Nucynta ER rehab may become necessary if you abuse and become addicted to this opioid painkiller. It is a strictly controlled substance because, although it can manage serious pain, Nucynta is also susceptible to abuse and habit forming. Any misuse of it can lead to a serious addictive disorder.
If you or someone you care about has been misusing Nucynta ER, consider getting professional help and going to rehab. There are several factors to consider when choosing a rehab facility and treatment program. Residential rehab is often recommended, but you should also consider your own personal needs and preferences and where you will feel most comfortable. Most importantly, reach out and seek help before your addiction gets worse or leads to an overdose.
What is Nucynta ER and What is it Used For?
Nucynta ER is a narcotic, opioid painkiller. Nucynta is the brand name, and ER refers to the fact that it is an extended release formulation. It is designed to provide round-the-clock clinical pain management in just one dose, because it releases the medication a little bit at a time.
The generic name for the drug is tapentadol. Made by Janssen Pharmaceutical, tapentadol was the first new opioid painkiller to be released in decades when it came on the market in 2009. Tapentadol is similar in chemical structure and action to the company’s previous opioid, tramadol, which was first introduced in 1995.
Like other opioids, Nucynta ER works in the brain to disrupt pain signals. It also acts like a central nervous system depressant, slowing down brain activity, heart rate, breathing, and blood pressure and generally inducing calm, sleepiness, and a sense of euphoria.
Nucynta ER is approved as a medicine to treat severe pain that needs 24-hour control, pain that has not responded to other medications. Specifically, Nucynta ER is often prescribed to manage diabetic peripheral neuropathy pain. It is not indicated to treat pain on an as-needed basis.
Alternative Nucynta ER Names
Nucynta is the only brand name available for tapentadol, but it comes in Nucynta and Nucynta extended release formulations. Street names for this drug are the same as other opioids. Any illicit name for an opioid of abuse could apply to Nucynta and tapentadol:
Doors and Fours
Tango and Cash
These names are always changing, and those selling and using tapentadol and other opioids illegally may refer to them by a number of other names and phrases.
Nucynta ER abuse is different from Nucynta ER addiction. Of course, abuse of the drug can lead to an addiction, and it often does. Abuse of a drug refers to any kind of misuse: using it without a prescription, using larger doses than recommended, using the drug for longer or more frequently than recommended by a prescribing doctor, or using it for any purpose other than it was intended, such as getting high or relaxing.
The Nucynta ER effects that people seek when abusing this drug include euphoria, relaxation and calm, relief from stress, and sleepiness. This is an effective painkiller, but it is also susceptible to abuse for these reasons. The Drug Enforcement Administration places tapentadol in schedule II of the controlled substances because of this susceptibility and because abuse can lead to serious and severe Nucynta ER dependence.
When Nucynta ER Rehab is Necessary
You may not be totally aware when your abuse of Nucynta ER has led to the point that you need professional help. Ask yourself the following questions, which are the criteria used to diagnose opioid use disorders:
Do you consistently use Nucynta ER more often and in larger doses than you meant to?
Have you tried to cut back on drug use but failed, more than once?
Do you experience cravings for Nucynta?
Is more and more of your time spent using, recovering, and seeking out Nucynta ER?
Have your responsibilities been sliding because of time you spend using drugs?
Have you given up activities you used to enjoy because of drug use?
Are your relationships with people you care about suffering because of drug use?
Do you continue to use Nucynta ER even though it is negatively impacting your physical health, mental health, or both?
Have you used Nucynta ER in situations that put you at risk of getting hurt or being harmed?
Do you have a tolerance built up to opioids and need more to get the same effect?
Do you go through withdrawal when not using?
If you have any of these Nucynta ER addiction symptoms, or are at all concerned that your use of this drug is problematic or out of control, get started now seeking help for Nucynta ER addiction treatment. Just two signs of an opioid use disorder is enough for a diagnosis of a mild opiate addiction. This should be taken seriously, because not seeking help and stopping use of this drug can lead to very serious risks.
Risks of Avoiding Nucynta ER Rehab
There are many risks associated with abusing Nucynta ER and other opioids. The clearest one is the risk of becoming addicted. And, if you are abusing the drug and have already become mildly addicted, you run the risk of developing a more severe addiction by not getting the help you need.
Misusing any drug can be harmful to your physical and mental health. By abusing Nucynta ER you increase the risk of experiencing side effects, some of which can pose a serious risk to your overall health. The most common Nucynta ER side effects reported are nausea, dizziness, constipation, headaches, and sleepiness. You may also experience heartburn, stomachaches, anxiety, dry mouth, irritability, strange dreams, and insomnia.
More serious side effects you may experience from abusing Nucynta include loss of consciousness, heavy sweating, overheating, rash, sexual dysfunction, irregular menstruation, loss of appetite, weakness, agitation, seizures, and hallucinations.
Any kind of drug abuse can also lead to more far-reaching issues and complications. You may lose your job and have financial problems; your relationships may fail; your academic performance may suffer; you may contract a communicable disease; and you could even be the victim of violence or assault or be injured in an accident.
The Risk of Nucynta ER Overdose
Opioid overdoses have reached epidemic proportions in the U.S. Of all the Nucynta ER addiction side effects, the worst is overdose. Putting off getting Nucynta ER addiction help puts you at serious risk of having a fatal overdose. This drug, like other opioids, can kill you if you take too much, and there is no way to know how much is too much until it happens.
Signs of an overdose on Nucynta or another overdose include lack of responsiveness, loss of consciousness, slow or shallow breathing, difficulty breathing, cold and clammy skin, blue-colored lips and fingernails, vomiting, and weak muscles and poor coordination.
The risk of overdosing on Nucynta ER increases if you mix it with another opioid, alcohol, or another type of drug that causes central nervous system depression. This may include any benzodiazepine, barbiturates, and all types of sedatives. An opioid overdose can be reversed, but to save a life you must get immediate medical treatment, in an emergency room or from first responders.
Withdrawal and Detox – How Long Does Nucynta ER Stay in Your System?
If you are giving up this drug, Nucynta ER withdrawal effects are likely to kick in between 24 and 30 hours from the last does you took. Shorter-acting opioids begin causing withdrawal much sooner, within 12 hours. But with an extended release formula, you will have the drug in your system longer, delaying withdrawal.
It is necessary to go through these uncomfortable symptoms, because it is a part of detoxing, which is letting the drug leave your system. How long this will take depends on individual factors, like the severity of your addiction and your overall health. Nucynta ER withdrawal side effects could last a couple days or persist for a few weeks.
As opioid withdrawal begins, you can expect to first experience discomfort with muscle aches, insomnia, excessive yawning, tearing, and sweating, and a runny nose. You will probably also feel anxious, agitated, and irritable.
After a day or two the symptoms will transition and may become even more uncomfortable. You may start to feel nauseated and have stomach cramps. Diarrhea and vomiting are common. You’ll also feel chilled and may have a fever, and your cravings for tapentadol will become intense.
Withdrawal from opioids like Nucynta is not inherently dangerous. The Nucynta ER withdrawal symptoms you experience will be very uncomfortable, even painful, but they don’t cause long-term harm. The real risk of detox is relapse. You will feel strong urges to use again, and a big danger is that in relapsing you may overdose.
For this reason, and to make the process generally more comfortable, supervision is always recommended. A loved one can help keep you safe and prevent relapse, but medical detox includes medications that will help make you feel better and provide some relief from Nucynta ER withdrawal.
Opioid use disorder can be managed and treated with medications. The first step in treatment is to go through detox, and if you choose a good program you will benefit from medical care during this difficult process. You may be given fluids, supplements, and approved medications for reducing withdrawal symptoms and cravings.
It is important to realize that, although you will feel much better after detox, this relatively short process does not cure your Nucynta ER addiction. It is only the first step that must be followed by long-term treatment in order to have a successful recovery. Ongoing medication and medical treatment after detox is also not enough. But, medications do make up an important part of comprehensive Nucynta ER rehab. The medications that can be used to treat and manage an addiction to any opioid include:
Methadone. Methadone has long been used to help heroin addicts. It is an opioid agonist, which means it stimulates the opioid receptors, the same receptors stimulated by opioid drugs of abuse. Methadone is used to reduce withdrawal symptoms and to taper patients from other opioids. It may take a week or more to taper.
Buprenorphine. This is also an opioid agonist, but only a partial one. It is less susceptible to abuse than methadone but can still reduce withdrawal and be used for tapering off opioids. It may also be less dangerous than methadone, which can potentially trigger an overdose. Buprenorphine has less of a depressive effect on breathing.
Naltrexone. Naltrexone, and the opioid overdose antidote naloxone, is an opioid antagonist. Rather than stimulating the receptors, it blocks opioids from stimulating them. This is how naloxone, also known as Narcan, can reverse an overdose. Naltrexone can be given in a 30-day dose to prevent relapses, because with the drug in your system, taking an opioid becomes pointless. There will be no effect.
Therapy and Other Treatments in Nucynta ER Rehab
When choosing Nucynta ER rehab and a treatment program, be sure it offers you a range of therapy types. This is the backbone of treatment and what will help you transition to recovery and be able to resist cravings and minimize relapses in the future. The point of therapy is to help you understand the choices you have made and how to make better, healthier choices in the future. Some of the types of therapy you will be offered in rehab include:
Behavioral therapies. Cognitive behavioral therapy, or CBT, is the foundation of behavioral therapies, the most common type used in helping patients overcome drug addictions. Behavioral therapists will help you understand your motives for abusing Nucynta ER and teach you practical strategies for making positive changes, for preventing relapse, and for adopting a healthier lifestyle.
Family and relationship therapy. Your relationships with others likely suffered with your drug abuse but can also contribute to unhealthy behaviors. Working in therapy with family or your partner can be helpful in achieving lasting recovery.
Group support and therapy. A good treatment center will include support from other patients. Together you will learn how to make healthier choices and provide each other with positive support and encouragement.
Trauma-focused therapy. Past trauma is a major risk factor for substance abuse and addiction. There may be trauma in your past that you need to explore and process. Doing so will help you make better choices going forward and learn better ways of coping with painful memories than turning to drugs or alcohol.
Factors to Consider When Choosing Nucynta ER Rehab
As you begin your search for rehab and treatment, you will find that you have a lot of choices. There are several factors to consider that will make this decision a little easier. Start with the practicalities and eliminate any treatment programs you cannot afford, that are not covered by your insurance plan, or that are too far away to be feasible.
Next, decide whether you want to go to a residential, inpatient rehab or get treatment on an outpatient basis. An addiction advisor can help you make this important decision, but generally, for more severe addictions and in cases in which you are at serious risk of relapse, residential care is recommended. An inpatient rehab facility can provide you with 24-hour care and supervision, a wider variety of therapy options, and supportive services, including aftercare.
Finally, look at your narrowed options and choose the one that seems best to you. Some factors to look for in the best Nucynta ER rehab are:
The option of a medical detox
An intake that includes an evaluation to diagnose any substance use disorder and mental illness
Concurrent treatment for addiction and any mental illnesses for which you receive a diagnosis
An individualized treatment plan designed just for your specific needs and that considers your preferences
A comprehensive medical treatment program
A variety of therapy types
A community, group support approach to care
Alternative therapies as well as other services as options, such as holistic medicine, alternative medicine, recreation, healthy living, nutrition, exercise, and others
A focus on relapse prevention
The best treatment programs and rehab facilities for opioid and Nucynta ER addiction will include all of these. While outpatient care might be best for some people, it is impossible to get all these services and factors in an outpatient program. They are naturally more limited, but if living at home is best for you, outpatient treatment can be effective.
What is the Best Nucynta ER Rehab for You?
Making the choice of rehab can feel like an overwhelming chore. Make sure you have a loved one you trust by your side to help narrow down your options and guide your decision. Having this support will take a big weight off your shoulders. In your current state, making the best decision for you may be too difficult. Accept this help in making your choice, as your loved one may know better what you need right now.
If your trusted friend or family member can narrow down your options, you can then choose based on which program or location just feels right to you. You should be allowed to visit a facility, talk with staff, and get a better feel for services before making a final decision. As long as everything else is in place, choose a treatment program based on how comfortable you feel with it.
Getting any treatment for Nucynta ER abuse and addiction is the most important thing you can do right now. Choose the best rehab and treatment program for your needs and prepare to do the hard work necessary for lasting recovery. If you can commit to it, you will find that treatment is effective and lasting.