Author: Addiction Blog

  • How to live with an addict

    How to live with an addict

    Fatigue makes everything more difficult

    Since my son’s birth, one and a half years ago, I have not had one decent night’s sleep. He wakes three to four times a night, screaming. Regardless of what time he goes to bed, he wakes at five am. I am a morning person. When my daughter was small, I used to wake an hour before her, so I could have time to myself, organize, and start my day. This small routine is what helped be more productive. With my son, this has been impossible, and almost every day has been a challenge. I go to sleep with him, exhausted, and wake long before I even want to, to him jumping on top of me. I am tired more, finding the mental focus to work has been difficult, and time alone has been almost impossible.

    By the grace of God, two nights in a row my son slept through the night. The second day, I woke up before him, went downstairs and got everything ready before he awoke. I settled into my home office to check some work emails and when I turned around he was happily running into towards me smiling and saying, “Momma.” After the warmest hug, he sat still at breakfast with his sister and fed himself! Later, when I took him to the store, something I usually tried to avoid, he fell asleep I was able to shop in peace. While I was waiting on line, the man behind me struck up a conversation about all the organic and healthy food he saw in my cart. He turned out to be an extremely generous man who owned an entire ranch helping families in crisis, housing more than forty troubled children. He actually lived around the corner from me and I didn’t know it. What an inspirational conversation we had. The rest of the day was more of the same.

    Then I realized something. If every night was difficult and sleep was sparse, it was going to affect my health, my mood, my behavior, my outlook, and my ability to be productive. Somehow I made it work, knowing it was a temporary situation and because of the love I have for my child.

    Negativity precipitates negativity

    I mentally pressed rewind and went back four years. At that time, I was not sleeping because I was up worried most nights when my husband would not come home. You see, codependency and control issues are often difficult to distinguish.   I was taking care of a little girl on my own, my husband was bringing drugs into my home, and we were slowly going into financial ruin.

    Every time I would try to be positive, something bad would happen. I was in a vicious cycle but I did not know it. Negativity precipitates negativity. The more negative thoughts, behavior,and events that entered my life, the more negativity I attracted. If there was positive in my life, I could not see it or attract it.

    Getting ready for change

    When I had my moment of clarity and I realized I was sick of my life the way it was, I made a change. Letting go of my addict husband was a process that helped me.  I started going to meetings for families like mine, I sought a therapist, I mentally left my husband, and then shortly after, physically.

    I started to let a little positive in each day. I made myself read positive affirmations daily. I interviewed for a job opportunity I really wanted and got the job. My father happened to be retiring the same time. I had to work again full time to be the sole supporter of my daughter, and he offered to take on a bigger role and help take care of my child. I reconnected with friends I had lost touch with who helped nurse me back to life. Everything started to come together in a way that forced, even the once skeptical me, to believe was some divine synchronicity.

    How to live with an addict: change the focus

    When you are caught in the cycle of addiction, life may seem hopeless. If you decide to stop talking to the addict, or stay in their life, either way, you can still make a choice to silence the negative and accentuate the positive. Once you start looking for the positive things about you, and your life, you will start to find them. Once you find them, more will become attracted to you. Eventually you will be taking the emphasis off of the negativity of the addict’s behavior and focus on what is positive within you.

    Living with an addict questions

    Do you still have questions or want to share your situation with us? Please leave us a message in the comments section below. We do our best to respond to all questions personally and promptly.

    View the original article at addictionblog.org

  • How to STOP enabling my drug addicted husband

    How to STOP enabling my drug addicted husband

    In terms of addiction, enabling has a negative connotation. It refers to a dysfunctional way of helping someone else in such a way that hurts the enabler and the person they think they are helping. In the article, “8 Signs You are a Co-addict“, we discussed many types of enabling. Whichever type you engage in, there are consequences to each.

    So, how can you end the enabling and move towards a healthier relationship…a healthier you? We review here. Then, we invite your questions at the end. In fact, we try to respond to all legitimate questions or comments with a personal and prompt response.

    Are you ready to hear the truth?

    Some women will post on my blog about how they want to stop enabling their husband’s addiction. Their posts seem so desperate and so imminent. I know what they are going through because I have been there; I was married to an addict, too. So, I spend time and energy crafting a heartfelt and realistic response. I try to address their needs and personalize the advice for them and then … weeks will go by and … nothing. Months and … nothing. Some of these women never reply.

    I thought about this for a while and tried to put myself in their shoes. When they are reading online for answers and posting their frustrations and their stories they are usually in a crisis situation, either the addict is binging on drugs, disappeared, or done some other inexcusable act. Just because they are posting on my blog does not mean that they are ready to hear what I have to tell them.

    When I explain what is most likely to happen or what will help them in the long run, they do not answer back because that is not the answer they were looking for. Most women are not ready to hear that they need to change. Perhaps telling their stories just helps them purge all of their anxiety or they still believe I can tell them how they can fix their partner.

    STOP enabling

    When I was married to an addict, the only advice I hoped to hear from my therapist and from other support people was that I could do “X,Y, and Z” and that would help me fix my husband and his addiction. I wanted to know that living with an addict was possible, and that he could change. When people suggested I had issues or that I should leave my husband I was mortified. I thought I could not live without him so I continued on the same path hoping something would happen that would change him.

    Twelve years passed and nothing happened.

    I still wanted to fix him, until one day an event forced me to fix myself. It was like I was tuning out all of the advice I needed to hear until one day I heard it because I was ready to listen.

    My husband was not forcing me to enable him; I was taking it upon myself to help him because I felt bad for him and I loved him. I realized when I did things that I knew made his addiction and life easier, even if it was acting crazy so he could feel justified to abuse drugs more, that I was not only enabling him but hurting myself. If he ever had a chance to stop using drugs, I had to realize it was not going to be because of me.

    Most enablers already know that being married, having children, and responsibilities are not enough reason for an addict to get sober. But, they still think one day they will say something and the addict might all of a sudden realize they are.

    It’s about boundaries

    Most addicts have no boundaries. An enabler eventually loses their own boundaries and their lives become convoluted and controlled by addiction. Enablers lose their identity and do not understand why they keep on doing what they are doing. So, how can you pull yourself back up to stand on your own two feet?

    Start empowering yourself!

    How to stop enabling a drug addict?

    To stop enabling a few things need to happen:

    1. You need to make a commitment to change.
    2. You must commit to stop your part in enabling 100%, not just some of the time.
    3. You must stop negative patterns and behaviors and replace them with positive ones.
    4. You need to get support from someone with experience and someone you trust to help you.
    5. You need to stop enabling him and start empowering you.

    Enablers feel the illusion of control when they help their partner. Once you let it go, you can stop trying to fix and control your partner, take that energy, and fix yourself. You can start asking yourself the questions:

    1. Why am I allowing this person and his addiction control my life?
    2. Why do I not feel good enough about myself to want to be treated better?
    3. Why am I so afraid to leave?
    4. Why do I have fears of abandonment, of being alone, of standing on my own two feet?

    If you focus on you, there is less of a chance you will have the time to focus on him. If you change your life and start doing things that bring back your self-confidence then it is less likely you will want to repair him.

    Addiction is a selfish condition because it usually involves the complete attention of more people than just the addict. It can draw in the wife, the children, the parents, and the friends if you allow it. Nevertheless, enabling is a choice even though it does not feel like one. The best way to stop enabling is to learn your enabling behaviors and make a conscious choice to STOP.

    Need some help?

    We invite you to leave your questions in the comments section below. We do our best to respond to each person individually and promptly!

    View the original article at addictionblog.org

  • How to STOP enabling my drug addicted husband

    How to STOP enabling my drug addicted husband

    In terms of addiction, enabling has a negative connotation. It refers to a dysfunctional way of helping someone else in such a way that hurts the enabler and the person they think they are helping. In the article, “8 Signs You are a Co-addict“, we discussed many types of enabling. Whichever type you engage in, there are consequences to each.

    So, how can you end the enabling and move towards a healthier relationship…a healthier you? We review here. Then, we invite your questions at the end. In fact, we try to respond to all legitimate questions or comments with a personal and prompt response.

    Are you ready to hear the truth?

    Some women will post on my blog about how they want to stop enabling their husband’s addiction. Their posts seem so desperate and so imminent. I know what they are going through because I have been there; I was married to an addict, too. So, I spend time and energy crafting a heartfelt and realistic response. I try to address their needs and personalize the advice for them and then … weeks will go by and … nothing. Months and … nothing. Some of these women never reply.

    I thought about this for a while and tried to put myself in their shoes. When they are reading online for answers and posting their frustrations and their stories they are usually in a crisis situation, either the addict is binging on drugs, disappeared, or done some other inexcusable act. Just because they are posting on my blog does not mean that they are ready to hear what I have to tell them.

    When I explain what is most likely to happen or what will help them in the long run, they do not answer back because that is not the answer they were looking for. Most women are not ready to hear that they need to change. Perhaps telling their stories just helps them purge all of their anxiety or they still believe I can tell them how they can fix their partner.

    STOP enabling

    When I was married to an addict, the only advice I hoped to hear from my therapist and from other support people was that I could do “X,Y, and Z” and that would help me fix my husband and his addiction. I wanted to know that living with an addict was possible, and that he could change. When people suggested I had issues or that I should leave my husband I was mortified. I thought I could not live without him so I continued on the same path hoping something would happen that would change him.

    Twelve years passed and nothing happened.

    I still wanted to fix him, until one day an event forced me to fix myself. It was like I was tuning out all of the advice I needed to hear until one day I heard it because I was ready to listen.

    My husband was not forcing me to enable him; I was taking it upon myself to help him because I felt bad for him and I loved him. I realized when I did things that I knew made his addiction and life easier, even if it was acting crazy so he could feel justified to abuse drugs more, that I was not only enabling him but hurting myself. If he ever had a chance to stop using drugs, I had to realize it was not going to be because of me.

    Most enablers already know that being married, having children, and responsibilities are not enough reason for an addict to get sober. But, they still think one day they will say something and the addict might all of a sudden realize they are.

    It’s about boundaries

    Most addicts have no boundaries. An enabler eventually loses their own boundaries and their lives become convoluted and controlled by addiction. Enablers lose their identity and do not understand why they keep on doing what they are doing. So, how can you pull yourself back up to stand on your own two feet?

    Start empowering yourself!

    How to stop enabling a drug addict?

    To stop enabling a few things need to happen:

    1. You need to make a commitment to change.
    2. You must commit to stop your part in enabling 100%, not just some of the time.
    3. You must stop negative patterns and behaviors and replace them with positive ones.
    4. You need to get support from someone with experience and someone you trust to help you.
    5. You need to stop enabling him and start empowering you.

    Enablers feel the illusion of control when they help their partner. Once you let it go, you can stop trying to fix and control your partner, take that energy, and fix yourself. You can start asking yourself the questions:

    1. Why am I allowing this person and his addiction control my life?
    2. Why do I not feel good enough about myself to want to be treated better?
    3. Why am I so afraid to leave?
    4. Why do I have fears of abandonment, of being alone, of standing on my own two feet?

    If you focus on you, there is less of a chance you will have the time to focus on him. If you change your life and start doing things that bring back your self-confidence then it is less likely you will want to repair him.

    Addiction is a selfish condition because it usually involves the complete attention of more people than just the addict. It can draw in the wife, the children, the parents, and the friends if you allow it. Nevertheless, enabling is a choice even though it does not feel like one. The best way to stop enabling is to learn your enabling behaviors and make a conscious choice to STOP.

    Need some help?

    We invite you to leave your questions in the comments section below. We do our best to respond to each person individually and promptly!

    View the original article at addictionblog.org

  • How long does Valium withdrawal last?

    How long does Valium withdrawal last?

    Valium (diazepam) withdrawal can last for weeks. Why?

    Valium is a benzodiazepine. It used to provide short term relief for anxiety and has been used to help to support alcoholics from recovery. Though Valium is used to help support initial chemical detox processes, Valium itself has a high dependency rate. This makes withdrawing from Valium, or Valium withdrawal syndrome, just as difficult as alcohol and other substances.

    If you are planning to stop taking Valium and want to know which side effects stop taking Valium to expect you are in the right place. Here, we explore the withdrawal process from diazepam and what you can expect over the course of the weeks after you stop taking Valium. We also invite you to ask any questions you may have about Valium at the end.

    How long until Valium withdrawal starts?

    If you become physically dependent on diazepam and have decided to stop taking Valium, youcan expect to go through the process of withdrawal. You will start to experience Valium withdrawal symptoms a few hours after the effects of your last dose of diazepam has worn off. The intensity of withdrawal from Valium symptoms depend on the duration of and amount of Valium dosage and/or if you are using Valium outside the prescribed parameters. Below is a list of symptoms you may encounter at any time during Valium withdrawal.

    • abdominal pains
    • dysphoria
    • extreme anxiety
    • headache
    • insomnia
    • muscle pain
    • restlessness
    • sweating
    • tension
    • tingling of extremities
    • tremors

    How long do Valium withdrawal symptoms last?

    It generally takes people longer to withdrawal from Valium than from other medications. Most people continue to experience Valium withdrawal at different levels of severity for several weeks after last dose of diazepam. Because of the nature of Valium, symptoms will seem to get easier and then suddenly spike with the strength you felt at the beginning of the withdrawal symptoms. Valium withdrawal symptoms: how long? Acute withdrawal lasts from 3-6 days, while other symptoms can persist for weeks or months later.

    Valium withdrawal timeline

    The onset of Valium withdrawal symptoms begins a few hours after the last dose of Valium has worn off. Symptoms will continue to intensfiy and last for several hours later. In fact, while acute symptoms of Valium withdrawal usually subside after the first few days of detox, more persistant symptoms of Valium withdrawal can last several weeks afterwards. Furthermore, “rebound symptoms” can occur, which may manifest in high levels of anxiety. However, these symptoms should begin to decline about 6-8 weeks after quitting Valium.

    24 – 72 hours Valium withdrawal: Withdrawal from Valium mimics that of alcohol. Your body will experience tremors, sweating, and agitation. Intense resurgence of anxiety or symptoms which where once taken care of by using Valium can also be present.

    Week 1 Valium withdrawal: There should be a lessening of withdrawal symptoms from diazepam after the first week of Valium withdrawal. Physical symptoms will be evening out. However, it is likely you will still experience sleep disturbances and mild aches and pain.

    Week 2 Valium withdrawal: It is during this time that acute withdrawal symptoms tend to resurface with the same original intensity.

    Week 3-4 Valium withdrawal: Symptoms of Valium withdrawal again tend to dip before possibly resurfacing. This week should be even better than week one, as the further away you are from that last does, the more you can feel your body returning to normal. Insomnia and anxiety may still be a problem you will have to deal with.

    Valium withdrawal: how long?

    As a benzodiazepine, diazepam withdrawal seems to fluctuate between highs and lows. One week you may feel great; the next week your body can manifest severe withdrawal symptoms and discomfort.you can expect some level of fluctuations during withdrawal.

    Depending on the amount of Valium you have been taking and the length of time you’ve taken it, you may go also exerpience PAWS,post-acute withdrawal symptoms. These are a set of persistent symptoms that last for several weeks to months after you have stopped taking Valium. What makes this process more difficult is that Valium withdrawal symptoms can mimic the original disorder(s) Valium was used to treat. However, keep in mind that although withdrawal does exacerbate anxiety, depression, and agitation … it passes. Other rebound symptoms such as panic attacks can be addressed by a psychologist or psychiatrist.

    How long Valium withdrawal questions

    If you have any more questions regarding withdrawal from Valium please ask. We do our best to respond to your question accurately and promptly. Also, we invite you to share your own experience of withdrawal from diazepam. What did you go through? What helped?

    Reference Sources: NCBI: Diazepam withdrawal Syndrome
    FDA: Valium
    National Library of Medicine: Controlled Study of withdrawal Symptoms 

    View the original article at addictionblog.org

  • How long does buprenorphine withdrawal last?

    How long does buprenorphine withdrawal last?

    Buprenorphine can be a useful drug prescribed to treat opiate addiction. Because it is a partial agonist, buprenorphine (used in brand name medications such as Suboxone and Subutex) results in a milder degree of physical dependence and is associated with milder withdrawal syndrome following cessation.  But what kind of timeline can you expect during buprenorphine withdrawal? And do people taking buprenorphine for opioid dependence experience less severe withdrawal than those who abuse buprenorphine to get high?

    More here on how long it takes to withdraw from buprenorphine and what symptoms you can expect in the course of the first month after you stop taking it. Then, we invite your questions about buprenorphine withdrawal at the end.

    How long until buprenorphine withdrawal starts?

    What does buprenorphine withdrawal feel like?  Basically, it feels like a really bad flu.  Buprenorphine withdrawal can start in the hours or days after you take your last dose.

    Generally, it is recommended that you gradually reduce your doses of buprenorphine over the period of 2-3 weeks before complete cessation so that the withdrawal symptoms are not as severe. Although the physical withdrawal symptoms resolve after a period of 7-10 days, the psychological withdrawal symptoms can last for months or longer. Symptoms of benprenorphine withdrawal include leg restlessness, nausea, and sweating, yawning, pain, anxiety, irritability, insomnia and cold or flu-like symptoms.

    Buprenorphine withdrawal timeline

    24 – 72 hours: Buprenorphine withdrawal will usually peak in severity and intensity 72 hours after your last dose and gradually become less intense. During this period, it is common to experience diarrhea, sweating, nausea, dilated pupils, watery eyes and restlessness.

    Week 1: In the first week after stopping buprenorphine, week you will probably continue to to feel aches and cramps within the stomach area and in your joints. You may be uncomfortable during this time period and have difficulty sleeping. Mood swings are also common, with bouts of anxiety or depression.

    Week 2: After two weeks of buprenoprhine withdrawal, the pain and discomfort of acute withdrawal may not be as severe but you still experience aches. Depression can starts to set in, as well, and you may notice an extreme loss of motivation.

    Week 3-4: After three to four week mark, most of the physical withdrawal symptoms will be gone, however you will intense drug cravings may be present for those addicted to buprenorphine. Depression is also common. This time is very important, as you will be very vulnerable to relapse.

    How long do buprenorphine withdrawal symptoms last?

    Buprenorphine withdrawal symptoms last longer for those who use buprenorphine for longer periods of time or at higher doses. Additionally, those who use buprenorphine other than prescribed (snort, inject, chew) may experience more severe symptoms than someone taking buprenorphine as prescribed. In these cases, physical buprenorphine withdrawal symptoms can last weeks after stopping.

    However, psychological withdrawal symptoms can last for many months after cessation. It is recommended that you join a support group or see a psychologist who can help see you through the protracted or post acute withdrawal symptoms (PAWS). Many heavy buprenorphine users experience PAWS. With continued use of buprenorphine, there comes a point where the brain produces in an inadequate amount of neurotransmitters in the body. People going through buprenorphine PAWS manifest long lasting changes in the brain as a result of long term use. These changes are slower to reverse and can persist for many months, depending on the frequency and amount of past dosing.

    Buprenorphine withdrawal: How long?

    How long buprenorphine withdrawal lasts varies depending on how frequently you used the drug and how large the doses were. If you were a heavy user, burprenorphine withdrawal may be more intense and last longer than someone using buprenorphine for a few months. It is also crucial that your family understands your situation so that they know why you are acting the way you do and can better handle it.

    Buprenorphine withdrawal duration questions

    If you have further questions about how long burprenorphine withdrawal lasts, please ask them in the comments section below. We will try to respond to you personally and promptly.

    Reference Sources: NCBI: Buprenorphine withdrawal
    FDA: Suboxone medication guide
    NIDA: Methadone Research Web Guide: Part B
    National Drug Intelligence Center: Buprenorphine: Potential for Abuse

    View the original article at addictionblog.org

  • How long does Antabuse stay in your system?

    How long does Antabuse stay in your system?

    Antabuse (disulfiram) is an alcohol antagonist drug used in the management of chronic alcoholism. It one of a handful of medicines to help you stop drinking that has been designed to act as a deterrent to alcohol consumption. Antabuse works by making you feel physically nauseous, provoking vomiting if you drink. But how is disulfiram metabolized in the body? How long will it stay in your system?

    Continue reading here to learn more about the use, mechanism of action, elimination, and possible side effects of Antabuse. If you have any questions after reading the text, we invite you to ask questions and share comments at the end of the page. We do our best to respond to all questions about what happens when you quit alcohol…personally and promptly.

    Main Antabuse uses

    Antabuse is prescribed for people who suffer from chronic alcoholism. It works as a deterrent to drinking by making you feel nauseous any time you consume alcohol. While not prescribed for people who want to try controlling their drinking, it is an excellent option for those who would like to abstain. How does it work exactly?

    The main ingredient in Antabuse, disulfiram, produces an irreversible inhibition of the enzyme responsible for oxidation of the ethanol metabolite called “aldehyde dehydrogenase”. By blocking oxidation of alcohol and allowing the enzyme to accumulate in blood concentrations 5-10 times higher than normal, it produces a very unpleasant side effects if the person taking Antabuse also consumes alcohol. The disulfiram-alcohol reaction provokes the following number of unpleasant symptoms:

    • intense flushing of face
    • difficulty breathing
    • heart palpitations
    • pulsating headache
    • nausea
    • vomiting

    Antabuse produces best results if/when used together with behavior modification, counseling sessions, psychotherapy, and when you have an adequate support system. It is not, however, a cure for alcoholism.

    How do you take Antabuse?

    Antabuse can be administered after at least 12 hours of alcohol abstinence. At the beginning of the course of treatment, Antabuse is usually taken only once a day, preferably in the morning, at a maximum dose of 500 mg. After the first 1-2 weeks of Antabuse treatment, patients are usually given a single daily dose of 125-500mg. The duration of Antabuse therapy may be several months (or sometimes even years), or simply until the patient has established a solid recovery from alcoholism and has established period of a long term sobriety.

    Peak levels and half life of Antabuse

    Antabuse is slowly absorbed by the body. Likewise, it is also eliminated from the system at a very slow rate. Upon administration, about 80-90% of a single oral dose makes it into the blood system, while the rest are quickly eliminated. Disulfiram is metabolized in the liver and is excreted primarily through the kidneys, while some metabolites are exhaled as carbon disulfide. The half life of Antabuse is 60-120 hours and up to 20% of a single dose may remain in the body for a week or more.

    Antabuse starts to affect ethanol metabolism within 1-2 hours after administration. Following a single dose of the medication, the body may react to any amount of alcohol for up to 14 days.

    Antabuse drug testing: How long does Antabuse stay in the body?

    Antabuse is not a narcotic and IS NOT subject to the legal restrictions of the Controlled Substances Act. But, doctors will probably be scheduling frequent blood tests if you are taking Anatabuse. Regular blood check-ups are important for monitoring the liver function and checking for side effects.

    Note here that Antabuse (disulfiram) may also interfere with certain laboratory tests, including urine VMA/HVA tests. Since it can cause a false positive on drug test results, it is important that you notify the laboratory personnel and all your doctors that you are using Antabuse.

    Antabuse and alcohol addiction

    Antabuse tablets contain the active ingredient disulfiram, which is an aldehyde dehydrogenase inhibitor. This medicine is a tool to keep alcoholics away from drinking. If someone who is taking Antabuse drinks alcohol, a severe, unpleasant and potentially dangerous reactions occur quickly. This is achieved because disulfiram interferes with the way the body metabolizes alcohol.

    It is important that Antabuse therapy is used in combination with other forms of therapy and good social and psychological support. After all, alcoholism is not only a drinking problem, it’s also a thinking and social problem. A recovering person needs to implement many new and positive changes in life, in order to remain alcohol-free.

    Who should not have Antabuse in their system?

    Some people may experience unwanted reactions to disulfiram (the active ingredient in Antabuse) that may require medical attention. If this medication causes any severe or persistent physical or mental problems you should notify your healthcare professional as soon as possible.

    For safety reasons, Antabuse should not be administered by intoxicated patients, or if a person hasn’t abstained from alcohol for at least 12 hours. It shouldn’t be used by patients allergic to disulfiram or by pregnant women. Further, Antabuse should be prescribed and used with great caution in the populations who are diagnosed with:

    • cerebral damage
    • chronic and acute nephritis
    • diabetes mellitus
    • epilepsy
    • hepatic cirrhosis or dysfunction
    • hypothyroidism

    Antabuse questions about length in system

    If you or a loved one are suffering from alcoholism and are looking for medications that can help you quit, Antabuse is one of several meds that can help. We suggest consulting your family doctor or a medical professional who specializes in addiction treatment to be screened for treatment.

    If you have any questions, feel free to share them in the comments section below. Or if you are someone who succeeded in recovery with Antabuse, share your story with others. We appreciate your feedback and try to answer all legitimate enquiries in a personal and prompt manner.

    Reference Sources: Sultan Qaboos University: Disulfiram
    Medline Plus: Disulfiram
    NCBI: Incorporating Alcohol Pharmacotherapies Into Medical Practice: Chapter 3-Disulfiram 
    MedSafe: Antabuse (disulfiram) 200mg Tablets-Data Sheet
    PubMed: The efficacy of disulfiram for the treatment of alcohol use disorder

    View the original article at addictionblog.org

  • How long does buprenorphine withdrawal last?

    How long does buprenorphine withdrawal last?

    Buprenorphine can be a useful drug prescribed to treat opiate addiction. Because it is a partial agonist, buprenorphine (used in brand name medications such as Suboxone and Subutex) results in a milder degree of physical dependence and is associated with milder withdrawal syndrome following cessation.  But what kind of timeline can you expect during buprenorphine withdrawal? And do people taking buprenorphine for opioid dependence experience less severe withdrawal than those who abuse buprenorphine to get high?

    More here on how long it takes to withdraw from buprenorphine and what symptoms you can expect in the course of the first month after you stop taking it. Then, we invite your questions about buprenorphine withdrawal at the end.

    How long until buprenorphine withdrawal starts?

    What does buprenorphine withdrawal feel like?  Basically, it feels like a really bad flu.  Buprenorphine withdrawal can start in the hours or days after you take your last dose.

    Generally, it is recommended that you gradually reduce your doses of buprenorphine over the period of 2-3 weeks before complete cessation so that the withdrawal symptoms are not as severe. Although the physical withdrawal symptoms resolve after a period of 7-10 days, the psychological withdrawal symptoms can last for months or longer. Symptoms of benprenorphine withdrawal include leg restlessness, nausea, and sweating, yawning, pain, anxiety, irritability, insomnia and cold or flu-like symptoms.

    Buprenorphine withdrawal timeline

    24 – 72 hours: Buprenorphine withdrawal will usually peak in severity and intensity 72 hours after your last dose and gradually become less intense. During this period, it is common to experience diarrhea, sweating, nausea, dilated pupils, watery eyes and restlessness.

    Week 1: In the first week after stopping buprenorphine, week you will probably continue to to feel aches and cramps within the stomach area and in your joints. You may be uncomfortable during this time period and have difficulty sleeping. Mood swings are also common, with bouts of anxiety or depression.

    Week 2: After two weeks of buprenoprhine withdrawal, the pain and discomfort of acute withdrawal may not be as severe but you still experience aches. Depression can starts to set in, as well, and you may notice an extreme loss of motivation.

    Week 3-4: After three to four week mark, most of the physical withdrawal symptoms will be gone, however you will intense drug cravings may be present for those addicted to buprenorphine. Depression is also common. This time is very important, as you will be very vulnerable to relapse.

    How long do buprenorphine withdrawal symptoms last?

    Buprenorphine withdrawal symptoms last longer for those who use buprenorphine for longer periods of time or at higher doses. Additionally, those who use buprenorphine other than prescribed (snort, inject, chew) may experience more severe symptoms than someone taking buprenorphine as prescribed. In these cases, physical buprenorphine withdrawal symptoms can last weeks after stopping.

    However, psychological withdrawal symptoms can last for many months after cessation. It is recommended that you join a support group or see a psychologist who can help see you through the protracted or post acute withdrawal symptoms (PAWS). Many heavy buprenorphine users experience PAWS. With continued use of buprenorphine, there comes a point where the brain produces in an inadequate amount of neurotransmitters in the body. People going through buprenorphine PAWS manifest long lasting changes in the brain as a result of long term use. These changes are slower to reverse and can persist for many months, depending on the frequency and amount of past dosing.

    Buprenorphine withdrawal: How long?

    How long buprenorphine withdrawal lasts varies depending on how frequently you used the drug and how large the doses were. If you were a heavy user, burprenorphine withdrawal may be more intense and last longer than someone using buprenorphine for a few months. It is also crucial that your family understands your situation so that they know why you are acting the way you do and can better handle it.

    Buprenorphine withdrawal duration questions

    If you have further questions about how long burprenorphine withdrawal lasts, please ask them in the comments section below. We will try to respond to you personally and promptly.

    Reference Sources: NCBI: Buprenorphine withdrawal
    FDA: Suboxone medication guide
    NIDA: Methadone Research Web Guide: Part B
    National Drug Intelligence Center: Buprenorphine: Potential for Abuse

    View the original article at addictionblog.org

  • Should I leave my addict or alcoholic partner?

    Should I leave my addict or alcoholic partner?

    The secret of a long life is knowing when it’s time to go – Michelle Shocked

    If you are in a relationship with an addict, when should you leave your partner or when should you stay and treat codependent behaviors? We explore the meaning of co-addiction here, what you can do about it, and how to take action.  Then, we invite your questions about personal situations at the end.

    When to leave an addict or alcoholic

    From the very moment an addict mistreats you, abuses you (verbally or physically), stays out all night, gets high in front of you or your children, steals, or continually treats you in a way that is out of character, it is time to leave. However, this is easier said than done.  And co-addiction recovery is really unique to each person.  So, even in the face of these difficulties, when should you start changing yourself?

    What keeps you from leaving?

    Some co-addicts believe that by being the voice of reason in an unhealthy relationship, they may be able to help the addict recover, and a healthy relationship will be restored. More than likely, many forms of help have been attempted, to no avail. When living with an addict, the emotional harm endured by the co-addict, and/or, their children, may be far more damaging than the absence of the addict would be. Consequently, the addict’s recovery may be delayed because their partner is always around to pick up the pieces.

    So what’s the number one reason people stay in a relationship with an addict or alcohol?

    Fear.

    In fact, it is only fear that drives a person to stay in a relationship they know deep down is extremely unhealthy. Most decisions made by an enabler are rooted in fear. The reality is, no fear of what will happen, is any worse than what is happening in their everyday lives. But in a co-addictive relationship, the co-addict may fear many things:

    • fear for the life of the addict—for what will happen if they are not there to save them
    • fear the addict will feel abandoned
    • fear that there is not enough money to leave
    • fear that the addict will not love them anymore,
    • fear of being alone
    • fear of having to be a single parent
    • or fear that if they leave they will not be able to control the addict’s behavior

    A co-addict may even fear that if they leave, they won’t be there to see the addict get better, and the recovering addict will reject them because they left. There are always many things to fear.

    When will the co-addict be ready?

    If the co-addict is unhappy with their partner’s behavior, due to the influence of alcohol or drugs, chances are their life is unmanageable. The only question in knowing when it is time to leave is; when will the co-addict be ready? When a co-addict fully grasps the harm being done to them and/or children living with the addict, and they make a conscious decision to break the cycle—that is the right time to leave.

    Every single person must live out the cycle of co-addiction in their own time. Some may stay in a situation because they believe it is not that bad or they will be worse off without the addict. It is amazing what a co-addict will learn to live with or without. The fear can become crippling, and in many cases it takes a catastrophic event for the co-addict to wake up, and decide they are ready to leave.

    Moving beyond fear and leaving an addict

    The famous adage, “feel the fear…and do it anyway” by Susan Jeffers, Ph.D., is a concept helpful in moving beyond the fear. Fear may never subside, but that is no excuse to stay in an unhealthy situation. With most new experiences there is a fear of the unknown. When addictive behavior begins, it can be very frightening for the co-addict, and though fears remain, somehow the co-addict learns to adjust. There will be initial fears that surface when leaving the addict, but theywill learn to adjust just the same.

    More than likely boundaries and promises have already been broken between the addict and co-addict. A co-addict must come to a point where they are sick and tired of being sick and tired. Knowing when it is time to leave is an individual choice; but by putting the fear aside, hopefully they will be able to come to that point a lot sooner.

    View the original article at addictionblog.org

  • What happens when you snort Adderall?

    What happens when you snort Adderall?

    Thinking about snorting Adderall?

    Or maybe you have been snorting Adderall and are worried about the effects it may have on your health. If so, then continue reading to understand what snorting Adderall will do to your body and the what potential adverse side effects can occur (including addiction and the need to treat addiction to Adderall). At the end, we invite any questions you may have about snorting Adderall at the end of the article.

    What does snorting Adderall do?

    When you snort Adderall, you release a large concentrated dose of dextroamphetamine and amphetamine into the bloodstream. This happens really quickly because Adderall is not being absorbed into the blood stream through the GI tract. Instead, Adderall is absorbed within in minutes through the mucus membrane of the sinus passes and hits the blood-brain barrier faster than if you were to take it orally. You can expect to feel a euphoric high within minutes of snorting Adderall. You may also feel extreme focus, high energy, and over excitement. However, snorting Adderall does not work as effectively for those with ADHD symptoms.  And snorting can increase the likelihood that you develop Adderall physical dependence, especially if you are snorting Adderall daily.  What are some of the other down sides?

    Is snorting Adderall bad for you?

    In all honesty, snorting Adderall is bad for you. You increase likelihood of experiencing advserse side effects of the medication since there is not controlled release of the medication. Possible side effects of snorting Adderall include:

    • aggression
    • chest pain
    • confusion
    • dizziness or faintness
    • difficulty in breathing
    • hallucinations
    • fears
    • mania
    • motor or verbal tics
    • muscle pain
    • rapid heart rate
    • suicidal thoughts
    • seizures

    Not only will you have to contend with negative side effects, you also run the risks of contracting infectious disease from sharing a snorting implement. You are also damaging your nasal cavities hindering your ability to make mucus and killing the sense of smell.

    Is snorting Adderall dangerous?

    Yes, snorting Adderall is dangerous. Not only can the negative side effects greatly impact your life, certain risks can actually put you in the hospital or worse even cause death. Because Adderall is a stimulant it not only has a quicker onset but negative consequences can also occur faster. Your increased risk of drug dependency can also make withdrawal harder. You can become addicted to Adderall, which will have a great impact on your life. Is the euphoric effect, the high, the concentration energy worth the risk of psychological disorder, infectious disease, or overdose? Look for these signs of overdose as danger signs after snorting Adderall:

    • cardiac arrest
    • coma
    • excessive sweating
    • psychosis
    • rapid heart rate
    • unusual change in behavior

    Is snorting Adderall effective?

    Nasal administration of Adderall may be effective, but it is not recommended. Adderall works as a stimulant and has similar reactions on the body as cocaine. tf can cause paranoia or dizziness, increasing the chances of infectious disease, cause permanent nasal damage, overdose and even death. The effects of snorting Adderall to get a high or even try to effects your symptoms better are not worth the damage it does to your body.

    Can you snort Adderall ?

    Snorting Adderall is more of a behavior that addicts engage in as they need to quickly get high. If this is you, you may want to treat the abuse of Adderall and explore the reasons you feel the need to snort Adderall rather than take it as prescribed. Yes, snorting Adderall acts quicker on the body. But, you also run the risk of overdose, damage to the nasal passages, and cardiac arrest. Plus, it is never recommended nor will a doctor ever prescribe that you snort Adderall.

    Questions about snorting Adderall

    Do you know someone who is snorting Adderall? Then they may be addicted to Adderall and may need to help Adderall addiction. Look for the signs of addiction and whether or not they need to withdrawal or seek out a treatment facility.

    Do you still have questions concerning snorting Adderall? Ask us anything and we will try to get back to you personally and promptly.

    Reference Sources: NCBI: Illicit Use of Specific Prescription Stimulants Among College Students: Prevalence, Motives, and Routes of Administration
    Drug Fact Sheet: Stimulants
    NCBI: Intracerebral haemorrhage in young adults: the emerging importance of drug misuse
    Maine: Central nervous system stimulants

    View the original article at addictionblog.org

  • Can you get addicted to black and milds?

    Can you get addicted to black and milds?

    Yes. You can get addicted to the nicotine found in Black and Milds. Nicotine, a component of tobacco, is the primary reason that tobacco products like Black and Mild are addictive.

    But aren’t Black and Milds safer than other types of cigars? How does tobacco and nicotine affect you while smoking cigars? And is smoking cigars addictive?  We explore these questions here and invite you to ask your questions at the end.

    Are Black and Milds safer than other cigars?

    Sorry. No they are not safer. Black and Milds are a type of cigar called a “cigarillos”, which are typically smaller than regular cigar in terms of diameter and length. Black and Milds are a little bigger than little cigars and cigarettes and contain about 3 grams of tobacco each. But even though Black and Milds are smaller, they are just as harmful to you.

    Black and Milds deliver a wide range of chemicals which can modify behavior. Each Black and Mild you smoke contains cancerous chemicals, plus carbon monoxide, hydrocarbons, ammonia, cadmium and nicotine. Even if the smoke is not inhaled, high levels of psychoactive chemicals like nicotine can still be absorbed into the body. And although nicotine is absorbed through the mucosal membranes in the lining of the mouth (or in accidental lung inhalation) and reaches peak blood levels and the brain more slowly, its effects are intoxicating. And it’s the nicotine (and possible other chemicals in tobacco) that can get you addicted.

    Black and Milds: What causes the “kick”?

    Immediately after exposure to nicotine, you experience a “kick” to your system. This kick is caused because nicotine stimulates the adrenal glands, causing a discharge of epinephrine (adrenaline). The rush of adrenaline stimulates the body and causes an increase in blood pressure, respiration, and heart rate which can be measured. And if you love this effect and smoke Black and Milds to get it, you are at risk of becoming addicted..

    How do you get addicted to Black and Milds?

    Addiction is characterized by compulsive drug seeking and abuse, even in the face of negative health consequences. Nicotine addiction occurs after chronic smoking or dosing over an extended period of time. If you smoke enough Black and Milds over enough time, you will NEED the nicotine in the cigar in order to function and prevent withdrawal.

    Just know that nicotine is the primary reason that tobacco products like Black and Mild are addictive. Nicotine is available in high enough quantities in cigarellos like Black and Mild to trigger physical dependence. But in addition, a psychological element of addiction (craving) is also present. It’s this compulsive nature of addiction, and the inability to withstand cravings which makes addiction so difficult to overcome.

    Additionally, the acute effects of nicotine wear off quickly, as do the associated feelings of reward. The “kick” effect of nicotine drive a smoker to continue dosing to maintain the drug’s pleasurable effects and prevent withdrawal. And although nicotine withdrawal time is different for every smoker, most symptoms will ease after the first few days and then be gone 2 weeks after you stop smoking. But nicotine addiction is not an easy habit to break. And you are not alone.

    Do you need help for Black and Mild use?

    If you think that you are smoking too many Black and Milds, you probably are. If you are asking yourself, “Why can’t I stop smoking?”  maybe it’s time to take a closer look. Please leave us a message below or send us an email and let us know how we can help you. If you’re looking for treatment, there are a number of options available to you. We can help you research local resources and get you connected to addiction professionals who can help. Just let us know!

    Reference sources: NIDA Research Report Series on Tobacco Addiction
    National Cancer Institute Cigar Smoking topic

    View the original article at addictionblog.org