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Jackson neurosurgery Clinic Controlled Substances policy the purpose of this policy is to protect your access to controlled substances and to protect our ability to prescribe for you the long-term use of controlled substances is controversial because of uncertainty regarding the extent of which they provide long-term benefit opioids may cause drowsiness that can be worsened with alcohol benzodiazepines and other sedating medications an overdose can cause severe side effects even death [Music] other common usually temporary side effects include nausea itching and sweating psychological depression and lower testosterone levels in the end may also occur sleep apnea at present may be worsened by opioids if your physician determines that youre at risk for sleeping evaluation and treatment for this problem may be necessary before starting and or increasing dosages of some medications constipation commonly occurs and often does not improve with time [Music] opioid side effects location Havin