Opioids are NOT Required

By preventing first exposure to opioids (AKA narcotics), we hope to
reduce the number of patients who become addicted with devastating consequences.

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Opioids are NOT required for your surgery

About Narcotic Free Treatments

We care and so should you

Zero narcotics is a program that prioritizes excellent pain control after surgery without the use of narcotics (opioids). Each treatment plan is designed individually for patients. We discuss your goals, while also accounting for risks. Opioids have serious health effects as you can read below. Overall, if we can avoid or minimize exposure to narcotics, the chance of potential complications and addiction will decrease.


Nerve Blocks

Nerve blocks have 2 different varieties. We can do a one-time injection that can last ~48 hours with the latest long-lasting numbing medicines. We can also place a small micro catheter near the nerves to continuously drip numbing medicine for extended periods of time. Deciding between these 2 options will depends on your particular surgery and medical factors. Nerve blocks are usually performed while the patient is sedated and are well tolerated.


We perform these procedures so you will not feel pain during or after your procedure. Depending on the specific local anesthetic (numbing medicine) we use, the nerve block can last even longer ranging from hours to days. Patients who receive nerve blocks with surgery have less nausea, higher satisfaction scores, and recover more quickly after surgery. Dr. Shiraz is an expert in nerve block utilization.

The dangers of OPIOIDS

Why expose patients to the complications of opioids if it’s not required?

Opioids are a class of drugs that include the illicit drug heroin as well as the legal prescription pain relievers oxycodone,hydrocodone, codeine,morphine, fentanyl and others.
Side effects of opioids: Nausea, vomiting, constipation, physical dependence, tolerance, dizziness, respiratory depression, and overdose are complications from opioid use. Less common side effects may include delayed stomach emptying, immune and hormonal dysfunction, and muscle rigidity.
In 2012, 259 million prescriptions were written for opioids, which is more than enough to give every American adult their own bottle of pills. In 2015, there were over 33,000 overdose deaths from opioid abuse. In 2015, 22.5 million people (1 in 20 americans) abused prescription opioids and 2.1 million people abused for the first time.
11.4% of young adults have used prescription drugs non-medically. Young adults (age 18-25) are the highest risk group.

What are zero narcotics?

Non addictive pain relief

Cutting edge technology

Pain management and control

Having SURGERY soon?

Find a doctor:

It’s not easy to find a doctor who prioritizes non-narcotic pain control. Zeronarcotics offers a free service designed to match you with a doctor who embraces our goals. Let us help!



Dr. Shiraz

Dr Shiraz is a board certified anesthesiologist who specializes in innovative techniques designed to reduce pain without the use of narcotics. After completing his residency in anesthesiology at Emory University in Atlanta, GA in 2011, he completed a fellowship specialization in regional anesthesia (nerve blocks) and acute pain medicine at Columbia University in New York City. Dr Shiraz continues to use his training and experience to decrease the rate of exposure to narcotics in efforts to combat the national opioid crisis. He also serves on the Speakers Bearau for Halyard Heath, as well as the Advisory Board for Pacira Pharmaceuticals. He is frequently an instructor at NYSORA workshops.

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