibasolutioncenter@gmail.com
    WhatsApp: +2348100368288

    ReplyDelete
  39. I was diagnosed of HIV/AIDS since 2 year ago have tried all possible means to get HIV cure, i even visited so many doctor but all to no avail, until i saw a post in a health forum about a herbal doctor DR.Afrid who prepare herbal medicine to cure all kind of diseases including Herpes Virus, at first i doubted if it was real but decided to give it a try, when i contact Dr.Afrid herbal home via his website he sent me HIV/AIDS herbal medicine through DHL service, when i received this herbal medicine, Dr.Afrid gave me step by instructions on how to apply it, when i applied it as instructed i was totally cured of this deadly HIV/AIDS Disease within 2 week of usage i was totally be heal..am so grateful to Dr.Afrid for saving my life Contact this great herbal doctor via his website https://dr-afrid-herbal-home.webnode.com  

    ReplyDelete
  40. get your ex back with a love spell that works fast.
    Dr.Jumba has helped thousands of women get their Ex boyfriends back using his real effective love Spell. After my boyfriend of one year broke up with me, I could barely speak without crying. I felt blindsided and didn't know what to do. I didn't know if I could get him back and the anxiety was unbearable. I needed him back desperately because I loved him so much. So I contacted this great spell caster for help. He helped me cast a return love spell on him and just within 11 hours my boyfriend came back to me crying and begging for my forgiveness. Dr. Jumba released him to know how much I loved and wanted him. And He also opened his eyes to picture how much love we have shared together. As I am writing this testimony right now I am the happiest woman on earth. I want to recommend this great spell caster to anyone that truly needs an urgent solution to a love break up. Email him at wiccalovespelltools@yahoo.com or wiccalovespelltools@gmail.com or Call/WhatsApp him: +19085174108 "I'm so grateful and can say that if you have been broken up with and want to get that person back, Dr.Jumba is the best! I'll never forget how much he helped me
    WEBSITE : drjumbaspellhome.wordpress.com , blog : https://wiccaspelltools.blogspot.com/

    ReplyDelete
  41. I thought my life had nothing to offer anymore because life became meaningless to me because I had HERPES virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I came across testimonies of some people of how DR omohan cured them from HERPES virus, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 9 days of medication the symptoms disappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you DR omohan because I forever owe you my life and I'll keep on telling the world about you. If you are going through same situation worry no more and contact DR omohan via dromohanherbalmedicine@gmail. com or WhatsApp him via +2348164816038                                                                             https://www.fb.com/dromohanherbalmedicin         

    ReplyDelete
  42. I had my first outbreaks and I was tested back in 2010 for both HSV-1 and HSV-2. Both my husband and I tested positive for HSV-1 but negative for HSV-2. Last year I found out my husband was cheating, so I decided to do a retest on all STDs including HSV-1 and HSV-2, only difference is that this time I went to a different clinic. Anyway I tested positive for HSV-1 which I knew I had but surprisingly HSV-2 as well, I was so upset and got divorced with my husband. 3 months ago a friend of mine recommended me to an African herbalist Herbal Dr Omola , I explained everything that I have been passing through all these years to him and he encouraged me that I will be cured completely!. I ordered for his herbal exploit/protocol and used it accordingly to his direction and within 17 days of using the herbal medicine I was cured completely from my HSV-1 and HSV-2. I'm so relieved to say that I've not had even one outbreak and I was tested negative by my doctor. I'm feeling so great! from within and I truly endorse this product, it really works. His herbal medicine is very active and effective. You can contact the herbal doctor on email..... dr.omolaherbalhome@gmail.com WhatsApp him with +2348118116254

    ReplyDelete
  43. Am here to appreciate Dr Ihibor for using his herbal medicine to cure my Herpes virus. since 3 years now I have been living with this virus and it has been giving me challenges, I was so perplexed cause i have been taking several drugs to be cured but all of my effort was in vain, one morning i was browsing through the internet then i saw several testimonies about Dr. Ihibor curing people from Herpes virus and many other illnesses in the body systems, and immediately i contacted Dr Ihibor on his email: drihiborherbalhome@gmail.com, I told him about my troubles and he told me that i must be cured, he gave me some instructions and which i rightly followed. so he prepared a herbal medicine for me and sent it to me which i used for 2 weeks and everything was like a dream to me and my Herpes virus was totally gone, why don’t you contact him today and be free from your diseases because he is very good and honest Doctor. contact him via email; drihiborherbalhome@gmail.com / his mobile whats-app +2349050141449....One thing i love most about Dr Ihibor is honestly and he is very polite with his patience, so everything he told me was what he did, and his herbal medicine are very affordable to get, Dr Ihibor god will over bless you.

    ReplyDelete
  44. I was diagnosed of herpes virus in 2015, I have tried all possible means to get cure but all my effort proved abortive, until a friend of mine introduced me to a herbal doctor called Dr Onokun  who prepare herbal medicine to cure all kind of diseases including herpes virus (Hsv), when i contacted this herbal doctor via his email, he sent me herpes virus herbal medicine via courier service, when i received the herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed i was totally cured from the virus within 2 weeks of usage. Contact this great herbal doctor today to get your cure.
    Via Email : Dronokunherbalcure@gmail.com

    ReplyDelete
  45. I'm here to testify about the great work Dr Iyoha did for me. I have been suffering from (HERPES) disease for the past 3 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came across a testimony of someone on the internet testifying about a Man called Dr Iyoha on how he cured her from Herpes Simplex Virus. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help, so I emailed him telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it, well after all the procedures and remedy given to me by this man which i take for 3 week,few months later i started experiencing changes all over me as Dr Iyoha assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can contact Dr Iyoha via email driyohasolutiontemple@yahoo.com. You can also call his telephone number on +1 407 337 9869. Thanks once again Dr Iyoha ...

    ReplyDelete
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    ReplyDelete
  47. Hello Am From The UK , I want to write a little testimony about the good work of doctor Oyagu who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this doc Oyagu email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address oyaguherbalhome@gmail.com or text him on what's app, phone number +2348101755322 Dr Oyagu also has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE AND MANY MORE. I oblige everyone to contact this powerful herbalist Dr Oyagu and be free from suffering.

    ReplyDelete
  48. HOW I GOT CURED OF HERPES DISEASE
    I'm here to testify about what DR. OSO did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain,especially inside my body. During the first year,I had faith in God that I would be healed someday. This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called DR. OSO on how he cured her from herpes disease. And she also gave the email address of this man and advised anybody to contact him for help for any kind of sickness that he would be of help. so I emailed him telling him about my (HERPES) he told me not to worry that i was going to be cured!! Well I never believed it, well after all the procedures and remedies given to me by this man a few weeks later i started experiencing changes all over me as DR. OSO assured me that I will be cured,after some time. I went to my doctor to confirm if I had finally healed Behold, it was TRUE,the test came out negative. So friends my advice is if you have such sickness or any other at all you can contact DR. OSO for help.

    Email} drosohaberhome@gmail.com 

    WhatsApp /call +2348162084839   

    https://sites.google.com/view/drosohaberhome/

    His blog pagehttps://drosohaberhome.blogspot.com  

    you can also email me for more information about DR oso via smithmorgan2777@gmail.com ALL THANK TO DR OSO .  

    ReplyDelete
  49. Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES SIMPLEX VIRUS in 2011, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {oliha.miraclemedicine@gmail.com}
    or whatsapp him number: +2349038382931. or website is https://olihamiraclemedicine.webs.com/
    Contact him today and you will have a testimony...Good luck!

    Dr. OLIHA Also Cures:
    1. HIV/AIDS
    2. HERPES 1/2
    3. CANCER
    4. ALS (Lou Gehrig’s disease)
    5. Hepatitis B
    6. chronic pancreatic
    7. Emphysema
    8. COPD (Chronic Obstructive Pulmonary Disease

    ReplyDelete
  50. Hello everyone, Words cannot describe how happy i am today after been cured from the herpes disease that i have be suffering from over 2 years now. I was infected with herpes and i have be living in shame and hiding it, but it became worse that i was searching for cure from different means so desperate until i met with a lady online who was testifying about this herbal doctor called Dr Iyoha. Who said she get her herpes disease cured with the use of Dr Iyoha herbal medicine. I never believed but i have to give a try because i was desperately in need of cure to the deadly disease that i have been living with. So i contacted him and we discussed how to get the cure and Dr Iyoha told me he cured with herbal medicine which i will order for and it will be delivered to me. Which i did what he wanted and to my greatest surprise the herbal medicine was delivered to me at my address which i gave to him, with instruction on how to apply was also given to me by Dr Iyoha. Then i started to use the herbal medicine, so after 3 weeks of using the herbal medicine, i saw physical changes and went for test at two separates hospitals and i was totally cured, i am here to say thanks to you again Dr Iyoha for saving me from the deadly herpes disease. Anyone with such disease can also contact Dr Iyoha through his EMAIL: driyohasolutiontemple@yahoo.com. You can also call him on +1 407 337 9869.

    Dr IYOHA CAN AS WELL CURE THE FOLLOWING DISEASE:-
    1. HERPES
    2. PENIS ENLARGEMENT
    3. GONORRHEA
    4. HIV/AIDS
    5. LOW SPERM COUNT
    6. MENOPAUSE DISEASE
    7. EPILEPSY
    8. ASEPSIS
    9. CANCER
    10. ANXIETY DEPRESSION
    11. PREGNANCY PROBLEM
    12. SHORT SIGHTEDNESS PROBLEM
    13.YOU NEED YOUR WIFE OR HUSBAND BACRK
    14. PTSD
    15 ADHD....

    ReplyDelete
  51. Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES SIMPLEX VIRUS in 2011, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {oliha.miraclemedicine@gmail.com}
    or whatsapp him number: +2349038382931. or website is https://olihamiraclemedicine.webs.com/
    Contact him today and you will have a testimony...Good luck!

    Dr. OLIHA Also Cures:
    1. HIV/AIDS
    2. HERPES 1/2
    3. CANCER
    4. ALS (Lou Gehrig’s disease)
    5. Hepatitis B
    6. chronic pancreatic
    7. Emphysema
    8. COPD (Chronic Obstructive Pulmonary Disease

    ReplyDelete
  52. A big Thanks to you doctor Just confirm am completely cure free from hsv with the help of his wonderful herbs medicine, may God continue to bless you and your wonderful herbs medicine thanks so much Dr Abubaka anyone looking for any herbs medicine should kindly contact Dr Abubaka to place your order for his lovely herbs medicine Via email: DrAbubaka@gmail.com or WhatsApp: +2349051703820

    ReplyDelete
  53. GET RICH WITH BLANK ATM CARD ... Whatsapp: +18033921735

    I want to testify about Dark Web blank atm cards which can withdraw money from any atm machines around the world. I was very poor before and have no job. I saw so many testimony about how Dark Web hackers send them the atm blank card and use it to collect money in any atm machine and become rich. ( darkwebblankatmcard@gmail.com ) I email them also and they sent me the blank atm card. I have use it to get 90,000 dollars. withdraw the maximum of 5,000 USD daily. Dark Web is giving out the card just to help the poor. Hack and take money directly from any atm machine vault with the use of atm programmed card which runs in automatic mode.

    Email: darkwebblankatmcard@gmail.com
    Text & Call or WhatsApp: +18033921735

    ReplyDelete
  54. I Want To Appreciate Dr OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr OYAGU Cure Herpes Virus I Decided To Contact Dr OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com or viste his website https://oyaguspellcaster.wixsite.com/oyaguherbalhome
    Or Cell Whatsapp Number +2348101755322 thank you

    ReplyDelete
  55. I Want To Appreciate Dr. momoh for his great deeds, I Was Diagnosed With Herpes Virus Last 2018, And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr. momoh Cure Herpes Virus I Decided To Contact Dr. momoh I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I Know That There Are So Many People That Have The Same Herpes Virus Please contact Dr momoh To Help You Too, And Help Me To Thank Dr. momoh For Curing Me, I’m Cured By Dr. momoh Herbal Medicine, His Contact Email:(dr.momoh9@gmail.com) Or Cell Whatsapp Number  +234 708 372 4098   thank you so much DR.momoh. He can also cure other diseases/infections

    ReplyDelete
  56. DR Abubaka herbal medicine is the best remedy for Herpes and HIV/AIDS, I was a carrier of Herpes and I saw a testimony on how Dr. Abubaka cure Herpes, I decided to have a contact with him and asked him for solutions and he started the remedy for my health and prepare the herbal cure for me which i use to cure myself. Thank God, now everything is fine, I'm cured by Dr. Abubaka herbal medicine, I'm very thankful to Dr. Abubaka and i will not stop publishing his name on the internet because of the good work he did for me, You can reach him on his email: DrAbubaka@gmail.com or WhatsApp: +2348075551672

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  57. I want to use this opportunity to thank Dr Oyagu for the grate work he has done for me and my cousin sister, I was cured from herpes virus through his herbal remedy and my cousin sisters was also cured from Cancer. This is a grate testimony for what Dr Oyagu Has done for me and my entire generation. I’m giving this testimony so that those of you out there can contact him while he keeps saving my relatives. Send him a Dm and get a better health totally. Contact him via WhatsApp +2348101755322 or Email address:oyaguherbalhome@gmail.com you can also reach him on his website https://oyaguspellcaster.wixsite.com/oyaguherbalhome

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  59. I am very happy today to share this amazing testimony on how Dr. AFRID the herbal doctor was able to cure me from my Herpes Virus with his herbal medicine. I have been a herpes patient for almost 8 months now and have tried different methods of treatment to ensure that I am cured of this terrible disease, but none worked for me, so I had to leave everything to God to handle as I was a Christian who had faith that one day God would intervene in my life, yet I felt so sad and desperate as I was losing almost everaything due to my illness, A few months ago while I was surfing the internet I saw different recommendation about Dr AFRID on how he have been using his herbal Medicine to treat and cure people, these people advice we contact Dr. AFRID for any problem that would help immediately, I contacted Dr AFRID and I told him how I got his contact and also about my disease, after some time Dr. AFRID told me to have faith that he would prepare for me a medication of herbal herbs, he told me I would take this medicine for a few weeks and also asked my home for home address so as possible for him to submit the drug for me, so my good friends after all the process and everything Dr AFRID actually sent me the medicine, I took it as I was directed by Dr. AFRID, after a few weeks passed, while on Dr. AFRID medication I began to experience changes in my body, I had to call my doctor at the hospital for some blood test, after test my hospital doctor told me that I was no longer with the herpes virus and my blood is pretty good, I can not even believe this, Friends well today i am Herpes Free and i want everyone to know that there is a cure for herpes for those who will contact Dr AFRID after reading my testimony, you can kindly contact Dr. AFRID in (DRAFRIDHERBALHOME@GMAIL.C OM) or whatsApp him +2349057260738, God bless you all  

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  60. I’m very excited to inform everyone that I’m completely cured from HSV1&2 recently.I have used Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it’s really help during my outbreaks but I totally got cured from HSV1&2 with a strong and active herbal medicine ordered from a powerful herbalist called Dr Iyoha and it completely fought the virus away my nervous system and I tested negative after 14 days of using the herbal medicine. I’m here to let everyone know that herpes virus has a complete cure, I got rid of mine with the help of Dr Iyoha and his herbal exploit. Contact him via email: driyohasolutiontemple@yahoo.com or Call him at +1(407) 337 9869 . He have the herb to cure difference cure for any sickness (1) HERPES, (2) DIABETES, (3) HIV&AIDS, (4) URINARY TRACT INFECTION, (5) HEPATITIS B, (6) IMPOTENCE, (7) BARENESS/INFERTILITY (8) DIARRHEA (9) ASTHMA... once again emial him via driyohasolutiontemple@yahoo.com

    ReplyDelete
  61. I’m very excited to inform everyone that I’m completely cured from HSV1&2 recently.I have used Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it’s really help during my outbreaks but I totally got cured from HSV1&2 with a strong and active herbal medicine ordered from a powerful herbalist called Dr Iyoha and it completely fought the virus away my nervous system and I tested negative after 14 days of using the herbal medicine. I’m here to let everyone know that herpes virus has a complete cure, I got rid of mine with the help of Dr Iyoha and his herbal exploit. Contact him via email: driyohasolutiontemple@yahoo.com or Call him at +1(407) 337 9869 . He have the herb to cure difference cure for any sickness (1) HERPES, (2) DIABETES, (3) HIV&AIDS, (4) URINARY TRACT INFECTION, (5) HEPATITIS B, (6) IMPOTENCE, (7) BARENESS/INFERTILITY (8) DIARRHEA (9) ASTHMA... once again emial him via driyohasolutiontemple@yahoo.com

    ReplyDelete
  62. The doctors said Herpes virus do not have medical cure because the virus is capable of hiding within the human cells, it remains protected from your immune system. Herpes isn’t a special virus – your immune system has the tools to fight it back. But because it is able to lay dormant in protected cells, your immune system is unable to remove it from your body,But with strong reactive herbal medication is capable of getting rid of the virus gradually and totally from your body without damaging any of your cells,natural herbs kills the virus totally not just reducing the out break. Get natural herbs cure Email DR. VOODOO at voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

    ReplyDelete
  63. TESTIMONY ON HOW I GOT CURED TOTALLY FROM HERPES VIRUS BY DR ISHIAKU 
    I want to inform the public how i was cured of herpes  Virus by a Doctor called Dr ishiaku. I visited different hospitals but they gave me a list of drugs like Famvir, Zovirax, and Valtrex which are very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedies on Herpes and I saw comments of people talking about how Doctor ishiaku cured them. I Was scared because i never believed in the Internet but i was convinced to give him a try because i was having no hope of been cured of herpes so i decided to contact him on his email, i searched his email on net and i saw a lot of people testifying about his goodness. When I contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. You can contact him on his email: ishiakuherbalcure@gmail.com or whats-app him via + 2348180828544 and get all your problems solved.1)Sickness of any kind
    2)Help to CURE Hepatitis B, herpes, HIV/AIDS CANCER and BIPOLAR
    3)Divorce, Breakup problem and To Re-unit
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    8) enlargement of manhood 
    you can also visit his website for information www.ishiakuherbalcure.wordpress.com  

    ReplyDelete
  64. Excellent and Amazing service on how to get back your ex, You need a honest and trustworthy man called Dr Isikolo (https://isikololovetemple.com)
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