Answer Addiction

Author: Addiction Blog

  • Help for Ambien Withdrawal

    Help for Ambien Withdrawal

    ARTICLE OVERVIEW: Ambien is pretty addictive. Users can develop a dependence within just a couple of weeks of daily dosing. Withdrawal can be difficult. This article outlines what to expect during withdrawal and ways to treat symptoms medically.

    ESTIMATED READ TIME: Less than 10 minutes.

    Table of Contents:

    Ambien and the Brain

    Zolpidem is the main active ingredient in Ambien. Its chemical structure is very similar to the benzodiazepine class of drugs, but zolpidem is officially called a “hypnotic”. Benzodiazepines are prescribed for a variety of reasons and attach to neurons within our brain responsible for sensations, emotions, muscle movements, and cognition.

    Because of this, zolpidem causes its user to become sedated without experiencing the other qualities of benzodiazepines. However, after regular or daily use, you can become physically dependent on zolpidem. This makes quitting Ambien both hard and potentially dangerous.

    Is Ambien Withdrawal Hard?

    Yes, quitting Ambien isn’t going to be easy.

    To begin, you need to take the following facts about yourself into account:

    •  Dosage
    •  Metabolism
    •  Overall health state
    •  Time length and frequency of use

    In general, the long you’ve been using Ambien … the harder detox will be.  If you’ve been using it for a longer time and taking high doses, then you can expect to experience a longer withdrawal process with more possible difficulties.

    Still, it is difficult to know how long withdrawal will last or how difficult it be. Why? Because we are individuals. We each use drugs for different reasons. Likewise, use patterns and dependency differ.

    Is Ambien Withdrawal Dangerous?

    Again, people with higher levels of dependence are more likely to experience dangerous withdrawal symptoms. Severe seizures might occur and even be fatal. People with certain mental health issues are also at risk. For these reasons, Ambien withdrawals should always be carried out under medical supervision. 

    You should never quit cold turkey. Doctors will taper your dose, thereby your body can gradually resume normal functioning.

    A List of Withdrawal Symptoms

    Withdrawal symptoms begin within approximately 48 hours after your last Ambien dose. Some people have experienced symptoms as early as a few hours later.

    Withdrawal symptoms may include:

    •  Abdominal cramps and discomfort.
    •  Anxiety.
    •  Cravings for Ambien.
    •  Delirium.
    •  Depression.
    •  Fatigue.
    •  Flushing.
    •  Irritability.
    •  Mood swings.
    •  Nausea and/or vomiting.
    •  Panic attacks.
    •  Rapid heart rate and breathing.
    •  Rebound insomnia.
    •  Seizures.
    •  Sweating.
    •  Tremoring.
    •  Uncontrollable crying.

    The Basic Timeline

    The timeline after your last dose of Ambien can be divided into five stages.:

    1. The First 24 to 72 Hours. During this period, your symptoms begin their peak and are most uncomfortable. Usually, you can expect to feel both physical and psychological symptoms.

    Physical Withdrawal Symptoms:

    • Shaking
    • Vomiting

    Psychological Withdrawal Symptoms:

    • Anxiety
    • Confusion
    • Fearfulness
    • Hallucinations
    • Memory loss
    • Mood swings
    • Psychosis
    • Sleeping disorder

    2.Week 1. After the first week, acute withdrawal tends to resolve. Symptoms have lessened to a great extent, but not the cravings. Also, many people find themselves experiencing depression and paranoia during this period. A tendency to experience trouble sleeping, or nightmares, is still present; in particular, for those experiencing mental trauma (in general or due to the withdrawal). So, it’s important to undergo psychotherapy treatment in order to get help for coping with this situation.

    3.Week 2. Cravings, depression and paranoia are not as strong as they were the week before. During this week you might feel foggy as though you can’t think straight. For this reason, it’s possible to experience mood swings. However, your sleep begins to stabilize.

    4.Week 3. Your cravings have further decreased. You might still experience sleeping disorders.

    5.Week 4. You definitely begin feeling better, though there may be still some traces of anxiety and/or irritability. Your sleep starts becoming really stable. Your body and brain are noticeably getting back to their normal functioning.

    After the first month of Ambien withdrawal, heavier users possibly may experience post acute withdrawal syndrome (PAWS). This is when withdrawal symptoms last for a much longer period of time, about six months after cessation.

    The most common PAWS symptoms associated with Ambien are:

    •  Anxiety
    •  Cravings
    •  Depression
    •  Insomnia
    •  Nightmares

    When planning to quit Ambien, always seek medical consultation with a doctor who is experienced in tapering doses of zolpidem in order to get a customized plan. 

    Medicines that Help

    Usually doctors don’t prescribe other medications during Ambien withdrawal. Instead, they taper Ambien doses to fully resolve dependence and address insomnia simultaneously. In these cases, it can take weeks to months for a gentle taper. You can find benzo equivalent dosing schedule on Dr. Heather Ashton’s website. However, if insomnia is severe and a lack of Ambien causes it to come back, you may be prescribed a medication solely for that reason.

    To date, there are very few medications available for Ambien withdrawals. Doctors don’t want to risk further addiction, so they tend to prescribe short term therapies for the instances of anxiety and depression as mental withdrawal symptoms.

    Natural Remedies that Help

    What can you do to get a better night sleep without the drug?

    Since chronic insomnia is probably an issue for some of you, a few different natural remedies are offered below that not only help with withdrawals but also with sleep.

    Acupuncture. While this is still being researched, a more recent study found that  acupuncture had positive effects on reducing withdrawal symptoms, in particular for those dealing with great discomfort from withdrawal.

    Distractions. When you’re going through withdrawal – particularly, psychological withdrawal – you’ll want to keep your mind occupied to outwit cravings. There are a variety of ways to do this and it all depends on who you are as an individual. Some find help in the arts (such as playing music, drawing, or writing in a journal) while others find new habits to be very beneficial (such as cooking or gardening). Don’t be afraid to experiment around while you’re in treatment. You might just learn something new about yourself.

    Exercise. At most medical detox clinics, exercise is highly recommended to those going through detox because it promotes natural dopamine and endorphins. In case of Ambien withdrawal, exercise has been shown to help people get a better night’s rest. Though this isn’t true for everyone, it may just be the secret you’ve been missing out on.

    Meditation and Yoga. Withdrawal can bring a lot of stress . Meditation and yoga not only mitigate withdrawal symptoms, but also help reducing cravings. These types of alternative therapies are also beneficial for those dealing with mental illness alongside their addiction, such as anxiety and depression.

    Nutrition. While not the case for everyone, some drug users find themselves with a poor diet. However, an even bigger issue is that many drugs have the effect of absorbing much of what people eat. Drugs like Ambien can also cause loss of appetite. While in recovery, it’s vital to get your body back on track with water and healthy foods.

    All of the above have potential to promote better sleep. Of course, people with chronic insomnia might need more than a natural remedy to benefit them. If this is your case, the best thing to do is to consult your doctor. Chances are they will figure out the solution right for you.

    Where to Go for Help

    If you need help for Ambien dependence, you are not alone.In 2015, the estimated number of Ambien and other sedatives users was 446,000. So where can you start?Dr. Heather Ashton wrote the book, “The Ashton Manual” that outlined withdrawal procedure and protocols for benzodiazepines. While Ambien IS NOT A BENZO, it can be helpful to read the book and to adapt some if its principles in your own case.Where else can you look?

    You’ll also want to reach out to family and friends. As you try to quit Ambien, you’re going to be in need of a support system. The people you can always turn back to when things get difficult. Furthermore, even after treatment when recovery is still ongoing, you’ll have people there when need be. If you’re a family member or friend of someone who’s addicted to Ambien there are a variety of options for you to seek help for your loved one.

    When you do find the right treatment, you can give us a call. We’re always happy to help.

    Where to Find Local Help

    To find where you find local help during Ambien withdrawal, start with your family doctor and work your way out to other connections. Seek information from:

    While you may be concerned about anonymity, also know that Americans are increasingly destigmatizing issues with prescription medications, especially through advocacy groups like Facing Addiction. In fact, an estimated one in three American families experiences a problem with drugs or alcohol through one close family member. So, your friends and family can also be a source of help.

    Your Questions

    If you have any further questions pertaining to Ambien withdrawal, we invite you to ask them in the comments section below. If you have any advice to give for people currently withdrawing, we’d also love to hear from you. We try to provide a personal response to each comment and get back to you promptly.

    REFERENCE SOURCES:

    SAMHSA: Key Substance Use and Mental Health Indicators in the United States: Results from the 2015 National Survey on Drug Use and Health

    NCBI: Five-Factor Model personality profiles of drug users

    NCBI: Zolpidem Dependency and Withdrawal Seizure: A Case Report Study

    NCBI:Zolpidem Withdrawal Delirium

    NIDA: Misuse of Prescription Drug

    DailyMed: Ambien

    NCBI: Benzodiazepines and Zolpidem for Chronic Insomnia: A Meta-Analysis of Treatment Efficacy.

    NCBI: Modest Abuse-Related Subjective Effects of Zolpidem in Drug-Naïve Volunteers

    SAMHSA: Substance Use Treatment Advisory

    NCBI: Using Medication: What Can Help When Trying to Stop Taking Sleeping Pills and Sedatives?

    NCBI: Exercise as a Potential Treatment for Drug Abuse: Evidence from Preclinical Studies

    NCBI: Exercise Effects on Sleep Physiology

    BMJ Journals: Acupuncture in Medicine: Trials of Acupuncture for Drug Dependence: A Recommendation for Hypotheses Based on the Literature

    NIDA: Drugs, Brains, and Behavior: The Science of Addiction

    NIH: U.S. National Library of Medicine Substance Use Recovery and Diet

    Addiction Blog: The Ambien Withdrawal Timeline Chart

    View the original article at addictionblog.org

  • Heroin detox timeline: How long to detox from heroin?

    Heroin detox timeline: How long to detox from heroin?

    What are detox from heroin symptoms and how long will they last? The intensity, duration, and resolution or heroin withdrawal symptoms are dependent on age, usage amount and length of use. For example, older people who have been using higher doses for a longer period of time will typically experience longer, more difficult withdrawal from heroin.

    But how long does heroin detox typically last? And what can you expect? We review here, and invite your questions about heroin detox or signs of addiction to heroin in the comments section at the end.

    Heroin detox duration and length

    The process of heroin detox can vary in time and intensity. In fact, there are many factors involved in heroin detox duration, such age, length of usage, and heroin dosage amounts. In general, a typical heroin detox usually lasts for up to 7 days. So, when does detox begin? Heroin withdrawal symptoms usually begin 6-12 hours after the last dose, persist for 1-3 days (peaking at 72 hours after last dose), and gradually become less intense over the course of 5-7 days. Acute withdrawal from heroin begins with anxiety and craving, reaches its climax between 36 and 72 hours, and decreases substantially within 5 days. On the other hand, protracted withdrawal symptoms (PAWS) may persist for a few months beyond the period of acute withdrawal.

    Heroin detox timeline

    Days 1 – 2

    The first two days are usually the most difficult to get through, as they present with the most severe symptoms of detox from heroin. Withdrawal symptoms usually start to appear within 12 hours after the last dose was takenand manifest as light symptoms of discomfort. The most noticeable symptoms during this period include muscle aches and pain. Some people may experience severe muscle pain in these first days. Along with the pain, other symptoms include diarrhea, loss of appetite, and insomnia. Anxiety and/or panic attacks are also common.

    Days 3 – 5

    During this period of detox, the worst of discomfort usually passes, but has not yet completely resolved. Proper eating is important at this time, in order to boost immune system response. Shivers, abdominal cramping, vomiting are common symptoms during this period.

    Day 6 and beyond

    When someone going through heroin detox reaches day 6 of withdrawal, s/he is on the right track. Trouble eating and sleeping may persist, and some people may still experience nausea and anxiety.

    How long to detox from heroin

    There is no fixed period of time for heroin detox. An appropriate period depends on the degree of a person’s heroin dependency and individual needs. Medical research has shown that at least 3 months (and up to 6 months) of medical supervision for heroin addicts are optimal for addressing addiction. Why is this period so long?

    Heroin use causes neurocircuitry changes to the brain that affect emotions and behavior. These brain changes can still persist after acute detox is finished. This is why changes in the nervous system may persist many weeks after the period of acute withdrawal has passed. The medical term for these symptoms is protracted/post-acute withdrawal symptoms (PAWS). Protracted withdrawal is defined as the presence of symptoms common to opiate withdrawal which persistbeyond the generally expected acute withdrawal timeline explained above.

    Some symptoms of PAWS during heroin detox include:

    • anxiety
    • depression
    • dysphoria (feeling down or emotionally blunted)
    • fatigue
    • insomnia
    • irritability

    If you’re wondering: “Can I withdraw from heroin at home?” The answer to this question can vary. Treatment for protracted withdrawal symptoms (PAWS) should be addressed according to individual characteristics that present during detox. This is why a person’s age, gender, an culture must be taken into consideration during detox. Additionally, recovery from any drug addiction is a long-term process and frequently requires multiple episodes of treatment.

    Heroin detox scheduling questions

    Do you still have questions about the duration or length of heroin detox? If you have any questions connected to heroin detox, feel free to ask. Leave your comment into the section below and we will try to answer you personally and promptly.

    Reference Sources: Substance Abuse Treatment ADVISORY
    NIDA DrugFacts: Treatment Approaches for Drug Addiction
    NIDA Principles of Drug Addiction Treatment: A Research-Based Guide

    View the original article at addictionblog.org

  • How long does Adderall withdrawal last?

    How long does Adderall withdrawal last?

    Adderall, which is made of amphetamine salts, affects people differently depending on whether you use Adderall to treat ADD or ADHD vs. taking Adderall to get high. However, the general onset of withdrawal symptoms when you stop taking Adderall occurs within a few hours after Adderall effects wear off. And the length of time until withdrawal stops can vary from weeks to months later. More here, with a section for your questions about Adderall withdrawal at the end.

    How long until Adderall withdrawal starts?

    Once you have decided to stop taking Adderall, withdrawal symptoms can start as early as a few hours after the effect of Adderall has worn off. Overall effects of immediate release Adderall lasts typically 4-8 hours, while residual effects can last up to 12 hours. Overall effects of extended release Adderall typically last for 12 hours, while residual effect can last up to 24 hours. The most common symptoms of withdrawal from Adderall include:

    • disorientation
    • fatigue
    • irritability
    • mental depression

    Adderall withdrawal timeline

    As mentioned earlier, Adderall affects people differently. Symptoms of withdrawing from Adderall will change from person to person. However, it can take days to weeks to completely remove Adderall from the system when you’ve developed physical dependence on Adderall. It is important to note that because Adderall is a stimulant, withdrawal symptoms can be delayed. Therefore, it may take several weeks to months to no longer feel the effects of withdrawal symptoms.

    24-72 hours Adderall withdrawal – General onset of symptoms can manifest shortly after the drug has worn off and linger for up to a few months after the medication is totally out of the system. Intense fatigue, uncontrollable sleepiness and catnapping, continuing stimulation, and drug craving are typical symptoms that occur during the first days after coming off Adderall. The worst onset of symptoms (fatigue, depression and disorientation) often occurs directly after withdrawal or coming off of Adderall. Many people report that the most common reaction to acute Adderall withdrawal is that of fatigue and oversleeping.

    Week 1 Adderall withdrawal – In the first week after stopping Adderall, symptoms of withdrawal tend to even out with an apparent return to “normalcy”, although drug craving may occur and disturbed sleeping patterns are common. During this phase of withdrawal symptoms can include the inability to feel pleasure (anhedonia), waves of intense craving, depression, exhaustion, extreme fatigue and excessive sleepiness.

    Week 2 Adderall withdrawal – After the first couple of weeks of stopping Adderall, characteristic symptoms of stimulant withdrawal may still be present including fatigue or exhaustion, depression, unpleasant and vivid dreams, insomnia or hypersomnia, increased appetite, slowed or quickened psychomotor response, and/or irritability.

    Weeks 3-4 Adderall withdrawal – During this phase of withdrawal, apathy, irritability, and depression may still be present. Additionally, long periods or disturbances in sleep are still reported.

    How long do Adderall withdrawal symptoms last?

    Symptoms of Adderall withdrawal can last anywhere between a few days to several months after you last take the medication. The harsher, acute effects of withdrawal should resolve within after about a month. However, people have reported still feeling fatigue and increased appetite long after the initial 30 days.

    Adderall withdrawal: how long?

    Adderall affects each person differently depending on the dosage and how long you have been taking Adderall. In other words, each withdrawal period is unique to the person taking Adderall. Various health concerns need to be taken into consideration. In general, however, if you taking Adderall for medical reasons in doses as prescribed, symptoms of withdrawal tend to be less intense than someone abusing the medication or taking higher doses than prescribed.

    Post-Acute withdrawal syndrome (PAWS) is a set of symptoms that occur right after you stop taking Adderall and can last several months afterwards. Increased fatigue and having less energy are typical of Adderall use and these symptoms can linger for weeks to months after your last dose of Adderall. Additionally, people who withdraw from Adderall might experience sleeping issues for several months after they stop taking the medication as well as mental depression or emotions that they are not as used to. People suffering from depression are encouraged to seek help.

    How long Adderall withdrawal questions

    If you have any more questions regarding withdrawal from Adderall please ask. We do our best to respond to your questions personally and promptly.

    Reference Sources: PubMed: Substance Abuse Treatment, Prevention, and Policy: Misuse of “study drugs:” prevalence, consequences, and implications for policy
    NIDA Drug Facts: Stimulant ADHD Medications – Methylphenidate and Amphetamines
    DailyMed: Archived Adderall label
    NHTSA: Amphetamines and Methamphetamine
    SAMHSA: Substance Abuse Treatment Advisory on Protracted Withdrawal
    SAMHSA: Substance Abuse Treatment Advisory on Prescription Medications: Misuse, Abuse, Dependence, and Addiction
    U.S. Department of Justice: Drugs of Abuse

    View the original article at addictionblog.org

  • How long does crack withdrawal last?

    How long does crack withdrawal last?

    Crack withdrawal includes physical and psychological symptoms. But you can go through withdrawal, one of a few signs of crack addiction, almost every time you use.  While physical symptoms usually resolve within a week, or so, cravings for cocaine can persist for weeks or months after last use. More here on the duration of crack withdrawal, addictive qualities of crack, and what you can do to treat them.

    Need help finding the best crack addiction treatment program for yourself or a loved one? Learn more about available rehabilitation options, what does the process look like, and what to do after rehab to maintain sobriety. More in this comprehensive guide on Crack Cocaine Addiction Treatment. Then, we invite your questions about getting off crack at the end.

    How long until crack withdrawal starts?

    Crack is a form of cocaine that is smoked and is popular among drug users who want to get high immediately. Crack smokers begin to feel euphoric immediately after inhaling crack. But crack is highly addictive and withdrawal can begin shortly after effects wear off. This is often why crack abusers will do anything to get another hit.

    Physical withdrawal symptoms from crack addiction may not last more than a week. However, there are many psychological issues that arise due to crack use. Psychological withdrawal symptoms of crack persist for many after you stop taking the drug. Symptoms of crack withdrawal can include paranoia, impulsivity, terror of impending death, hyper sexuality, bronchitis, extreme weight loss, lung cancer, spitting up black phlegm, brain seizures, heart attack and many more dangerous effects.

    Crack withdrawal timeline

    24 – 72 hours

    Within twenty four to seventy two hours you may start to experience paranoia and tactile hallucinations like skin crawling. Many people report hearing sirens or people talking. This will make you extremely alert to the point of being paranoid and suspicious of everyone and everything around you.

    Week 1

    During the first week after you begin withdrawal from crack, you may attempt to convince yourself that you are cured and that you no longer need treatment. This is the time where most people let their guard down. It is during this period that fatigue has worn off and you start feeling more healthy. However, cravings persist and can lead to relapse. Crack withdrawal symptoms can typically last from 1-3 weeks and may also consist of apathy, irritability, disorientation, hunger, fatigue, and long periods of sleep.

    Week 2

    After two weeks of crack withdrawal, you may experience acute drug hunger and depression. The brain will have produced enough dopamine for you to want to smoke more crack, but not enough to affect your emotions and restore you to a happier state of mind. Alternating low and high drug craving, low to high anxiety, paranoia, and dysphoria (intense dissatifaction with life), are common during this time.

    Weeks 3-4

    After three to four weeks you can expect frequent changes in moods and your body will be chemically off balance without you being conscious aware of it. Psychological craving for crack persists and can be accompanied by anxiety and/or depression.

    How long do crack withdrawal symptoms last?

    Crack withdrawal symptoms can last up to six months or longer if you were a heavy user. Symptoms last longer for heavy users. The amount of crack you used determines the severity and length of the withdrawal period that you will experience. Seeking medical attention for untreated mental health disorders and to get your brain back in balance is recommended. Psychiatrists and addiction specialists can help, as can cocaine rehab centers and/or support groups.

    Crack withdrawal: how long?

    How long crack withdrawal lasts depends on how heavy of a user you were and how frequently you smoked crack. If you were a heavy user, crack withdrawal can last for months or longer. People who have used crack for long periods of time may also experience PAWS, or post acute withdrawal syndrome. PAWS occurs when the brain has been damaged to the point where it will take an extended amount of time to repair and get back to normal. Many drug abusers relapse during this time because they cannot handle the stress of PAWS. Symptoms of PAWS will appear usually three to six months after cessation of crack.

    Crack withdrawal duration questions

    If you have more questions about how long crack withdrawal lasts, please ask them in the comments section below. We will try to respond promptly and personally. And if we don’t know the answer to your question, we will refer you to someone who can help.

    Reference Sources:  NCBI: Cocaine and Psychiatric Symptoms
    Veteran’s Affairs: Treatment of Acute Intoxication and Withdrawal from Drugs of Abuse
    NHTSA: Cocaine

    View the original article at addictionblog.org

  • Dating and relationships after getting sober

    Dating and relationships after getting sober

    By Judith O’Callaghan

    New possibilities in early recovery

    Early recovery opens up a world of possibility. Along with the excitement of new beginnings, you might find that getting sober can be lonely. After all, you’ve given up so much! Even though toxic relationships with people, places and things can release you, they also create a big hole.

    You might be tempted to jump into dating, starting a new relationship, or even ending an existing relationship or marriage and start over. But should you get romantically involved while in early recovery? Can dating endanger your progress in recovery or sobriety? Should you or shouldn’t you?

    Experts recommend that people refrain from making big decisions and significant changes right away (for at least 12 months after getting sober). We invite you to continue reading to explore more on the subject here. Then, we invite you to send us your questions at the end. In fact, we try to respond to all reader comments with a personal and prompt reply.

    Dating in early addiction recovery

    As eager as you are to rebuild your life, you will do well to take it slow and not make any major changes in at least your first year of sobriety. Why is this? Early sobriety is a time for you to get to know yourself and learn self-acceptance. Oftentimes, being involved with someone else takes the focus off of you and puts it on someone else. Coping with changes in relationships in early recovery can put your sobriety at risk.. So, why open that can of worms?

    Remember, your primary objective is to take care of yourself and avoid distractions while you are still vulnerable. This is your time to work in therapy and with a sponsor to examine your past behaviors and patterns. This is your time to focus on introducing consistent activities to fill the void now that you are no longer involved with your drug of choice.
    Here are a few ideas:

    • join a gym
    • take a class
    • discover a new hobby
    • get involved with a home group
    • find a sponsor

    What if you are already in a relationship?

    Understanding yourself and being comfortable with yourself in recovery, before introducing others into your life, helps build a better foundation from which other relationships can grow and thrive. But what if you’re ALREADY in a relationship when you get clean?

    Unless you are in an abusive relationship or one that threatens your sobriety in some way, the “no major changes in the first year” rule also applies to previously existing relationships/marriages. This may be the time to go to couples therapy and learn new ways to relate to and communicate with one another. It may be helpful for your partner to learn more about addiction and how it is reflected in the roles that you play.

    When is a good time to start a relationship?

    It really depends.

    Eventually, you will be ready to share your new life with someone else. You will have some solid sober time behind you, a good working relationship with your sponsor, and a strong program of recovery. Plus, you’ll attract someone who can vibe on your level of physical and emotional health.
    Still, remember to take it slow!

    3 things to keep in mind about recovery relationships

    And keep these points in mind:

    1. Avoid dating people with significantly less sobriety than you have. If you choose to be in a relationship with someone else in recovery, make sure you protect and prioritize your own sobriety and do not “blend into” each other. Each of you needs to be vigilant about your daily commitments and stay sober.

    2. Avoid “testing yourself” by going to bars and other high risk places. Look for new opportunities to meet people in sober settings, such as volunteer groups, classes, etc. Seek advice and support from your sponsor and other peers in recovery.

    3. A relationship is no guarantee of happiness, if you are not happy with yourself. Always keep your sobriety your priority.

    Got any questions?

    If you would like to learn more or discuss about addiction recovery, sobriety, dating and relationships, we welcome you to share your questions or experiences in the section below. We try to respond to all legitimate inquiries with a personal and prompt response.

    —
    About the Author: Judith O’Callaghan is a Licensed Marriage and Family Therapist, Licensed Alcohol and Drug Counselor, Medication Assisted Treatment Specialist, and nationally and internationally certified Co-Occurring Disorders Professional. She has extensive experience working with individuals, couples, and families on a wide variety of issues, including addiction, co-occurring disorders, family and marital problems, grief and loss, and school and career issues. At Mountainside, Judith works as an Outpatient clinician, providing clients in the early stages of recovery with the tools necessary to manage the daily life stressors associated with reintegration to life after residential treatment.

    View the original article at addictionblog.org

  • How long does Adderall last?

    How long does Adderall last?

    Immediate release versions of Adderall last for 4-6 hours and require repeated dosing. Extended release Adderall XR lasts a full 12 hours but should be taken ONLY ONCE every 24 hours. More here on how Adderall affects the body and brain, and how long its effects last. Plus, a section for your questions about Adderall’s duration at the end.

    Adderall effects on the body and brain

    Adderall is made of amphetamine salts when are central nervous system stimulants, used to treat people with excessive sleepiness (narcolepsy) by stimulating the central nervous system. Adderall works by increasing the amount of dopamine and norepinephrine in the brain.  When taken therapeutically, Adderall can help people maintain focus and concentration.  When taken to enhance performance, Adderall addictive properties include its strong effects on the central nervous system, including enhanced concentration as well as euphoric effect.

    Does Adderall work for everyone? No, the amphetamine salts contained in Adderall may not be the right treatment for you.  But, Adderall may also work wonders. In fact, Adderall  has a paradoxical effect when used to treat people diagnosed with ADHD, helping them focus and remain calm.  But as a stimulant, Adderall can cause:

    • difficulty with sleep
    • nervousness
    • restlessness

    How long do Adderall effects last?

    The effects of immediate release Adderall last anywhere for 4-6 hours. Tablets usually last about 6 hours, and should not be taken more frequently. Adderall XR’s effects will last a full 12 hours. However, Adderall XR should not be taken more frequently than once every 24 hours, to reduce the risk of potential overdose.

    How long does a Adderall high last?

    When people take Adderall get high, an Adderall high peaks after about 4 hours and will begin to decline unless another Adderall is taken at that point.

    Adderall high effects

    An Adderall high causes stimulant effects which may include:

    • increased alertness
    • excitement
    • fast/pounding heartbeat
    • mood or behavior changes

    Adderall is addictive, so abusing it to get high does carry risks. An Adderall addiction can result in powerful withdrawal symptoms, uncontrollable cravings for the drug, and compulsive use of the drug despite negative consequences.

    Adderall duration of action

    The half life for Adderall can vary widely between people based on diet and other factors, but is typically between 11-17 hours. However, the immediate release formula of Adderall needs to be taken throughout the day to continue to be effective. Adderall XR only needs to be taken once every 24 hours.

    Adderall time in the body

    Any type of Adderall takes a little while to completely leave the body. After two days, the immediately release is unlikely to show up on a urine drug test, but it may still show up in hair or saliva tests. The extended release version of Adderall may take 3-4 days to clear your system since it takes a full 24 hours before it begins to leave your body.

    How long Adderall lasts questions

    Do you still have questions about the effects or duration of action for Adderall? Please leave your Adderall questions or comments here. We are happy to respond to all legitimate queries with a personal and prompt response.

    Reference Sources: NHTSA Drug and Human Performance Fact Sheets: Methamphetamine (And Amphetamine)
    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention: Prescription Stimulants: Ritalin, Adderall, Concerta, Dexedrine:
    FDA Medication Guide: Adderall XR
    ToxNet: Amphetamine

    View the original article at addictionblog.org

  • What are tramadol withdrawal symptoms?

    What are tramadol withdrawal symptoms?

    Thinking about detox from tramadol?

    Dependence on tramadol symptoms can vary from restlessness to abdominal discomfort to seizure. Learn what are tramadol withdrawal symptoms, how long they last and how they can be treated here. Plus, a section at the end for your questions about tramadol.

    Why do Tramadol withdrawal symptoms occur?

    How long does tramadol stay in the body?  About a day, or two.  So, when your body detoxes from tramadol after your last dose, you go through withdrawal.  Why?

    The biggest reason withdrawal symptoms occur when you stop taking tramadol is because tramadol is part of the opiate family. Although tramadol is technically an opioid (a man made opiate), it acts like an opiate on the brain and central nervous system. Opiates have a naturally high dependency rate and people taking forms of this drug become physically dependent on tramadol relatively quickly.  These reasons affect how tramadol is prescribed and for how long.

    Because of this high dependency rate, withdrawal is likely to occur in anyone who gradually comes off tramadol as well as those who suddenly decide to stop taking tramadol. Withdrawal symptoms are more likely for people who choose to go off of tramadol suddenly or who stop taking tramadol cold turkey. However, it is interesting to note that tramadol is one of the safest opioids that doctors prescribe and comes with a lower risk of developing tramadol drug addiction.

    What are symptoms of Tramadol withdrawal?

    There are two types of Tramadol withdrawal symptoms: typical opioid withdrawal symptoms and atypical opioid withdrawal symptoms. The first set of withdrawal symptoms for tramadol are typical of opioid drugs which result in flu-like symptoms such as restlessness and tramadol cravings. It has been reported that this first type of withdrawal shows up in about 90 percent of the population who are taking Tramadol. The second set of tramadol withdrawal symptoms is considered rather atypical but nevertheless occurs in about 10 percent of the population. Such symptoms include; hallucinations, paranoia, extreme anxiety, panic attacks, confusion and numbness and tingling in the limbs.

    Other symptoms of tramadol withdrawal may include the following:

    • abdominal distress
    • dysphoria (unease or dissatisfaction with life)
    • insomnia
    • muscle cramps
    • restlessness
    • seizures
    • Serotonin syndrome
    • sweating
    • trouble sleeping

    Tramadol withdrawal symptoms: How long?

    How long the symptoms of tramadol withdrawal last varies by person. Those who stop using tramadol can expect to feel the effects of the withdrawal up to at least 24 hours after the last time they took tramadol. This is the most likely timeline. In other cases, however, it has been said that tramadol withdrawal can take several days before acute symptoms dissipate. Those who have developed a dependency with tramadol have a harder time, as withdrawal symptoms can linger and be more intense.

    Tramadol withdrawal symptoms treatment

    One of the key ways to treat withdrawal symptoms of tramadol is to first slowly reduce medication intake and taper off tramadol while also supporting symptomatic reactions to the withdrawal. It is important to be careful with over the counter and prescription medications used to help with the symptoms and that they do not interact negatively with the tramadol. Avoiding the use of alcohol and other drug are important for not only inhibiting dependency but also to alleviate potential withdrawal symptoms. Slow tapering helps with anxiety and restlessness. However, all cases of tramadol withdrawal should be supervised by a medical professional.

    Tramadol withdrawal symptoms questions

    Do you still have questions about withdrawing from tramadol? Please leave us your tramadol questions below. We are happy to respond to you personally, and will try to answer your questions ASAP. And if we don’t know the answer, we will refer you to someone who does.

    Reference Sources: PubMed: Withdrawal syndrome after longterm treatment with tramadol
    DEA Office of Diversion Control: Tramadol
    FDA: Ultram Drug Warning
    PubMed: Tramadol Dependence in a Patient With No Previous Substance History
    The American Journal Of Psychiatry: Withdrawal Syndrome After Delayed Tramadol Intake

    View the original article at addictionblog.org

  • I am in love with an addict: Why do I stay?

    I am in love with an addict: Why do I stay?

    How many times have you asked yourself why you continue to stay in a co-addictive relationship with an addict? When you are in a relationship with someone where a substance comes first it is likely you have tried; ultimatums, interventions, rehab, AA, NA, therapy, family therapy, ignoring, begging, pleading, and crying to no avail. If sobriety IS attained, it is usually followed by relapse and broken promises. Ultimately things go back to the way they were—being last on the list of your loved ones priorities while drugs and alcohol is first.

    So how can you become ready to address your own codependence and co-addiction? Tips from someone who’s been there here.  And a section at the end for your questions or comments or experiences.

    The Beginning Phase: Attraction and love

    In the beginning of a relationship with an addict things are usually amazing. Stories of courtship are often described as an incredible experience. This honeymoon period is seen by the sober mate as a remarkable love story. This time is usually described as a period of charm, fascination, and attraction.

    The new relationship is so intense that the addict is usually able to hide their demons. In order for an addict to function they must become very good at manipulation, lies and creating drama to deflect their substance abuse. Their behaviors may be so aloof, appealing and beguiling that the sober partner is intrigued by the mystery and thrill of the addict’s actions. Even if the sober partner feels that something may not be right, they ignore their instincts. The addict is able to make light of their substance abuse and convince their partner that they just like to party once in a while.

    The person who is sober is so clouded by their desire to be with the addict they do not ask any questions.When the sober mate can no longer keep up with partying or accept the inconsistencies in an addict’s storiesthey may start to ask questions. At this point, it is typically too late. They are already in love.

    The Middle Phase: Committment and concern

    Loving an addict can bring up many mixed emotions. I started to notice that my boyfriend’s car was home when it was supposed to be at work. When I confronted him, he told me I was seeing things. Then I would drive by his work and notice his car was not there. I wanted to believe I was seeing things more than I wanted to face the fact that my gut was probably right. He called me one weekend and spoke to me in the strangest tone making some outrageous statements. He had disappeared for a couple of days and said he was with friends.

    After my worry got the best of me, I went to his apartment. I found him sitting up on his couch, asphyxiating from a drug overdose. Because my feelings for him were so strong, I allowed him to let me believe that this was not a problem and things just got out of control. He swore it would never happen again. I was desperately afraid of this behavior but I loved him so much I felt it would hurt more to be without him.

    The middle, or the “discovery period” of a relationship with an addict can be baffling. This is a time where the love is so strong and both parties have made commitments to one another but there is a clear realization that something is wrong. The discrepancies and contradictions in stories and unpredictable behaviors of the addict become more apparent. The addict is feeling more comfortable with the relationship and secure their loved one is not going to just up and leave.But it becomes more difficult for an addict to hide their addiction because they are spending more time with their partner.

    Deep down, the sober party knows there is something inherently wrong. They will start to ask questions, dig deeper, and possibly confront the addict about their addictive tendencies. This discovery period can last weeks, months, or years, depending on if the addict is more functional or dysfunctional in their addiction. The sober partner may be questioning their own eyes, sanity, and reality just to try and believe an addict’s lies. Over time,the strange, unexplained behavior can no longer be chalked up to nothing.

    It is at this time that the sober partner may become “hooked” or addicted to the addict. Their love becomes more desperate and they feel that it is their responsibility to help the addict see there is something wrong and fix it. The addict will use this love to manipulate their partner into staying.

    When will this addiction end?

    When it becomes clear that there is a problem things will start to deteriorate in the relationship. The decline can happen very fast. You see the addict as a different person from the one you fell in love. This new person is revealing themselves more and more of the time. The addict is no longer hiding their addiction but instead making excuses for it. Wanting to believe them, you entertain promises of sobriety and proposed behavior changes. These are typically empty promises.

    The sober mate knows the addict’s life is at risk. The worry, fear, and obsession over their partner may become chronic. Nights are spent wondering if the addict will come home,and hours or sometimes days are spent waiting for a phone call. This becomes the norm. When they do show up, you watch your spacey-eyed partner make excuses as to why they were not available.The sober mate will make desperate attempts to plead for the addict to change because they hope there is still a viable future for their relationship.

    Co-addiction begins

    There is a turning point that occurs sometimes without notice. This is when the sober partner becomes a co-addict. A co-addict is a person who puts the addict’s addiction over their own needs. A co-addict will enable and cover up for the addict in an attempt to help them. A co-addict will spend countless hours trying convince them that they need help.

    A co-addict is torn. They want to leave but they cannot. They want to believe the addict will change and think their support and love will save them. They want to be there when the addict recovers. Actions speak louder than words and usually the addict’s actions are not consistent with their words and promises. The two will go back and forth with one another making and breaking promises. A co-addict’s life will be turned upside down and inside out dealing with the addict.

    Holding out longer than you should

    Even though a co-addict loves a person with a serious disease and knows deep down they should leave, it is not always easy to walk away. While we cognitively understand that zero tolerance for drug use and abuse is required, some will marry, have children with, move in with, become financially dependent on and/or financially support the addict over the course of the relationship despite the addiction. Most feel they are abandoning the addict if they leave. Regardless of the scenario, most co-addicts will wonder when this will end and the person they fell in love with will return. That person may only show themselves now in glimpses. These short episodes keep us holding on longer than we should.

    The reasons co-addicts stay no longer matter. The situation becomes so convoluted even the co-addict does not understand why they continue to the relationship. They only know what they feel and how much they still love the addict but abhor the situation.

    How do you leave?

    How do you leave someone you love so much even though they hurt you when they have a serious problem? That is a very good question. If you find yourself in this situation, you are not alone. There is help, but the help is not for the addict, it is for you.

    View the original article at addictionblog.org

  • Heroin detox timeline: How long to detox from heroin?

    Heroin detox timeline: How long to detox from heroin?

    What are detox from heroin symptoms and how long will they last? The intensity, duration, and resolution or heroin withdrawal symptoms are dependent on age, usage amount and length of use. For example, older people who have been using higher doses for a longer period of time will typically experience longer, more difficult withdrawal from heroin.

    But how long does heroin detox typically last? And what can you expect? We review here, and invite your questions about heroin detox or signs of addiction to heroin in the comments section at the end.

    Heroin detox duration and length

    The process of heroin detox can vary in time and intensity. In fact, there are many factors involved in heroin detox duration, such age, length of usage, and heroin dosage amounts. In general, a typical heroin detox usually lasts for up to 7 days. So, when does detox begin? Heroin withdrawal symptoms usually begin 6-12 hours after the last dose, persist for 1-3 days (peaking at 72 hours after last dose), and gradually become less intense over the course of 5-7 days. Acute withdrawal from heroin begins with anxiety and craving, reaches its climax between 36 and 72 hours, and decreases substantially within 5 days. On the other hand, protracted withdrawal symptoms (PAWS) may persist for a few months beyond the period of acute withdrawal.

    Heroin detox timeline

    Days 1 – 2

    The first two days are usually the most difficult to get through, as they present with the most severe symptoms of detox from heroin. Withdrawal symptoms usually start to appear within 12 hours after the last dose was takenand manifest as light symptoms of discomfort. The most noticeable symptoms during this period include muscle aches and pain. Some people may experience severe muscle pain in these first days. Along with the pain, other symptoms include diarrhea, loss of appetite, and insomnia. Anxiety and/or panic attacks are also common.

    Days 3 – 5

    During this period of detox, the worst of discomfort usually passes, but has not yet completely resolved. Proper eating is important at this time, in order to boost immune system response. Shivers, abdominal cramping, vomiting are common symptoms during this period.

    Day 6 and beyond

    When someone going through heroin detox reaches day 6 of withdrawal, s/he is on the right track. Trouble eating and sleeping may persist, and some people may still experience nausea and anxiety.

    How long to detox from heroin

    There is no fixed period of time for heroin detox. An appropriate period depends on the degree of a person’s heroin dependency and individual needs. Medical research has shown that at least 3 months (and up to 6 months) of medical supervision for heroin addicts are optimal for addressing addiction. Why is this period so long?

    Heroin use causes neurocircuitry changes to the brain that affect emotions and behavior. These brain changes can still persist after acute detox is finished. This is why changes in the nervous system may persist many weeks after the period of acute withdrawal has passed. The medical term for these symptoms is protracted/post-acute withdrawal symptoms (PAWS). Protracted withdrawal is defined as the presence of symptoms common to opiate withdrawal which persistbeyond the generally expected acute withdrawal timeline explained above.

    Some symptoms of PAWS during heroin detox include:

    • anxiety
    • depression
    • dysphoria (feeling down or emotionally blunted)
    • fatigue
    • insomnia
    • irritability

    If you’re wondering: “Can I withdraw from heroin at home?” The answer to this question can vary. Treatment for protracted withdrawal symptoms (PAWS) should be addressed according to individual characteristics that present during detox. This is why a person’s age, gender, an culture must be taken into consideration during detox. Additionally, recovery from any drug addiction is a long-term process and frequently requires multiple episodes of treatment.

    Heroin detox scheduling questions

    Do you still have questions about the duration or length of heroin detox? If you have any questions connected to heroin detox, feel free to ask. Leave your comment into the section below and we will try to answer you personally and promptly.

    Reference Sources: Substance Abuse Treatment ADVISORY
    NIDA DrugFacts: Treatment Approaches for Drug Addiction
    NIDA Principles of Drug Addiction Treatment: A Research-Based Guide

    View the original article at addictionblog.org

  • How long does cocaine withdrawal last?

    How long does cocaine withdrawal last?

    Are you addicted to cocaine or know someone who is? Here we explore how long cocaine withdrawal lasts and what you can do to help ease the effects. Then, we invite your questions about cocaine withdrawal or signs of cocaine addiction at the end. We try to answer all legitimate questions about cocaine personally and promptly.

    How long until cocaine withdrawal starts?

    Cocaine is an incredibly effective stimulant and withdrawal symptoms usually start just hours after stopping cocaine. What are symptoms of cocaine withdrawal? Symptoms of cocaine withdrawal can include agitation, increased appetite, and fatigue, vivid and unpleasant dreams. While these acute symptoms usually resolve within a week or two of last dose, other symptoms linger. For example, cocaine cravings can persist for the rest of your life. And other psychological withdrawal symptoms of cocaine can last years.

    Cocaine withdrawal timeline

    How long to withdraw from cocaine? Cocaine withdrawal timelines can last from days to weeks to months after last use. Here’s a general cocaine withdrawal timeline to help guide you during this period.

    24 – 72 hours: Within twenty four to seventy two hours you can expect to start to crash and feel remorse and depression. The brain will be severely sleep deprived and while you may be extremely fatigued, it may be difficult to get rest. Some people sleep heavily during this period but wake feeling awful.

    Week 1: During week one of cocaine withdrawal, you will probably start feeling a lot better and the cravings will seem easy to manage. The effects of cocaine will seem to be wearing off and you may start to regain confidence in your ability to handle cocaine addiction. Symptoms present during this time generally include agitation, unpleasant dreams, and increased appetite.

    Week 2: After about two weeks into cocaine withdrawal, the cravings for the drug can start to return and you will experience hunger, anger and depression. During week two you may experience vivid dreams and think about using again.

    Week 3-4: After three to four weeks you may start to experience mood swings. Sleep may still be a problem, as can depression. Exercise and a healthy diet will help to address these issues. Many drug abusers cannot handle stress without abusing a substance, so a lot of drug addicts relapse during this time. If needed, you can seek help from a medical doctor or psychiatrist to address underlying mental health issues.

    How long do cocaine withdrawal symptoms last?

    Protracted cocaine withdrawal symptoms can last six months to two years. The amount of time that the symptoms last depends on the amount of time that cocaine was used, which will determine the severity and length of the withdrawal period. Typically, you can seek mental health treatment for persistent symptoms which can help to greatly reduce the effects of protracted withdrawal.

    Cocaine withdrawal: how long?

    How long cocaine withdrawal lasts fluctuates depending on how frequently you used the drug and how large the doses were. If you were a heavy user, then you could experience cocaine withdrawal for years.

    People who have used cocaine for extended period of times may experience PAWS, which stands for post acute withdrawal syndrome. Symptoms of PAWS will appear usually three to six months after cessation of cocaine. PAWS occurs when the brain needs additional time to restore normal functions after long periods of drug dependence.

    Duration of cocaine withdrawal questions

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

    Reference Sources: PubMed: Cocaine withdrawal
    NCBI: Cocaine withdrawal
    VA: Treatment of Acute Intoxication and Withdrawal from Drugs of Abuse
    NHTSA: Cocaine

    View the original article at addictionblog.org