
Withdrawal
{What to expect when you stop taking certain drugs}
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Harm reduction
With this extra time, you might find yourself using recreational drugs more than you usually would It’s a good idea to ration your supply and divide it out equally so you don’t end up increasing your use. It’s best to avoid binges at this time as these can increase tolerance really quickly which will make you more likely to experience withdrawal, and these symptoms can be more severe. This could also be an opportunity to take a tolerance break or at least lower your tolerance by using increasingly smaller amounts, less often, or delaying use until later in the day.
The way you use drugs is just as important in managing withdrawal as the dose and frequency of use. If you’re currently using in a way that gets the drug into your bloodstream quickly, such as injecting or smoking, consider exploring alternative methods. This will allow your body more time to adjust to the drug leaving your system making withdrawal a little easier, and as an added benefit may reduce harms overall.
Remember, the cause of withdrawal is a lack of the drug in your body, so the quickest way to make it stop is to redose. If you’re on holiday and decide to just continue drinking the morning after it’s not a major issue (although we still can’t recommend you do it), but if you’re in the middle of a recovery attempt, then redosing will send you back to the start.
References
Nathan B. Eddy M. Drug dependence: its significance and characteristics [Internet]. PubMed Central (PMC). 2020 [cited 27 April 2020]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2555251/>
Drug addiction: getting help [Internet]. nhs.uk. 2020 [cited 27 April 2020]. Available from: <https://www.nhs.uk/live-well/healthy-body/drug-addiction-getting-help/>
Conroy D, Arnedt J. Sleep and Substance Use Disorders: An Update. Current Psychiatry Reports. 2014;16(10).
Differential Effects of Addictive Drugs on Sleep and Sleep Stages. Journal of Addiction Research. 2019;3(2).
Sleep Hygiene - The Sleep Council [Internet]. The Sleep Council. 2020 [cited 27 April 2020]. Available from: <https://sleepcouncil.org.uk/advice-support/sleep-advice/sleep-hygiene/>
McKeown, DO N. Withdrawal Syndromes: Practice Essentials, Background, Pathophysiology [Internet]. Emedicine.medscape.com. 2018 [cited 15 April 2020]. Available from: <https://emedicine.medscape.com/article/819502-overview#a6>
WHO | Withdrawal state [Internet]. Who.int. 2020 [cited 26 April 2020]. Available from: <https://www.who.int/substance_abuse/terminology/withdrawal/en/>
The Dangers of Medication Tolerance [Internet]. Verywell Mind. 2020 [cited 27 April 2020]. Available from: <https://www.verywellmind.com/medication-tolerance-1124101>
Nutt D. Drugs without the hot air. La Vergne: UIT Cambridge Ltd.; 2020. Pg 139-140
KFx Drug Consultancy Initiative. Drug Facts: Alcohol [Internet]. kfx.org.uk. 2010. Available from: <http://www.kfx.org.uk/drugfacts/drugfacts_alcohol.php?LMCL=Do0r2V>
Nutt D. Drink? The New Science of Alcohol + Your Health. London: Yellow Kite; 2020.
Becker HC. Effects of Alcohol Dependence and Withdrawal on Stress Responsiveness and Alcohol Consumption. Alcohol Research: Current Reviews [Internet]. 2012;34(4):448. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860383/>
Mammoser G. Alcohol Withdrawal: Cold Turkey Dangers [Internet]. Healthline. 2017. Available from: <https://www.healthline.com/health-news/cold-turkey-alcohol-withdrawal-can-cause-serious-health-issues#1>
Drinkaware [Internet]. drinkaware.co.uk. 2017. Available from: <https://www.drinkaware.co.uk/alcohol-facts/health-effects-of-alcohol/mental-health/alcohol-withdrawal-symptoms/>
Bayard M, McIntyre J, Hill KR, Woodside Jr J. Alcohol Withdrawal Syndrome. American Family Physician [Internet]. 2004 Mar 15;69(6):1443--50. Available from: <https://www.aafp.org/afp/2004/0315/p1443.html>
Cannabis Withdrawal & Detox Guide - UK Addiction Treatment Centres [Internet]. UK Addiction Treatment Centres. 2020 [cited 25 April 2020]. Available from: <https://www.ukat.co.uk/cannabis-detox/>
How Long Does Withdrawal From Marijuana Last? [Internet]. Verywell Mind. 2020 [cited 26 April 2020]. Available from: <https://www.verywellmind.com/what-to-expect-from-cannabis-withdrawal-22304>
Marijuana withdrawal: Symptoms, timeline, and tips for coping [Internet]. Medicalnewstoday.com. 2020 [cited 26 April 2020]. Available from: <https://www.medicalnewstoday.com/articles/324301#withdrawal-symptoms>
Hartney E. How Long Does Withdrawal From Marijuana Last? [Internet]. Verywell Mind. 2020 [cited 25 April 2020]. Available from: <https://www.verywellmind.com/what-to-expect-from-cannabis-withdrawal-22304>
Barcott B. Cannabis withdrawal syndrome: How to ease the symptoms [Internet]. Leafly. 2017 [cited 23 April 2020]. Available from: <https://www.leafly.com/news/health/cannabis-withdrawal-syndrome-ease-symptoms>
Bahji A, Stephenson C, Tyo R, Hawken E, Seitz D. Prevalence of Cannabis Withdrawal Symptoms Among People With Regular or Dependent Use of Cannabinoids. JAMA Network Open [Internet]. 2020;3(4):e202370. Available from: <https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2764234>
What is Spice and why is the drug so dangerous? [Internet]. The Conversation. 2016 [cited 26 April 2020]. Available from: <https://theconversation.com/what-is-spice-and-why-is-the-drug-so-dangerous-60600>
Legg TJ. My Addiction to Benzos Was Harder to Overcome Than Heroin [Internet]. Healthline. 2018. Available from: <https://www.healthline.com/health/addiction-drug-problem-benzos#1>
Bateson A. Basic Pharmacologic Mechanisms Involved in Benzodiazepine Tolerance and Withdrawal. Current Pharmaceutical Design. 2002 Jan 1;8(1):5--21.
Pétursson H. The benzodiazepine withdrawal syndrome. Addiction. 1994 Nov;89(11):1455--9.
Hu X. Benzodiazepine withdrawal seizures and management. J Okla State Med Assoc. 2011 Feb;104(2):62--5.
Ashton H. Benzodiazepines: How They Work & How to Withdraw [Internet]. benzo.org.uk. 2002. Available from: <https://benzo.org.uk/manual/bzcha02.htm>
GHB/GBL "G" - Let's Talk about It [Internet]. Let's Talk about It. 2020 [cited 28 April 2020]. Available from: <https://www.letstalkaboutit.nhs.uk/other-services/chemsex-support/ghbgbl-g/>
Kosten T, George T. The Neurobiology of Opioid Dependence: Implications for Treatment. Science & Practice Perspectives. 2002;1(1):13-20.
Opioid Withdrawal [Internet]. Elsevier.com. 2020 [cited 27 April 2020]. Available from: <https://www.elsevier.com/_data/assets/pdffile/0019/537031/opioid-withdrawal-ClinicalKey.pdf>
Treatment of Stimulant Use Disorders: Current practices and promising perspectives. [Internet]. Unodc.org. 2019. Available from: <https://www.unodc.org/documents/drug-prevention-and-treatment/TreatmentofPSUDforwebsite_24.05.19.pdf>
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