Author: Addiction Blog

  • Tolerance to Adderall

    Tolerance to Adderall

    Do you still have ADHD symptoms after taking Adderall (amphetamine, dexamphetamine and mixed salts)? Does your doctor have to increase your Adderall prescription doses to increase its effectiveness?

    If yes, then you have or are developing a tolerance to Adderall. Tolerance doesn’t mean you are physically or mentally dependent on a drug, that you are addicted, or that you will necessarily experience Adderall withdrawal syndrome when you stop taking amphetamine salts. Note here that Adderall dependence withdrawal requires medical supervision.  However, if tolerance is occurring you want to watch out for Adderall withdrawal symptoms. In this article, we’ll take a closer look at Adderall tolerance. We also look at how Adderall tolerance relates to amphetamine dependency and addiction. We invite any questions you may have about Adderall at the end of this article.

    Developing tolerance to Adderall

    Anyone can develop a tolerance to Adderall but it happens over a length of time. Adderall tolerance, in general, takes longer than other types of drugs. But those abusing Adderall for the euphoric effect will develop tolerance quicker than someone using it for therapeutic purposes. How does tolerance happen? And what does it mean?

    Tolerance to Adderall develops because the body “learns” the chemical makeup of amphetamine salts over time. After a while, the end of the nerves become resistant to Adderall effects on the body. Sometimes, developing a tolerance to Adderallcompletely renders the drug useless. Other time,s this tolerance can progress into in a physical dependence on Adderall. When you are physically dependent on Adderall and try to stop taking Adderall, your body experiences withdrawal symptoms which can be both dangerous and painful.

    Adderall tolerance symptoms

    In general, tolerance symptoms for amphetamines like Adderall include the following and are important to look out for.

    1) No longer feeling the focus Adderall provides.

    2) Needing higher doses of Adderall to feel its effects on ADHD symptoms.

    3) Only being able to maintain the effects of Adderall for a short time after taking it.

    Note here that Adderall has a high potential for developing physical dependency and can even trigger addiction in some cases. If you are worried this may be you, you can review our other articles for further information. But as you use Adderall over time, doctors expect that you will develop some form of tolerance to Adderall. Your doctor will work with you to observe which concentration of amphetamine salts works best for you to adjust for and work around Adderall tolerance.

    Adderall tolerance: How long?

    Amphetamines, in general, take longer to develop a tolerance when used for therapeutic purposes. Tolerance in this case develops more on a week to month basis sometimes taking up to 6 months before a doctor has to alter and change the concentration of the medication. But when Adderall is abused to get high, tolerance develops quickly. In fact, people can develop a tolerance to Adderall after using it just once. Many try to chase the first high with no success and will take more Adderall, thereby increasing their tolerance at the same time as they develop a dependence.

    High tolerance to Adderall

    There are different concentrations and potencies of Adderall for those prescribed amphetamines to treat ADHD. This varies because of the ADHD spectrum and the variations that exist. What may be a high tolerance for one may be low for someone else.

    Doctors are advised to start people out with the lowest possible dose of Adderall because of the high potential your body has of becoming dependent on amphetamines. This also allows room for doctors to tinker with the levels and dosage of Adderall which can works for you. In general, a high tolerance to Adderall exceeds 40mg a day. To even get to this Adderall dosage is considered rare and rather remarkable. If you are taking 30 to 40 mg of Adderall a day, you have a high tolerance to Adderall and may want to try another medication that can help mitigate ADHD symptoms.

    How to lower tolerance to Adderall

    Because of Adderall’s high dependency rate, it is considered a little more dangerous practice to lower your tolerance to Adderall. It is safe to lower your tolerance to Adderall as long as you have not developed a physical dependency on amphetamines salts. If you have become physically dependent on Adderall, you will then need to taper your Adderall doses slowly under the supervision of a doctor to compensate for withdrawal symptoms.

    The best way to lower tolerance is to stop taking Adderall. But when you do this , ADHD symptoms will once again occur. A couple of months should be good enough to lower tolerance enough to start taking it. If may be best to try an alternative drug to help with these symptoms. Talk to a doctor to see what would be your best option. Also, if you’re abusing Adderall and you stop taking it, you will never be able to reach level zero of when you started taking Adderall.

    Building up tolerance to Adderall questions

    Do you still have questions about Adderall tolerance? Please share your questions and experiences with Adderall in the comments below.

    Reference Sources: Pub Med Health: Adderall
    FDA: Adderall drug label
    National Institute of Drug Abuse: Pharmacology and Toxicology of Amphetamine and Related Designer Drugs

    View the original article at addictionblog.org

  • How long does a hangover last?

    How long does a hangover last?

    It’s the morning after. You feel horrible. When will your hangover end?

    Hangover causes

    Hangovers are simply caused by drinking too much alcohol. It might make you feel better to know that some people report hangovers after drinking one to three drinks. But on the other hand, there are heavy drinkers out there that don’t get hung over at all. Although experts still don’t know officially what causes alcohol hangovers exactly, ten possible explanations for why you feel the hair of the dog include:

    1. acetaldehyde
    2. alcohol withdrawal
    3. dehydration and imbalance of electrolytes
    4. drug use
    5. gastrointestinal problems
    6. genetics
    7. low blood sugar
    8. methanol
    9. psychological traits
    10. sleep disturbance

    When will this hangover end?

    OK. Now a little wake up call. Hangovers exist for a reason: the hangover experience may deter us from future episodes of heavy drinking or intoxication. They are our body’s way of asking that we avoid binge drinking and a call for homeostasis, or balance. But when will they end?

    Typically, a hangover will end within 24 hours.  Hangovers begin within several hours after you stop drinking, when blood alcohol concentration (BAC) falls. Symptoms of a hangover usually peak about the time BAC is zero and may continue for up to 24 hours thereafter. Most cases of hangover end several hours after 0 level BAC, though. This is for somewhat “normal” cases of over drinking, and a typical average. But hangovers can continue for a couple of days in more severe cases or in times when alcohol withdrawal occurs.

    More severe cases of hangovers

    Generally, the greater the quantity and length of time drinking, the more prevalent is the hangover. Some hangovers go on and on and can last for 72 hours, especially if you are mixing drinks, drinking low quality and less refined alcohol or drinking certain types of alcohol (brandy, red wine or whiskey all contain methanol).

    How bad is your hangover?

    Hangovers suck. But time will ease the symptoms of illness and discomfort. There are also a few hangover remedies that you might want to try to help reduce the severity of symptoms or shorten its duration. But keep in mind that most folk remedies for hangovers have not undergone clinical tests, and experts believe that conservative management of symptoms combined with time are your best bet for feeling better.

    Hangover questions

    Please leave your hangover story below, or questions about hangovers. We are happy to answer and respond to all of your comments personally.

    Reference source: Mechanisms and Mediators of Alcohol Hangover

    View the original article at addictionblog.org

  • How long does hydrocodone withdrawal last?

    How long does hydrocodone withdrawal last?

    Thinking about quitting hydrocodone?

    Developing a dependence on hydrocodone is common and even expected by doctors.  Why is cutting back so difficult? What happens when you stop taking hydrocodone?  Hydrocodone affects the central nervous system and smooth muscle tissue and can changes the way we perceive pain and might induce a change in mood.  But this action, while efficient, can also cause us to experience withdrawal symptoms when we quit or cut back.

    General onset of withdrawal symptoms occurs within a few hours after hydrocodone effects wear off. But is you’re asking, “Hydrocodone withdrawal symptoms – how long?” know this: the length of time until withdrawal stops can vary from weeks to months later. More here about how long hydrocodone withdrawal lasts. And we invite your questions about hydrocodone withdrawal at the end.

    How long until hydrocodone withdrawal starts?

    Once you have decided to stop taking hydrocodone, withdrawal symptoms can start as early as a few hours after the effect of hydrocodone has worn off. The most common symptoms of withdrawal from hydrocodone include:

    • cold sweat and chills
    • diarrhea
    • drug craving
    • irritability
    • sleep disturbances
    • mental swings

    How long do hydrocodone withdrawal symptoms last?

    Hydrocodone withdrawal usually peaks around 72 hours after last dose and resolve within 7-10 days after last use. Symptoms of hydrocodone withdrawal can last anywhere between a few days to several months after you last take hydrocodone. The harsher, acute effects of withdrawal should resolve within about a week after last dose. However, people have reported insomnia, mood swings, and drug cravings long after hydrocodone detox has occurred.

    Hydrocodone withdrawal timeline

    As mentioned earlier, hydrocodone affects people differently. Symptoms of withdrawing from hydrocodone will change from person to person. But in general, if you taking hydrocodone 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. Note also that it can take days to weeks to completely remove hydrocodone from the system. It is important to note that because hydrocodone is an opioid, 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 hydrocodone 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. It is during this time and especially during the first 72 hours that withdrawal symptoms peaks, which include: mood changes, sweats, diarrhea, extreme drowsiness, stomach pains, and abnormal skin sensations as well as possible respiratory depression.

    Week 1 hydrocodone withdrawal – In the first week after stopping hydrocodone, symptoms of withdrawal tend to be the worst. Symptoms from the first onset diminish a bit and even out. However, during this phase of withdrawal symptoms can include continued irritability, waves of intense craving, depression, and exhaustion.

    Week 2 hydrocodone withdrawal – After the first couple of weeks of stopping hydrocodone, protracted withdrawal symptoms may arise. Symptoms such as diarrhea, mood swing, irritation, insomnia, muscle cramps and back aches can surface during this phase of withdrawal from hydrocodone.

    Weeks 3-4 hydrocodone withdrawal – During this stage of withdrawal, waves of cravings and psychological dependence are still persistent.

    PAWS for hydrocodone –  Post-Acute withdrawal syndrome (PAWS) is a set of symptoms that occur right after you stop taking hydrocodone and can last several months afterwards. Sleeping disturbance, irritability, and mood swings are typical of hydrocodone use and these symptoms can linger for weeks to months after your last dose of hydrocodone. Additionally, cravings for the drug can linger longer after you have stopped taking Hydrocodone. People suffering from hydrocodone addiction are encouraged to seek help in order to prevent relapse.

    Hydrocodone withdrawal: how long?

    Hydrocodone affects each person differently depending on the dosage and how long you have been taking hydrocodone. In other words, each withdrawal period is unique to the person taking hydrocodone. Additionally, various health concerns need to be taken into considration during hydrocodone detox. This is why experts always recommend medical supervision during any chemical or drug withdrawal.

    How long hydrocodone withdrawal questions

    Did we answer your question(s) about hydrocodone withdrawal here? If you have any more questions regarding withdrawal from Hydrocodone please ask. We do our best to respond to your questions personally and promptly.

    Reference Sources: PubMed Health: Hydrocodone
    Utah Department of Human Services: Opioids
    Medline Plus: Opiate Withdrawal:

    View the original article at addictionblog.org

  • How To Stop Taking Methadone?

    How To Stop Taking Methadone?

    READING SUMMARY: The best way to stop taking methadone is by consulting a medical professional. Methadone withdrawal can be painful and psychologically challenging. Whatever discontinuation method you decide to use make sure to discuss the risks and benefits with your doctor.  S/He can help you decide whether a long-term taper or abrupt discontinuation is right for you.

    TABLE OF CONTENTS

    Why Quit Methadone?

    There are a few reasons you may want to quit taking methadone.

    1. Treatment completion. If you have achieved therapeutic stabilization and are ready to live without methadone, congratulations! According to this study published in 2009, methadone is the most successful treatment for stronger opiate addiction, although with fairly substantial financial and personal costs. If you’re ready for a change and have the support…go for it! See the chart below from the 1999 NIDA Notes on methadone treatment success.
    2. Drug interactions. Other medications may interact with methadone and can cause heart conditions. Take a look at this WHO chart of methadone drug interactions for a full list of potential side effects.
    3. You’re addicted to it. According to SAMHSA, methadone is addictive. After all, it’s still a psychoactive drug…and can cause euphoria especially when you’re not taking it a prescribed. If you get high on methadone, it may be time to look into treatment options for getting off methadone for good.

    What Happens When You Quit?

    Quitting methadone throws your body out of balance. Most users have developed physical dependence on the substitution drug. So, when you come off of methadone, the lack of it causes stress to the system.

    According to the World Health Organization’s (WHO) Clinical Guidelines for Withdrawal Management, it can take between 3 and 10 days for the amount of methadone in in your system to stabilize. So, after taking methadone for a this period of time physical dependence on the medication is expected. This means that your brain and body begin to function normally in the presence of methadone.

    When you remove methadone, it takes about 7-10 days to get back to normal. So, if you have developed dependence on methadone and you stop using it, you will experience typical methadone withdrawal symptoms.

    Think of withdrawal like this: the body adapts to the depressant effects of methadone by “speeding up” some processes. Take away the methadone, and it takes time for these processes to slow down again.

    Withdrawal

    So, what is methadone withdrawal?

    Withdrawal is a group of predictable symptoms that arise in the body when you lower or cut off your usual doses of methadone. Withdrawal symptoms occur as the effects of methadone wear off and the medication starts to leave the system. These unpleasant side effects are always accompanied by symptoms of discomfort which may increase your need for this drug.

    The duration of these unpleasant withdrawal symptoms is around several days to one week. The withdrawal symptoms tend to manifest three days after dose reduction, and last 7-10 days. However, some protracted withdrawal symptoms such as depression, anxiety, or sleeping problems can last for several months after dose cessation.

    Withdrawal Symptoms

    When you stop taking methadone you can expect to experience some flu like symptoms. Muscle aches and pain occur as methadone is eliminated from your body. As withdrawal symptoms progress you will likely feel nausea, cramps, sweats, and you may experience vomiting and diarrhea. Click here for an Addiction Blog list of methadone symptoms and timeline.

    You may also experience other uncomfortable symptoms during the withdrawal stage, such as:

    • anxiety
    • concentration problems
    • confusion
    • cravings
    • diarrhea
    • headaches
    • insomnia
    • mood swings
    • shakes
    • sweating
    • tiredness
    • vomiting

    In order to overcome these difficulties it is best to stop using methadone under medical guidance.

    Cold Turkey

    Doctors never recommend quitting methadone cold turkey.

    Going cold turkey off methadone can bring you serious difficulties and may have dangerous consequences. One of the biggest risks during the detoxification period is relapse. People who quit cold turkey usually start with high motivation and determination, but once withdrawal sets in, they’ll go to any length to get more of the drug…or will relapse to a stronger opiate, like heroin.

    Tapering

    “Tapering” is a procedure that involves a gradual reduction of methadone doses during an extended period of time. Methadone dose reduction schedules range from 2–3 weeks to as long as 180 days, with longer time periods generally associated with better outcomes. Studies have indicated that the more rapid the reduction, the more likely a drug relapse (especially to heroin). Still, this method of discontinuation is considered less aggressive and more safe than abrupt cessation.

    Medical professionals recommend to gradually taper off methadone according to individualized tapering schedule created by your doctor. The main goal of tapering is to ensure that the withdrawal process is completed with safety and comfort. Methadone doses are usually reduced in the following rates:

    • 20-50% from your current dose per day until you reach 30 mg/day.
    • 5 mg per day every three to five days until you reach 10 mg/day.
    • 2.5 mg per day every three to five days.

    The Australian Department of Health states that the recommend methadone dose reduction should be from 10mg/week to a level of 40mg/day, then 5mg/week. Rates of reduction should be discussed with your doctor and dose changes should occur no more frequently than once a week.

    Tapering won’t make withdrawal symptoms disappear. In fact, it can be unpleasant, but it can also lower the intensity and duration of symptoms. When tapering is used to manage withdrawals from heroin or methadone, withdrawal signs and symptoms will begin to manifest as you cut down your daily doses below 20mg. Symptoms reach their peak usually between the second and the third day after cessation According to The Department of Health methadone withdrawal symptoms subside after 10 to 20 days following cessation. Nevertheless, medical practice has confirmed that people tend to tolerate withdrawal symptoms better when they gradually reduce their dosage.

    NOTE HERE: You should not attempt to reduce methadone doses by yourself. Dose reductions should be made in consultation with a doctor. When you make an agreement on a tapering schedule, your doctor and addiction counselor or therapist. will be able to follow your progress.

    Medications

    Several medications are used during detox and addiction treatment programs for helping people who are addicted to methadone.

    1. Buprenorphine may be prescribed to people because of its similar effects to methadone. Buprenorphine is effective in easing withdrawal symptoms.
    2. Clonidine eases some of the physical withdrawal symptoms associated with methadone detox.
    3. Naltrexone prevents methadone from binding to opioid receptors in the brain.

    When medications are used as an integral part of a medically guided treatment program, mood-stabilizing medications, such as antidepressants or anti-anxiety medications can also help.

    NOTE: Whether you decide to taper your methadone doses, or decide to go cold turkey, the most important point is that you first ask for support from medical professionals.

    Stopping Safely

    When you decide to stop taking methadone, a professional point of contact can be your doctor, addiction treatment program, or methadone clinic. Or, you can call us directly. Our hotline number on this page will direct you to an addiction recovery specialist. Here’s what you can expect when you seek help:

    1. Assessment.

    Medical professionals first determine whether you are physically dependent or addicted to methadone. They assess dependence levels, take your psychological profile, and interview you. You may be asked to submit a urine or blood sample for drug testing.

    2. Medical detox.

    After your methadone dependency level is determined, you are going to work out the safest alternative to quitting with methadone. One possibility is that you will need to visit a detox clinic. The medical detox clinic will provide you with round the clock care and a safe, drug free environment.

    3. Rehab.

    If necessary, you may be referred to longer term inpatient or outpatient rehab.

    4. Therapy and counseling.

    The goal of quitting methadone for good is learning to deal with psychological issues. Mental and behavioral therapies along with family support are usually combined to help you lead a sober life.

    Your Questions Are Welcomed

    Got a question?

    If you or a loved one are considering quitting methadone, don’t hesitate to consult your doctor or treatment provider. Or, feel free to ask your questions in the comments section below. Additionally, if you have any tips or experiences you’d like to share, please do! We’ll do our best to answer all legitimate inquiries personally and promptly.

    Reference sources: Medline Plus: Methadone
    CSAT Tip 43: Medication Assisted Treatment for Opioid Addiction
    DOJ: Methadone Fast Facts
    NCBI: Methadone at tapered doses for the management of opioid withdrawal
    The Department of Health: Cessation of methadone maintenance treatment

    View the original article at addictionblog.org

  • How long do benzos stay in your system?

    How long do benzos stay in your system?

    ARTICLE OVERVIEW: Benzodiazepines can be detected up to 30 days in urine although chronic use (1+ years) can be detected 4–6 weeks after last dose in urine. Benzos can also be detected in serum and plasma for 12 hours to 2 days after last dose.

    TABLE OF CONTENTS

    Taking Benzos

    Benzodiazepines, or “Benzos”, are one of the most powerful tranquilizer sedatives prescribed by doctors. As a central nervous system depressant, benzodiazepine can be highly effective. However, benzos vary in terms of uses, active times and addictive qualities. When taken recreationally, people use these meds for sedative effect, or to enhance the effects of alcohol or opioids…but also increase addictive potential.

    Medically, benzodiazepines are prescribed to induce sleep, relieve anxiety, to sedate, treat muscle spasms and prevent seizures. Benzos can also be prescribed during alcohol withdrawal, or used to treat anxiety related disorders of the gastrointestinal tract. They should only be prescribed for short periods of time.

    Benzodiazepines are usually prescribed and taken orally, but some people use benzos without a prescription from a doctor. This is illegal and can be very dangerous. Some use intravenous injection after preparing a solution from crushed tablets. Commercially available liquid forms can also be injected, and gel forms can be rectally administered.

    The list below shows some of the different generic and brand names of benzodiazepines:

    • Bromazepam: Lexotan.
    • Clonazepam: Rivotril.
    • Diazepam: Valium, Ducene, Antenex.
    • Flunitrazepam: Rohypnol, Hypnodorm.
    • Lorazepam: Ativan.
    • Nitrazepam: Mogadon, Alodorm.
    • Oxazepam: Serepax, Murelax, Alepam.
    • Temazepam: Euhypnos, Normison, Temaze.

    Some slang names for benzos are rowies, serries, moggies, vals, V, normies, downers, tranks and sleepers.

    Main Effects

    The effects of benzodiazepines can be divided into immediate and long-term effects and may last from a few hours to a few days, depending on the dose and type of benzo you take.

    The immediate effects can include that you:

    • Become confused or dizzy.
    • Cannot judge distances or movement properly.
    • Cannot remember things from just a short time ago.
    • Feel drowsy, sleepy or tired.
    • Feel really good.
    • Feel relaxed.
    • Have blurred or double vision.
    • Have mood swings.
    • Have no energy.
    • Slur your words or stutter.

    If you use benzodiazepines often for a long time, you may:

    • Be cranky.
    • Be depressed.
    • Be hungrier and put on weight.
    • Experience fatigue or drowsiness.
    • Feel sick in the stomach.
    • Get skin rashes.
    • Have dreams that make you feel bad.
    • Have headaches.
    • Have menstrual problems if you are a woman.
    • Have no energy or interest in doing normal things.
    • Lose interest in sex, or your body will not work properly during sex.

    Factors that Influence Metabolism

    Not everyone reacts to benzos the same way. In fact, there are a number of factors that play into how these types of drugs effect you and how you metabolize them. For example, your current mood, past experience with benzodiazepines, and whether you use alone or with others, at home or at a party can also include outcomes.
    Generally, benzodiazepine metabolism depends on:

    • How many tablets and what dose you take.
    • Route of administration.
    • Whether you use benzos on their own or with other drugs.
    • Your general health.
    • Your height and weight.

    Peak Levels And Half-Life

    Peak levels and drug half life of benzos depend upon the particular drug prescribed, dosage, interval between doses, and route of administration. Longer half-life benzodiazepines have a more sustained effect, although some may accumulate. In general, benzos can be divided into these three categories:

    Ultra short acting benzos: The half-life of ultra short acting benzodiazepines is less than 5 hours. These drugs are essentially non-accumulating.

    Short acting and intermediate benzos: This class of benzodiazepines have half-life values from 5-24 hours and can be dosed more frequently. Accumulation during multiple dosage is less extensive than with the long-acting group, and diminishes as the half-life becomes shorter.

    Long acting benzos: Long acting benzodiazepines have half-life values usually exceeding 24 hours. Drugs in this category have long acting pharmacologically active metabolites, which accumulate extensively during multiple dosage.

    Blood, Hair, And Urine Sample Tests

    Testing cutoff concentrations for benzodiazepine are at 200 ng/ml. So how long do benzos stay in the body?

    Blood: Benzos can be detected in serum and plasma for 12 hours to 2 days after last dose.

    Hair: Hair samples are usually not used to detect benzodiazepines. While some popular medicines like diazepam may regularly be detected via this method, false negative results and variability in performance make this test less standard.

    Urine: Benzodiazepines can be detected up to 30 days in urine although chronic use (1+ years) can be detected 4–6 weeks after last dose in urine.

    You can find a full list of Drug Tests approved by the FDA here. [1]

    Benzodiazepines are now part of most routine drug screening procedures. Most standard drug screens are usually unable to distinguish between different benzodiazepines. Since a number of benzodiazepines share common pathways of metabolism, it is not possible to test for the abuse of specific benzodiazepines such as diazepam or temazepam. It is also difficult for drug tests to detect ‘low’ dose benzodiazepine use.

    Tolerance and Dependence

    Anyone can develop a ‘tolerance’ to benzodiazepines. Tolerance means that you must take more of the drug to feel the same effects you used to have with smaller amounts or lower doses. This may happen very quickly with benzodiazepines.

    Physical dependence occurs when you regularly take benzos for period of a few weeks or longer. In fact, most of the drugs in this class of medications should be prescribed for 6 weeks or less, due to the phenomenon of dependence. According to this 2015 article published in the Australian Prescriber [2]:

    Any patient who has taken a benzodiazepine for longer than 3–4 weeks is likely to have withdrawal symptoms if the drug is ceased abruptly. The risk of inducing dependence can be reduced by issuing prescriptions limited to 1–2 weeks supply.

    When you become drug-dependent, your brain has adapted to the psychoactive chemicals found in the benzodiazepine by compensation, in this cases, “speeding up” certain processes or functions. It does this to balance out the sedative, depressant effects of the strong benzo drug in your system. When you significantly lower dosage or quit altogether, it takes time for the brain to find homeostasis again. So, withdrawal symptoms occur.

    However, benzo dependence is not limited to physical dependence. ‘Psychological dependence’ on benzodiazepines is also possible. When a benzo takes up a lot of your thoughts, emotions, and activities…you might be hooked on it. People who are psychologically dependent spend a lot of time thinking about using benzodiazepines, looking for them, using them, and getting over the effects of using them. You may also find it difficult to stop using or control how much you use. This kind of dependence, also known as addiction, can lead to a variety of health, money, legal, work and relationship problems.

    Not all people who ever use benzodiazepines become dependent. But it is very easy to become dependent on benzodiazepines and it can happen within four weeks.

    Withdrawal

    People who are dependent on benzodiazepines find it very hard to stop using them or cut down because of withdrawal symptoms. Withdrawal often involves “rebound” symptoms related to the original problem. So, if you were taking the meds to control anxiety, your anxiety can be amplified. Likewise for sleeping problems.
    Still, suddenly stopping using benzodiazepines can be dangerous. You should get help and withdraw gradually if you have been using benzos regularly or using high doses of them. Tapering guidelines outlined by Dr. Heather Ashton are consider the go-to medical guidance for safely coming off these strong drugs. [3]

    Symptoms of benzo withdrawal can include:

    • Being confused or depressed.
    • Convulsions.
    • Disturbed sleep.
    • Feeling nervous or tense.
    • Feeling afraid or thinking other people want to hurt you.
    • Feeling distant or not connected with other people or things.
    • Flu-like symptoms.
    • Heavier menstrual bleeding and breast pain in women.
    • Pain, stiffness or muscle aches or spasms.
    • Panicking and feeling anxious.
    • Shaking.
    • Sharpened or changed senses (e.g. Noises seem louder than usual).

    Signs of a Problem

    There is significant concern regarding overprescribing of benzodiazepines and the resultant harms. People who are benzodiazepine dependent or at risk because of misuse should be identified and appropriately assessed to determine their risk of harm.

    You may have a problem if you present any of these characteristics:

    • Amnesia.
    • Appearance of dementia.
    • Benzodiazepine overdose.
    • Blurry vision.
    • Confusion.
    • Disturbing dreams.
    • Drowsiness.
    • Hostility.
    • Instability when walking or moving.
    • Irritability.
    • Judgment alteration.
    • Lack of coordination.
    • Reduced inhibition.

    Furthermore, these medicines can be addictive. Since many benzodiazepine addictions start out as prescriptions, it can be challenging to notice when a person becomes addicted. Once a person has become addicted to benzodiazepines, they may appear detached and apathetic. They may begin removing themselves from normal family and social activities and lose interest in hobbies and maintaining relationships.

    The main signs of benzodiazepine addiction include:

    1. Continued use, despite harm to health, work, or relationships.
    2. Feeling that you cannot function without the medicine.
    3. Trying to quit but being unable to stop.
    4. Using benzos to get high.

    Prescribing interventions, substitution, psychotherapies and pharmacotherapies all contribute to the management of benzodiazepine dependence.

    Risks of Misuse

    The way a person uses benzodiazepines can also cause some problems. If you take a very high dose of benzodiazepines alone or with other drugs, you can depress the respiratory system, go into a coma or die. Injecting benzodiazepines that are intended to be swallowed in tablet/capsule form can also cause severe damage to veins, leading to loss of limbs from poor circulation, organ damage or stroke. Injecting benzodiazepines with used or dirty injecting equipment makes you more likely to get infected with HIV, hepatitis B or C, get blood poisoning and skin abscesses.

    NOTE HERE: To minimize possible harm, avoid injecting benzos. If you do, DO NOT SHARE fits (needles and syringes), spoons, water, filters, alcohol swabs, or tourniquets.

    Benzos and Addiction

    Do you have problems with Benzodiazepines? If you think that you have a problem (with any chemical or drug), you probably do. Ask yourself, why you are taking it? And you will have an answer. We understand some benzodiazepines are more addictive than others and the problems they can cause.

    You are not alone. In fact, once you are ready to face potential addiction to drugs, help is available. If you think that you are addicted to benzos, please email us or write us a comment below. We would love to hear from you and are here to help you get treatment.

    Reference Sources: [1] FDA: Drugs Of Abuse Test
    [2] NCBI: Management Of Benzodiazepine Misuse And Dependence
    [3] New Castle University: Benzodiazepines: How They Work And How To Withdraw
    FDA: Drug Safety
    NIDA: Well-Known Mechanism Underlies Benzodiazepines’ Addictive Properties
    NIH: Detection OF Benzodiazepines AND Z-Drugs IN Hair Using AN Uhplc-Ms/Ms Validated Method: Application TO Workplace Drug Testing
    SAMHSA: FDA Regulation Of Drugs Of Abuse Tests
    STATE OF NJ: Benzodiazepine Addiction Help And Treatment In New Jersey

    View the original article at addictionblog.org

  • Xanax Detection Timelines (INFOGRAPHIC)

    Xanax Detection Timelines (INFOGRAPHIC)

    ARTICLE OVERVIEW: A visual representation that outlines basic detection periods for alprazolam on blood, saliva, urine, and hair based tests. You’ll learn average lengths of time of alprazolam stay in your system. Plus, you’ll learn about the factors that can influence metabolism.

    TABLE OF CONTENTS:


    Drug Basics

    Drug Name: Xanax, main ingredient alprazolam
    Drug Class: Depressants/Sedatives/Hypnotics
    Street Names: Xannies, Zannies, Z-Bars

    Xanax, also known by its generic name alprazolam, is a benzodiazepine anti-anxiety medication. It is a central nervous system depressant that slows down brain activity and produces feeling of drowsiness, calmness, and relaxation. [1]

    Xanax is usually prescribed as a tablet, but it can also come in a liquid form. It is classified as Schedule IV controlled substance by the DEA. Xanax’s active ingredient, alprazolam, can be habit-forming and users may become dependent on the medication. [2]

    Use Statistics

    Xanax is a popular and commonly prescribed psychiatric medication in the United States. Many Americans use Xanax for medical purposes, and many of them start misusing and get addicted. Also, there are people who take it recreationally, to get high. Just how many people?

    According to the 2017 National Survey on Drug Use and Health, there were 17,926,000 Americans who were using alprazolam, which accounts for 6.6% of the total U.S. population. Over 700K of them were teens, almost 3M were young adults between the ages 18-25.

    More than 14M adult Americans took Xanax in 2017.

    Also, about 4,165,000 Americans abused Xanax last year. Abuse can be seen among all age groups. 407K U.S. teens, over 1.6M young adults and over 2 million adults in U.S. took Xanax other than prescribed. [3]

    Why Drug Test?

    There are many reasons why someone will need a drug test. An employer may require it for a job position, or a court may order it for legal reasons. Athletes may be tested for drug use. People in rehab are also regularly tested in planned testing or random testing situations. Emergency rooms drug test in cases of injury or overdose. Also, your prescribing doctor may ask you for drug testing as part of your treatment.

    Detection Window

    Whatever the reasons, it’s good to know the basic detection windows for Xanax and to be prepared for what test results can be. Most drug tests are positive if you’re testing within the detection window for the specific type of test. What’s a detection window?

    The period of time from the last dose of alprazolam until it’s detected in your system is called a drug’s detection window. 

    So, how long does alprazolam stay in your system? On average, the half-life of Xanax is 12 hours. But, Xanax half-life can be anywhere between 6-20 hours. Still, detection windows for alprazolam vary between individuals. The detection window also depends upon the drug test that is used. Here are some general guidelines for Xanax detection by type of drug test sample:

    Urine: Urinalysis can usually detect Xanax for up to 5 days after the last use.
    Saliva: These types of tests detect the presence of Xanax up to 60 hours after the last intake.
    Blood: The detection period for Xanax in a blood tests is about 24 hours.
    Hair: Xanax can be detected up to 90 days in hair follicle drug tests.

    Have in mind that drug detection times in urine, blood, hair, and saliva are in average and can vary greatly from person to person. You should use this information as a general guide only.

    Influence Factors

    Many factors can influence the presence of alprazolam in the system. Some of them include:

    • Age
    • Gender
    • Weight
    • Diet and use of fluids
    • Frequency and length of use
    • Overall health
    • Liver and kidney function
    • Metabolism
    • Physical activity

    In general, younger people eliminate toxins faster. Also, people with slower metabolism will have Xanax longer in their system. Moreover, any liver or kidney impairment can slower the elimination period.

    Any Questions?

    We hope that you find this infographic educational and helpful. If you still have any questions about Xanax detection timelines, we welcome your questions and comments in the section below. We’ll try to answer your questions personally and promptly. Feel free to share a personal story and tell others your drug screening experience.

    Moreover, if you or somone you love is battling Xanax dependence don’t hesitate to ask for support. Our caring admissions navigators are available 24/7 to discuss treatment options. Reach out today.

    [vc_single_image media=”266525″ media_lightbox=”yes” media_width_use_pixel=”yes” media_width_pixel=”300″]

    Reference Sources:
    [1] FDA: XANAX Label

    [2] DEA: Drug Scheduling
    [3] SAMSHA: Results from the 2017 National Survey on Drug Use and Health: Detailed Tables
    Addiction Blog: Xanax half-life: how long does Xanax stay in your system
    SAMSHA: Clinical Drug Testing in Primary Care

    View the original article at addictionblog.org

  • Methadone Clinics in Texas

    Methadone Clinics in Texas

    ARTICLE OVERVIEW: Methadone is administered as part of Narcotic Treatment Programs in Texas. Combined with counseling and talk therapies, the medicine can offer numerous benefits for people addicted to opiates. We review more about the process of receiving methadone and where to find it in Texas here.

    TABLE OF CONTENTS:


    What is Narcotic Treatment?

    The State of Texas calls use of methadone for addiction “narcotic treatment”.  It’s a form of medication assisted treatment. During narcotic treatment, you take prescribed medications in combination with counseling and talk therapy to treat opiate or opioid use disorder.

    So, what is methadone? How does it work?

    Methadone is a synthetic, long-acting opioid that works by acting on the brain receptors. It “covers” nerve receptors so that if you take strong drugs, you don’t get high. In the same way, methadone can dull withdrawal symptoms and drug cravings. It is a Schedule II controlled substance…which means that it is habit forming and has the potential for possible addiction if not used as directed. [1]

    Public health officials consider medication assisted treatment one of many solutions that can help the growing number of people in the U.S. addicted to opioids. However, use of methadone is controversial. While it can be essential, some people abuse it. That’s why this type of treatment shouldn’t be limited to medicines. Other services include case management and referrals to help with lifestyle changes.

    How Methadone Clinics in Texas Work

    Narcotic Treatment Programs in Texas are specialized medical clinics that use methadone or buprenorphine to help people reduce or quit their use of heroin or pain killer drugs. It is illegal to use methadone without a prescription, to sell or give it to someone else. There are also laws against forging or altering a prescription or making false representation to obtain methadone or a prescription for the drug. [2]

    So, how do methadone clinics in Texas works?

    STEP 1: Screening

    You won’t be processed for admission as a patient of a methadone clinic until you have been determined eligible to enter an narcotic treatment program. So, you will be screened by a health care professional to see if you meet the criteria. Exception to this screening phase include pregnant women, patients who have resided in a penal or chronic care institution for one month or longer, and patients who have had two documented attempts at short-term detoxification or drug-free treatment.

    The screening process can include a history of your drug use, a medical history, psychological and sociological background questions, educational and vocational achievements, current mental status, and a physical examination. Also, you should be 18 or older with moderate to severe opioid use disorder for at least 12 months in order to qualify to receive methadone.

    STEP 2: Admission and Initial Evaluation

    After it’s been determined that you meet the criteria for admission, you will be evaluated by the medical director or program physician and clinical staff trained and qualified to perform assessments. The purpose of the evaluation is to determine if methadone treatment is the most appropriate treatment for you. The evaluation usually includes an assessment of your medical, psychosocial, educational, and vocational needs.

    STEP 3: Drug Testing

    Before receiving methadone, you will have to submit an initial drug test. For the first year of treatment, you will have to submit random drug tests each month, and eight random drug abuse tests yearly afterward.

    STEP 4: Treatment Planning

    Based on the initial screening and evaluation, your primary counselor will create an individualized treatment plan. The treatment plan will be reviewed at least once each 90 days during the first year of treatment, and at least twice a year thereafter. Planning will include a dosing schedule and outline recommended prescription use. You’ll also be encouraged to seek counseling or talk therapy at the same time you are taking methadone.

    Dosing and length of treatment

    Typically, most people go to a methadone clinic on a daily basis, six days a week. How long treatment will last is different for each patient, but for methadone maintenance, 12 months is considered the minimum. Some people use methadone for many years. The cost of treatment will be based on your income and expenses, and you may need to pay for some services. If you comply with the rules of the program, you may be allowed a certain quantity of take-home doses. [3]

    Counseling

    Counseling and behavioral therapies are an essential part of a Narcotic Treatment Program. They can help you reach stability faster and become a productive member of society. They can help you focus on relapse prevention, gain control over your life and learn to live a drug-free life. Individual and group therapies, family and couples counseling are just some of the services you may be offered.

    Regulation of Methadone

    In order to ensure the safety of patients and the quality of services, the state of Texas has set up numerous laws and regulations that outline how methadone should be used. The Narcotic Treatment Section of the Patient Quality Care Unit is responsible for regulating and inspecting methadone clinics in Texas. There are currently 75 maintenance programs in Texas that treat around 11,000 opiate-addicted patients.

    There are few things you should consider if you are enrolling in a Narcotic Treatment Program in Texas. If you become a patient at a methadone clinic, you should be informed of your rights. Here are some basic principles to keep in mind.

    1. Every narcotic treatment program in Texas must have a state permit issued by the Texas Department of Health and a federal permit issued by the SAMSHA and the DEA. If you want to make sure that a specific narcotic treatment clinic in Texas has a license, check the directory of narcotic treatment clinics.

    2. Your patient confidentiality is protected by federal law.

    3. Methadone clinics in Texas are required to provide or offer referrals to their patients. These services include social and human services, mental health services, educational and vocational services, family counseling, and HIV/AIDS counseling, prevention, and risk-reduction education.

    4. In Texas, the patient-staff ratio needs to be a maximum of 50 patients for each counselor. Texas allows an increase in the ratio under certain circumstances. But if you don’t feel that you’re receiving the attention that you need, file a complaint on the hotline number below.

    5. Methadone should be administered or dispensed in oral form by a certified health care professional.

    If you believe that any TX State methadone clinic is not following the state regulations you may file a complaint. Complaints may be mailed, faxed or delivered by phone via the complaint hotline.

    Submit a Complaint against a Texas Methadone Facility

    Texas Laws and Rules

    Narcotic clinics in Texas are tightly regulated. There are numerous state and federal laws that govern the prescription and dispensing of methadone. Also, there are laws that regulate how narcotic treatment clinics work. Here are some of the most important ones:

    Title 42, Chapter I, Subchapter A, Part 8: The Certification of Opioid Treatment Programs, Code of Federal Regulations governs the treatment of opiate and opioid addiction with FDA-approved medications. This law outlines the system created to accredit and certify opioid treatment programs that prescribe methadone. In this law, patients must receive counseling and behavioral therapies in addition to methadone. [4]

    Texas Administrative Code: Chapter 229 Subchapter J Minimum Standards for Narcotic Treatment Programs: This subsection of the Texas Administrative Code provides the minimum standards for the establishment and operation of a narcotic treatment program in Texas. It outlines the state and federal regulations, program application procedures, program fees, program operations, and enforcement procedures. [5]

    Texas Health & Safety Code, Chapter 466: The purpose of this Chapter is outlining the regulation of narcotic drug treatment programs, and ensuring the proper use of approved narcotic drugs in the treatment of persons with a narcotic dependency. [6]

    Texas Methadone Doctors

    You can’t just go to a doctor in Texas and get a dose of methadone. By law, methadone is administered or dispensed in oral form in a licensed narcotic program only. Further, the law requires that the physician responsible for prescribing and supervision of methadone is licensed to practice medicine and has worked in the field of addiction medicine a minimum of one year. [7]

    The clinic is there to ensure your safety. And methadone should be administered in a way that reduces the potential for abuse.

    In Texas, methadone can be prescribed and taken only under the supervision of a physician via a licensed narcotic treatment programs.

    How can you find a methadone prescribing doctor in Texas? You can find all state and federally licensed programs that offer methadone treatment through the Substance Abuse and Mental Health Services Administration, SAMSHA. Check out treatment centers who are authorized to offer patients methadone in the State of Texas in the following link.

    SAMHSA OTP Treatment Directory for Texas.

    State Sponsored Methadone Clinics in Texas

    Texas is home to a number of private and public narcotic clinics that provide methadone. Public clinics are state-funded and usually have a longer waiting list than the private ones. So, what benefits exist to help people who are in need of financial aid?

    If you want to receive coverage for methadone, federal law mandates that you are enrolled in, or have documented proof of, substance use disorder counseling.

    Then, Texas Medicaid covers methadone under Fee-For-Service (FFS) and Managed Care (MC) plans. Methadone is listed as a medical and pharmacy benefit under both FFS and MC plans. Methadone also appears on the preferred drug list under both FFS and MC plans and is covered for use in accredited outpatient narcotic treatment programs under both plans.

    There are a number of free narcotic clinics that support people trying to overcome opioid addiction. Texas Department of State Health Services’ website provides a list of licensed state-sponsored narcotic treatment facilities.

    Texas Methadone for Veterans

    Addiction is quite common for U.S. war veterans. Many veterans suffer from post traumatic stress disorder. Using drugs and alcohol can be a way of coping with the memory of past events.

    If you’re a veteran suffering from opioid addiction, you can seek help from the U.S. Department of Veterans Affairs. In order to apply, you’ll need your most recent tax return, social security numbers for yourself and your qualified dependents, and account numbers for any current health insurance.

    Through this organization, you can find a number of treatment services and receive medically managed detoxification as well as drug substitution therapies like methadone. Counseling and other behavioral therapies may also be a part of your methadone treatment.

    If you are interested, you can apply to receive VA health care online, by phone, by mail, or in person. In general, in a week or less, your application should be approved. Once you get the approval you’ll need to find a VA facility in Texas and start treatment with methadone. For a listing of VA centers in Texas, check out the Texas VA Directory here.

    The Drug Epidemic in Texas

    In Texas, the opioid crisis is a public health emergency. It affects people from all generations and socioeconomic status. In fact, almost half of all drug overdose deaths in Texas involve opioids. As a response, the Texas Department of State Health Services has developed two strategies in order to address opioid misuse. [8]

    These include:

    1. Improving surveillance. The Department of State Health Services has started using health data in real time collected from hospitals, emergency centers, and urgent care providers, to look for early warning signs of overdose. Healthcare providers has also started reporting overdoses involving controlled substances to the state.
    2. Expanding prevention through education and training. Texas has started naloxone overdose education, buprenorphine waiver training, and maternal opioid misuse prevention.

    The goal of these initiatives is to establish safety guidelines in hospitals for recognizing opioid misuse and enhancing care for women with opioid use disorder, during and after pregnancy.

    The following statistics taken from the National Institute on Drug Abuse, NIDA, will give you an insight into the Texas opioid epidemic:

    • Texan physicians wrote 53.1 opioid prescriptions for every 100 persons in 2017.
    • In Texas, 1,458 overdose deaths involving opioids were reported in 2017.
    • Deaths involving fentanyl tripled from 118 in 2007 to 348 deaths in 2017.
    • There were 569 heroin-involved overdose deaths in 2017

    Even in light of these figures, Texas continues to have one of the lowest rates of drug overdose deaths involving opioids in the country. The implementation of the strategies is expected to decrease these numbers even further. [9]

    Methadone Saves Lives

    Can methadone help?

    Yes!

    Methadone can save your life. It keeps you stable enough that you can make positive changes in your life. Methadone therapy will reduce or help you to avoid health problems such as HIV, hepatitis B and hepatitis C, skin infections and vein problems.

    If it is part of a comprehensive treatment program, methadone treatment is more likely to be successful. Usually, treatment includes a combination of counseling, alternative therapies and the development of a positive support network of peers, friends and a support group. Work with a physician or a counselor to find the best approach that addresses your needs.

    If you are struggling with opioid addiction, know that you are not alone. With the right addiction treatment program, you can achieve a lot. If you need help finding the right treatment center in Texas or would like more information on narcotic programs, we invite you to give us a call today. Our admission navigators are available 24/7.

    Reference Sources:
    [1] SAMSHA: Medication-Assisted Treatment (MAT)
    [2] Texas Department of State Health Services: Narcotic Treatment Clinics
    [3] Texas Department of State Health Services: Laws and Rules – Narcotic Treatment Clinics
    [4] Title 42, Chapter I, Subchapter A, Part 8: MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDERS
    [5] Texas Administrative Code: Chapter 229 Subchapter J Minimum Standards for Narcotic Treatment Programs:
    [6] Texas Health & Safety Code, Chapter 466: REGULATION OF NARCOTIC DRUG TREATMENT PROGRAMS
    [7] Texas Administrative Code: CHAPTER 163. LICENSURE 
    [8] Texas Department of State Health Services: Public Health Response to the Opioid Crisis
    [9] NIDA: Texas Opioid Summary
    ASAM: Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
    Texas Department of State Health Services: Adult Substance Use Medication-Assisted Treatment

    View the original article at addictionblog.org

  • Drug Courts in Mississippi

    Drug Courts in Mississippi

    ARTICLE SUMMARY: You may be eligible to go through a Mississippi drug court if you have been charged with a non-violent, non-felony drug or alcohol-related crime. This article explains more about the legal process for entering drug courts in Mississippi, what are they, and how these specialized courts help people change their lives.

    TABLE OF CONTENTS:


    What is a Drug Court?

    Mississippi drug courts are special courts that handle cases involving drug use and related crime. The idea is that people respond better to treatment than to punishment. How do they work?

    MS drug courts offer comprehensive supervision and connect people to treatment. A drug court usually orders drug testing and treatment services in phases. But if you violate the court orders, a drug court judge can use frequent and immediate sanctions to help you change for the better.

    Mississippi drug courts vary from one jurisdiction to another in terms of structure, scope, and target populations, but they all share three primary goals:

    1. To reduce recidivism
    2. To reduce substance abuse among participants
    3. To rehabilitate participants

    Participants undergo long-term treatment and counseling instead of incarceration. In fact, most people come to drug court with multiple problems. This is too much for any agency to handle alone. So, drug courts rely upon daily communication among many different government agencies. How do courts coordinate care?

    Drug courts work best when judges, court personnel, probation officers, social workers, and treatment providers can cooperate closely. So, the state’s court model includes the 10 key components published by the Drug Court Program Office of the United States Department of Justice. [1] [2]

    Mississippi’s Drug Court History

    Drug courts begin when judges notice a community need. They are usually created when a judge observes that drug offenders keep appearing before the bench over and over again. This happened in Mississippi in the early 90’s. As drug-related offenses started filling Mississippi courts dockets, jails became overcrowded. Additionally, probation departments were overloaded.

    Jailing people for drug crimes in Mississippi just didn’t make sense.

    In the state of Mississippi, the first drug court began in Ridgeland in 1995. The drug court concept was so effective that it spread quickly. Four years later, the first felony drug court program was created by Judge Keith Starrett in the 14th Circuit Court district. By January 2003, there were seven drug court programs in the state of Mississippi and five more in the planning stages. [3]

    In April of 2003, Senate Bill 2605 was signed into law by the governor. This new law allowed the creation of drug court programs statewide in Chancery, Circuit, County, Youth, Municipal or Justice courts. This law was codified as the Alice Griffin Clarke Drug Court Act, Mississippi Code § 9-23.

    Drug courts help people get better. These programs save lives. If you have an addiction problem, a Mississippi drug court may be just what you need. But are you eligible, or not?

    Drug Court Requirements and Eligibility in Mississippi

    Once you have been identified as a substance abuser, you are going to be screened for drug court eligibility. Most people who go through drug court are nonviolent, initial offenders or probation violators. The most common drugs of abuse for these offenders are marijuana, cocaine, methamphetamine, and prescription drugs. [4]

    According to the Mississippi Code § 9-23-15, in order to be eligible for alternative sentencing, you must satisfy all of the following criteria. [5]

    1. You cannot have an felony convictions for any violent crimes defined in MS Code § 97-3-2 in the past 10 years.

    2. The crime before the court can’t be a crime of violence or a DUI charge that caused death.

    3. The crime before the court cannot be drug trafficking outlined in MS Code § 41-29-139(f), nor can you have a prior conviction for same.

    4. The crime before the court can’t be burglary of a dwelling under MS Code § 97-17-23(2) or MS Code § 97-17-37..

    5. Other criminal proceedings alleging commission of a crime of violence cannot be pending against you.

    NOTE HERE: Each local drug court program in Mississippi may establish other criteria in addition to these eligibility requirements.

    Getting Started

    How do you start a drug court program in Mississippi?

    1. After arrest, you should have a first appearance before a judge. During this time, a bond is set, if applicable. At the same time, you retain an attorney or you are appointed a Public Defender. The Defense Counsel will then recommend a Drug Court Coordinator or Probation Officer. The average length of time between arrest and first appearance in drug court is one to three weeks.
    2. Or, you might recommended to a MS drug court directly by Law Enforcement. Usually, Law Enforcement recommends you to an attorney, and then the attorney applies to Drug Court on your behalf.

    STEP 1: Referral. If you are an initial felony offender, you can be referred to Mississippi Drug Court by law enforcement or the defense bar. Probation violators are referred to Drug Court by the probation officer. These third-parties complete referral forms on your behalf and fax them to the Drug Court for screening.

    STEP 2: Screening. If you are out of custody at the time of referral, you will be contacted by the Drug Court Coordinator or the Probation Officer to report to their office for screening. If you are in jail waiting to be sentenced, the initial screening is done at the jail before they go to court.

    STEP 3: Transfer. Screening results are reported to the drug court team. Then, you are required to appear in court to be sentenced to Drug Court. The time between arrest and first appearance in Drug Court is typically three to four weeks.

    STEP 4: Assessment. You usually report to the treatment provider for assessment immediately after first appearance in drug court. Assessment starts in the the first two days and treatment starts in seven days from the day they are accepted into the program.

    The Process

    Each drug court in Mississippi works independently, so processes vary. Generally, you go through four basic phases of step-down treatment in drug court. The idea is that you’re gradually given more freedom of choice the longer you stay in the program. To move from phase to phase, you must have the consensus and positive feedback from the entire Drug Court Team.

    Most Mississippi Drug Court Programs usually lasts one to two years. It depends on how well you deal with the structure that is added to your life. Normally, you are going to be required to be in court on a biweekly basis.

    Be sure to arrive on time and stay for the entire drug court session. Many drug courts have implemented dress codes for court attendance.

    What can you expect in terms of phases?

    PHASE 1: In the first phase of drug court, treatment begins. You will be required to submit random urine testing, minimum twice a week. Also you will also have to make a daily call to your Drug Court Program Coordinator or Probation Officer. Expect to attend ninety alcoholics or narcotics anonymous meetings in ninety days. Weekly written assignments will also be required. You’ll need to attend Drug Court Sessions every Monday at Noon.

    PHASE 2: In the second phase, you’ll need to seek and maintain employment. Or, you’ll be expected to enroll in school working toward a vocation. Substantial progress toward obtaining a GED is also mandated, as it is necessary. You will also be required to begin and complete the payment of your fines and court fees. Four alcoholics or narcotics anonymous meetings will be required a week. During this phase, you continue your weekly appearance before the judge, weekly writing assignments, and submission of twice weekly urine screens.

    PHASE 3: In this phase of MS drug court, requirements include attending two Drug Court Sessions each month and 2-3 urine tests each month. You need to complete your GED during this time, if need be. You must also attend three support group meetings and one aftercare meeting per week. Another requirement is to participate in the Drug Court Relapse Prevention Panel, to provide advice to others in the program.

    PHASE 4: In the last phase of drug court in Mississippi, status reports must be submitted on a monthly basis to the court. However, you no longer need to appear before the judge in Drug Court Sessions. However, drug tests will be planned on a random basis. You’ll be given encouragement to attend 3 support group meetings and 1 aftercare meeting per week. In addition to your participation on the Drug Court Relapse Prevention Panel, you are invited to begin participating in a Drug Court alumni Group.

    Treatment

    If you are a part of a Mississippi drug court program, you must follow all rules and regulations of treatment. The addiction treatment program coordinated through drug court includes weekly treatment meetings, weekly 12-step meetings such as AA or NA meetings, and frequent and random drug testing.  If you are not doing well, the judge may order increased drug testing, more meeting attendance, a short jail time, or other creative graduated sanctions.

    Mississippi drug court judges may order one or combination of more of the following services:

    • 12-step programs
    • Addiction treatment
    • Budgeting
    • Continued education services
    • General Educational Development
    • Human resources development
    • Individual and group counseling
    • Inpatient treatment
    • Literacy classes
    • Parenting classes
    • Vocational rehabilitation

    These are most common services available to many county programs. A case manager supervises your overall treatment, helping you stay on track. The case manager assists with referrals to other agencies to help meet your education, employment and other needs.

    Violations

    As said before, being accepted into a Mississippi drug court means you must attend all meetings and court sessions and always be on time. But, what happens if you don’t?

    Failure to appear in court may result in a warrant for your arrest.

    Abstinence from alcohol and other drugs is an ongoing requirement. So, if you fail to comply with rules of the program, it will result in the imposition of immediate consequences.

    You may also be terminated from Drug Court through voluntary withdrawal, new felony charges, or tampered urine screens. Furthermore, no drugs, alcohol or weapons are allowed. If your behavior disrupts the treatment of others in the program, you will be removed from the program.  In simple words, not complying with the program’s rules and guidelines gets you out of the drug court treatment program.

    Mississippi Drug Court Statistics

    In 2017, Mississippi drug courts in Mississippi served more than 5,250 people. The numbers included graduates, people currently enrolled and also those who unfortunately did not successfully complete the program. [6]

    But generally, drug courts help people change their lives!

    • Mississippi operated 42 drug treatment programs in 2017.
    • Mississippi drug courts reported 757 graduates in 2017.
    • 980 unemployed people found jobs through MS drug courts in 2017.
    • Participants worked over 27K+ hours of community service in 2017.

    If you’re facing a drug or alcohol-related crime sentence, a drug court can help! To learn more, seek help from an attorney. Or, you can call us 24/7 to talk about addiction. We know addiction. We believe in treatment.

    Completing Mississippi Drug Court

    Successful completion of the treatment program and requirements of the Mississippi drug court result in:

    • Dismissal of the charges
    • Reduced or set aside sentences
    • Lesser penalties

    …or a combination of these. Furthermore, if you were sentenced and plead guilty, successful completion of the drug court order and other requirements of probation or suspension of sentence will result in the record of the criminal conviction or adjudication being expunged.

    But, most importantly, graduating participants gain the necessary tools to rebuild their own lives.

    Your Questions

    We tried to offer you a close look into Mississippi’s drug court system. But, if you still have questions, feel free to post them in the comment section below.

    Reference Sources:
    [1] State of Mississippi Judiciary: Drug Courts

    [2] U.S. Department of Justice: Bureau of Justice Assistance Defining Drug Courts: THE KEY COMPONENTS
    [3] The University of Southern Mississippi: Therapeutic Jurisprudence: An Examination of Mississippi Drug Courts
    [4] Justice Programs Office: Policies and Procedures Manual
    [5] State of Mississippi Supreme Court: Mississippi Drug Court Rules
    [6] State of Mississippi Judiciary: Supreme Court Annual Report – Mississippi Supreme Court

    State of Mississippi: Review of the Feasibility of Extending Drug Courts Statewide in Mississippi
    Mississippi Drug Court Advisory Committee: Progress Report on Mississippi Drug Courts

    View the original article at addictionblog.org

  • Valium Detection Timelines (INFOGRAPHIC)

    Valium Detection Timelines (INFOGRAPHIC)

    ARTICLE OVERVIEW: If you are expecting a drug test for Valium, the brand name for diazepam, check out this infographic. We review detection times for Valium in urine, blood, hair and saliva. Plus, factors that influence it.

    TABLE OF CONTENTS:


     

    Drug Basics

    Drug Name: Valium, main ingredient diazepam
    Drug Class: Depressants/Sedatives/Hypnotics
    Street Names: VS, FooFoo, Howards

    Valium, generic name diazepam, is a benzodiazepine with central nervous system depressant effects. It is a long-acting prescription medication used to treat anxiety disorders, muscle spasms, seizures, insomnia, and alcohol withdrawal symptoms. It is available as tablets, oral solution and injection. [1]

    Continued use of Valium for a period of longer than 4-6 weeks can easily lead to tolerance, dependence, and possible addiction. This is why the medication is listed as a Schedule IV under the Controlled Substance Act. [2]

    Use Statistics

    According to the 2017 National Survey on Drug Use and Health, there were more than 7 million Americans using diazepam in the past year. Of them, most were adults. Still, around 131,000 people who use Valium in the U.S. were adolescents and 650,000 were Americans between the ages 18-25.

    More than 6 million U.S. adults reported using Valium in 2017.

    Valium is also abused by more than a million Americans. That’s an estimated 0.4% of the U.S. population aged 12 or older. Nearly 50K teens, more than 200,000 young adults and nearly 800,000 adults aged 26+ reported past year abuse. [3]

    Why Drug Test?

    Diazepam is a tranquilizer that can cause sleepiness, drowsiness, confusion, and memory loss. Employers may order a drug test in order to identify the reasons for work impairment. In other cases, a court may order a drug test for legal reasons.

    Additionally, there may be medical reasons for a drug text. For example, emergency rooms drug test in cases of injury or overdose. Or, your prescribing doctor may ask you for drug testing as part of your treatment. Finally, people in rehab are regularly tested for the presence of psychoactive drugs like diazepam. Knowing more about drug testing and how long Valium will remain in your system and is important, whatever the reasons.

    Detection Window

    A drug detection window is the period of time during which a drug screen can detect the presence of a drug or its metabolites in your urine, hair, saliva, or blood. The half-life of Valium is fairly long. On average, it can take 20 hours or even more for just half of the medication to be eliminated from your system. For chronic Valium users, diazepam can be detected in urine for 4-6 weeks even after you stop taking it.

    However, drug detection windows are variable. We might even say that drug detection windows vary by person. This is because detection and metabolism depends on several individual factors, including the type of test used. Additionally, some people metabolize drugs relatively faster than other people.

    There are several drug tests used to detect the presence of Valium in the body. These tests use different markers to detect the presence of diazepam in body fluids such as urine, saliva, hair, and blood.

    Urine: A urine drug test will detect diazepam for up to 10 days after the last use.
    Saliva: Valium is detectable on oral fluid tests 3 days after quitting.
    Blood: The detection period for a blood tests is about 2 days.
    Hair: Valium can be detected up to 90 days in hair follicle drug test.

    IMORTANT: Diazepam detection times in urine, blood, hair, and saliva are in average and can vary greatly between individuals. You should use this information as a general guide only.

    Influence Factors

    There are many factors can factors that can affect the test’s results. Some of them include:

    • Age
    • Diet and use of fluids
    • Frequency and length of use
    • Gender
    • Level of physical activity you engage in
    • Liver and kidney function
    • Metabolism
    • Weight
    • Your health

    In general, younger people eliminate diazepam faster than older ones. In fact, Valium’s typical half-life in a young, healthy person is about 24 hours. Also, people with slower metabolism will have Valium longer in their system. Those with liver or kidney problems can also have slower the elimination period.

    Any Questions?

    If you have any other questions about Valium detection times, feel free to post them in the comment section below. We will gladly try to answer to all real life questions promptly and personally.

    Moreover, if you feel that your Valium use is out of control and you need help quitting, you should consider addiction treatment. Don’t hesitate to call our caring admission navigators on the hotline number listed on this page. We are available 24/7 to discuss treatment options with you.

    Reference Sources: [1] FDA: VALIUM Label
    [2] DEA: Drug Scheduling
    [3] SAMSHA: Results from the 2017 National Survey on Drug Use and Health: Detailed Tables
    Addiction Blog: Valium half-life: How long does Valium stay in your system
    SAMSHA: Clinical Drug Testing in Primary Care

    View the original article at addictionblog.org

  • DUI Laws in Mississippi

    DUI Laws in Mississippi

    ARTICLE OVERVIEW: Have you recently been charged with a DUI? You’re not alone. This article reviews laws, penalties, and legal procedures for DUI in Mississippi…and how going to rehab can help.

    TABLE OF CONTENTS:

    DUI Definition

    Been charged with a DUI in Mississippi? The fact is that 1.2% of Mississippi’s adult population admits to driving after drinking too much. [1] So what is a DUI in Mississippi?

    According to 63-11-30 MS Code of 1972, a DUI is operation of vehicle while under influence of intoxication liquor or other substances impairing your ability to operate a vehicle. [2]

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    Police determine whether you’re driving under the influence or not through your blood alcohol content, your BAC. The national legal BAC limit is 0.08% if you’re 21 or older. If you’re under 21, you’re not allowed to have a BAC of more than 0.02% in Mississippi. When these limits are broken, you will automatically be charged with a DUI.

    DUI vs. DWI

    In some states, the terms DUI and DWI are used for different traffic violations. A DUI is an abbreviation for “driving under the influence” while a DWI means “driving while intoxicated”. [3] Some states will refer to a DUI solely when alcohol is present while a DWI is charged when someone drives under the influence of drugs. So, is there a difference between the two terms? Is there a legal distinction?

    No, not in Mississippi.

    In Mississippi, there is no difference between DUI or DWI. Bother terms can refer to either alcohol or drug-related traffic violations. However, the term DUI is much more common.

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    In Mississippi, the terms are interchangeable. You may also run into the abbreviation OUI which means “operating under the influence”. This is the same as a DUI or DWI, but much more rare.

    Sobriety Checkpoints

    Sobriety checkpoints are legal in Mississippi. These are highly visible locations where police will briefly stop a vehicle in order to determine whether or not the driver is impaired. Police make this determination through a breathalyzer test

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    If you’re in an area where drinking is expected, such as Jackson or Tupelo, during a time of the week when people go out to drink, you might run into a sobriety checkpoint. Safety Checkpoints and Patrol Saturations are typically on the roadways during holidays, and during the National Highway Traffic Safety Administration Blitz campaigns, such as “Click It or Ticket”.

    If a sobriety checkpoint test reveals your BAC at over 0.08% or you refuse to take a breathalyzer test altogether, you will be arrested on the spot and charged accordingly.

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    In most situations, the police should issue you a receipt for your driver’s license. That receipt serves as a Temporary Permit to Drive. This permit is valid for a period of 30 days.

    Legal Process

    After an initial arrest and charge for DUI in Mississippi, you need to contact the court and request a trial date and an extension of this driving permit. If you do not contact the court within 30 days and obtain court order extending your temporary permit, your driving privilege shall be suspended for a period of 90 days.

    From there, you’ll be given a court date where actions will be taken against you. These consequences vary according to a person’s circumstance. The most common penalties are as follows:

    • Completion of DUI school
    • Delay in driver’s license
    • Fine
    • Jail time

    Any court convictions will be placed on your record. The purpose of this is to inform the court again if you break the law in the future and to inform anyone who may want to know, such as employers running employee background checks. Depending on your situation, there are ways to get this information expunged or sealed (see below).

    Misdemeanor or Felony

    Upon receiving your first DUI, you’ll most likely only be charged with a misdemeanor. The state of Mississippi’s goal is to make sure you don’t drink and drive again in the future. Therefore, disciplines taken against you won’t be too harsh and, rather, set in place for your own educational benefit. [4] These include:

    • Community service
    • Counseling
    • DUI school called MASEP, or Mississippi Alcohol Safety Education Program

    However, if you continue to receive DUI charges, you might find yourself with a felony. Third or subsequent DUIs are charged as felonies in Mississippi. Furthermore, if you hurt or killed someone in an accident due to your DUI, you’re likely to face felony charges. In fact, under MISS. CODE ANN. § 97-3-25 et seq., you’ll immediately be charged with vehicular manslaughter if someone was killed in an accident due to your DUI. [5] This will result in a felony with the following penalties:

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    • 1 year in county jail
    • 2 to 20 years in the penitentiary
    • Minimum of $500 in fines.

    1st DUI

    Upon receiving your first DUI in Mississippi, you will be charged with a misdemeanor and penalties if you’re 21 or over [6] These include:

    • A fine between $250 and $1,000.
    • Financial responsibility SR 22 filed for three years.
    • Ignition interlock device, an IID.
    • Jail time of up to 48 hours.
    • License suspension of up to 90 days with a hardship request fee of $50.
    • Mississippi Alcohol Safety and Educational Program, MASEP.

    If you’re under 21, you’ll receive the following administrative penalties:

    • A fine of $250.
    • License suspension for 90 days.

    2nd DUI

    If you make a second DUI offense in Mississippi within 5 years of your first, you’ll be charged with a misdemeanor and the following penalties if you’re 21 or over:

    • A fine between $600 and $1,000.
    • Community service between 10 days to 1 year.
    • Financial responsibility SR 22 filed for three years.
    • Ignition interlock device, an IID.
    • Jail time between 1 to 5 years.
    • License suspension of up to 2 years with a reinstatement fee of $175.
    • Potential forfeiture of your vehicle.

    If you’re under 21, you’ll receive the following administrative penalties:

    • A fine of $500.
    • License suspension for 1 year.

    3rd DUI

    If you make a third DUI offense within 5 years of your last, you’ll be charged with a felony and the following penalties if you’re 21 or over:

    • A fine between $2,000 and $5,000.
    • Financial responsibility SR 22 filed for three years.
    • Forfeiture of your vehicle.
    • Ignition interlock device, an IID.
    • License suspension of up to 5 years with a reinstatement fee of $175.
    • Prison time between 1 to 5 years.

    If you’re under 21, you’ll receive the following administrative penalties:

    • A fine of $1,000.
    • License suspension until you’re 21 years old or for 2 years, whichever is longer.

    Jail Time

    From the data above, you can see there’s a good chance you’ll receive jail time for a DUI, especially if you continue to receive these charges. You might find yourself with prison time rather than jail time if the charges against you are of a higher degree.The following are the most likely reasons you’ll receive jail time for a DUI:

    • Someone was hurt due to your DUI.
    • You refuse a sobriety checkpoint testing.
    • You enter a plea bargain.

    If you’ve only been convicted of your first offense, jail sentences remain relatively low. It should be noted, you’re given a 5-year window in Mississippi where your penalties will rise if you’re charged with a DUI again. Furthermore, you can expect increased jail time sentencing for DUI if you:

    • Have a BAC of over 0.15%.
    • Had a minor in the car.
    • Was driving well over the speed limit.

    If you’re worried about jail time and want a clear sense of how much you risk, it’s best to speak to a lawyer. The reason the above-listed jail times have such a wide window is for the sake of the judge’s determination on your punishment. Often, the amount of jail time one faces is highly determined by their situation. Therefore, talking to a DUI lawyer will give you the best sense of YOUR situation.

    Classes and DUI School

    DUI school and classes in Mississippi is officially known as the Mississippi Alcohol Safety and Educational Program, or MASEP for short. To find a MASEP location near you, you can check out their Locations Map online. [7]

    The program was developed under the Governor’s Highway Safety Program, the Mississippi Safety Patrol, and the Mississippi Department of Health. The goal is to offer people education on the dangers of drinking and driving in hopes they’ll learn from their mistakes. They also offer resources for treatment for those with alcohol dependence.

    Classes are typically spanned out over a four-week session, meeting once a week, totaling in at 12 hours of class time. This could be more if the court orders it. The cost to attend is $200 and must be paid in full before the first session. After completing the program, you’ll have to pay the $175 reinstatement fee for your driver’s license.

     

    Statute of Limitations

    Within Mississippi, from the date of your DUI arrest, the district attorney has two years to file charges for a misdemeanor. The statute of limitations mentioned is primarily for first-time offenses and WILL DIFFER for second or third-time offenses. [8] The law may also differ for a felony considering the circumstances.

    This law states that you’re free of prosecution if state prosecutors don’t file a criminal charge within the given time limits. This is because eyewitness accounts weaken with time. Still, even if you’re free from prosecution, your DUI will stay on your record for at least 5 years. In some cases, DUIs are held on record for an unspecified period of time.

    Expungement

    Mississippi only allows DUI expungement for first-time offenders who’ve been charged with a misdemeanor. If the charge is a felony, it’s impossible. Minors will find themselves with some leeway, but will have a difficult time finding an expungement, but have a better chance than those over 21 [9]. It should be noted that almost any first-time offender can get their DUI charges expunged if:

    • They don’t commit another crime.
    • They prove good behavior.
    • They show they’ve been rehabilitated.

    In order to receive the expungement, you must complete the sentences given to you by a court of law, whether it be jail time or probation. Furthermore, you must petition the court of your conviction. When you do this, the judge will review your petition and decide whether or not you’re eligible for an expungement.

    Most people seek out expungement for future employment background checks. If you’re looking for work and your potential employer does a criminal background check, a DUI is not going to be attractive. Granted, your DUI will be erased from your record within a 5-year period…but sometimes an expungement can help clear that record faster.

    DUI Lawyer Costs

    You’re going to want to really consider whether or not you need a lawyer when facing a DUI in Mississippi. The truth of the matter is that they’re expensive and you’re already going to have to pay so much for the penalties the court gives you. Most people only seek out a DUI lawyer when harsh consequences are certain to be taken against them.

    The average price for a Mississippian DUI lawyer on your first-offense case is around $1,900. This can be a great investment if it looks as though you’re going to owing upwards of $10,000. A lawyer can bring these numbers down to $3,000. Furthermore, some lawyers will even take your case for as low as $500.

    However, it might just be beneficial to talk the consequences and learn from your mistake. When you consider the cost of DUI school, your raised insurance rate, and the court fees, it becomes clear a DUI lawyer will only add more of a financial burden upon you.Take the time to discuss the matter with loved ones and you can get a better opinion on your particular circumstances.

    Is Rehab an Option?

    Inpatient rehab for a drug or alcohol problem is always an option. Even if you must face the consequences, you can still seek out help to better your life. Additionally, if penalties are looking high, you can also seek help from a drug court [10].

    In Mississippi, the goal of drug courts is to:

    1. Reduce recidivism.
    2. Reduce substance abuse.
    3. Rehabilitate.

    In order to qualify for a drug court, you must only be charged with a misdemeanor and clearly have the goal of receiving treatment. For more information on drug courts, you can go to the web page of the State of Mississippi’s Judiciary. [11]

    Your Questions

    If you have any further questions pertaining to DUI laws in the state of Mississippi, we invite you to ask them below. If you have any further information on DUI laws in Mississippi, we’d also love to hear from you. We try to reply to each comment in a prompt and personal manner.

    Reference Sources: [1] Centers for Disease Control and Prevention: Sobering Facts: Drunk Driving in Mississippi
    [2] Mississippi DPS: DUI Department
    [3] NHTSA: Drunk Driving
    [4] MASEP, or Mississippi Alcohol Safety Education Program
    [5] Justia US Law: 2013 Mississippi Code – Chapter 3
    [6] DMV.org: DUI & DWI in Mississippi
    [7] MASEP: Our Locations
    [8] RAINN Criminal Statutes of Limitations Mississippi
    [9] The Papillon Foundation: Mississippi Adult Criminal Record Forms – Convictions and Other Disposition
    [10] Mississippi State Court:Mississippi Drug Court Rules
    [11] State of Mississippi Judiciary: Drug Court
    Miss. Code Ann. § 63-11-30 MISSISSIPPI CODE of 1972

    View the original article at addictionblog.org