5 Ways People Enable Their Addicted Loved One

Posted on October 23, 2017 by dr-admin

Far too often, family members of addicted individuals become enablers, that is their actions actually make it easier for a substance-abusing lifestyle to continue. Examples include being in denial, making excuses for a person or covering up for them, taking on extra responsibilities, certain types of financial assistance, and using or providing the substance.

Watching A Family Member Go Through Addiction Can Upend Your Life

When addiction overtook your family member’s life, your world suddenly turned upside down. You may be experiencing an array of confusing and intense emotions, ranging from betrayal, blame, shame, resentment, fear, anger, and sadness. But despite this, you still love them deeply and find that you want to help them.

Within all of this, you might question your role, both before and during the addiction. These emotions and thoughts are understandable and experienced by many within these situations. It’s how you handle them which makes the difference, both within your life and your family member’s.

5 Ways People Enable Their Addicted Loved One

It’s our nature to love and seek love. We do this by words and actions of affirmation and by offering support when someone is in need. But when a person is addicted to drugs or alcohol, the line between helpful and healthy and damaging and enabling becomes easily blurred. So what is enabling?

When you enable a drug abuser you’re preventing them from experiencing the full effect of their addiction and making it easier to keep using. By doing so, it becomes difficult for them to see why they need to change and also prevents them from developing the acceptance and motivation to do so.

Below are five ways people end up enabling a loved one.

1. Feeding Denial

While denial can be a natural part of accepting a person’s substance abuse, when it continues past a reasonable point, it can become profoundly enabling. Looking the other way only serves to harm both them and you.

Examples include:

Blaming it on yourself. Convincing yourself that something you did drove them to drink or use in the first place and continues to do so. This can be part of a larger problem, but it’s often intertwined with denial.
Ignoring family and friends when they implore you to recognize the addiction.
Ignoring signs of addictive behavior and the damage it’s doing to a person’s life (finding hidden bottles and leaving them there or throwing them out without saying a word).
Lying to yourself (when a person’s sick or volatile from the substance, saying it’s the flu or a bad day).
Believing them when they say they can beat it on their own. Addicted people have the highest chance of success with comprehensive treatment.
Suppressing your emotions. Not allowing yourself to feel the toll of the addiction is a form of denial.

Being aware and proactive about your loved one’s addiction can help you to help them get treatment faster and make it more obvious to them that they need help.

2. Making Excuses And/Or Covering Up For A Person

This often stems from denial, codependency, or even just exhaustion and frustration.

Examples include:

Calling in sick to work for them if they’re drunk, high, hungover, or sick from using.
Covering up for them so they don’t get in trouble at school or with the law.
Covering up their actions to avoid a fight or other loved ones finding out/getting angry at them.
Making excuses for their substance abuse (they’re stressed out, school or their job is tough, etc.).

It can wear you out to watch a loved one fall into the depths of addiction, and sometimes it just feels easier to do things yourself. But know that in the long run these, and other actions like them, are only serving to perpetuate the vicious cycle that is the addictive lifestyle.

3. Picking Up The Slack

When a person is addicted, responsibilities at home or at work often become ignored. This can place a lot of extra stress on you, both mentally, emotionally, and even financially.

Examples include:

Doing extra chores around or outside of the house.
Taking over their responsibilities with children or elderly parents.
Working extra hours so they can cut back on their job responsibilities (or even quit).

While it’s important that you support them, don’t do things for them that they should do on their own. Doing so not only gives them more time to use, but this form of enabling takes away a major incentive for change as a person’s insulated from seeing and feeling the adverse effects of their drug-seeking and using.

4. Financially

We don’t ever want our loved ones to suffer, and when you see your family member losing the battle to addiction, it can be easy to lend a helping hand without realizing the full impact.

Examples include

Giving them money for food, bills, or utilities. They can use this money for drugs. Or, even if they use it for these things, it still gives them more resources to purchase drugs.

If you want to help out financially, consider pitching in for treatment costs, should you be able to afford it.

5. Using With Them Or Providing The Substance

Now this may be alcohol, a legal and highly social drug; marijuana, which is legal in limited places; or an illicit drug. Just because a drug is legal or socially acceptable doesn’t mean it’s not harmful or that it’s okay to do with an addicted person.

Examples include:

Using the substance with them even when you know they have a problem, because you want to have a “fun time” with them.
Buying the substance for them (beer, wine, marijuana, etc.) because you figure they’ll do it anyways and at least you know what/how much they’re using.

Keep in mind, using around a person can be bad too. Some people in recovery can tolerate this, but many cannot. For these people, seeing and smelling a substance can be an intense trigger for relapse. And any time you’re using a drug (even alcohol) you’re exposing yourself to risks too.

If you recognize any of these enabling patterns in yourself it’s time to take a step back and reevaluate how you interact with your family member.

Ways To Overcome Enabling And Give Them The Help They Need

If you’re caught up in unhealthy patterns of enabling, or if you’re concerned you might fall into them, here’s some ways you can offer healthy support. Being mindful of your thoughts, emotions and behaviors, and the ways by which they affect you and your loved one, can help to protect you both.

Be Patient, But Not Lenient: Addiction makes it difficult to think clearly and prioritize healthy behaviors. Try and understand this as you encounter your loved one, but don’t let them take advantage of your understanding, or use it as an excuse.

Be Proactive Instead Of Reactive: When faced with a situation where you could resort to enabling, stop and think. Rather than reacting in an emotional way, take time to think about your actions. Ask yourself: “If I do this, am I really helping them? Or am I making it easier for them to continue using?” In these moments, think of ways you could support them so that they find inner strength or have access to tools to take control over these situations themselves.

Be Real With Them: It’s easy to think we need to sanitize our emotions and reactions in tough situations. But if they see the adverse effects of their addiction on you, it might help them to recognize that they have a problem and that they need help.

Do Healthy Things Together: During treatment this may mean taking part in a counseling session or recreational activity. And after, it could be as simple as taking a walk after dinner, going to a movie, or working on a do-it-yourself project together.

Don’t Offer A Solution, Build One: Instead of creating the solution, help your loved one learn how to take more positive steps to find one on their own. For instance, instead of giving them money when they ask, sit down with them and help them prepare a resume, look for a job, and/or create a budget.

Get Support: Consider joining a support group. If you take steps to help yourself, you’re providing inspiration and a proactive example for change to your loved one. This might help them become more ambitious to do the same. Counseling can be immensely beneficial as well.

Practice Tough Love: In these situations, while saying “no” can be the hardest thing, it’s the best thing. Forced to deal with the repercussions of their addiction, a person will be more apt to take strides to seek help and start changing.

Research Treatment Options: The best way to support your loved one in living a drug-free life is to help them get the treatment they need. With our help, you can research their drug of abuse, find the best treatment options, and even examine ways to cover the cost of treatment.

Take Charge And Stop The Cycle Of Enabling Today

Fortunately, it’s never too late to help, or to learn more healthy ways to look out for your loved one. If your family member is addicted, they need your love and support now more than ever. Let DrugRehab.org help you with these things. Contact us today.

For More Information Related to “5 Ways People Enable Their Addicted Loved One” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Signs of Speedball (Heroin with Cocaine) Use

Posted on September 26, 2017October 12, 2017 by dr-admin

When a person mixes heroin with cocaine, they may seem anxious, uncoordinated, stupored, and drowsy. This mixture of depressant and stimulant is referred to as a speedball. A lot of people concurrently use heroin and cocaine to counter any side-effects from either drug, but it can also result in consequences such as respiratory failure, overdose, and coma.

What Is A Speedball And Why Is It Dangerous?

A speedball refers to a mixture of depressants and stimulants; it’s a form of polysubstance abuse. A few examples of a speedballing are alprazolam with methamphetamine, alcohol with amphetamines, or the most common speedball, heroin with cocaine.

People may use heroin with cocaine for the intense rush, or to minimize the negative side-effects or “come-down.” But the reality is the effect that mixing heroin with cocaine has on the body is unpredictable, and can be fatal.

How Cocaine Works

Cocaine works by stimulating a person’s central nervous system. It causes a flush of dopamine in a their brain, and increases their heart rate. The euphoric effect makes the user feel energetic, extremely happy, and often sleepless. Cocaine also acts on the parasympathetic nervous system which is responsible for regulating a person’s fight or flight response.

How Heroin Works

Heroin, on the other hand, works by depressing the central nervous system. Once it’s in the blood stream, heroin rushes to the brain and binds to opioid receptors—these are responsible for feelings of pain and pleasure, but also affect breathing, sleeping, and heart rate. Unlike cocaine, heroin affects the sympathetic nervous system, which is responsible for the body’s rest and digestion.

Mixing Heroin With Cocaine

When cocaine and heroin are mixed, their opposite effects can create a system debacle. This is because when both the sympathetic and parasympathetic systems mentioned above, are attacked, the brain responds by sending a mixed signal of what to do. Another, perhaps more practical danger is that the effects of cocaine wear off much faster than heroin, which can easily result in respiratory failure.

Most of the time heroin and cocaine are diluted with non mood altering substances such as starch, sugar, flour, powdered milk, talcum powder, or even rat poisoning. So there isn’t always a way to tell what either drug has been cut with, thus the purity of each drug isn’t always clear. An amount that proved to be “safe” last time someone mixed heroin and cocaine, could be a fatal dose this time.

In 2015, heroin alone killed 12,989 people. That same year, cocaine killed 6,784 people. From 2010-2015, heroin and cocaine related deaths more than doubled with a combined total that escalated from 8,408 deaths in 2010 up to 21,823 deaths in 2015.

Mixing cocaine and heroin isn’t only dangerous, it’s part of a growing epidemic in the United States. Without a serious change, and the right help, a lot more lives may be lost to addiction.

Signs Of Speedball Use

Some of the signs of speedballing will be harder to point out than others, but it may help to be able to recognize the signs of heroin and cocaine abuse.

That’s because many of the side-effects of heroin and cocaine are, “associated with the abuse of either one individually,” (NIDA for Teens).

The side-effects of speedballing heroin and cocaine may include:

anxiety
high blood pressure
strong or irregular heartbeat
drowsiness
suppression of breathing
general confusion
incoherence
blurred vision
stupor
drowsiness
paranoia
mental impairment
uncontrolled and uncoordinated motor skills
risk of death from:
- stroke
- heart attack
- aneurysm
- respiratory failure

Why Mix Heroin With Cocaine?

The reasons that someone mixes heroin with cocaine can vary, but there are a lot of people who inject a mixture of the two to chase the perfect euphoria. Others may combine the heroin with cocaine to counter the drug side-effects like anxiety, depression, or even a crash.

Heroin is a mentally and physically addictive drug that can be extremely difficult to quit cold turkey. A lot of people are met with the challenge of intense mental and physical withdrawals when they finally do stop using heroin.

Everybody’s different, and there so there’s no clear-cut reason that people will mix depressants and stimulants. There are also people who use cocaine as a sort self-medication for heroin withdrawal.

Heroin withdrawal can include the following symptoms:

restlessness
severe muscle and bone pain
sleep problems
diarrhea and vomiting
cold flashes with goose bumps
uncontrollable leg movements
severe heroin cravings

(NIDA)

Treatment For Addiction To Heroin And Cocaine

Finding an evidence-based inpatient rehab center is the usually the best first step to get help for someone struggling with an addiction to heroin and/or cocaine.

Some of the unique treatment programs offered at rehab centers include:

Evalulation
Detoxification
Medication-Assisted Therapy
Cognitive Behavioral Therapy
Dialectical Behavior Therapy
Contingency Management
Individual and Group Therapy

Find An Addiction Treatment Program That Works

If you or someone you love is struggling with an addiction to cocaine and heroin, contact DrugRehab.org to speak to an addiction treatment specialist about how to get help. Your recovery is important to us, and your call will be completely confidential.

For More Information Related to “Signs of Speedball (Heroin with Cocaine) Use” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

National Institute on Drug Abuse: National Center for Health Statistics – Overdose Death Rates
National Institute on Drug Abuse – Cocaine
National Institute on Drug Abuse – Heroin
National Institute on Drug Abuse – How Effective is Drug Addiction Treatment?
NIDA for Teens – Real Teens Ask About Speedballs

The Dangers of Smoking Heroin

Posted on September 19, 2017September 20, 2017 by dr-admin

Heroin is a potent opioid drug derived from the opium poppy. It comes in several forms, including as a powder or sticky, tar-like substance called “black tar” heroin. Either of these forms can be smoked. Drug abusers smoke heroin out of pipes or inhale the vapors off of foil through a straw (“chasing the dragon”). Smoking heroin is extremely addictive and can lead to overdose and drug-induced illness and disease.

What Is Heroin?

Heroin is a derivative from morphine, another potent and addictive opioid extracted from the opium poppy. Like all opioids, heroin creates a sense of euphoria and relaxation. Also like other drugs within this class, heroin causes central nervous system depression, which is why this drug poses such a threat of overdose.

Why Do People Abuse Heroin?

Every user has their own reasons for abusing a drug, though the two most common are for self-medication and recreational use. In situations of the former, a person may be going through a tough spot in their life, or be struggling with a mental health problem, and desire to escape. Recreational users take heroin to create the intense, pleasurable states the drug produces, as well as to promote a sense of extreme relaxation.

How Do People Smoke Heroin?

Heroin is smoked in ways similar to other drugs. Some people may use a crack or meth pipe, which is most typically made from glass. Other individuals sprinkle the drug on top of tobacco or marijuana before smoking it in a bowl or joint.

Many people consider vaporizing heroin a form of smoking. Because of this, we will also discuss how people vaporize the drug. One of the most well known and pervasive is “chasing the dragon.” During this practice the user places the heroin on tin foil which is heated from below by a lighter.

As the heroin runs down the foil, and as the smoke rolls off of it, the smoke is said to resemble a dragon. To inhale it, a person may just breathe it in, but many people use straws or hollowed out pens.

Heroin drug abusers can be very inventive in their desperation. The drug may be:

Heated on top of a pop or beer can.
Heated and inhaled off the tip of a paper clip (in the case of black tar).
Smoked in a foil “tooter” (rolled up piece of foil).
Smoked from the glass that comes with a “love rose” sold at gas stations.
Vaporized in a light bulb turned vaporizer.

As you can see, many of these implements are items found around the house. Heroin is stored and transported in small plastic baggies, balloons, or tiny foil squares. Being aware of the paraphernalia used during drug abuse can make it much easier to spot an addiction.

When heroin is heated up, it will leave a resin behind. If you see a substance resembling this in odd places, such as on pop cans, paperclips, or lightbulbs, you need to be concerned.

Do not touch drug paraphernalia with your bare hands, or if at all if you can help it. Heroin is becoming increasingly cut with other drugs, some of which can be fatal if they come into contact with your skin.

Why Do People Smoke Heroin?

Heroin abuse is becoming more popular (and dangerous) than ever. Experts witness rising trends in heroin abuse in certain demographics which did not previously abuse the drug so extensively. One reason is because of heroin’s relatively cheap cost in comparison to prescription painkillers. A growing number of Americans have painkiller addictions, and when these drugs become too costly or hard to find, their habits frequently shift to heroin.

Injection drug use holds an intense stigma for some drug users, which leads many of these individuals to use heroin in other ways like smoking. These people may convince themselves that smoking the drug isn’t as harmful, or as serious of drug use. Both of these perspectives are dangerously wrong.

Does Smoking Make A Drug More Or Less Addictive?

While the delivery of a drug can change how quickly and intensely a person feels the high or “rush” associated with heroin, it does not protect you from the drug’s addictive potential. To compare, when heroin is injected directly into the vein (intravenously) these sensations peak at seven to eight seconds, whereas smoking elicits a euphoric state around ten to fifteen minutes, according to the Center for Substance Abuse Research.

Some people think that if they smoke the drug they’re protecting themselves from heroin’s addictive nature. No matter how you choose to administer a drug, whether it be by injection, snorting it, or smoking it, the cold truth is that heroin is highly addictive and deadly.

But the route of delivery does matter somewhat, according to the National Institute on Drug Abuse. “Heroin is extremely addictive no matter how it is administered, although routes of administration that allow it to reach the brain the fastest (i.e., injection and smoking) increase the risk of addiction.”

What Are The Dangers Of Heroin Abuse?

Smoking heroin carries all the general risks which are associated with heroin abuse. These include a high potential for tolerance, addiction, severe withdrawal, and overdose. More and more, authorities are finding heroin cut with fentanyl, carfentanil, and other deadly opioid drugs. If you smoke a drug laced with any of these, you could die virtually instantly.

Heroin can also cause:

Antisocial personality disorder
Brain damage
Depression
Miscarriage
Nausea and vomiting
Respiratory depression
Sexual dysfunction
Unplanned pregnancies

A heroin addiction can happen quickly. When this occurs finding and using the drug will take precedence over any other task or responsibility in a person’s life. Here, a person’s physical and mental health, relationships, job, schooling, and social responsibilities all become endangered.

What Are The Risks Of Smoking Heroin?

People who smoke heroin may think that they don’t face the risk of infectious disease like HIV/AIDS and hepatitis B and C, since they’re not injecting the drug. Heroin changes the way your brain functions. This impairs your judgement, reduces your inhibitions, and increases risky behaviors. Cumulatively, these things lead many people to engage in unsafe sexual practices and/or to share equipment, which can still expose them to these diseases.

Since you’re smoking the drug, the organs and tissues exposed to the substance can be harmed, which can cause lung problems. Smoking heroin can cause an extreme cough and asthma, to the point a person may need a nebulizer, as cautioned by Livestrong. They continue, noting that a hoarse voice and coughing up blood may also accompany this dangerous practice.

When heroin is heated, it produces a vapor called pyrolysate. When drug users inhale this, they may be exposing themselves to leukoencephalopathy, a debilitating disease of the brain. Though rare, for over 30 years, scientists have been aware of the link between it and “chasing the dragon.”

The pleasure found in heroin abuse fleeting. Using this drug isn’t worth the risk of losing your health and life.

Don’t Let Your Heroin Addiction Consume Your Life

If smoking heroin is a problem in your life, we can help. We can help you to find treatment options and support through our confidential assessment. Call DrugRehab.org today.

For More Information Related to “The Dangers of Smoking Heroin” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

Livestrong — Signs of Smoking Heroin
US National Library of Medicine — Chasing the dragon – characterizing cases of leukoencephalopathy associated with heroin inhalation in British Columbia

The Dangers of Mixing Xanax and Oxycodone

Posted on September 12, 2017 by dr-admin

Mixing a benzodiazepine like Xanax with an opioid like oxycodone can increase the chance of respiratory depression, slowed breathing, slowed heart rate, overdose, and death. Benzodiazepines and opioids are highly addictive substances that can be difficult, and dangerous, to stop using alone. Professional treatment can help someone quit by teaching them to replace unhealthy habits and behaviors with healthy ones.

Understanding Xanax And Oxycodone Abuse

Xanax is the most popular brand name of alprazolam and belongs to a class of medications known as benzodiazepines. Benzodiazepines (benzos) are a type of sedative most commonly used to treat anxiety disorders and panic disorders. Xanax works by slowing down a person’s central nervous system and helping them feel relaxed.

Opioids like oxycodone are also known to slow down the central nervous system (CNS), and are commonly used in medicine to relieve moderate to severe pain. Oxycodone is the generic version of OxyContin. Because of the potency of oxycodone, physicians will regulate the amount of the drug that’s prescribed.

The problem is that both benzodiazepines and opioids often elicit a feeling of well-being and euphoria. It’s because of that feeling that people abuse each medication to get “high.” Opioids can make a person feel numb, drowsy, and elated. Mixing opioids with benzodiazepines causes that high to be intensified. This can be a dangerous combination, even with a small amount of each drug.

You may be wondering, “if these drugs are so dangerous, then how and why are people getting them?” Oftentimes, after a person starts abusing prescription medications, they start doctor shopping, and lying about symptoms. It can be very difficult for a physician to tell who’s telling the truth and who isn’t.

The predicament is actually getting worse. “The number of patients prescribed both an opioid pain reliever and a benzodiazepine increased by 41 percent between 2002 and 2014. That translates to an increase of more than 2.5 million opioid painkiller patients also receiving benzodiazepines,”(CBS News).

What Are The Consequences Of Prescription Drug Abuse?

Mixing opioids and benzodiazepines is incredibly dangerous, so much that the Food and Drug Administration (FDA) has cautioned physicians and patients about mixing the two. The FDA stated, that “healthcare professionals should limit prescribing opioid pain medicines with benzodiazepines or other CNS depressants only to patients for whom alternative treatment options are inadequate.”

The FDA went on to say that “patients taking opioids with benzodiazepines, other CNS depressant medicines, or alcohol, and caregivers of these patients, should seek medical attention immediately if they or someone they are caring for experiences symptoms of unusual dizziness or lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness.”

In other words, mixing benzodiazepines and opioids increases this risk of overdose, and death. In 2015, there were 6,872 overdose deaths from benzodiazepines, and 5,826 of those deaths involved opioids.

Not only can abusing prescription drugs result in overdose, it can cause a mental addiction, or physical dependence as well. Mixing benzos and opioids can also lead to serious health problems with the liver, heart, brain, and stomach.

Opioids can be dangerous without the help of Xanax, and according to the Center for Disease Control and Prevention, “opioids killed more than 33,000 people in 2015, more than any year on record. Nearly half of all opioid overdose deaths involve a prescription opioid.”

What Are The Symptoms Of Withdrawal?

Whether they’re taken for a legitimate medical purpose or not, prescription Xanax and oxycodone can lead to a physical dependency. This essentially means that when a person stops taking the drugs, their body continues craving the active chemical.

Because opioids and benzodiazepines are both mentally and physically addictive, most people will experience physical and mental withdrawal symptoms when they stop. When opioids and benzos are mixed, the results are often unpredictable.

When a person quits using oxycodone, they may experience withdrawal that has potential to cause them to relapse. These withdrawal symptoms, according to the U.S. National Library of Medicine, may include:

restlessness
watery eyes
runny nose
sneezing
yawning
sweating
chills
muscle or joint aches or pains
weakness
irritability
anxiety
depression
difficulty falling asleep or staying asleep
cramps
nausea
vomiting
diarrhea
loss of appetite
fast heartbeat
fast breathing

Stopping benzodiazepines cold-turkey can be very dangerous as well, and often intensifies withdrawal. It is for this reason that a physician will gradually decrease dosage. The withdrawal symptoms of Xanax, according to NLM, may include:

seizures
headache
blurred vision
increased sensitivity to noise or light
change in sense of smell
sweating
difficulty falling asleep or staying asleep
difficulty concentrating
nervousness
depression
irritability
aggressive behavior
muscle twitching or cramps
diarrhea
vomiting
pain
burning
numbness
or tingling in the hands or feet
a decrease in appetite
weight loss

A medical detoxification can help a person safely remove a drug from their system while managing the symptoms of withdrawal. Detoxification may be required to properly treat an addiction to both benzodiazepines and opioids.

How Do People Become Addicted To Prescription Drugs?

Even when a person takes Xanax or oxycodone as a prescription, they’re at risk of becoming addicted to them. What usually happens with oxycodone, is someone starts out with an injury that requires pain relief. They take the medicine with no intention to abuse it, but overtime, with continued use, they begin to build up a tolerance and then become dependent.

At this point, they might enjoy the feeling oxycodone gives them. Many people who become dependent on opioids continue taking the drug just to avoid relapse, and might even switch to street drugs like heroin, because it can be less expensive while creating a more intense euphoria.

This is only a potential scenario, and doesn’t apply to everyone—the point is that though not everyone abuses prescription drugs for the same reason, all of our minds are wired the same way to crave things that make us feel good.

It can be really hard to understand why prescription medicines are so dangerous, but still used. The fact is that some people suffer from serious mental disorders while others have severe pain. These types of people still need medicine to help them deal with their illnesses or conditions.

NIDA for Teens described how addiction works, by stating that “prescription drugs that effect the brain, including opioid pain relievers, stimulants, and depressants, can cause physical dependence that could lead to addiction.

Medications that affect the brain can change the way it works—especially when they are taken over an extended period of time or with escalating doses. They can change the reward system, making it harder for a person to feel good without the drug and possibly leading to intense cravings, which make it hard to stop using.”

There are other factors that can play a part in addiction as well. These may include environmental, biological, or psychological variables. Some people suffer from mental disorders that require a medication like Xanax. This can be a difficult situation, because as a they continue using Xanax, they’re at a greater risk of becoming dependent, but if they stop using the drug they’re mental condition could worsen—this is where millions are met with a dilemma.

Not everyone’s addiction is the same either, so treating the addiction will be different for each person as well. There are behavioral and physical symptoms that usually need to be tended to in order for a treatment to be successful.

At the end of the day, addiction to benzodiazepines and opioids is not easy to overcome, but it’s still possible. Some of the different treatment programs that can help along the path to recovery include:

Medical Detoxification
Medication-Assisted Therapy
Cognitive Behavioral Therapy
Dialectical Behavioral Therapy
Inpatient or Outpatient Treatment
Motivational Interviewing
Mindfulness and Stress Management

Find Treatment For Substance Use Disorder And Addiction

If you or someone you love is struggling with prescription drugs, please don’t wait to reach out to us. Contact an addiction specialist at DrugRehab.org today to learn how to overcome addiction and build a solid foundation to lifelong recovery.

For More Information Related to “The Dangers of Mixing Xanax and Oxycodone” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

Center for Disease Control and Prevention – Opioid Overdose
National Institute on Drug Abuse – Overdose Death Rates
U.S. National Library of Medicine NLM – Alprazolam
U.S. National Library of Medicine NLM – Oxycodone

National Recovery Month

Posted on September 7, 2017September 7, 2017 by dr-admin

In an effort to raise awareness surrounding addiction and recovery, the Substance Abuse and Mental Health Services Administration (SAMHSA) has made September National Recovery Month. Every September, SAMSHA assigns a theme to the campaign and promotes their mission in communities across the country in an attempt to bring more understanding and erase the stigma surrounding addiction.

National Recovery Month 2017

This year’s theme is “Join the Voices for Recovery: Strengthen Families and Communities”. The basis around this theme is uniting families and communities together to fight addiction and support recovery. SAMSHA has chosen to focus on uniting families and communities in the wake of the opioid epidemic that has been sweeping across the nation in previous years.

With the opioid epidemic beginning largely with prescription opioids, SAMSHA is urging parents to talk to their kids about the dangers of medications, including prescription opioids, and educate families on keeping their prescription medications locked up and out of reach to children. For more information on this year’s National Recovery Month theme, visit https://www.recoverymonth.gov/.

What’s New This Year?

While drug addiction is not a new ailment to our country, we have seen some recent changes in trends across the United States. With a growing number of individuals affected by the opioid epidemic, experts have noticed increasing trends in addiction among rural and non-city residents. This is a newer trend that makes it more difficult to detect and track the distribution and sale of the drug. Many rural areas have far fewer people per square mile than cities do, leaving miles of un-patrolled roads and communities open for trafficking.

Previously, anti-drug campaigns were centered around inner-city schools, community centers, churches, and other city-wide organizations. However with the increase in addiction rates in rural communities, National Recovery Month is urging communities to work together in fighting the opioid epidemic, among other addictions, as it potentially creeps into their communities and schools.

Education is one of the best methods for fighting opioid addiction. Beginning drug education with kids, even at a young age, can be key to helping them make the right decisions down the road. However, kids are not the only ones who can benefit from drug education. Many grown adults are unaware of the dangers that some unsuspecting drugs, such as prescription medications, can carry with them. When communities are educated on drug addiction, they are better equipped to handle situations like the opioid epidemic.

Be Socially Inclusive

SAMSHA is fighting hard to remove the stigma associated with drug addiction and abuse. For this year’s National Recovery Month, SAMSHA challenges communities to be socially inclusive in their efforts to educate residents on the dangers of drug use, as well as celebrate those who have made it to recovery.

SAMSHA takes the time to highlight individuals who may suffer from mental illness, urging communities to involve them in their fight against drug addiction. Providing support and education to individuals suffering from mental illness could help prevent them from reaching for drugs in the future, or encourage them to reach out if they already struggle with a drug addiction. Did you know: One study done by the Journal of the American Medical Association (JAMA) found that over 50% of individuals suffering from a mental illness also struggle with a substance abuse problem?

Being socially inclusive also includes supporting individuals who are currently struggling with a substance abuse issue, and celebrating with those who are in recovery. Instead of shielding children from the facts and faces of drug abuse, it is important to include everyone in educational efforts throughout the community. Even allowing an individual who has previously struggled with drug addiction to be a part of the education process can be immensely beneficial, both for that individual and for the community they are educating.

Getting Everyone Involved

It is important to put a face to addiction, especially in communities that think “that never happens here”. Often times residents are shocked to learn that it does happen here, and it happens to people just like you and I. Removing the stigma associated with drug addiction can help bring people forward to tell their stories share in their recovery success.

Community organizations can help too. Schools are a great place for drug education to begin, but it doesn’t have to stay there. Fire departments, police departments, local churches, food banks, homeless shelters, and even book clubs and country clubs can join in on the mission. Addiction affects everyone, not just the shadowy figures depicted in movies. Supporting drug education in your area means you are supporting the entire community, not just a select group of people. Everyone has a chance to get involved and make a difference!

Get Help Today

Have you suffered from an addiction in your past? Do you have a loved one that is suffering from addiction? We are here to support you, your loved ones, and your community, and want to answer any questions you may have about addiction or treatment. Our goal is to get clients set up with the professional help and support they need to treat their addiction.

Our addiction treatment specialists are specifically trained to help you find treatment that fits your needs or the needs of your loved one and their addiction. Our addiction treatment specialists are available around the clock, and your call is always confidential. Give us a call today and let us help you.

For More Information On “National Recovery Month” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

American Psychiatric Association – Implementing Dual Diagnosis Services for Clients With Severe Mental Illness

The Dangers Of Mixing Alcohol With Hydrocodone (Vicodin)

Posted on September 5, 2017 by dr-admin

Vicodin is a prescription medication used to treat moderate to severe pain which contains both the opioid hydrocodone and paracetamol (acetaminophen). Combining alcohol with an opioid such as hydrocodone can lead to devastating consequences. Both drugs are central nervous system (CNS) depressants. Combining them magnifies these effects in a way which can lead to respiratory depression, brain damage, coma, and death. Used together they can also cause kidney damage and acute liver failure.

What Is Vicodin?

Vicodin is a combination medication, that is, it actually consists of two drugs, hydrocodone and acetaminophen, both of which are painkillers. Vicodin is used to treat moderate to severe pain, either for the purpose of temporary relief or for ongoing chronic pain management.

When the drug is used properly, as prescribed, it is for most extents and purposes safe. But this safety is fleeting if Vicodin is taken in a way other than prescribed and/or with another drug.

While the acetaminophen is meant to somewhat act as an abuse deterrent, some individuals still choose to misuse their prescription or use Vicodin recreationally. Doing so can lead to dependence, tolerance, withdrawal, addiction, and overdose. Even individuals who misuse their own prescription to self-medicate can stumble onto this treacherous path.

Is It Dangerous To Combine Alcohol And Vicodin?

Alcohol causes the sedative qualities of opioid drugs to intensify. This can create an intoxicated state much faster than a person anticipates. Even using a small amount of alcohol with opioids can do this. This is why it’s dangerous to drink alcohol if you’ve been prescribed Vicodin or if you use it illicitly.

In these states a person will become uncoordinated with poor balance, which leads to a higher risk of falls and injuries. Memory loss will occur and a person will become too impaired to drive a vehicle.

Alcohol And Vicodin Have A High Potential For Overdose

As depressants, Alcohol and Vicodin both change the way your brain and CNS regulate your heart, breathing, blood pressure, and temperature rates, causing them to slow down. When you drink alcohol with Vicodin (even in small amounts), these life-sustaining functions can become seriously compromised and in certain cases begin shutting down.

If a person uses one or both drugs to excess, they face an even greater peril of progressing to a fatal overdose. When this happens your organs and life-support systems begin to shut down. This is just from the effects of the alcohol and hydrocodone.

The acetaminophen in the Vicodin can also cause overdose if a person consumes too much. MedLine Plus cautions that any amount reaching or surpassing 7,000 mg can initiate acute overdose.

What Are The Signs Of An Alcohol And Vicodin Overdose?

If your loved one is taking both alcohol and Vicodin, understanding the signs of overdose could help to save their life.

Signs of overdose include:

Cold skin
Decreased cognitive functions
Excessive dizziness
Extreme confusion
Irregular and falling heart rate
Irregular, slowed, or stopped breathing
Nausea and vomiting
Passing out
Seizures
Stupor
Weak pulse

One of the most dangerous side effects of overdose is respiratory depression. As a person’s breathing continues to plummet their brain is deprived of oxygen. When this happens, other organ systems follow suit and begin to shut down. The lack of oxygen can also lead to brain damage. During overdose a person can completely stop breathing, fall into a coma, and/or die.

Overdose is not something you can afford to take your time on. When a person is overdosing there’s a good chance they could lose their life unless they get prompt medical attention.

If you at all suspect that yourself or a person near to you is overdosing, or in jeopardy of doing so, contact emergency medical services immediately.

Using Vicodin And Alcohol Together Can Harm Your Organs

Both alcohol and Vicodin can, when abused separately, be harmful to your liver. When these drugs are used together the damage to your liver is compounded. Chronic drinkers should try to abstain from using any acetaminophen-containing product for these reasons.

Your liver is responsible for metabolizing alcohol. When you drink too much, such as within patterns of binge drinking or chronic use, this organ cannot keep up. This causes an immense strain on your liver, one, which over time, can lead to liver damage.

Vicodin abuse can also damage your liver. “Taking too much acetaminophen…is the most common cause of acute liver failure in the United States,” warns Mayo Clinic. Acute liver failure can, according to DailyMed, lead to liver transplant and death.

Using acetaminophen can lead to acute liver failure by one of two ways, either by taking:

A single dose of the drug which is too high
Doses higher than the daily recommendation for several consecutive days

For individuals who abuse Vicodin, this is a very real concern. Drug abusers use Vicodin in both of these patterns.

One scientific survey determined that this drug interaction can harm your kidneys too. It found that “Respondents who reported taking both acetaminophen and drinking lightly or moderately had a more than two-fold higher risk for kidney dysfunction.”

How Much Vicodin Is Too Much?

The FDA established that the maximum amount of acetaminophen per day is 4,000 mg. To put this in perspective, Harvard Medical reports that liver damage can begin occurring just beyond this, at 5,000 mg. This equates to just over 16 Vicodin a day (containing 300 mg of acetaminophen each). While this may seem like a lot, surpassing this amount can come quite easily to individuals who abuse this drug on a regular basis, especially for those who have a tolerance.

Tolerant individuals need higher doses of the drug to create the high or pain-relieving effects they seek. This, in turn, means they’re far more likely to take these toxic amounts of Vicodin. The range of Vicodin an addicted individual takes per day can vary, but some people may take 40 or more tablets a day. When the alcohol is added to the mix, it takes far less Vicodin to create these devastating effects.

Even light to moderate use of alcohol paired with prescribed dosages of Vicodin can begin to damage your organs and create an intoxicated state. The risk of overdose escalates when you increase your consumption of either drug. The bottom line is that combining these drugs in any quantity is harmful to your health.

How Do I Get Help For My Addiction?

If you’re addicted to one or both of these drugs you need to get help as quickly as possible in order to protect your body and brain. Fortunately, there are inpatient drug rehab programs all across the country which can help you with these needs.

Alcohol and Vicodin addictions often require a medical detox to treat the physical addiction. After you’ve progressed through detoxification it’s best to proceed directly to treatment. The most comprehensive programs offer both of these services under one roof.

During your program, medication-assisted treatments, behavioral therapies, counseling, and a wide-range of other modalities will be implemented to help you reach a sober state. Aftercare programs typically follow, which will help you to stay strong in your commitment to sobriety.

Don’t Let Your Addiction Go Any Further

If you’re concerned that someone you care about is mixing alcohol and Vicodin in a way which could harm their health, reach out to us at DrugRehab.org today. Our confidential assessment will get you started on the path to a healthier, drug-free life.

For More Information Related to “The Dangers Of Mixing Alcohol With Hydrocodone (Vicodin)” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

DailyMed — LABEL: Vicodin HP
Harvard Health Publications — Overdosing Acetaminophen
MedLine Plus — Acetaminophen overdose
MedLine Plus — Hydrocodone Combination Products

Ativan Withdrawal And Detoxification

Posted on August 29, 2017 by dr-admin

While most of us have become anxious or apprehensive at one point in time over something that worried us, for 18 percent of the population this anxiety can become excessive to the point it negatively affects their quality of life. These individuals have what is considered an anxiety disorder. Ativan is a benzodiazepine medication used to treat anxiety. Sadly, Ativan can be abused in a manner which leads to addiction.

What Is Ativan?

Ativan is a brand name medication of the benzodiazepine (benzo) drug lorazepam. As a benzo, it’s a central nervous system (CNS) depressant, which means it slows several important bodily functions, including breathing rates, heart rate, and temperature. The benzodiazepine class of drugs produce anti-anxiety, hypnotic, sedative, and tranquilizing effects. These actions are what allow Ativan to treat anxiety and short-term insomnia, specifically by the way it produces a relaxed state by decreasing activity within the brain.

Unfortunately, some individuals pursue these states for recreational purposes or self-medication, by taking the medication in higher than normal doses. These behaviors intensify these effects and also increase the risk of addiction.

Is Ativan Addictive?

Like all benzodiazepine drugs, Ativan has the potential for abuse and addiction. In fact, according to an American Family Physician (AFP) publication on benzodiazepines, short-acting benzos with a high potency (of which Ativan is) are more readily abused than their long-acting counterparts. This is because the effects are felt more rapidly and intensely.

Further, a US National Library of Medicine DailyMed article warns that “The risk of dependence…is further increased in patients with a history of alcoholism or drug abuse or in patients with significant personality disorders.”

While benzodiazepine drugs can, and are, abused alone, as the AFP notes, they are often used in situations of polydrug abuse. This is because users abuse them to balance their high or increase euphoria and to reduce withdrawal symptoms associated with a variety of other drugs. These behaviors are exceedingly dangerous, as several of the drugs used in these practices are CNS depressants as well (like alcohol and opioids). This combination drastically increases the risk of adverse interactions, including those which lead to overdose and death.

Lastly, some individuals may stumble into addiction. Individuals who have an Ativan prescription may alter their dosage themselves to try and self-treat their anxiety or insomnia. Doing so is considered abuse, and these increased doses significantly raise the risk of addiction.

What Are The Signs Of Ativan Withdrawal?

Within an addicted state, a person is dependent on Ativan to function and will withdrawal should they abruptly decrease their dosage or stop using altogether. Withdrawal includes a set of symptoms which can become intolerable and at times painful, if not treated properly. These include, as explained by DailyMed:

Abdominal cramps
Agitation
Decreased appetite
Depression
Diarrhea
Dizziness
Hypersensitivity to light and sound
Irritability
Nausea and/or vomiting
Panic attacks
Rebound anxiety
Rebound insomnia
Restlessness
Sweating
Tremor
Vertigo

These symptoms may become so extreme as to alter a person’s perception of reality, by causing:

Delirium (confused thinking and a disturbed state of mind).
Depersonalization (feeling detached from yourself, as if you’re not quite there).
Derealization (feeling like what’s around you isn’t real).
Hallucinations (seeing, hearing, or feeling things which don’t really exist).

Attempting to treat these on your own is extremely unwise. Instead, consider a medical detox. This treatment delivers exceptional care to support and protect you through this trying time.

Why Is A Medical Detox Important?

Choosing to treat Ativan withdrawal on your own places your sobriety and life in your hands. Are you up to this challenge? The truth is, no one should ever treat this on their own, as a benzodiazepine detox is best addressed by comprehensive medical support.

Aside from alcohol withdrawals, benzodiazepine withdrawals are the only other form which can be directly life-threatening. Like alcohol withdrawals, withdrawal from benzos can cause seizures and delirium tremens, critical states which require immediate care, as they can endanger your life. At home you do not have the medical equipment or highly-trained professionals which can save your life, should this situation arise.

Withdrawal creates strong cravings. Without the support of a detox program you may be tempted to use Ativan again to avoid feeling this way.

What Happens During A Medical Detox?

Healing from addiction begins on a physical level, and during detox your body works hard to flush toxins out of its system. This process isn’t always easy and can be very overwhelming.

To address this, effective detox programs use medication-assisted treatments (MAT) to reduce or alleviate withdrawal symptoms. Within this, a variety of medications will be used to target specific symptoms of withdrawal, so that you are as safe and comfortable as possible. Detox provides 24/7 hour support, from start to finish of the withdrawal process.

Detox can be emotionally strenuous as well, which is another reason detoxing in a facility is so important. The facility’s staff will comfort you during this time, answering any questions you may have, or will simply provide an ear and any emotional support you may need.

Because benzo addictions commonly occur with other forms of drug abuse, additional medical support and medications may be necessary. For instance, alcohol, a drug commonly abused with benzos, is extremely dehydrating. To counter this, IV fluid hydration may be used. This, and other drugs of abuse, may require other forms of MAT to address additional symptoms of withdrawal.

Should You Get Treatment After Detox?

Detoxing alone isn’t enough to treat an Ativan addiction. To create a solid, drug-free life, you also need to treat the psychological addiction. To do this, a variety of behavioral therapies and counseling methods will be tailored to your specific needs. These will be offered in an individual, group, and/or family support setting.

Inpatient drug rehab is typically the best choice for a benzodiazepine addiction. Here, you’ll work through any issues that led to or aggravated your addiction, including any co-occurring disorders you may have been attempting to self-treat, such as anxiety.

If your anxiety is what led you to Ativan in the first place, it’s important that it’s treated too. When you suffer from an addiction and a mental illness at the same time, it’s called a co-occurring disorder or dual diagnosis.

Co-occurring disorders should always be treated while you’re treating an addiction. Failing to do so will only undermine your sobriety. A mental illness can aggravate substance abusing-tendencies, leading a person to relapse. The most effective programs offer comprehensive dual diagnosis care within their treatment programs.

Sobriety Can Be Yours

An Ativan addiction, and any co-occurring anxiety disorders, are best treated within an individualized treatment program. If you’d like to learn more about how a medical detox and inpatient drug rehab could help you to overcome an Ativan addiction, contact us now. Your call to DrugRehab.org is confidential.

For More Information Related to “Ativan Withdrawal And Detoxification” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

National Institute of Mental Health — Any Anxiety Disorder Among Adults

Methadone Withdrawal Symptoms

Posted on August 28, 2017August 29, 2017 by dr-admin

Methadone is used for medical purposes, including as a treatment for opioid drug addiction. Sadly, some people choose to abuse this drug and become addicted. Should a person abruptly discontinue the drug, withdrawal may occur. Withdrawal can become intolerable and painful, leading to agitation, gastrointestinal distress, muscle aches, and more. In the case of addiction, medical detox works to alleviate these and other symptoms, while preparing a person for treatment.

How Is Methadone Used?

Methadone is a synthetic opioid drug used to treat around-the-clock pain in individuals who don’t respond to other pain regimens. For addiction treatment, methadone is considered an evidenced-based medication by the National Institute on Drug Abuse. Within this role it’s used to treat withdrawal in opioid addicted patients and within opioid maintenance programs.

Unfortunately, as an opioid, it can also be abused in a way which can lead to addiction. In any of these circumstances a physical dependency may form, which can lead to withdrawal, should the drug be abruptly ceased.

Can Methadone Be Abused?

Methadone possesses many of the characteristics hallmark to other opioid drugs, for better and for worse. These similarities are what make it an effective painkiller and treatment for addiction, however, they are also what set the stage for misuse, diversion, and addiction. Like other opioid drugs, both used as prescribed and recreationally, methadone can lead to tolerance and dependence.

Though by design methadone doesn’t create the intensity of euphoria that other opioid drugs of abuse (like heroin) create, it still entices recreational drug abusers. Also, some individuals who begin taking the drug for a prescribed purpose unintentionally stumble into abuse and addiction.

These individuals may begin to misuse their prescription how they see fit in an attempt to self-treat their pain. Using your own prescription in this way is not safe and does not protect you from addiction. On the contrary, these behaviors are considered abuse and significantly increase the risk of addiction.

What Are The Symptoms Of Methadone Withdrawal?

Physical dependency occurs when your body adapts to the constant influx of the drug, in the capacity it relies on the methadone to function. This doesn’t just happen within addiction. Even individuals who take methadone as prescribed may become dependent on the drug.

In either instance, should a person refrain from tapering the drug and suddenly stop it instead, their body’s systems will go haywire. What physical and mental symptoms result are referred to as withdrawal (addiction most commonly creates more severe symptoms). The National Highway Traffic Safety Administration comments on these states, noting that “Withdrawal symptoms are similar to those of other opioids but are less severe, slower in onset, and last longer.”

These symptoms include:

Mental:

Agitation
Anxiety
Depression
Dysphoric state
Restlessness

Physical:

Chills
Cramping
Dilated pupils
Diarrhea
Goosebumps
Insomnia
Nausea
Muscle aches
Runny nose
Suppressed appetite
Sweating
Teary eyes
Tremors
Vomiting
Yawning

While some of these symptoms may seem fairly benign in nature, combined they can become extremely unbearable and many times painful. To avoid these, we recommend you never quit “cold turkey” (suddenly) and also that you never attempt to withdrawal on your own.

What’s The Best Way To Withdrawal From Methadone?

If you’re taking methadone for a prescribed purpose you should never determine on your own when to discontinue the drug. And secondly, when it’s time to reduce or stop methadone, you should only do so under the direct supervision of a physician.

When used as a medical treatment, the prescribing doctor should gradually taper you off of the drug as to avoid unpleasant side effects of withdrawal. These professionals are trained and understand how to best do this to avoid any complications and further strain to your physical and mental states.

If you’re using methadone illicitly and are struggling with an addiction and want to stop, please refraining from detoxing on your own. Doing so can become overwhelming, as the withdrawal side effects cannot adequately be self-treated, leading to immense pain, discomfort, and even various dangers. If you want to begin living a drug-free life, we can help you find a program which offers a medical detox and an accompanying treatment program.

How Is Methadone Withdrawal Treated During Addiction?

For those individuals who are seeking to overcome a methadone addiction, the first step will likely be a medical detox. A medical detox helps those with a moderate to severe addiction to progress through withdrawal by minimizing the discomfort and pain which would otherwise overcome them. As chronic drug use continues, toxins from the drug build up within your system. A medical detox supports your body while it cleanses itself from these damaging substances.

The facility’s highly-trained medical staff will administer medication-assisted therapies, quite commonly by aid of buprenorphine, to help you stabilize during withdrawal. Nutritive and emotional support will also be provided to help your physical and mental states find greater balance during this time.

Should You Seek Treatment For A Methadone Addiction?

Contrary to what some people may think, detox is not enough to create a sober life. Detox does help you to find physical sobriety, but it’s critical that you address the psychological aspects of addiction as well. To do this, we strongly recommend that you progress to an inpatient drug rehab program. Many facilities even offer both medical detox and treatment, that way you can transition smoothly into the next stage of your recovery.

An inpatient program will remove you from the stress and triggers of your outside life, so that you can focus only on elements which enhance a sober and positive life. Behavioral therapies, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing (MI) may be used to help you overcome and cope with the negative behaviors and thoughts which could fuel the addicted state. Other unique and engaging modalities may also be offered, including:

Adventure therapy
Art therapy
Holistic therapy
Equine therapy
Family therapy
Pet therapy
Wilderness therapy

Whatever the circumstances that brought you here, know that DrugRehab.org can help you build a treatment plan which will support you as you pursue a drug-free life.

Find An Effective Program Today

Methadone is best treated within a good rehab program which offers both a medical detox and inpatient treatment. If you’d like to learn more about how to safely detox from methadone so that you can overcome your addiction, contact us now. Your call is confidential and DrugRehab.org has the best resources and treatment options to help you today.

For More Information Related to “Methadone Withdrawal Symptoms” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

Center for Substance Abuse Research — Methadone
MedlinePlus — Methadone

What Are The Most Potent Opioids In The United States?

Posted on August 22, 2017October 5, 2017 by dr-admin

The most potent opioids in the United States include carfentanil, fentanyl, heroin, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, and a new deadly opioid combination drug called Gray Death. While most opioids are prescribed for pain relief, and contain addictive properties, some opioids are more potent than others.

It can be helpful to know which of these are the most dangerous, on the market and on the street, especially if you suspect someone close to you may be abusing these medications. Some opioids are harmful even to the touch, and taking repeated or large doses of them can result in dangerously slowed breathing, which can lead to overdose or coma.

Others may have fatal results after just one dose, particularly combination opioids. That’s why it’s so important to recognize these medications, their severity, and seek help as needed.

With street drugs, there is never a guarantee for what kind of drug you’re getting or the dosage. It’s best to get out of the vicious, harmful cycle of addiction before you experience damaging effects to your health or worse.

Potent Opioids By Name:

The following are the most potent opioids in the United States, followed by a description of each. When a drug is “potent” it is medicinally effective or has a great ability to bring about a certain result, according to the Merriam-Webster dictionary.

Carfentanil

Carfentanil is an opioid analogue of fentanyl, and is “one of the most potent opioids known” according to the U.S. National Library Of Medicine. Its potency level is 10,000 times that of morphine, and 100 times that of fentanyl. Carfentanil is typically used for tranquilizing large animals, including elephants.

Combination Opioid: Gray Death

Opioid combinations tend to be more potent than singular opioids. Gray Death is a current popular and deadly combination in use right now. As Forbes explains, Gray Death “looks like concrete and is so potent that it can be risky to touch and can kill you with one dose.” It contains fentanyl, heroin, carfentanil, and U-47700, a synthetic opioid commonly called Pink—all highly potent opioids.

Fentanyl

Fentanyl is the most potent opioid used in hospitals or by doctors, according to CNN. However, much of fentanyl sold on the street is diverted from other countries, and that’s how it can become dangerous. People buying the drug may have no idea that they’re buying fentanyl and take too much without being under care of a doctor. Even a small amount of fentanyl can be lethal, as the drug can be accidentally inhaled or absorbed through the skin on contact.

Heroin

Heroin affects the brain in a way similar to prescription opioids, causing euphoria, a sense of well-being, and slowing of certain functions. Why is it potent, then? Repeated heroin abuse can cause an excess of the substance in your body, which contributes to overdose. Also, heroin may be laced with additives such as sugar or starch, or with other substances. These can clog the blood vessels that lead to other organs and create permanent damage. Heroin should always be considered potent for the simple fact that there is no guarantee of what’s in it.

Hydrocodone

Hydrocodone is potent enough that it’s prescribed for patients who will need relief from pain round-the-clock for a long time. Drug label warnings for this medication strongly advise against breaking or crushing the pill, or taking it any other way than prescribed—as this can cause overdose and death. Just taking hydrocodone as prescribed can slow or stop breathing, so abuse of it is dangerous.

Hydromorphone (Dilaudid)

Hydromorphone is more potent than morphine, but not as potent as fentanyl. It’s another opioid that is potent even to the touch. As for the effects of it, the drug can cause withdrawal even with monitored use, and can cause fatal overdose when in the wrong hands.

Morphine (Kadian, Morphabond)

With so many potent opioids out there, morphine may be considered mild in the minds of some. But it’s not to be underestimated, as it can still cause addiction, dependency, and even overdose when taken in high doses. Morphine presents even higher risk of overdose when combined with other substances, like alcohol.

Oxycodone (Oxycontin)

Oxycodone is two times as powerful as morphine, and like most opioids can cause respiratory distress. In the last couple decades, abuse of Oxycodone became quite popular as prescription rates increased. Yet abuse of this medication can be dangerous; it’s typically used for postoperative pain relief.

Oxymorphone (Opana)

Oxymorphone is often used to treat those with terminal cancer or chronic, severe pain issues. Because of this, the level of potency of the drug is high, about twice that of Oxycodone. People taking the drug as directed are advised to not stop taking it without help from a doctor. Abuse of Oxymorphone is far more risky as dosage is not regulated.

Why Are Opioids Addictive?

Opioids are addictive partly because the drugs contain chemical properties that change your perception of pain and your response to pleasure. They’re also addictive because when you take them, you experience an immediate rush of pleasurable feelings: euphoria, well-being, and calm.

This rush happens within the first few minutes, and is followed by a short-term “high,” or extended period of pleasurable feelings with minor side effects like drowsiness or slowed breathing. It’s the rush and subsequent high that gets you, makes you want to keep coming back to opioids even if you aren’t aware of it at first.

With time, you lose control; you can no longer recognize the difference between use and abuse, and will do nearly anything to seek the drug. Once you become addicted, you may form a physical dependence on the drugs, which means you’ll have withdrawal symptoms when not taking them. Withdrawal, while not always life-threatening, can be uncomfortable to the point that you want to avoid it, and so keep abusing the drugs.

Who Is Abusing Opioids In The United States?

If you’re caught in this cycle of opioid addiction, you aren’t the only one. The American Society Of Addiction Medicine (ASAM) states that, in 2015, “2 million [people] had a substance use disorder involving prescription pain relievers and 591,000 had a substance use disorder involving heroin.”

Yet few people addicted to opioids ever receive help in treatment, and that is why overdose happens more and more. Plus, if you’ve been addicted to one opioid, it’s quite likely you’ll become addicted to another if you don’t find help. The ASAM estimates that four out of five people who first abused prescription drugs later became addicted to heroin.

The number of people addicted to opioids includes youth as young as 12 years of age, though adults in the age group of 18 to 25 abuse these drugs most. Women are particularly affected by prescription opioid abuse, as they are more likely to have chronic pain, seek medication for it, receive opioid medications, and fall into abuse of them.

What Can Be Done For Opioid Addiction?

So, what can we do to reverse the harm of opioid addiction? More all the time, new treatment modalities are developed and backed by evidence to support effective outcomes. Some of the evidence-based methods we employ at our facilities include:

Counseling: family, group, and individual
Psychosocial therapy: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing
Adventure therapy
Wilderness therapy
Treatment specific to men
Treatment specific to women
Medication-assisted therapy
Medically-supervised detoxification
Nutritional guidance and exercise support
Mindfulness and stress management techniques
Aftercare support

In addition to great treatment methods, people struggling with opioid addiction will benefit from the excellent care, peaceful surroundings, and serene landscapes often found at private rehabs. At DrugRehab.org, we have access to all the resources you’ll need to find a rehab that is right for you, and that works to build a treatment program that best fits your individual needs.

Find Hope In Treatment Today

Are you battling abuse of one of the most potent opioids in the United States? If you are, you don’t have to fight alone. We’d like to help you overcome addiction, and rebuild your life.

When you call today, your information will be kept confidential. Learn more about opioid treatment and the best rehab centers today. Contact us at DrugRehab.org.

For More Information Related to “What Are The Most Potent Opioids In The United States?” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

American Society Of Addiction Medicine—Opioid Addiction: 2016 Facts And Figures
CNN—What You Need To Know About Fentanyl
Forbes—Gray Death: The Most Powerful New Opioid Combo That’s Risky Even To Touch
Merriam-Webster—Definition Of Potent
National Institute On Drug Abuse—DrugFacts: Heroin
National Institutes Of Health—Opioids And Chronic Pain
New York Times—Inside A Killer Drug Epidemic: A Look At America’s Opioid Crisis
U.S. National Library Of Medicine—Carfentanil, Hydrocodone, Hydromorphone, Morphine, Oxycodone, Oxymorphone

Tylenol 4 (with Codeine) Withdrawal Symptoms

Posted on August 17, 2017 by dr-admin

Often prescribed for short-term pain management after a major surgery or traumatic event, Tylenol 4 is an opioid analgesic only available via prescription. While it is commonly prescribed without refills and intended to be used for a short period of time, there are some circumstances where a prescription could be long-standing or individuals may purchase the drug illegally on the streets.

Tylenol 4 is a commonly abused prescription opioid, partially because of how frequently it is prescribed. Especially popular among young adults and the party scene, Tylenol 4 is often easily accessible and is sometimes dissolved into alcoholic drinks to create a potent concoction. This combination is dangerous and holds high potential for addiction and dependency, which can result in debilitating withdrawal symptoms.

What is Tylenol 4?

Tylenol 4 is actually a combination of two drugs: tylenol and codeine. Independently, Tylenol is a brand name for acetaminophen, a pain reliever and fever reducer that is available over the counter and without a prescription. Tylenol does not have many severe side effects and it carries a low risk for dependency. However, it is possible to become tolerant to the drug rendering it less efficient for pain relief and fever reduction over an extended period of time.

Codeine is an analgesic opioid that is only available via prescription. Developed in the 1830’s, codeine was originally marketed as a recreational drug, but taken off the open market after discovering how addictive it can be. Following this discovery, it was used primarily for medical uses and only available via prescription. Codeine is actually the most commonly prescribed opioid across the globe and is considered a schedule II narcotic in the United States.

Codeine has been mixed with different drugs to treat various medical conditions, most commonly acetaminophen. There are various strengths of this drug combination, indicated in the title of the drug as Tylenol 2, Tylenol 3, and Tylenol 4. Tylenol 4 is the most potent of these medications, containing 60mg of codeine and 325mg of acetaminophen.

Codeine Dependency

As an opioid, codeine affects the body by binding to opioid receptors in the brain. When these opioid receptors are activated, they cause signals being sent through the central nervous system to become sluggish, or slow to react. This slowing of signals through the central nervous system is why opioids are effective at reducing pain, or more accurately, reducing our perception of pain. When pain signals becoming sluggish or temporarily blocked, we do not perceive pain as we normally would, resulting in a reduced pain level.

While this effect is helpful in the reduction of pain, it also changes chemical levels in the brain. Your body naturally produces some levels of endorphins that react with the opioid receptors in your brain, generally causing these levels to rise when you do something that brings you joy or pleasure. When opioids are introduced into your brain, however, these levels become artificially elevated which can cause your brain to stop producing these endorphins.

If this introduction of opioids to your brain is suddenly stopped or slowed, your body will crave more of the drug. Often times a tolerance is built over time, rendering each dose less effective than the previous. This tolerance is one of the first signs of opioid dependency or addiction, as more and more of the drug is required to reach the desired state of pain relief.

Side Effects And Withdrawal Symptoms of Tylenol 4

While reducing the amount and frequency of opioids if you have a substance abuse issue is important, quitting abruptly can be extremely dangerous. Because your brain has become accustomed to a certain level of opioids binding with your opioid receptors, your body considers this new chemical balance to be the norm. If you suddenly stop taking opioids, then this level will come down too rapidly, resulting in withdrawal symptoms.

Withdrawal symptoms generally occur when chemical levels in the brain change too rapidly. This causes chaos in your central nervous system, and will present itself in physically painful and mentally draining ways. Common withdrawal symptoms associated with Tylenol 4 dependency include:

Rapid heart rate
Night sweats, insomnia
Nausea and vomiting
Weight loss due to malnutrition
Phantom muscle pains
Excessive exhaustion and drowsiness
The shakes
Runny nose
Teary eyes

The safest way to reduce consumption of Tylenol 4 and other opioids is to seek out a professional medical detox center. Medical detox facilities specialize in the detox of dangerous addictions like opioid and alcohol dependencies. Through these facilities you will be supervised by a medical physician to ensure your own safety while going through these withdrawal symptoms. Often times, medical interventions may be used to help ease your through these symptoms and make your more comfortable.

Get Help Today

The opioid epidemic is sweeping our nation, and codeine medications such as Tylenol 4 play a major role in this epidemic. By nature, opioids are highly addictive and very difficult to stop using without professional help. If you or a loved one suffers from dependency on opioids like Tylenol 4, you are not alone.

Reaching out to a professional is your first step on your road to recovery. Our addiction treatment specialists are standing by to take your call and answer any questions you may have regarding medical detox, inpatient residential rehab, and outpatient programs. We have many programs that are tailored specifically to your needs, ensuring you the best possible chance of a full recovery. Your call is always confidential, and our addiction treatment specialists are available to talk around the clock. Give us a call today.

For More Information Related to “Tylenol 4 (with Codeine) Withdrawal Symptoms” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

FDA – Codeine Information
Healthline – Codeine Withdrawal: What It Is and How to Cope
National Safety Council (NSC) – Evidence For The Efficacy Of Pain Medications
New England Journal of Medicine – New Evidence About An Old Drug — Risk With Codeine After Adenotonsillectomy

Is Alcoholism Genetic or Hereditary?

Posted on August 14, 2017 by dr-admin

Affecting over 1.5 million adults in the United States, alcoholism is one of the most prevalent addictions in the country. Alcoholism can be a fatal disease, sometimes ending in liver disease or cancer of the mouth, esophagus, larynx, liver, and breast. The fatality of alcoholism claims close to 90,000 lives each year, making it the fourth preventable cause of death in the United States.

With statistics as grim as these, many individuals are left wondering what factors influenced their alcoholism in the first place. Like many drug addictions, alcohol abuse can be triggered by a traumatic life event or major stressor, as well as environmental factors and elements of habit. But what about genetics? Genetics do play a role in influencing alcoholism in the next generation, however it may not be as large of a role as you would think.

What Is Alcoholism?

Alcoholism is a serious disease that affects millions of Americans. It can be defined as addiction to alcohol, or the inability to control the amount or frequency of alcohol consumption. Generally stemming from a history of alcohol abuse, alcoholism is on the most severe end of the spectrum of alcohol use disorder, as defined by the National Institute of Alcohol Abuse and Alcoholism.

Alcohol abuse, which is generally a more manageable stage of alcohol use disorder, can lead into alcoholism if a lifestyle change or intervention is not taken at this point. Alcohol abuse is defined as reckless or risky behavior associated with drinking, heavy drinking or binge drinking, and planning events or activities around the consumption of alcohol. At this stage, a physical dependency may not be present, but a behavioral dependence and habitual addiction can quickly define your lifestyle. It is much easier to quit drinking at this stage than it is once alcoholism takes its toll.

Like alcohol abuse, alcoholism is not defined by the amount or frequency of an individual’s alcohol consumption, but rather the behavior associated with it. People who suffer from alcoholism may find that they are unable to control how much and how often they consume alcohol, and they may feel withdrawal symptoms after they stop drinking for a short period of time.

It is not uncommon for alcoholics to lie to close friends and family regarding their alcohol use, and often times they are able to function very well in their lives, even while drinking heavily. Physical dependence will be present at this point, and alcoholics will often tailor their lives to work around their alcoholism. The destructive behaviors of an alcoholic will often present themselves before the physical side effects can take their toll on the body.

Alcoholism is considered a disease, and for good reason. It not just a bad habit or lack of willpower, but rather an illness that can completely consume an individual, leaving them little control over their own lives. It is seen more frequently in adults with a history of childhood abuse or trauma, however can affect an individual of any background, race, age, or gender. It is also seen more often in individuals with a family history of alcoholism or alcohol abuse, however this can be traced back to environmental influence as well as genetics.

The Four Symptoms Of Alcoholism

There are four main symptoms of alcoholism that define the boundary between alcohol abuse and alcoholism. While these symptoms can have varying levels of severity, they are indicative of a chemical dependency the body has developed to the drug. These four symptoms include:

Cravings

A craving is a strong urge or desire to do or consume something. With alcohol, this urge can become more intense during times of high stress or emotion. This type of craving would be considered a coping mechanism, which means your brain responds to certain triggers with a desire to drown them out with alcohol. Cravings can make alcoholism difficult to overcome, as many emotions are tied to them and it is usually not as simple as saying “no, I will not drink that”.

Tolerance

Tolerance is generally a sign of the over consumption of any drug, as it indicates that the body has adjusted to a certain level of drugs in your system. When consuming alcohol for a period of time, your body will consider a certain level of alcohol to be the new ‘norm’, requiring more alcohol to reach a feeling of drunkenness. This can be a difficult cycle to break, as more alcohol is required to obtain the same feeling that brought an individual to drink alcohol in the first place.

Loss of Control

Loss of control can also be a sign of severe alcohol abuse, but is especially prevalent in alcoholism. With alcoholism, the chemical and behavioral dependency on alcohol is too great to overcome with willpower alone. It is not uncommon for alcoholics to report the inability to control their drinking despite a strong desire not to.

Physical Dependence

Last but certainly not least, alcohol is a physically addictive drug. It is so physically addictive that in some cases, withdrawal symptoms from stopping the consumption of alcohol can be severe enough to be fatal. While many aspects of alcoholism can be attributed to emotions and behavior, physical dependence is entirely chemical and cannot be helped through therapy or counseling. Often times, medical detox is recommended to help an individual detox from alcohol safely with as few health risks as possible.

Inheriting Genes vs Inheriting Habits

There have been many studies conducted in the United States regarding alcoholism and its relationship to genetics. While many of these results have been inconclusive, it has been established that alcoholism is indeed a genetic disease, but cannot be measured statistically like other genetic diseases because environmental, behavioral, and emotional factors play such a large role in the outcome of an individual.

According to a study done at the Indiana University School of Medicine, children with one or more alcoholic parents have a 2-4 fold higher chance of becoming an alcoholic as an adult. However, surveys performed by this same study indicate that less than half of these children actually develop alcoholism. According to Howard J. Edenburg who lead the study, the risk of alcoholism is shaped by two facts:

Risk is affected by genes
Risk is affected by choice

Arguably, the second fact is indicative of environmental factors chosen by the parent, as we agree that no one willingly chooses to become an alcoholic. Children of alcoholics not only share the same genes as their parents, but also the same environment. If a child sees a parent drinking openly and often, this can influence their perception of the role alcohol plays in the life of an individual.

It is not uncommon for children of alcoholics to come from a dysfunctional home, sometimes leading to abuse or emotional distress. These traumatic emotional triggers can contribute to the chances of developing a substance abuse issue or addiction down the road. Children of alcoholics are also more likely to partake in underage drinking, which can greatly increase the chance of developing alcoholism as an adult.

So is alcoholism genetic? The short answer is yes – to an extent. There has been a gene isolated that has a strong association with alcoholism. However, the effect of gene-environmental interactions must also be taken into account when considering the impact of alcoholism and genetics.

Get Help Today

If you are concerned for yourself or a loved one when it comes to alcohol abuse or alcoholism, the sooner you reach out for help the more likely you are to make a full recovery. Especially when taking a family history of alcoholism into account, professional intervention is often necessary to assist with safe detox from alcohol as well as inpatient therapy to treat the emotional and behavioral aspects of alcohol addiction.

Our addiction treatment specialists are experts when it comes to choosing an alcohol treatment program that fits your needs and expectations. Many of our programs can be custom tailored to fit you, which can lead to better outcomes and a full recovery. Our specialists are available to talk around the clock, and your call is always confidential. Call today and let us help you get started with your recovery.

For More Information Related to “Is Alcoholism Genetic or Hereditary?” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

DrugAbuse.gov – Genetics of Alcoholism
Journal of Molecular Psychiatry – Genetics and Epigenetics of Alcohol Dependence
National Institute on Alcohol Abuse and Alcoholism – A Family’s History of Alcoholism
National Institute on Alcohol Abuse and Alcoholism – Drinking Levels Defined
National Institute of Health – Genetics and Alcoholism

The Dangers of Alcohol Withdrawal

Posted on August 8, 2017 by dr-admin

Nearly every adult in the United States has drunk alcohol at one point or another. In 2015 86.4 percent of people ages 18 and older report having tried alcohol. Granted not every person who tries alcohol will ever get drunk, experience a hangover, or alcohol withdrawal. However,those who suffer from an alcohol use disorder will be more likely to experience all of those things.

There are currently around 15.1 million Americans with an alcohol use disorder, which is briefly defined by the National Institute on Alcohol Abuse and Alcoholism as “a medical condition that doctors diagnose when a patient’s drinking causes distress or harm.”

The people suffering with an alcohol use disorder are actually among the minority. Most people are able to cease or moderate their drinking before it becomes a problem; others aren’t so fortunate. When a heavy drinker quits drinking, they may experience withdrawal and delirium tremens.

How Is Alcohol Withdrawal Dangerous?

Alcohol withdrawals are essentially the body’s way of removing chemicals and fighting against both the physical and mental addiction. Generally, alcohol withdrawal symptoms are a result of alcohol dependence, and become more intense based on the quantity and the duration of a person’s drinking.

Alcohol dependence can result from social, physical, and psychological variables. For the most part, the greater a person’s alcohol dependence becomes, the worse their withdrawal symptoms will be. Some of the other dangerous changes that can occur from alcohol withdrawal include cognitive function, and physical health.

Impaired Cognitive Function

As a person drinks heavily, the neurotransmitters in their brain (gamma-aminobutyric acid and glutamate), in an attempt to function properly, may take adaptive measures and actually go through changes to try to stay normal. When a heavy drinker stops drinking, these cognitive changes that have occurred are no longer adaptive, and may become largely responsible for alcohol withdrawals as they try to normalize.

Psychological withdrawals can also lead to seizures, and even greater complications with chronic memory disorders like Wernicke-Korsakoff syndrome

Impaired Physical Health

People don’t usually intend to become physically dependent upon alcohol, but it can occur for a multitude of reasons and result in a variety of health complications as well. Some of determining factors include regularly binge drinking, or using alcohol to cope with other issues. Physical withdrawals can include loss of appetite, profuse sweating, restlessness, and insomnia.

Alcoholism and alcohol use disorders may be better understood when compared to other chronic relapse diseases such as diabetes, hypertension, and asthma. The truth is, like other diseases of this nature, alcohol withdrawal can actually increase the chances of relapse.

Relapse is the point when a person who has quit alcohol uses it again. The chronic nature of addiction “means that relapsing to drug abuse at some point is not only possible, but likely” (National Institute on Drug Abuse).

Alcohol Withdrawal Timeline

Withdrawal symptoms generally start as early as 8 hours after a the last drink.

Over the next 24 to 72 hours, the symptoms usually become a little less psychological and more physical. During this time, the symptoms can also become more intense, violent, and dangerous.

For the majority of people, withdrawal symptoms will be complete after about 7 days, and they will be able to move on with recovery from alcohol.

Psychological withdrawal symptoms may include:

anxiety or nervousness
depression
fatigue
irritability
jumpiness or shakiness
mood swings
nightmares
not thinking clearly

Physical withdrawal symptoms may include:

sweating, clammy skin
enlarged (dilated) pupils
headache
insomnia (sleeping difficulty)
loss of appetite
nausea and vomiting
pallor
rapid heart rate
tremor of the hands or other body parts

It’s important to remember that withdrawal symptoms will vary from person to person, mostly due to the fact that not everyone’s drinking patterns are the same. It’s also important to note that alcohol addiction is a serious illness, and those suffering from it can greatly benefit from support and understanding.

What Is Delirium Tremens From Alcohol Withdrawal?

A person who’s been abusing alcohol for several years is more likely to experience increased heart rate, breathing, blood pressure as well hallucinations or seizures. These hallucinations are part of the final and most severe stage of alcohol detoxification better known as acute alcoholic withdrawal, or delirium tremens.

Delirium tremens is considered the most severe form of alcohol withdrawal and can include:

agitation
fever
seeing or feeling things that aren’t there (hallucinations)
seizures
severe confusion

“More than 90 percent of alcohol withdrawal seizures occur within 48 hours after the patient stops drinking. Fewer than 3 percent of such seizures may occur 5 to 20 days after the last drink” (NIAAA).

Delirium tremens is a medical emergency, and takes the lives of about 5 percent of patients who experience it. This number is significantly decreased with proper treatment, medications, and management of withdrawals.

How To Manage Alcohol Withdrawal

In summary, alcohol withdrawal is not only a result of a physical demand of the chemical, but also the cognitive function in trying to maintain normal function.

A lot of people will try to stop drinking abruptly, and even though their efforts have purpose and are no doubt with good intent, this method of quitting alcohol cold turkey can be dangerous, and can have unwanted results.

The act of flushing alcohol out of the system is known as detoxification, and there are trained professionals who understand how to do it safely. Whether it’s done in a clinical setting or an inpatient rehab center, a medically supervised detoxification will most likely be safer than doing it alone at home.

Along with professional assistance, detoxification may also necessitate a medication-assisted treatment. This can include use of naltrexone, acamprosate, or disulfiram to help manage the symptoms of withdrawal.

Detoxification is used to treat the physical addiction to alcohol, but is not considered a full addiction treatment. In order to treat the mental addiction to alcohol, a behavioral therapy or other treatment program will almost always be necessary.

Alcoholism is a disease of chronic relapse that a person may fight for most of their life. Even if they’ve been sober for 10 years, the disease is still there, and so is the slight possibility of relapse.

Addiction is not curable but it is treatable. Recovery is a lifelong journey, and most people will greatly benefit from inpatient rehab followed by the aftercare support that they have to offer.

Start Your Recovery Journey Today

Anyone suffering from alcohol withdrawal should be detoxed under medical supervision . Contact DrugRehab.org today to speak to an addiction specialist who understands what you’re going through, and knows how to get you the help you need to stop drinking today.

For More Information Related to “The Dangers of Alcohol Withdrawal” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

National Institute on Alcohol Abuse and Alcoholism – Alcohol Facts and Statistics
National Institute on Alcohol Abuse and Alcoholism – Complications of Alcohol Withdrawal
National Institute on Drug Abuse – Drugs, Brains, and Behavior: The Science of Addiction
U.S. National Library of Medicine – Alcohol Withdrawal

Understanding A Needle Fixation

Posted on August 7, 2017August 7, 2017 by dr-admin

Needle fixation occurs when the act of injecting becomes compulsive, rewarding, and equal to or more important than the actual act of using the drug itself. Certain experts actually consider needle fixation to be a separate addiction, with some referring to it as a behavioral addiction. A needle fixation can increase the already present risks which accompany injection drug use, such as infection, transmissible disease, and death.

Not every individual who injects drugs will develop a needle fixation. But those who do, entertain thoughts and engage in behaviors increasingly shaped by this compulsion. The Public Sphere reports that “Estimates suggest that needle fixation is observed among a quarter of injecting heroin users.” So how does a person develop a needle fixation and what does it entail?

Intravenous (IV) Drug Abuse: The Basics

Injecting drugs is the most invasive, and dangerous, way a drug abuser can administer a drug. To do this, an individual fills a needle or syringe with the desired drug of abuse. Intravenous drug users (IDUs) inject drugs the following ways:

Intramuscularly: Into the muscle
Intravenously (IV): Into the vein
Subcutaneously (“Skin-popping”): Right below the skin

Some of the most addictive drugs known to man are used this way, including heroin, crack cocaine, methamphetamine, and morphine, among others.

What Is A Needle Fixation?

In short, it’s when a person compulsively uses needles. Further, the individual’s fixation on needles either equals or surpasses their desire to use the drug. The act of injecting, in and of itself, provides a sense of reward which is separate from the “rush” or “high” of the drug.

A more technical definition, sourced from a research report published in the journal Addiction, cites that is is “Repetitive puncturing of the skin with or without the injection of psychoactive drugs via intravenous, subcutaneous or intra-muscular routes, irrespective of the drug or drugs injected or the anticipated effects of the drug.”

Considering the fact that addiction, especially an addiction to hard drugs like heroin and crack cocaine, overrides a person’s desire for most anything else, this is pretty extreme. This is why some experts refer to a needle fixation as an addiction itself.

The Public Sphere notes that three themes lead certain people to develop “an addiction to the injecting process,” including:

Previous obsessive traits
Irrational superstitions
Insecure attachments

These individuals harbor perspectives and reactions to needles and needle use which can endanger their health and even those around them.

What Behaviors And Thoughts Are Associated With A Needle Fixation?

Like other harmful behaviors surrounding substance abuse, a needle fixation is steeped in some very unhealthy and negative thoughts and behaviors, such as those outlined by the Addiction report:

Ritualization: A person becomes obsessed with preparing the needle for injection.
Relishing the skill of injecting: User’s claim that their skill at injecting increases their self-esteem.
Substitution of other drugs or water: Some people may fixate on the injection so much that they turn to these substances if their drug isn’t available, just so they can inject.
Pleasure at injecting: The injection itself creates a sense of well-being and enhances the rush of the drug.
Pursuit of pain: Certain individuals report liking the pain associated with the injection (masochism).
Linked to deliberate self-harm: Some individuals inject as a means to purposely harm or punish themselves.
Association with sex: Injection is linked to sexual pleasure and as a way to create intimacy.

Specifically, a person with a needle fixation may:

Feel a rush or “buzz” simply by using the needle, even before the drug hits their system.
Become sexually aroused by injecting, or being injected by, their partner.
Find that they replace sex in increasing instances with the ritual of injection.
Believe it would be harder to give up injection than the actual drug of abuse.
Feel the process of preparing the needle for injection is as, or more, important than the high.
Feel calm or more relaxed after they inject water.
Enjoy the pain that results from the injection (either when injecting their self or when injected by others.)
Become infatuated with the needle because of how they equate it to this pain.
Pull blood in and out of the syringe prior to or following injection (“flushing”).

These behaviors can put a person in harm’s way. For instance, when a person is injecting a partner, especially if they equate a sexual feeling to the act, they are more apt to share needles. This practice drastically increases the risks associated with injection. As these behaviors accompany drug abuse, comprehensive treatment should be sought which addresses both concerns.

What Are The Dangers Of Injecting Drugs?

A needle fixation can jeopardize an IDU’s health and life. When this desire becomes so strong, coupled with the already overwhelming urge to use, a person may resort to sharing needles, using dirty needles, or using old needles, all of which increase the risk of infection, transmissible disease, and as a secondary effect, death.

Injecting drugs can lead to:

Abscesses
Addiction
Cellulitis
Collapsed veins
Cotton Fever
Hepatitis B and C
HIV/AIDS
Limb amputation
Necrotizing fasciitis
Organ failure
Sepsis
Track marks

Many of these conditions can accelerate into critical stages and lead to death.

Recognizing a needle fixation, and educating an IDU on it, is key to preventing these risks and opening the conversation up for treatment.

Why Is It Important To Understand Needle Fixations?

Some findings illustrate that individuals with a needle fixation are more impulsive than their IDU counterparts who don’t have a fixation. Some research even posits that a needle fixation should be classified as a behavioral addiction and treated as such.

In keeping these concerns in mind, treatment should address any issues which relate to impulsive and/or ingrained negative behaviors. Effective treatment should treat both the drug addiction and the dysfunctional thoughts and behaviors linked to the needle fixation.

Does A Needle Fixation Alter A Person’s Treatment Needs?

Yes. A BMJ Journals article explains how a needle fixation can influence treatment:

“When treating injection drug users it is important to simultaneously assess needle fixation because this would influence the treatment outcome…Understanding needle fixation as deliberate self harm can encourage testing pharmacological interventions in addition to behavioral therapies.”

Any time an individual enlists in rehab, to optimize treatment results, the facility’s staff should seek to understand a their unique situation as fully as possible. Understanding a person’s perspectives on drug abuse is important and can help to inform an individualized treatment approach.

How Do You Treat A Needle Fixation?

Many of the same modalities used to treat drug addiction may also benefit a person’s pursuit of overcoming their needle fixation. Behavioral therapies, such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) can be impactful methods for treating matters of impulse control, self-harm, abnormal sexual proclivities, and dysfunctional behaviors.

On this subject, one paper asserts that “Consequently, current evidence-based treatments for behavioral addictions could be modified to address the inherent difficulties of impulse control in those identified as needle-fixated injecting drug users.”

Therapy and counseling work to restore positive and healthy thoughts, emotions, and behaviors which build up sobriety and undue the damage done from the needle fixation and addiction. Additionally, these behavioral therapies are key components of treatment for any co-occurring mental health disorders, like depression or past trauma.

Begin Building Healthy Behaviors For Sobriety Today

A good treatment program can work to treat needle fixation and as well as addiction. If you’re interested in learning more about how inpatient drug rehab can help you in these ways, let DrugRehab.org help. Your call is one hundred percent confidential. Contact us today.

For More Information Related to “Understanding A Needle Fixation” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Does Short-Term Disability Cover Drug Rehab?

Posted on May 26, 2017July 17, 2017 by dr-admin

If you’re trying to get sober and build a better life, every little bit matters. You’re not just looking out for yourself today and during treatment, but also in the time after. If you or a loved one is losing ground to a severe or long-term addiction, you should strongly consider inpatient drug rehab. This residential treatment grants you a better opportunity for the personal growth and healing that is so necessary for building and protecting your sobriety.

Understanding Your Financial Needs During Rehab

Inpatient treatment can become quite pricey. Financial planning is important prior to rehab as you’re stepping away from your life and job while you work on your recovery. This could be for a 28- to 30-day program, or it could be for 90 days or more. During this time it’s important that you maintain your responsibilities, including bills and looking after your family. Applying for short-term disability could help you to take care of these responsibilities or help to fund treatment.

Will Short-Term Disability Apply While I’m In Drug Treatment?

Exact coverage can vary job to job. The stipulations of your benefits are subject to the terms of the plan. Certain exclusions or limitations may apply which could affect your eligibility for disability during rehab. Some plans have a pre-existing condition limitation, which could include substance abuse. Some plans will allow you to apply your benefits during this time, while others won’t. Some may only do so under very specific circumstances.

We suggest contacting your HR representative or plan administrator to obtain a copy of the plan if you do not already have one. Also, this individual can help you go over the plan’s specific details so that you fully understand the scope of benefits you’re entitled to. Make sure to note the plan’s effective date of coverage in reference to when your condition began.

Be attentive to reading your plan’s language regarding limitations and exclusions. There should be a list of circumstances which are excluded from coverage. Be careful and don’t rush this. Look for any language or terminology that specifically references mental illness, substance abuse, or addiction recovery. We can work with you and the treatment center of your choice to help determine, if, and how, your coverage could help you to enroll in treatment.

How Is Coverage Determined?

Proper documentation of your condition will be expected. This typically requires, at minimum, a physician’s statement which supports your claim. In order for you to receive payment, you’ll likely need to be currently receiving care from a physician. In addition to these guidelines, the insurer may require that they meet with you during the claim process and/or have an independent expert evaluate your circumstances.

When you’re faced with the uncertainty and pain of addiction, it can already be difficult to manage your life and stay on track with your goals. Adding this process to the mix may seem like too much and more that you can bear. Don’t let this discourage you. Though the disability claims process takes a little work and commitment, your perseverance could pay off. If you receive short-term disability, it’s a leg up and a better opportunity to make your recovery needs a reality.

How Long Does Short-Term Disability Coverage Last?

Coverage doesn’t necessarily kick in the first day you’re not able to work. The time before this occurs is called the elimination period. According to The Balance, “coverage usually starts anywhere from one to 14 days after an employee suffers a condition that leaves them unable to work.”

The Balance also reports that before compensation coverage begins, you may be required to use any accrued sick days for your missed time off work. Once it starts, they write that short-term disability may last nine to 52 weeks from the date of eligibility. If your short-term disability benefits apply while you’re at rehab, this added flexibility can make it easier to enroll in an inpatient program.

What’s The Best Way To Use My Short-Term Disability?

Benefits you receive from short-term disability could go towards the cost of paying for rehab. You could also consider using it to help pay for bills and expenses which are due while you’re in rehab. Your short-term disability could help you to stay on top of these obligations so that you can relax more and focus on your recovery. A secure financial foundation and plan can help to make your treatment goals more attainable.

The extra stress and worry associated with paying your bills can become a trigger for relapse, both during and after treatment. Addressing these concerns helps to remove this risk. If you don’t have to come home to mountains of debt it will be easier to maintain a balanced, drug-free life. We can help you to figure out how to prepare every area of your life for rehab, so that you have the best shot at sobriety.

Are There Other Ways I Can Pay For Treatment?

Due to the price tag of rehab, you may have to get creative when it comes to financing your inpatient stay. To start with, your closest loved ones may want to help you with financial gifts or loans. Beyond this, you may qualify for a scholarship or grant, a sliding feeding, payment arrangements, financing options, or even a personal loan through a bank or credit union. Your insurance may also provide treatment coverage. Taking the time to explore these options can create more resources to invest into your recovery.

Will Going To Rehab Affect My Job?

Are you worried that leaving your job to go to rehab will affect your career? Though this is understandable, it’s definitely something that shouldn’t prevent you from seeking help. Trying to balance the tasks and responsibilities of any job, especially high-pressure careers, is exceedingly difficult under the influence of addiction.

The truth is, a drug-free life should make it easier to function and be successful within the workplace. Your focus, concentration, and performance will likely increase, while your margin of error and absenteeism from drug-related causes should decrease. If your job offers you benefits that make it easier to seek treatment, it’s an opportunity to better your life and health all around.

Get The Most Out Of Treatment

Finances and employee benefits can be overwhelming and confusing at the very least. When you’re trying to wade through the upheaval created by an addiction, these things can become even more intimidating. DrugRehab.org can help you to find a rehab which fits your unique needs. Not only this, but we’ll work with you and the facility to find out how to best utilize your benefits and finances to cover treatment costs. Contact us now to begin getting help.

For More Information Related to “Does Short-Term Disability Cover Drug Rehab?” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

Verywell — Short-Term Disability Insurance

Drug Diversion in Hospitals by Professionals

Posted on April 7, 2017July 19, 2017 by dr-admin

“Drug diversion is the illegal distribution or abuse of prescription drugs or their use for unintended purposes.” Sometimes diversion occurs in professional settings by the very people who are supposed to be helping others. With the millions of people suffering from addiction and the hundreds of thousands dying from it. Sometimes the medical professionals themselves are addicted to prescription drugs and might steal drugs or forge prescriptions—in these cases it’s important to remember that they too are human and addiction can happen to anybody.

Most of us know what a crooked cop or a shady politician is, but wouldn’t know what they look like if they were standing right in front of us. These are professionals who have sworn an oath to do what’s right for the people; to serve and protect. Another type of professional who might surprise you is the dangerous doctor who prescribes drugs to people even when they don’t need them. Or worse, prescribing drugs to patients who really do need them, and then abusing that patient’s medicine—whether to get high or to sell them illegally. This act is also known as drug diversion.

What Is Drug Diversion?

“Drug diversion is the illegal distribution or abuse of prescription drugs or their use for unintended purposes. The diversion of prescription drugs occurs at every point in the distribution chain” (Department of Health and Human Services). Drug diversions can have nasty consequences like loss of medical license, addiction, overdose, and death. Sometimes medical professionals become addicted to the very drugs they are prescribing, or hooked on the cash flow that comes from dealing opioid drugs like Oxycontin or Vicodin.

What Are The Most Commonly Abused Prescriptions?

Drug abuse and addiction doesn’t just imply that the drugs at hand are illegal like cocaine, heroin or meth. As soon as prescription drugs are used for anything other than their intended purpose, they become illegal. “The U.S. Drug Enforcement Administration on (DEA) recognizes ve classes of drugs that are frequently abused: anabolic steroids, depressants, hallucinogens, opioids, and stimulants” (Department of Health and Human Services).

What Are The Most Commonly Prescribed Drugs?

Remember that not all drugs are abused, but perhaps some of them are overprescribed. This could be due to a widespread epidemic of injury, or it could be due to addiction and drug seeking behavior. “In the United States in 2010, nearly 4 billion retail prescriptions were filled, with sales totaling $307 billion. The medication most often prescribed, 131.2 million times, was the opioid hydrocodone combined with acetaminophen. The opioid oxycodone combined with acetaminophen was prescribed 31.9 million times (National Center for Biotechnology Information).

Who Are Considered The Professionals?

Not all medical professionals knowingly take part in drug diversion. Because there is really no way to really test for pain levels, patients can sometimes have the upper hand when trying to score potent prescription drugs. Drug diversion can include everyone down the line from surgeons, physicians, their assistants, nurses, radiologists, dentists, psychiatrists, and so on. Physicians are trained to listen for keywords to spot a person shopping for drugs—but not all of them actually do it.

The Doctor’s On Prescription Drugs

There are also medical professionals who become addicted to the very drug they are supposed to be prescribing to help people—then they carry on with their daily work of saving lives and performing surgeries while high on drugs. Unfortunately, not all doctors abide by the hippocratic oath that they swear into, for which the first line is “physician, do no harm.” So yeah, there are those who suffer from addiction, and just because they practice medicine doesn’t give them some sort of immunity against drug addiction—they’re still human.

Hospital Drug Diversion Policies And Prevention

Hospitals view drug diversion just as seriously as the lawmakers who uphold punishment of the offenders. From an article by the Missouri Bureau of Narcotics and Dangerous Drugs (MBNDD), “hospitals should set a professional tone to deal sternly with any issues that place the hospital’s registrations at risk.” The article goes on to state that employees who knowingly hide information about drug diversion will be punished just as the primary culprit.

From the same source on drug diversion policies: “These are issues ranked by importance such as patient care, patient safety, hospital licensure, drug registrations, reputation, and media attention. All of these issues should be more important than one person who may have chosen to violate the laws and hospital policies and divert drugs from their legal channels” (MBNDD). So it’s not as if the hospital administrators don’t care, and there are rules, regulations and disciplinary actions in place to help govern drug diversion.

One Familiar Case Of Overprescribing Drugs

The famous Dr. William Hurwitz was sentenced to 25 years in prison for his over-prescription of opioid drugs; a practice that was likely responsible for at least 3 deaths and countless addictions. Doctor Hurwitz was made an example of, and during his sentencing in 2005, (documented in an article by John Tierney of the New York Times), Karen Tandy of the DEA held up a bag of 1,600 opioid pills and announced, “To the million doctors who legitimately prescribe narcotics to relieve patients’ pain and suffering… you have nothing to fear from Dr. Hurwitz’s prosecution.”

How Do These Systems Work?

“Such systems are multifaceted and require close cooperation between multiple stakeholders including, but not limited to, departments of pharmacy, safety and security, anesthesiology, nursing, legal counsel, and human resources” (NCBI). The problem’s that Doctor Hurwitz was a mere example; medical professionals still abuse prescription drugs and over-prescribe them. Hospitals and other medical branches do what they can to investigate drug diversion.

Drug Diversion Investigation Process—Why Don’t We Hear More?

As far as the legality of it, “diversion investigations involve, but are not limited to, physicians who sell prescriptions to drug dealers or abusers; pharmacists who falsify records and subsequently sell the drugs; employees who steal from inventory and falsify orders to cover illicit sales; prescription forgers; and individuals who commit armed robbery of pharmacies and drug distributors” (Drug Enforcement Administration).

Typically the public doesn’t hear much about drug diversion. Medical institutions make it a top priority to punish those involved in drug diversion cases—not only can they be punished, but in some cases, doctors will lose their license and even go to prison. A few of the reasons that a hospital might keep information from the public are:

Fear of negative publicity
Fear of State and Federal agency involvement
Uncertainty about reporting requirements and avenues
Justification that terminating the employee is enough

Drug Diversion Statistics Are Kept Secret

According to the National Council of State Boards of Nursing:

Reliable statistics on the prevalence of drug diversion by nurses are not available
By its nature, diversion is a clandestine (kept secret) activity, and methods in place in many institutions leave cases undiscovered or unreported
Drug diversion by healthcare providers is universal among institutions in the United States

So What Exactly Is An Addiction?

There are a lot of things people might expect from taking a prescription drug. From a medical standpoint, they expect that their pain, anxiety, depression, and other ailments will be cured. From a person seeking euphoria’s perspective, that they will catch a buzz. Neither of these types of individuals are likely to expect an addiction or some of the consequences of it.

By definition, “addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. It is considered a brain disease because drugs change the brain; they change its structure and how it works. These brain changes can be long lasting and can lead to many harmful, often self-destructive, behaviors” (National Institute on Drug Abuse). In the grand scheme of things, it can be hard to see what addiction can do to you, even from a professional standpoint. Sometimes to get sober, it takes complete honesty, humility, and a willingness to listen—sometimes this might even mean seeking treatment.

How To Get Treatment For An Addiction

From 1999 to 2015 in the United States, 183,000 people died from opioid prescriptions (painkillers) and even though addiction is a serious illness, there is hope for recovery. If you are the one diverting drugs, you’re adding to the problem. If you know about a possible case of drug diversion, but aren’t telling anyone to cover for a friend or colleague—just remember that you’re not saving anybody’s life by keeping it a secret.

Doctors and patients alike can become addicted to drugs, and there is absolutely no shame in that. It’s better to seek help for a drug problem than to die of an overdose, or live a miserable life of addiction. If you’re a medical professional addicted to prescription drugs, or one of your patients might be suffering from an addiction. Even if you’re a person concerned about your well being and would like to know more about addiction treatment or drug diversion, contact us at 833-473-4227 today. Addiction doesn’t have to win—and you can fight it with treatment.

For More Information Related to “Drug Diversion in Hospitals by Professionals” Be Sure To Check Out These Additional Resources From DrugRehab.org:

Sources

Center for Disease Control and Prevention – Prescription Opioid Overdose Data
National Center for Biotechnology Information – Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection, and Prevention
National Council of State Boards of Nursing – Institutional Diversion Prevention, Detection and Response
National Institute on Drug Abuse – The Science of Drug Abuse and Addiction: The Basics