How to Minimize Post-Acute Withdrawal Syndrome from Opiates?
What is Post-Acute Withdrawal Syndrome? When you’re in the early stages of recovering from opioid dependence, post-acute withdrawal syndrome (PAWS), whether mildly unpleasant or extremely uncomfortable, is unavoidable. If the post-acute syndrome persists for a long time, it can become a risk factor for relapse. Post-acute withdrawal syndrome describes a collection of symptoms following the “acute” stage of opiate withdrawal. Acute withdrawal occurs after a professionally supervised detox, and it can result in life-threatening complications and signs of physical discomfort like elevated heart rate, headaches, nausea, and muscular aches. Usually, these symptoms go away in two weeks or less. PAWS refers to the psychological and emotional symptoms that occur during the second withdrawal phase. You are more likely to experience PAWS if you used opioids for a long period of time, and usually in greater doses. When Does Post-Acute Withdrawal Syndrome Occur? Stress or circumstances involving people, places, or things that remind the individual of using opiates can often lead to symptoms. Many people in the recovery phase compare the symptoms of PAWS to a roller coaster that goes up and down, or waves that come and go. Symptoms can switch minute by minute in the early process of quitting substances. The symptoms become less frequent as people enter long-term recovery from alcohol or drug addiction. What Are the Most Common Symptoms of PAWS? To reduce the risk of relapse, you need to be able to recognize some of the symptoms of PAWs. Some of the most common symptoms include: Foggy Thinking/Trouble Remembering: This is also known as mental fuzz. Individuals might notice they have a hard time processing information and remembering things. Cravings: This is one of the common symptoms. You might feel the urge to take opiates, or may feel uneasy if you cannot get opiates. Irritability, Hostility, or Mood Swings: Abstinence from opiates can make you feel overly agitated and hostile. Insomnia or Vivid Dreams Fatigue or Inability to Focus: An individual with PAWS will also experience feelings of extreme tiredness due to the combination of all other symptoms. Issues With Fine Motor Coordination: You might find it difficult to do simple things like tying your shoelaces or buttoning a shirt. Stress Sensitivity: This is when little things bother you more than they used to. Anxiety or Panic: People experiencing acute substance withdrawal syndrome often feel anxious. They may also have panic attacks, increased heartbeat, and shortness of breath. Depression: Individuals experiencing acute substance withdrawal syndrome may be depressed. Why Do We Experience Post-Acute Withdrawal? Whether moderate or severe, post-acute withdrawal is a common step in the early stages of recovering from alcohol or other drug dependence. Consider the withdrawal symptoms as the brain’s attempt to restore the chemical imbalances created when the addiction was active. During the period of drug use, the brain would have adapted and reconfigured to function with those drugs present, so once there’s drug withdrawal, the brain is unable to function properly, which results in the manifestation of post-acute withdrawal symptoms. How to Minimize Post-Acute Withdrawal Syndrome? To minimize post-acute withdrawal syndrome from opiates, the first thing that must be done is gradually reducing the concentration of opiates in the body. This helps to reduce the severity of any of the withdrawal symptoms. Can PAWS Be Avoided? Avoiding PAWS isn’t entirely possible. However, you can effectively manage your symptoms and improve emotionally and physically by sticking to your treatment regimen. It will reduce the risk of relapse and boost your motivation. How Long Do Post-Acute Withdrawal Syndrome Symptoms Usually Last? Depending on the type of alcohol or drug addiction, the amount and frequency of substance use, and other factors (everyone’s withdrawal pattern is a little different), the majority of symptoms only last a few days at a time. In some cases, however, symptoms could last for weeks or even months. How to Cope With Post-Acute Withdrawal Syndrome Here are some of the practical tips on how you can manage the symptoms of PAWS effectively: Self-Care: Self-care is essential to effectively treat the symptoms of post-acute withdrawal syndrome, especially in the first year or two. Take plenty of breaks during the day, and most importantly, take care of your mental and spiritual well-being. Seeking Support: This involves sharing emotions, feelings, and PAWS symptoms you are experiencing with people you trust, like your close friends, peers in 12-steps meetings, family, or counselors. They help you express yourself. Taking Medications: If your doctor prescribes medication, taking it as prescribed is essential even after the symptom has vanished. Avoiding Potential Causes: Avoid scenarios that can cause you to become anxious, stressed, or remind you of past drug use. This will help minimize the symptoms of PAWS. Taking it One Day at a Time: It’s crucial to avoid taking on too much. Putting more emphasis on daily self-care and the victories each day provides can be more beneficial. Common Drugs And Their Associated Post-Acute Withdrawal Symptoms Some drugs can cause severe symptoms of post-acute withdrawal syndrome. These will be detailed below. Marijuana Research shows that abruptly stopping the use of marijuana can cause post-acute withdrawal symptoms once acute detox is over. Common post-acute withdrawal opiate symptoms from marijuana are anxiety, headache, irritability, insomnia, and several physical conditions like changes in appetite and stomach pain. As many people use marijuana daily, and sometimes multiple times a day, suddenly stopping its usage might cause the body to go into enough of a “shock” that causes PAWS. Methamphetamine Common PAWS symptoms for methamphetamine are irritability, insomnia, and poor impulse control. Opioids Common symptoms of post-acute withdrawal syndrome for opioids include poor impulse control, muscle tension, intense craving, anxiety, depression, and insomnia. Cocaine Cocaine is well known for having a variety of long-lasting symptoms. Several users experience sadness, low motivation, weariness, and issues with impulse control. Benzodiazepines Benzodiazepines like Klonopin, Ativan, and Xanax cause common PAWS symptoms, including insomnia, sleep disturbance, irritability, panic attacks, and intense anxiety. Diagnosis of Post-Acute Withdrawal Symptoms There is no specific diagnostic test to confirm
How to Deal with Depression from Opiate Withdrawal
Depression from opiate withdrawal is a common side effect. It can have long-lasting effects. Fortunately, depression and opiate addiction are both highly treatable. Several medications and therapies are available that have been proven to reduce opiate withdrawal symptoms. They help people find recovery. Understanding Opiate Withdrawal Opiate withdrawal, also frequently referred to as opioid withdrawal, is the set of symptoms that occurs when opiate use suddenly stops. Opiates and opioids include drugs such as heroin, morphine, oxycodone, hydrocodone, and fentanyl. These drugs all similarly affect the brain and body. Opioid withdrawal symptoms are very uncomfortable. They closely resemble severe flu symptoms. Fortunately, opiate withdrawal is not typically life-threatening. Opiate withdrawal treatment can vastly improve symptoms and help people break through this first phase of recovery. Common Withdrawal Symptoms Symptoms of opiate withdrawal include: Muscle aches and pains Sweating and chills Nausea and vomiting Diarrhea Anxiety and restlessness Insomnia Rapid heartbeat Dilated pupils The Withdrawal Timeline The opiate withdrawal timeline differs for everyone. It depends on factors like: Which specific opiate was used How long the person used opiates The dosage taken Individual body chemistry Overall health condition Typically, detox from opiates results in symptoms that resolve in a week or two. The withdrawal symptoms of drugs such as heroin or oxycodone are the same. However, they may vary in intensity or length depending on which drug has been used. Opiate detox can last up to two weeks. The severity of symptoms typically peaks after just a few days. Then symptoms gradually get better. Post-Acute Withdrawal and Depression After the peak period, the major symptoms of opiate withdrawal begin to subside. People may still feel sick for up to two weeks. However, symptoms are at a much lower intensity than during the peak period. Post-acute withdrawal can last for months or even years. This is where depression from opiate withdrawal can kick in. Lingering symptoms can lead people to feel that the promises of recovery have been left unfulfilled. Oxycodone and depression go hand-in-hand during withdrawal. Mood changes can happen with several drugs, including heroin, morphine, and fentanyl. Depression is the most commonly reported symptom of post-acute withdrawal. How Opiates Impact Mental Health Opioids impact mental health by changing brain chemistry, emotional regulation, and cognitive functions. While they initially provide a sense of euphoria and relief from pain or emotional distress, their long-term use leads to significant mental health challenges. Changes in Brain Chemistry Opiates contribute to depression in several ways, both directly and indirectly: The Dopamine Disruption Regular opiate use changes the brain’s reward system Opiates flood the brain with dopamine This creates an artificial sense of pleasure and well-being Over time, the brain adapts by reducing its natural dopamine production The brain also becomes less sensitive to dopamine This makes it difficult for individuals to feel joy or satisfaction without the drug This reduction can lead to an inability to feel pleasure. This is a core symptom of depression. Depression and opiate addiction can be related, as in the case of oxycodone and depression. Many drugs affect the brain through the dopamine pathway in the brain’s reward network. Opiate use causes a flood of dopamine to enter the brain. This gives a strong sense of reward. The longer drug use continues, the more the brain adjusts to these new dopamine levels. It does this by cutting back on the receptors which process dopamine when it arrives. This decrease in dopamine receptors can make people feel less and less rewarded by everyday experiences. The Cycle of Dependence The cycle of dependence on opioids, followed by withdrawal, further worsens emotional lows. The post-acute withdrawal phase is when symptoms linger after the initial detox period. This can leave individuals feeling: Hopeless Fatigued Unmotivated Deeply depressed These feelings deepen depressive symptoms significantly. Pre-existing vs. Resulting Depression When people feel depressed during the post-acute withdrawal phase, it happens for one of two reasons: Depression preceded opioid use: For some, depression may have existed before their opioid use. This led them to self-medicate with these substances. Depression resulted from opioid use: For others, depression can develop as a result of prolonged opiate use. This highlights the complex and two-way relationship between opiate addiction and depression. The Impact on Daily Life Opioid misuse can impair cognitive functions. This includes memory and decision-making. It contributes to increased impulsivity and difficulty coping with stress. This impairment can worsen feelings of anxiety, irritability, and mood swings. These are common among those struggling with opioid dependence. The connection between opioid use and mental health issues is well-documented. This includes anxiety, depression, and suicidal thoughts. For instance, as the effects of opioids wear off, individuals often experience mood crashes or intense anxiety. In the long term, the brain chemistry imbalances caused by opioids can leave individuals vulnerable to persistent mood disorders. This happens even after they stop using the drugs. Tolerance and Worsening Depression Opiates like oxycodone, morphine, and fentanyl are often misused for their euphoric effects. They eventually become less effective over time due to tolerance. This tolerance requires higher doses to achieve the same effects. This can worsen depression as dependence grows. Overall, the impact of opiates on mental health is profound. This makes professional treatment and support essential for recovery. Opiates Sometimes Used for Depression Some people may misuse opiates in an attempt to self-treat depression. Common opiates include: Heroin Oxycodone (OxyContin) Hydrocodone (Vicodin) Morphine Fentanyl Codeine Tramadol It’s important to note that using opiates to treat depression is dangerous and ineffective. It leads to addiction and worsens depression over time. Treatment Options for Depression During Withdrawal Medical Support Professional medical detox programs can provide: Medication-assisted treatment (MAT) to ease withdrawal symptoms Antidepressant medications when appropriate 24/7 medical monitoring A safe, comfortable environment Therapeutic Approaches Evidence-based therapies that help include: Cognitive Behavioral Therapy (CBT) Individual counseling Group therapy Dual diagnosis treatment for co-occurring disorders Holistic therapies such as mindfulness and meditation Lifestyle Changes That Help Natural ways to support recovery from depression during withdrawal: Physical Activity Exercise
What Is Heroin Withdrawal?
Heroin withdrawal refers to the physical and psychological symptoms that occur when a person who is dependent on heroin stops using the drug or significantly reduces use. These symptoms can range from uncomfortable to severe. In some cases, they can be dangerous without medical supervision. Heroin is a powerful opioid that alters brain chemistry over time. When heroin use stops, the body must adjust to functioning without the drug. This adjustment process is known as heroin withdrawal. What Is Heroin? Heroin is an illegal opioid derived from morphine. It affects the brain by binding to opioid receptors. This produces intense feelings of euphoria and pain relief. Repeated heroin use changes how the brain regulates pain, mood, and reward. Over time, the body becomes dependent on heroin to function normally. This increases the risk of withdrawal when use stops. Risk of Heroin Addiction Heroin is highly addictive. Dependence can develop quickly, especially with repeated use. As tolerance increases, individuals may need larger amounts of heroin to achieve the same effects. This pattern increases both physical dependence and the risk of overdose. What Causes Heroin Withdrawal? Heroin withdrawal occurs because the body has adapted to the presence of opioids. When heroin use stops, the brain experiences a sudden imbalance in neurotransmitters. This imbalance triggers withdrawal symptoms as the body works to restore equilibrium. The severity of withdrawal depends on factors such as duration of use, dosage, frequency, and overall health. Medical Detox for Heroin Medical detox is often the first step in treating heroin dependence. Detox focuses on managing withdrawal symptoms safely while the drug leaves the body. WHAT IS MEDICAL DETOX? Medical detox involves supervised care to help individuals through the withdrawal process. Medical professionals monitor symptoms and may use medications to reduce discomfort and complications. Detox does not treat addiction itself, but it provides a safer foundation for ongoing treatment. MEDICATIONS USED DURING DETOX Certain medications may be used to ease heroin withdrawal symptoms. These medications can help stabilize brain chemistry and reduce cravings. Medical professionals determine appropriate medications based on individual needs and health history. CAN HEROIN WITHDRAWAL BE DANGEROUS? Heroin withdrawal is rarely life-threatening on its own, but it can be extremely uncomfortable. Complications such as dehydration, heart strain, and relapse risk make medical supervision strongly recommended. Heroin Withdrawal Symptoms Heroin withdrawal symptoms often begin within hours after the last use and may worsen over several days. Common symptoms include: Muscle aches and body pain Anxiety or agitation Sweating and chills Nausea, vomiting, or diarrhea Insomnia Cravings for heroin The intensity of symptoms varies depending on the individual and their history of use. How Long Does Heroin Withdrawal Last? The timeline for heroin withdrawal can vary, but symptoms typically follow a general pattern. TIMELINE OF HEROIN WITHDRAWAL Early symptoms often begin within 6 to 12 hours after the last dose. These may include anxiety, restlessness, and muscle aches. Symptoms usually peak within 1 to 3 days. During this period, individuals may experience intense cravings, gastrointestinal distress, and flu-like symptoms. Acute symptoms often begin to improve after several days. However, some individuals experience lingering symptoms such as fatigue, mood changes, or sleep disturbances for weeks. Coping and Relief from Heroin Withdrawal Managing heroin withdrawal without support can be difficult. Medical care can significantly reduce discomfort and health risks. Supportive care may include hydration, nutrition, rest, and medications prescribed by healthcare professionals. Emotional support is also important during withdrawal and early recovery. Attempting to detox alone increases the risk of relapse, which can be especially dangerous due to lowered tolerance. Get Help for Heroin Withdrawal at San Diego Detox Heroin withdrawal can be physically and emotionally overwhelming. Professional support can help make the process safer and more manageable. San Diego Detox provides medically supervised detox services in a structured, supportive environment. Treatment plans for heroin addiction are individualized to address both withdrawal symptoms and long-term recovery needs. If you or a loved one are experiencing heroin withdrawal, professional support can make a difference. Contact our team to learn more about treatment options and available support. Frequently Asked Questions What symptoms are typical when someone withdraws from heroin?Heroin withdrawal typically produces both physical and psychological symptoms, including restlessness; muscle, bone, or joint pain; insomnia; cold flashes or “cold sweats”; goosebumps; uncontrollable leg movements; nausea, vomiting or diarrhea; and strong cravings. How long does heroin withdrawal usually last?Acute heroin withdrawal symptoms typically peak in the first 1–3 days and decline over the next several days, with many common symptoms resolving within 4–7 days. Some psychological effects — like anxiety, depression, or cravings — may linger for much longer depending on the person What factors affect the severity and duration of heroin withdrawal?The severity and duration of withdrawal can depend on how long and how heavily someone used heroin, their tolerance, whether they also used other substances (polysubstance use), their physical health, past opioid dependence, and other individual factors. Can you detox from heroin at home safely?Detoxing from heroin at home is generally not recommended for heavy or long-term users. Home detox increases risk of relapse or serious complications; medically supervised detox — typically as an inpatient — is the safest option. What does “medical detox” for heroin involve?Medical detox typically begins with a full evaluation of health and drug history, followed by stabilization under supervision by medical staff (doctors, nurses, therapists), and then transitioning into a longer-term treatment or rehab program rather than purely detox — because detox alone doesn’t guarantee long-term sobriety. Resources https://nida.nih.gov/publications/drugfacts/heroin https://www.verywellmind.com/what-is-withdrawal-how-long-does-it-last-63036 https://www.verywellmind.com/what-to-expect-from-heroin-withdrawal-22049 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4014033/ https://pubmed.ncbi.nlm.nih.gov/28443503/ https://www.healthline.com/health/coping-opiate-withdrawal#dependence-andaddiction https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822281/
Does Gabapentin Help with Withdrawal Symptoms?
Role of Gabapentin in Detox Treatment for substance abuse usually commences with detoxification, encompassing withdrawal and gradual reduction of the abusive substance within the body. The process of detoxification or withdrawal, however, poses risks as it often goes hand-in-hand with various withdrawal side effects. These could potentially be hazardous or life-threatening. Numerous medications, such as Gabapentin, are prescribed during withdrawal to assure patient safety and overall well-being. Understanding Gabapentin for Alcohol Withdrawal Over the years, Gabapentin has been used successfully to treat and manage alcohol withdrawal symptoms and prevent addiction relapse. The success of Gabapentin for alcohol withdrawal could potentially be emulated for managing withdrawal symptoms associated with detoxification from other addictive substances. Various Applications of Gabapentin Though Gabapentin’s primary role is in treating and managing seizures (particularly partial seizures), it is utilized for various other conditions. The benefits of Gabapentin encompass: Prevention and Control of Partial Seizures: Gabapentin, functioning as a muscle relaxant, is a first-line medication for treating and managing focal or partial seizures. Nonetheless, it does not exhibit effectiveness for seizures triggered by generalized epilepsy. Relief from Nerve Pain Post Shingles in Adults: Shingles, also known as herpes zoster, is a viral infection characterized by a red skin rash causing pain and burning. Gabapentin can help alleviate nerve pain caused by shingles. Treatment for Moderate-to-Severe Primary Restless Legs Syndrome: Gabapentin also has a role in managing Restless Legs Syndrome (RLS), a medical condition marked by discomfort and a powerful urge to move legs, especially while sitting or lying down at night. Insomnia: Gabapentin is also frequently prescribed for treating insomnia. Administering Gabapentin Gabapentin comes in several different dosage forms, allowing you to select the one you’re most comfortable with. The dosage forms include tablets, oral solution, and capsules. Strict adherence to the recommended dosing regimen for Gabapentin is necessary for optimal treatment results. Always follow the Gabapentin dosage regimen as directed by your doctor. Common side effects of Gabapentin in adults encompass tiredness, dizziness, headache, nausea and vomiting, fever, difficulty speaking, recurring infections, memory loss, and weight gain. Using Gabapentin to manage addiction withdrawal symptoms has associated risks. In cases of missed doses or overdoses, contacting your healthcare provider for guidance is vital. Potential Interactions of Gabapentin Gabapentin can interact with other medications, occasionally leading to severe medical complications. Drugs known to interact with Gabapentin include those that can cause drowsiness or breathing difficulties, such as opioid pain relievers, cough relievers like codeine, alcohol, anti-anxiety drugs like lorazepam, antihistamines like diphenhydramine, and muscle relaxants like cyclobenzaprine. Other products, such as herbal medications and vitamins like vitamin B12 and C, have also shown interaction with Gabapentin. Addictive Nature and Withdrawal Symptoms of Gabapentin Though not as addictive as opioids and other substances, a recent surge in Gabapentin prescriptions suggests potential addictive qualities. Also, prolonged use of Gabapentin has been linked with mild to severe withdrawal symptoms. Addictive Nature and Withdrawal Symptoms of Gabapentin Though not as addictive as opioids and other substances, a recent surge in Gabapentin prescriptions suggests potential addictive qualities. Also, prolonged use of Gabapentin has been linked with mild to severe withdrawal symptoms. Gabapentin and San Diego Detox If you are currently on a Gabapentin prescription or considering Gabapentin for managing addiction withdrawal symptoms, San Diego Detox is ready to provide the necessary guidance and answers. Reach out today at 619.433.6560 for more information about relief from your withdrawals! Resources https://www.ncbi.nlm.nih.gov/books/NBK493228/ https://www.medicalnewstoday.com/articles/323681 https://www.healthline.com/health-news/is-gabapentin-effective-treatment-for-alcohol-withdrawal-symptoms https://medlineplus.gov/druginfo/meds/a694007.html https://www.healthline.com/health/shingles https://www.webmd.com/drugs/2/drug-14208-8217/gabapentin-oral/gabapentin-oral/details https://www.drugs.com/drug-interactions/gabapentin-with-norco-1147-0-71-8487.html https://www.verywellmind.com/gabapentin-withdrawal-symptoms-timeline-and-treatment-4176217
Alcohol Withdrawal – Signs, Symptoms and Treatments
What is Alcohol Use Disorder (AUD)? Alcohol use disorder (AUD) is increasingly common globally. Alcohol withdrawal can be very tricky and challenging to navigate without proper medical intervention, considering the severity of possible alcohol withdrawal symptoms. Nevertheless, successful management of alcohol detox symptoms and overall alcohol withdrawal treatment is possible. It is important to consider treatment of not only withdrawal, but of treating the root of the problem: Alcohol Use Disorder. Addiction Misuse There are several different substances of addiction, including popular substances of abuse like opioids, marijuana, and alcohol. As seen and experienced with other substances of abuse, alcohol addiction does not happen spontaneously; instead, it happens with repeated and consistent intake of alcohol. Alcohol Intake Consequences and Risks This constant alcohol intake could have harmful health, social and psychological effects on people addicted to repeated alcohol intake. However, there is also the danger of alcohol withdrawal symptoms and effects linked with any attempt to halt alcohol intake. First Look at Alcohol Dependence and Withdrawal Excessive drinking includes heavy drinking, binge drinking, drinking by people who are under the age of 21 or drinking by pregnant women. The CDC defines binge drinking as four or more drinks per single occasion for women and five or more drinks per single occasion for men. What Is Alcohol Withdrawal? Alcohol withdrawal, also known as alcohol withdrawal syndrome (AWS), refers to the combination of symptoms that accompanies a partial or total decrease in alcohol intake levels. Simply put, alcohol withdrawal relates to the symptoms or side effects of quitting drinking. These alcohol withdrawal symptoms usually vary in severity ranging from mild to much more severe effects. These withdrawal symptoms from alcohol can be so severe that they are life-threatening. Timeline of Alcohol Withdrawal As earlier mentioned, the alcohol withdrawal symptoms that a person who drinks alcohol will experience upon partial or total withdrawal from alcohol vary in severity; that is, you can experience both mild and severe symptoms. However, you should note that the severity of withdrawal symptoms from alcohol experienced varies with the time you took your last drink and how long you have been drinking. There is a withdrawal from alcohol symptom “timeline” (alcohol withdrawal timeline). Six Hours After Last Drink According to the alcohol withdrawal timeline, you may begin to experience some mild symptoms of alcohol withdrawal, such as shaking hands, nausea, headache, anxiety, increased sweating, and even insomnia. All these are early signs of alcohol withdrawal. 12-48 Hours Post-Drinking At this point, you may begin to experience more severe signs of alcohol withdrawal such as auditory and visual hallucinations and seizures. Seizures usually begin within 24-48 hours after you withdraw from alcohol intake. After 72 Hours As the duration of alcohol withdrawal increases, the symptoms also increase in severity. After 72 hours, you may begin to experience delirium tremens. This alcohol withdrawal symptom can be so severe that withdrawal patients must be admitted into an intensive care unit. The symptoms of delirium can include dehydration, elevated blood pressure levels, insomnia, hallucinations, and even a decrease in brain blood flow. Although not everyone who undergoes alcohol withdrawal experiences delirium, it has been known to lead to the death of up to 5% of individuals that develop it. For the most part, alcohol detox withdrawal symptoms tend to improve after a short while, so most patients will experience relief after the duration of the above-listed alcohol withdrawal stages (alcohol detox symptoms should improve after five days). However, in a few cases, people who withdraw from alcohol may continue to experience signs of alcohol withdrawal well after a week. What Causes Alcohol Withdrawal Syndrome? Alcohol, when it is initially consumed, has an irritating effect on the nervous system; however, it also has a stimulatory effect. Upon repeated excessive alcohol consumption, this excitatory effect becomes very significant. The brain rewires itself and becomes increasingly dependent on alcohol intake to the point where the entire central nervous system will not be able to function correctly without it again. A sudden or acute alcohol withdrawal at this point of high alcohol dependency usually results in alcohol withdrawal syndrome (AWS). This is because, at this point, the body has become used to and cannot function properly without alcohol, so sudden alcohol withdrawal, in essence, “grounds” boy function since the nervous system is unable to work as it should again. Who is at Risk for Alcohol Withdrawal Syndrome? Alcohol Withdrawal Syndrome (AWS) is a severe condition that affects people who have an alcohol dependency or who drink extensively daily and cannot progressively reduce their consumption. Alcohol withdrawal syndrome occurs more frequently in adults, although it can also affect children and teens who often drink heavily. If you’ve ever experienced mild withdrawal symptoms like dizziness caused by alcohol withdrawal, chills from alcohol withdrawal, or needed medical detox for alcohol abuse problems, you are more likely to develop Alcohol Withdrawal Syndrome. Signs of Alcohol Withdrawal If you withdraw from alcohol use, you will exhibit several signs and symptoms. Some of these signs are mild, while others are much more severe. Some typical (mild) signs of acute alcohol withdrawal include the following: Anxiety Mood changes Headaches Fatigue Hallucinations Tremors or shakes Seizures Severe Alcohol Withdrawal Symptoms As earlier mentioned, acute alcohol withdrawal can lead to very severe withdrawal symptoms. Some of these painful withdrawal symptoms that can accompany a sudden stop of alcohol consumption include: Extreme confusion Extreme agitation Fever High blood pressure When is Drinking Excessive? Just in case you’re unsure what “heavy drinking” means, the Center for Disease Control and Prevention defines excessive drinking as a blanket term that includes binge drinking, heavy drinking, and drinking done by pregnant women and by people under the legal age limit. Binge Drinking Of all the above-listed examples of excessive drinking, the most prevalent kind of excessive drinking is binge drinking, which is described as consuming a large amount of alcohol in a short period. It may include: Four or more drinks at a single event for ladies. (Heavy
Does Opioid Relapse Restart Post-Acute-Withdrawal Syndrome (PAWS)?
What Is Post-Acute Withdrawal Syndrome (PAWS)? Post-acute withdrawal syndrome (PAWS) describes a collection of symptoms that might linger for weeks or months after quitting an addictive substance. The condition is characterized by signs and symptoms of those like anxiety and mood disorders, such as mood swings, sleeplessness, and elevated levels of worry even in the absence of obvious triggers.1 What Does PAWS Feel Like? The initial phase of PAWS makes one feel as though they are on an emotional rollercoaster, with mood swings ranging from happy to sad to angry. Though initially debilitating, these symptoms start to fade as a person advances further in their recovery. Individuals affected by PAWS may go a few weeks without experiencing any symptoms, and then wake up one morning with having experienced disrupted or restless sleep, intense exhaustion, fits of impatience, and hostility. How Long Does Post-Acute Withdrawal Syndrome Last? PAWS often lasts between six months and two years. How long a person actively used drugs or alcohol, how much was used, if there were any underlying mental diseases present, and prior psychiatric and medical histories can all affect how long they suffer from these symptoms. Signs and Symptoms of PAWS from Opioids Some common signs and symptoms of someone experiencing PAWS after opioid use include: Insomnia Aggression Anxiety Depression Inability to focus Unstable and unpredictable moods Panic attacks Fatigue Poor impulse control Drug cravings Does Opioid Relapse Restart Post-Acute-Withdrawal Syndrome? Relapse management is a crucial component of ongoing recovery. The brain has developed an abusive pattern as a result of an addiction. Retraining the brain takes time, so it shouldn’t be viewed as a sign that rehabilitation is failing, but rather as a natural part of the process. Being accountable, accepting the circumstances, figuring out the steps that caused it, and discussing it with a therapist or support group is crucial in order to continue recovering. Many patients wonder if they must restart the recovery process from scratch after relapsing. Usually, the answer is yes, as they will have to go through detox first again, and then start managing other symptoms and side effects that relapsing has created in their body and mind. The road to sobriety cannot be rushed. Retracing their steps can help to emphasize the principles necessary for a successful recovery, along with solidifying important behaviors in order for recovery to be successful.2 How to Treat and Help Prevent Post-Acute Withdrawal Syndrome There are many ways that one can help treat PAWS, along with some things you or a loved one can do at home. These will be detailed below. Avoid Potential Causes Potential relapse causes are essentially inevitable during the rehabilitation process. It’s critical to be aware of the individuals, circumstances, and sentiments that might lead to a relapse. When avoiding these causes is not always an option, group members in a support group, for instance, can assist a person in developing productive coping mechanisms.3 Be Patient It is important to avoid doing too much and worrying about the future or the past. It can be more helpful to focus on daily self-care and the successes that each day brings. Self-Care Self-care supports both physical and mental health, which lowers the likelihood that someone may turn to alcohol or drugs as a coping mechanism. Additionally, when a person is physically and psychologically at their best, it inspires them to strive for their greatest potential They are more motivated to abstain from drugs and have less of a hard time doing so because they are working toward meaningful goals. As a matter of fact, those in recovery have cited boredom and worry as causes for relapse. Lack of motivational factors like a meaningful purpose in life or connections with people are other potential causes. It is possible to relieve stress and worry and fill time with enjoyable activities by taking care of oneself. Exercise Regularly Exercise encourages the brain’s creation of feel-good neurotransmitters that give us a contented feeling. It lessens the likelihood of falling ill and developing certain diseases. Just simply moving is enough; it doesn’t have to be something too demanding or exhausting. Walking is a great kind of exercise. Assess Co-Occurring Disorders A dual diagnosis in the context of drug abuse and mental health therapy describes the occurrence of a substance use disorder and one or more co-occurring psychiatric disorders at the same time. When a patient has to deal with both a mental health condition and a substance use issue, they are said to be co-occurring disorders.4 A variety of mental illnesses listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-V), such as schizophrenia, bipolar disorder, depressive disorders, or generalized anxiety disorder may be among the co-occurring psychiatric conditions.4 Getting PAWS Treatment at San Diego Detox At San Diego Detox, we provide a comfortable and safe environment with intensive programs to give you the best treatment possible. Get help for yourself or a loved one struggling with substance abuse and PAWS. Contact us today. Causes And Risk Factors of Post-Acute Withdrawal Syndrome PAWS may occur as a result of changes in the brain’s stress response in that region during addiction. The stress reaction, however, can occur for a variety of causes. Here are a few causes and risk factors of PAWS. Homeostatic Adjustment Physical reliance on drugs or alcohol causes changes in brain chemistry over time; without the chemical that causes the release of neurotransmitters and endorphins, the body is unable to achieve homeostasis on its own. Without pharmacological assistance, the brain can take a while to fully regain homeostasis, which can result in mood swings, tiredness, cravings, and other psychological symptoms during PAWS. Chemical Changes in the Brain Drugs are, of course, chemicals. They interfere with the body’s communication system and the way that nerve cells process information as soon as they enter a person. For instance, some medications mimic the chemical signals sent naturally by the brain. Others, on the other hand, overcompensate the reward system. Neurotransmitters significantly
Pharmacologic Treatments for Opioid Dependence
What Is Opioid Dependence? The past decades have seen incredible progress in treating opioid dependence and addiction. As the academic communities have gravitated toward treating addiction with the medical model, several opioid dependence drugs and opioid use disorder therapies have been developed. Opioid dependence is characterized by tolerance and withdrawal. In other words, the body adapts to the substance, needing more to achieve the same effects and experiencing mental or physical symptoms without it. What Is the Difference Between Opioid Dependence and Opioid Addiction? Opioid dependence and opioid addiction are both terms that describe opioid abuse; however, dependence emphasizes the physical symptoms of a substance use disorder rather than the cognitive and social symptoms. Opioid addiction refers to the physical, mental, and social effects that impact a person due to drug abuse. Why People Become Addicted to Opioids Reports show that 10.1 million people in America aged twelve and older misused opioids in 2019. More specifically, 9.7 million misused prescription pain relievers and 745,000 used heroin. It is clear that prescription pain medication is responsible for the majority of opioid addiction cases. There are countless reasons opioid dependence occurs, but a few patterns and factors are more common and notable than others. These causes of opioid addiction include: Using opioids to cope with mental illness Taking large amounts of painkillers to deal with pain Using opioids to cover emotional pain, such as trauma or grief Using opioids to enhance other sensations Tolerance Escapism During the early stages of opioid dependence, drugs can seem like a universal palliative for many people. They produce feelings of pleasure and euphoria, relieve worries, and dampen pain. Regardless, after repeated use, opioid addiction will bring more negative consequences than any fleeting positives. Signs and Symptoms of Opioid Dependence The signs and symptoms of opioid dependence fall into several categories, including behavioral, physical, cognitive, and psychosocial. The following indicates opioid addiction treatment may be necessary. Behavioral Symptoms The behavioral symptoms of opioid dependence include: Constantly seeking out opioids Neglecting other hobbies or activities in favor of opioid misuse Spending an excessive amount of time using, recovering from, or looking for opioids Borrowing money Sleeping all the time, or falling asleep while standing or sitting In opioid addiction treatment, there are specific therapies designed to change these behavioral patterns. Physical Symptoms The physical symptoms of opioid dependence and withdrawal symptoms include: Sneezing Restlessness Fever Chills Sweats Shakes Nausea Diarrhea Tolerance Track marks along arms if taken intravenously Weight loss The physical symptoms of opioid use disorder can be treated with various therapies. Cognitive Symptoms The cognitive symptoms of opioid dependence include: Restlessness Anxiety Depression Persistent cravings for opioids Denial that a problem is present Evidence-based treatments address the cognitive symptoms and mental health issues caused by long-term opioid addiction. Psychosocial Symptoms Lastly, the psychosocial symptoms of an opioid use disorder refer to the damage this condition can cause to social aspects of life. They include: Loss of a job or occupation Strained relationships with friends and family members Housing instability Legal consequences At an opioid addiction treatment center, counselors and therapists are trained to help people deal with these psychosocial symptoms. Medical Treatments or Opioid Dependence Drugs to treat opioid addiction come in several varieties. These are some of the most effective opioid addiction treatment options and have helped millions of people to recover. The three main medications used as opioid addiction treatment medications are: Buprenorphine Methadone Naltrexone Buprenorphine Buprenorphine is an opioid partial agonist, meaning it binds to opioid receptors in the brain and mildly activates them. As a result, this medication produces lessened effects of opioids (e.g., euphoria), working as a replacement for harsh drugs like heroin to help treat addiction to opioids. In addition, buprenorphine has a ceiling effect (the effects are capped at a certain amount), preventing abuse and overdose. Research shows that buprenorphine resolves withdrawal symptoms more quickly and has better retention and completion rates compared to other opioid treatment medications. Methadone Methadone is a long-acting full opioid agonist, so its effects are similar to buprenorphine, but it fully activates the opioid receptors in the brain. Thus, methadone provides the full effects that other opioids do and does not have a cap (i.e., effects increase as the dose increases). Nonetheless, this medication effectively reduces opioid craving, lessens withdrawal symptoms, and blocks the effects of opioids. Studies found that methadone treatment was associated with a 76% reduction in overdose at three months and a 59% reduction at twelve months.3 Naltrexone Unlike buprenorphine and methadone, naltrexone is an opioid antagonist, meaning it reverses and blocks the effects of other opioids, preventing the effects of opioid drugs and reducing abuse. Multiple clinical trials studying the efficacy of naltrexone found that it reduced heroin cravings, and between 23% and 62% of participants remained in treatment after three to four weeks. In addition, two studies reported that 32% to 58% of participants who continued treatment maintained sobriety six to twelve months after their naltrexone treatment ended. How to Diagnose Opioid Dependence Diagnosing an opioid use disorder has to be performed by a licensed clinician. When clients start treatment at an opioid addiction treatment center, clinicians will typically ask several questions regarding their addiction, look over medical records, and determine whether they meet the criteria for opioid dependence. Receiving this diagnosis can help determine the next steps for opioid treatment. Psychological Treatments for Opioid Dependence Psychotherapy, also called talk therapy, is an effective tool for managing opioid use disorder. The best evidence-based treatment for opioid use disorder is to use a variety of psychological treatments alongside medication, but determining which treatment plan is right for you is between you, your physician, and your therapist. Talk therapies for opioid use disorder include: Motivational interviewing and motivational enhancement therapy Cognitive behavioral therapy (CBT) Family therapy Couples counseling Hypnotherapy Neurotherapy 12-Steps programs Opioid use disorder therapies have several targets, but in general, they aim to teach healthier coping mechanisms, reduce drug cravings, and reverse opioids’ effect on the brain. Getting
Medication-Assisted Treatment for Opioid Use Disorder
What is MAT? Medication-Assisted Treatment (MAT) is a standard method of treating substance use disorder within and outside the United States. It’s effective for individuals experiencing specific drug use challenges, such as opioid use disorder, and it usually follows in combination with behavioral therapies. Opioid Use Disorder Opioid Use Disorder is a condition that affects the brain due to the uncontrolled intake of opioids. Individuals experiencing the condition find it difficult to discontinue the drug’s intake, regardless of the harm it causes. For some, opioid abuse may begin with experimental intake before becoming more frequent. While for others, it starts with receiving prescription pain medications. A Further Look at MAT for Opioid Abuse Compared to many other medications, opioids have a significantly high tendency to be habit-forming. According to the Centers for Disease Control and Prevention, over 92,000 Americans lost their lives due to drug overdose in 2020. Note that the overdose cases include opioids, marking an approximate 30 percent increase from 2019. Reports show a 22-fold increase in the overall death rates involving synthetic opioids. In the United States, visits to the emergency department also rose by 30 percent from mid-2016 to September 2017. Later in October 2017 (a month after), the opioid crisis became a nationwide Health Emergency in the United States. What Causes Opioid Use Disorder? What causes the opioid disorder is typically due to the physical dependence people develop in a short time of intake. Researchers discovered that intake of opioids for over a few days increases the tendency of substance use disorder. Some of the significant risk factors of opioid addiction include a history of depression, anxiety, and stress. Opioid Use Disorder Symptoms and Dangers There are apparent opioid use disorder symptoms that individuals may observe. According to the Diagnostic and Statistical Manual of Mental Disorders, here are some signs associated with opioid addiction for proper diagnosis: Continued intake leads to social and interpersonal consequences Decreased social or recreational activities Difficulty fulfilling professional duties at school or work The individual is unable to reduce the amount used Tolerance Using despite it being physically dangerous settings Experiencing withdrawal Excessive time to obtain opioids or recover from taking them More taken than intended The individual has cravings Continued use despite worsening physical or psychological health Dangers of Opioid Use Disorder At lower dosages, intake of opioids is typically adequate for treating pain by making individuals feel sleepy. However, with constant intake leading to opioid addiction, individuals may experience slower breathing and heart rate. OUD can lead to an overdose without early medical attention, which is life-threatening. Due to the risks of opioid abuse, doctors typically recommend that individuals follow prescription instructions carefully. Medication-Assisted Treatment for Opioid Use Disorder Medication-assisted treatment is an effective treatment option for individuals experiencing OUD.4 This treatment approach involves using opioid use disorder medication, behavioral therapies, and counseling. It focuses on providing a “whole-patient” approach to treating the condition in individuals. MAT for opioid use disorder is specifically tailored to meet everyone’s needs for recovery. An estimated 2 million individuals were experiencing opioid use disorder in 2018, including prescription pain meds with heroin and opiates. Medication-assisted treatment for opioid use disorder proves to be a significantly effective treatment option for these individuals. MAT Medications for Opioid Use Disorder Treatment Here are some of the significant opioid use disorder medications: Methadone: The intake of Methadone for opioid use disorder is adequate and approved by the Food and Drug Administration. The substance is also helpful for pain management as an opioid use disorder treatment option. Buprenorphine: Apart from common opioid use disorder therapies, Buprenorphine is common for the effective treatment of OUD. It also helps treat acute and chronic pain. Doctors may administer sublingually, buccally, or intravenously. Naltrexone: Opioid use disorder specialists typically administer naltrexone for opioid use disorder by watching the individual take the drug. Individuals can take it with food or antacids. MAT Medications for Opioid Overdose Prevention Counseling In most cases, counseling is also applicable for OUD treatment. It improves the individual’s motivation for recovery. Counseling also helps individuals learn the necessary skills for discontinuation of opioid intake. Behavioral Therapies The use of behavioral therapies helps engage individuals in OUD treatment. This technique is important for the effective treatment of opioid use disorder symptoms in specific individuals. It helps their life skills and develops coping mechanisms to prevent relapse. Treatment for Opioid Use Disorder at San Diego Detox San Diego Detox helps provide an individual treatment approach to individuals experiencing OUD. MAT Program At San Diego Detox, the goal for the MAT program is full recovery. We also focus on helping individuals live lives filled with significant self-direction. Our medication-assisted treatment for opioid use disorder increases the ability to return to normal living. Note that MAT can also reduce the chances of individuals contracting hepatitis C or HIV. Opioid Use Disorder Therapies These OUD therapies may occur one-on-one with the individual or include a group or family. The therapy method typically depends on the individual’s needs. A therapy for opioid use disorder is Cognitive Behavioral Therapy (CBT). It focuses on recognizing negative thinking patterns causing OUD and changing such patterns. With CBT, individuals can handle overwhelming challenges more positively. Aftercare San Diego Detox offers aftercare programs for individuals recovering from OUD. Our aftercare plan helps individuals anticipate potential future challenges relating to OUD and come up with viable solutions. Loved ones and family members can show support during this period by celebrating successes and encouraging healthy living. If you or your loved one is experiencing opioid use disorder symptoms, please consider reaching out for support. Contact us today at San Diego Detox. FAQs About Opioid Use Disorder What is opioid use disorder (OUD)? Opioid use disorder is a chronic substance use disorder marked by a strong desire to use opioids, inability to control or cut down use, increased tolerance, cravings, and withdrawal symptoms when use stops. What are common signs and symptoms of opioid use disorder? Common signs include strong cravings,
Lifesaving Naloxone Treatment
Naloxone treatment, also sold under the brand name Narcan, is a lifesaving medication that can reverse an opioid overdose if used correctly. In contrast to other medications for opioid use disorder, naloxone administration is designed specifically for immediate crisis intervention. Knowing how naloxone works and having it available could make a life-or-death difference for friends or loved ones struggling with an opioid use disorder. The first step to understanding naloxone treatment is learning how this drug works as an opioid overdose medication. Naloxone uses different routes of administration, but the effect in a person who is overdosing is typically the same. What is Naloxone? Naloxone is an opioid overdose medication. Pharmacologically, it is known as a full opioid receptor antagonist. This means that naloxone medication will “kick out” any drugs on an opioid receptor and prevent them from attaching again.1 In practice, this means that a naloxone injection or naloxone nasal spray will reverse the effects of powerful opioids such as heroin, morphine, oxycodone, or even fentanyl. Is Naloxone an Opioid? Naloxone is not an opioid; instead, it is an opioid “blocker.” This medication cannot be abused and is not considered a controlled substance. What is Naloxone Used for? Naloxone treatment uses a powerful medication to reverse opioid overdose. If you see that somebody is experiencing the symptoms of an opioid overdose and have naloxone (Narcan) nearby, administering this medication can literally save their life. Opioid Overdose Symptoms The first step to naloxone opioid overdose treatment is recognizing the symptoms of an opioid overdose.2 Somebody who is experiencing an opioid overdose may show signs such as: Loss of consciousness Pinpoint pupils Face or lips turning blue Breathing that has completely stopped or slowed dramatically Unresponsiveness Cold, clammy skin Gurgling sounds coming from the throat When left untreated, an opioid overdose can quickly lead to death. Opioids are central nervous symptom depressants, which means they can stop the body from breathing and dramatically slow the heart rate. If you recognize that somebody is overdosing, the first thing you should do is call 911. These operators can guide you through administering naloxone, send paramedics, and help you treat the person overdosing. Side Effects of Naloxone Treatment Naloxone treatment, when delivered correctly, will not only wake the person from an opioid overdose but send them instantly into severe opioid withdrawal. This includes naloxone side effects such as:3 Fever Body aches Sweating Runny nose Sneezing Restlessness Anxiety Diarrhea Naloxone side effects closely parallel severe flu symptoms and are pointedly the opposite effects of an opioid overdose. Other Information You Should Know About Naloxone Treatment Lastly, you should know a few other things about naloxone (Narcan). The first is that there is no upper limit to naloxone, which means that you can administer this medication repeatedly without fearing that you will cause any damage to the person receiving the medication. The second is that you can receive a naloxone prescription if you use opioids, illicit or prescribed. Finally, many states let you buy naloxone at a pharmacy, and several have free naloxone programs, usually alongside needle exchange services.4 How is Naloxone Used? There are two forms of naloxone medication used as an opioid overdose treatment: naloxone injections and naloxone nasal spray. Knowing how to use these treatments before an overdose occurs is essential to ensure you can help somebody in need. Injectable Naloxone The first form of naloxone (Narcan) widely available is the injectable version. Narcan injections either come with a needle and a vial or a prefilled syringe. Naloxone in a Vial If your naloxone medication comes in a vial, remove the cap from the needle, insert the needle into the vial, and fill the syringe. Then, take the needle and drive it directly into the muscle of the person overdosing, like a flu shot. You can deliver the medication into the shoulder or top of the thigh, and it is okay to go through clothing. Naloxone in a Syringe If you have a prefilled syringe, remove the cap and follow the same instructions as above, skipping filling from the vial. Make sure that your syringe is designed for injection — some nasal sprays come in a package that looks like a syringe, but they are designed to be sprayed into the nostrils. If the person does not snap out of their overdose within two to three minutes, administer a second shot. Continue this every two to three minutes until paramedics arrive or you run out of naloxone. Naloxone Nasal Spray The naloxone nasal spray is the other common and effective method of naloxone treatment. To administer the nasal spray, remove the cap from the spray, place it into the person who is overdosing’s nostrils, and push the plunger. The medication should spray into their nostrils and quickly reach their bloodstream through the inside of the nose. Like with the injectable naloxone, you should administer a second dose two to three minutes after the first if the person is not responding and repeat until paramedics arrive. Treatment for Opioid Addiction and Overdose at San Diego Detox While there is no such thing as a naloxone treatment program, treating an opioid use disorder is an effective way of helping people break free from their addiction. At San Diego Detox, our team is dedicated to helping people overcome opioid use disorders, and we are trained in using naloxone in the case of overdose. Coming to our treatment facility can help show you that recovery is possible and can also be enjoyable and sustainable. We will help you through the detoxification process in the safest and most comfortable manner possible. In addition to the detoxification process, our program emphasizes the need for continuing care after detox. Aftercare programs are a key indicator of long-term abstinence and provide lasting support to those who need it most, and we will guide you towards the best aftercare programs. When you are ready to start treatment, reach out to the team at San Diego Detox today, and start the road
Is Suboxone a Good Treatment for Opiate Addiction
What Is Suboxone? Suboxone is the brand name for a prescription medication combining two substances: buprenorphine and naloxone. It is an effective medication for treating opioid addiction, dependency, and withdrawal. What Does Suboxone Treat? In 2019, an estimated 70% of drug overdoses were related to opioids—a 6% increase from the previous year. Unfortunately, the opioid crisis continues to affect millions of people’s lives each year. Opioid addiction treatments are vital in helping those impacted by this highly addictive substance. Fortunately, various forms of treatments, like Suboxone, have been developed to help people recover from opioid addiction. Suboxone is a medication used to treat opioid use disorder. Not only does it help prevent opioids from working in the body, reducing their addictivity, but it can also help manage and reduce the severity of the symptoms of opioid withdrawal. How Does Suboxone Work? As a combination medication, Suboxone is both an opioid partial agonist (buprenorphine) and opioid antagonist (naloxone). Buprenorphine is responsible for decreasing withdrawal symptoms and cravings, increasing safety in case of overdose, and lowering the risk of abuse. Naloxone can reverse an opioid overdose and block the effects of other opioids. How Does Suboxone Help Addiction Treatment? Proper treatment—and its availability—is crucial for those with opioid addiction to recover safely. Data between 2016 and 2018 shows a 142% increase in people receiving medication-assisted treatment at health centers funded by the Health Resources & Services Administration (HRSA). One of the reasons that Suboxone is so beneficial for addiction is its multifaceted treatment option. Because of the two substances that make up this medication, it can target addiction itself and simultaneously manage the symptoms of opioid use and withdrawal. Suboxone Effects Some of the elements Suboxone provides during addiction treatment include: Pain relief Calmness and overall well-being Reduced worry and stress levels Relaxation Side Effects of Suboxone Like any substance, Suboxone can result in side effects, even when taken as prescribed. Some of the side effects of Suboxone people may experience include: Joint and muscle pain Irritability Dilated pupils Insomnia Feeling jittery Diarrhea Flu-like symptoms Vomiting Sweating Suboxone Withdrawal Symptoms Despite its ability to reduce the symptoms of opioid withdrawal, Suboxone is still a substance that the body can grow accustomed to. As a result, a sudden stop in usage can result in withdrawal symptoms, although these won’t be as severe as other types of opioids. Some of the Suboxone withdrawal symptoms that may be experienced are: Nausea Headaches Muscle aches Insomnia Anxiety Psychological cravings for Suboxone Benefits of Suboxone One reason that Suboxone is highly recommended for opioid addiction treatment is because of its many benefits. Increased Overdose Safety When looking at Suboxone vs. Subutex, one of the most notable benefits is Suboxone’s ability to reverse an opioid overdose and decrease abuse by blocking the effects of opioids. This is because Suboxone combines buprenorphine with naloxone. Some may know naloxone by the brand names Narcan and Evzio. It is commonly used in the instance of an opioid overdose, as it can rapidly reverse the symptoms. Decreased Risk of Misuse The chemical makeup of Suboxone provides a lower risk of misuse and addiction. This is because it doesn’t create the same euphoric sensations as other opioids, and its opioid antagonist properties change the way it interacts with the brain compared to other opioids. Long-acting effects May Allow for Alternate-Day Dosing Subutex is often viewed as an alternative to Suboxone. While we’ve already discussed how Suboxone has an increased overdose safety compared to Subutex, it also lasts longer, allowing for alternate-day dosing when appropriate. Research shows that alternate-day dosing can be an efficient way to partake in medication-assisted therapy (MAT) while reducing the negative effects of the medication. Get Suboxone Treatment at San Diego Detox Suboxone can be a good choice when searching for the right opioid addiction treatment. However, it is still an opioid, so it is important to undergo treatment with the help of a medical professional. San Diego Detox provides professional care and compassion throughout each client’s recovery journey. Under the guidance of one of our certified staff members, clients will be able to partake in MAT with Suboxone to help alleviate withdrawal symptoms and restore balance in their lives. Suboxone Dosage The dosage for Suboxone varies from person to person because many factors contribute to what amount is needed. Below are some of the most notable determinants. Type and Severity of Opioid Dependence Suboxone is only effective when treating short-acting opioids, such as heroin, codeine, oxycodone, and hydrocodone. Depending on the severity, the dosage may start low and gradually be increased if withdrawal symptoms persist (usually occurring in more severe opioid addiction cases). On the first day, the Suboxone dose can start at 2 mg of buprenorphine/0.5 mg of naloxone or 4 mg of buprenorphine/1 mg of naloxone sublingual (SL) and cannot exceed 8 mg/2 mg. On the second day and in future doses, no more than 16 mg/4 mg SL can be taken daily.3 One of the leading factors in Suboxone dosages is where clients are in their treatment and recovery journey. Early Stage In order for Suboxone to truly be effective, it should be taken twelve to twenty-four hours after the last opioid use. Thus, it is best prescribed when a client is experiencing opioid withdrawal symptoms, allowing the full effects of the medication to set in. Late Stage Later in treatment, clients may not even need Suboxone anymore and instead can focus on a transition to medications like Subutex. Because Suboxone is geared to those with more risk for an overdose, such as those experiencing the severe cravings associated with withdrawal, it may not be necessary once this risk subsides. Other Medical Conditions Suboxone should be avoided by anyone who is still using opioids or has an allergy to either of the substances making up Suboxone. However, it is considered safe for pregnant women. Before beginning a treatment plan with Suboxone, people should discuss any medical conditions with their doctor.