3 Addictions

Helping You To Recover From Addiction

Month: February 2022

Marijuana Withdrawal

How Long Does Marijuana Withdrawal Last?

Since marijuana is also an addictive substance, prolonged or heavy use can increase users’ likelihood of experiencing withdrawal when they quit. Even though marijuana withdrawal is not as severe as the withdrawal experienced from harder drugs such as heroin or cocaine, most users will still experience withdrawal if they try to stop using.

Marijuana WithdrawalMarijuana withdrawal varies among different users. Individuals who are mildly dependent on marijuana can quickly stop using the drug themselves, but chronic users with a higher tolerance may require extra assistance to kick the habit.

Marijuana withdrawal can be challenging for heavy and chronic users, but the symptoms will depend on the individual’s dependence on the drug. The duration of withdrawal is also largely dependent on how much a person smokes and how long they have been using the drug. Individuals who use larger amounts of marijuana more frequently will experience a more severe and drawn-out withdrawal. Additionally, people who typically have a lower tolerance to physical and emotional distress might find the withdrawal more challenging to go through.

Withdrawal symptoms usually start within 24 hours of an individual’s last use, and then after two to three days, they reach their peak. Even though most of the symptoms go for about two weeks, some chronic users have stated that they experienced emotional imbalance, night sweats, and insomnia for a few months after stopping.

Timeline for Marijuana Withdrawal

Day 1: Individuals typically experience insomnia, anxiety, and irritability during this time.

Day 2 – Day 3: The withdrawal symptoms will reach their peak during this period. The individual will experience intense cravings for marijuana and possible stomach pains, chills, and sweating.

Day 4- Day 14: As the days go by, the symptoms will start to improve generally, but the person’s brain chemistry will begin to change and re-adapt to normal functioning without marijuana, leading to depression. The individual will also experience marijuana cravings during this time.

Day 5 – Day 15: Most of all, the symptoms should have gone by the third week. Users who experience serious psychological addiction have experienced anxiety and depression for a few months after stopping marijuana use.

Some marijuana users also go through withdrawal symptoms for a few weeks or months, referred to as Post-Acute Withdrawal Syndrome (PAWS).

Each withdrawal symptom may continue for varying periods depending on various factors.

Cravings

Marijuana WithdrawalEven though most regular weed smokers usually do not think they are addicted to it and most former users have typically experienced drug cravings in the initial stages of their abstinence journey. The cravings will vary depending on each individual but what remains constant is the strong urge to use marijuana.

Irritability

Irritability ranges from mild to aggressive, which is expected during marijuana withdrawal. However, if it lasts for longer than a week, it is advisable to get assistance from a psychologist, drug counselor, or doctor. This could be an underlying problem that was masked by marijuana use.

Anxiety

This may be a symptom of marijuana intoxication and intoxication. The anxiety may continue or become worse even after stopping. If this symptom persists after one week of stopping marijuana use, make sure you see a physician.

Depression

After taking it for years, some individuals who stop using marijuana might feel like they have wasted so much of their life on the drug. It is normal to feel like this, and this can be the driving force that helps you change your life for the better. However, these feelings of depression are supposed to lift after one or two weeks. If this doesn’t happen or affects your functioning, making any life changes feel overwhelming, then seek assistance from a drug counselor or a doctor.

Issues with Sleep

Marijuana WithdrawalA significant number of former marijuana users have reported experiencing problems with sleep during withdrawal, such as night sweats, disturbing or vivid dreams, and insomnia. Some have also stated that they frequently had dreams of using marijuana, also referred to as “using dreams.” Recovering users may experience vivid dreams often about 1 week after stopping, and they can go on for almost one month before they are off the drug completely. It is also not uncommon for former users to have such dreams years after stopping taking marijuana.

Insomnia can go for a few days or weeks after stopping using marijuana. Some individuals may experience irregular sleeplessness for several months after quitting.

Headaches

Some individuals who quit marijuana will experience intense headaches for a few days after stopping taking the drug. These headaches will typically come on 1-3 days after stopping marijuana and peak after about 2 to 6 days. The symptoms frequently go away after two weeks. However, some former users have reported experiencing the symptoms for weeks or months afterwards.

The physical withdrawal symptoms from stopping marijuana are less acute, peak sooner, and fade quickly than psychological symptoms. The amount and frequency of weed used before quitting impacts the duration and severity of withdrawal symptoms such as:

  • Flu-like symptoms: chills, fever, tremors, shakiness, sweating, and headache
  • Weight gain or loss
  • Appetite changes
  • Stomach pain

For most users, marijuana is eliminated from the body in 30 days. The detox process is typically less painful and lasts for a maximum of three weeks or fewer. Marijuana withdrawal takes time. Even though the initial effects of taking the drug often wear off after 3 hours, people who have been abusing marijuana for a long time or heavily can still have traces of the drug in their bodies even months after use.

Alcohol Withdrawal

Medications For Alcohol Withdrawal

Drinking alcohol in moderation should not pose any serious health problems. However, regular heavy drinking may cause your body to become dependent on alcohol. Any time you try to reduce your drinking or stop it altogether, you will experience alcohol withdrawal symptoms. These tend to be very uncomfortable, making it much harder to control your drinking habits.

What are the symptoms of alcohol withdrawal?

  • Alcohol WithdrawalInsomnia
  • Trembling
  • Mild anxiety
  • Headache
  • Stomach upset
  • Palpitations
  • Excessive sweating
  • Anorexia
  • Hallucinations (visual, auditory, or tactile)
  • Seizures
  • Tachycardia (heart rate of over 100 beats per minute)
  • High blood pressure
  • Fever
  • Agitation
  • Disorientation
  • Delirium tremens (DTs)

Mild symptoms, such as trembling, headache, and stomach upsets, generally happen within 6 to 12 hours of your last drink. Hallucinations and seizures can occur within 24 to 48 hours. The worst symptoms, such as delirium tremens (DTs) and intense hallucinations, may develop after 48 to 72 hours.

DTs constitute a medical emergency. Thus, if you or someone you know is experiencing this, call for medical help immediately. If DTs is not treated promptly, it may turn life-threatening.

What causes alcohol withdrawal?

Alcohol WithdrawalAlcohol interferes with the normal function of the brain. As a depressant, it slows down activity in the brain, promoting relaxation. If you drink frequently, your brain will soon become used to the effects of alcohol. Consequently, to keep the brain functioning, it will have to work harder to keep you alert.

Once you cut down on alcohol or stop drinking, the brain is still in that hyperactive state. Without alcohol to slow the brain down, withdrawal symptoms like anxiety, trembling, restlessness, and seizures kick in. The cause is an overactive brain.

How is alcohol withdrawal treated?

Benzodiazepines are commonly used medications to treat withdrawal symptoms like seizures, insomnia, and anxiety. These drugs, also known as “benzos”, are central nervous system depressants. In other words, they slow down the activity of the brain, effectively calming you down. You may even feel drowsy or sleepy while taking benzos.

Both benzos and alcohol are depressants, and both have addictive potential as well. Benzos also carry other side effects, including dizziness, confusion, and muscle weakness. Thus, benzos need to be taken carefully and only with medical supervision to be effective.

Three benzos are often used in alcohol withdrawal treatment. These are:

  • Chlordiazepoxide (Librium)
  • Diazepam (Valium)
  • Lorazepam (Ativan)

These drugs are tightly regulated, and you cannot get them without prescriptions. Thus, they are only used in proper treatment settings. These medications are often part of alcohol detox, which can either be inpatient or outpatient.

Inpatient rehab settings give the best results for detoxing with benzos. Here, you get 24/7 care from medical professionals, so in case you feel anything strange, uncomfortable, or painful, you can get help right away. But benzos have also seen success when prescribed in outpatient rehab programs.

Because of their potential side effects, the dosing of benzos need to be carefully monitored and controlled. Which benzo you will be given, and how much, depends on the withdrawal symptoms you have, the severity of your alcohol dependence, and whether you are in an inpatient or an outpatient rehab setting.

There are three methods mainly used when prescribing benzos for alcohol detox.

Symptom-Triggered Regimen (STR)

Alcohol WithdrawalIn STR, your benzo dosage depends on how you rate your level of pain. If your pain rating is higher, you get a bigger dose. Several other criteria are also assessed before any medication is prescribed.

For STR to work safely, you can only undergo this regimen in an inpatient rehab facility. You will need direct supervision from doctors and consistent monitoring.

The main advantages of STR is it shortens the length of treatment and lets you take less medication overall. The risk of under- or overmedication is also smaller.

Fixed Tapering Dose Regimen (FTDR)

In FTDR, your dosage is fixed regardless of the severity of your withdrawal symptoms. FTDR can be used in outpatient settings, as consistent monitoring will not always be required. Also, this regimen works best if you have mild withdrawal symptoms.

Also, as the name implies, your dose will be tapered down with time. Benzos are only temporary medications, as using them for a long time can lead to addiction.

Loading Dose Regimen (LDR)

LDR uses long-acting benzos, which stay in your body for several days. It works best in preventing seizures, and it is only done in inpatient rehab settings. Monitoring is important in LDR, so it cannot be administered in outpatient rehab programs.

Other medications

Aside from benzodiazepines, other drugs may also be used to manage alcohol withdrawal symptoms. Anticonvulsants like gabapentin and carbamazepine are also helpful, especially in preventing seizures. Additionally, some studies have shown that anticonvulsants can help with reducing alcohol cravings.

The good thing about anticonvulsants is their lack of addictive potential. With that, they are safer than benzodiazepines. However, using anticonvulsants alone may not be enough to effectively manage alcohol withdrawal symptoms. Thus, both kinds of medications may be used in combination.

Adrenergic drugs, like clonidine, are also used when detoxing from alcohol. These drugs lower your blood pressure and heart rate if they are high. Adrenergic drugs do not treat seizures or DTs, though.

Are medications always needed in treating alcohol withdrawal?

Medications are not always necessary. Before doctors prescribe you anything, they will assess your condition first. Not all cases of withdrawal warrant medication.

Doctors often use what is known as the CIWA-AR (Clinical Institute Withdrawal Assessment – Alcohol Revised) scale to find out how severe your withdrawal symptoms are. If you score zero to 8 points on this scale, medications may not be necessary for you. But if you score 9 and above, you will be prescribed medications.

If you do not need medication, supportive care will be given to you for up to 36 hours. After that time, it is highly unlikely that you will develop worse withdrawal symptoms.

To ensure that withdrawal does not bother you again, it is best to stay away from alcohol. Continuing to drink will significantly increase the chances that you will experience withdrawal again in the future.

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