Find Recovery Editorial Team, Author at Find Recovery

Understanding Alcohol Brain Fog

We’ve all heard the term “brain fog” thrown around, but when it comes to alcohol, this fog can become a lingering haze that disrupts your life. Understanding what alcohol brain fog is, its causes, and how to overcome it is crucial for anyone grappling with alcohol-related issues. This article aims to shed light on this often-overlooked aspect of alcohol consumption and its long-term effects on cognitive function.

What is Alcohol Brain Frog?

Alcohol brain fog refers to a range of cognitive impairments that occur during alcohol consumption or in the aftermath. While “brain fog” is not a medical term, it’s widely used to describe symptoms like confusion, forgetfulness, lack of focus, and mental clarity. In the context of alcohol, these symptoms can be acute (occurring shortly after drinking) and chronic, lasting long after the alcohol has left your system.

In fact, brain fog related to alcohol use can also be a symptom of withdrawal for those who have developed alcohol dependence. In such cases, the brain has become accustomed to the presence of alcohol and may struggle to function normally without it, leading to feelings of confusion or disorientation.

Causes of Alcohol Brain Fog

There isn’t a single cause directly associated with alcohol brain fog. This cognitive impairment is often the result of the following:

Alcohol Abuse: Alcohol is a central nervous system depressant, which means it slows down brain function and neural activity. This impairment can lead to temporary cognitive dysfunction, often called brain fog.
Withdrawal Symptoms: For those who have developed an alcohol dependence, brain fog can also be a withdrawal symptom. In such cases, the brain struggles to function normally without alcohol, leading to cognitive impairments.
Nutrition Deficiencies: Chronic alcohol use can lead to nutritional deficiencies, such as a lack of B vitamins, which are crucial for cognitive function. This deficiency can exacerbate symptoms of brain fog.

Signs and Symptoms

Alcohol brain fog varies depending on the individual’s consumption frequency, tolerance and overall health. Recognizing the signs of alcohol brain fog is the first step toward addressing it. Symptoms can include:

Lack of concentration. People with alcohol brain fog find concentrating on tasks and following conversations hard. This difficulty can disrupt work, social interactions and overall productivity.
Memory problems. Short-term memory problems like forgetting people’s names and recent events are frequent in an individual suffering from brain fog. More severe issues include blackouts and amnesia.
Exhaustion. Alcohol can disrupt standard sleep patterns. The lack of restorative sleep contributes to cognitive impairment and brain fog.
Exacerbation of the need for alcohol. The individual may start to notice the symptoms of alcohol brain fog and feel like their brain is “damaged” and they “need alcohol to think.” This can lead to misuse and addiction.

Long-term Effects

If not addressed, alcohol brain fog can lead to more severe cognitive impairments over time. Chronic alcohol use has been linked to long-term memory issues, decreased attention span, and even conditions like Wernicke-Korsakoff syndrome, a severe form of cognitive impairment related to vitamin B1 deficiency.

Brain fog and long-term alcohol misuse can increase vulnerability to mental health disorders such as anxiety and depression. The impact of alcohol on neurotransmitters and brain chemistry can disrupt mood regulation and contribute to the development or worsening of these conditions.

How to Overcome Alcohol Brain Fog

There are plenty of ways to recover from alcohol brain fog.

Medical Evaluation: The first step in overcoming alcohol brain fog is to consult a healthcare provider for a comprehensive diagnosis and treatment plan, which may include detoxification and other medical interventions.
Medical Detox: Abruptly stopping the ingestion of alcohol can be challenging and potentially dangerous. Professional detox will help you or your loved one to cut down alcohol drinking step by step. This way, your brain and body can readjust in a measured way.
Mental Health Support: Research shows that brain fog is already a symptom of severe mental illnesses and, when exacerbated, can worsen the symptoms of anxiety and depression. When seeking professional help, ensure the treatment center or the healthcare provider offers dual diagnosis and treatment.
Alcohol Addiction Treatment: Behavioral treatments, medications and mutual support groups like Alcoholics Anonymous (AA) are some of the most effective treatments for alcohol addiction. Behavioral therapies will help you recognize your patterns and triggers and develop the skills to reduce or stop drinking.
Healthy Habits: Once you get control of your alcohol consumption, the way to steady sobriety can be achieved through healthy habits. Drinking 2-3L of water daily, maintaining a nutritious diet, creating a self-care plan and developing a support network can nurture your body and mind on the path to wellness.
Abstinence or Moderation: Depending on the severity of the symptoms and the underlying causes, reducing alcohol intake or abstaining entirely is often necessary to clear the fog.

The Bottom Line

According to the National Institute on Alcohol Abuse and Alcoholism, people who get treated for their alcohol problems have no further mental or physical symptoms one year later. Understanding alcohol brain fog is crucial for anyone dealing with alcohol-related cognitive impairments. By recognizing the signs and taking proactive steps, it’s possible to lift the fog and improve your cognitive function.

10 Job Tips for Recovering Addicts

Navigating the job market is challenging for anyone, but the journey can feel like an uphill battle for those in recovery from addiction. Let’s explore some tips to help you land that job and make a fresh start.

1. Explore Career Development Opportunities in Your Rehab Center

Your journey to employment can start right where your recovery did. Many rehab centers offer career development services, from vocational training to job placement assistance. Take advantage of these resources to set the stage for your job search.

2. Conduct an Honest Self-Assessment

Before diving into the job search, take some time to assess your skills, interests, and strengths. Knowing what you bring can help you target roles that align with your abilities. Consider taking online courses or workshops to fill in any skill gaps.

3. Master the Art of Resume Building

Crafting a compelling resume is crucial. If you have employment gaps due to your recovery journey, consider using a functional resume that focuses on your skills rather than a chronological work history. Be prepared to discuss your experience in a positive light, emphasizing what you’ve learned and how it makes you a stronger candidate.

A resume is your first impression on paper, and it needs to be a good one. Some rehab centers offer resume-building workshops to help you address employment gaps and highlight your skills. Utilize these services to create a resume that speaks to your strengths.

4. Know Where to Look

Some industries are more understanding and supportive than others when hiring people in recovery. Research companies are known for their inclusive cultures and don’t overlook job boards that specialize in opportunities for those with a history of addiction.

Don’t underestimate the power of your rehab center in your job search. Many centers have partnerships with local businesses and can help you find opportunities that fit your skills and background well.

5. Leverage Your Network

Your support network can be valuable in your job search. Groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) often have members who can provide job leads or offer advice on navigating the job market.

Contact friends, family, and acquaintances who might know of suitable job openings. Networking events and LinkedIn are also excellent platforms for making professional connections.

6. Prepare for Interviews

Interviews can be nerve-wracking, especially if you’re concerned about discussing your recovery. Many rehab centers and even halfway houses offer mock interviews and coaching to help you prepare. Use these resources to build your confidence and hone your interview skills.

7. To Disclose or not to Disclose?

When disclosing your recovery status, you may wonder what you’re legally required to share. The answer varies by jurisdiction and job type. Still, generally, you’re not obligated to disclose your medical history, including addiction recovery, unless it directly impacts your ability to perform the job.

Weigh the pros and cons carefully. If you choose to disclose, be straightforward but professional, focusing on how your journey has equipped you with unique skills and perspectives.

8. Consider Part-Time and Flexible Jobs

If you’re in early recovery or enrolled in an outpatient program. Consider part-time or flexible job opportunities that allow you to maintain a healthy work-life balance while focusing on your recovery.

9. Know Your Rights

You have legal protections against discrimination based on your recovery status. Familiarize yourself with these laws so you can advocate for yourself if needed. The Americans with Disabilities Act (ADA) does offer specific protections for individuals recovering from substance abuse, including drug and alcohol addiction.

Under the ADA, recovering addicts may be entitled to “reasonable accommodations” to help them perform the essential functions of their job. This could include schedule flexibility for attending AA or NA meetings, for example.

10. Never Stop Learning and Growing

The job market is ever-changing, and continuous learning is key to long-term success. Keep updating your skills and stay adaptable. Your journey doesn’t end when you get the job; it’s a new beginning.

Bonus: Focus On the Best Jobs for Recovering Addicts

When choosing a career path, consider roles conducive to your recovery. Jobs with a stable work environment, low stress, and a supportive community can be ideal.

Jobs to Consider:

Skilled Trades: Jobs in carpentry, plumbing, or electrical work often provide a stable work environment and the satisfaction of tangible results.
Animal Care: Working with animals can be therapeutic and offers a lower-stress environment than many other jobs.
Administrative Roles: Office jobs provide a structured routine without the high-stress environment of sales or customer service roles.
Library Assistant: A calm environment and the opportunity to work independently can make this a good option.
Non-Profit Organizations: The sense of purpose that comes from doing meaningful work can strongly influence recovery.

Jobs to Avoid:

Bars/Nightclubs: The availability of alcohol or drugs can make these environments risky.
High-Stress Jobs: Roles in finance, law enforcement, or emergency healthcare can be triggering due to stress.
Sales Roles Involving Commission: The pressure to meet quotas can be stressful and destabilizing.
Isolated or Unsupervised Jobs: Lack of a support network or accountability can be risky for some people in recovery.
Competitive Fields: High-pressure, competitive environments can be stressful and not conducive to recovery.

Remember, the road to employment may have challenges, but your recovery journey has already shown you have the resilience and determination to overcome obstacles.

Ecstasy: What are the effects it has on the brain?

Ecstasy, also known as MDMA, Molly, or “E”, is one of the most popular recreational drugs in America, commonly used among partygoers and young adults. Side effects include energy and alertness, pleasurable feelings, and sociability.

While its euphoria-inducing effects may seem enticing, ecstasy is far from a harmless party drug. It poses significant dangers to both physical and mental health and even just a single use can forever warp the functioning of our brain.

5 Effects of Ecstacy/MDMA on the Brain

When a person takes ecstasy, it is rapidly absorbed into the bloodstream by the digestive system and then distributed throughout the body, eventually reaching the brain. Once in the brain, ecstasy primarily affects three key neurotransmitters: serotonin, dopamine, and norepinephrine. Responsible for a range of crucial bodily functions, the resulting imbalances in these neurotransmitters can trigger a host of issues, some of which can be long-standing in the face of repeated use.

Increased sensory sensitivity

Ecstasy increases the release of serotonin, dopamine, and norepinephrine into the synaptic cleft, leading to increased signaling between neurons. Neurons are the receptors in the brain that help us to process everything we interact with like sights and smells, as well as our perception of intangible things like time.

Heightened sensory sensitivity can make users more susceptible to overstimulation and can lead to sensory overload, anxiety, and panic attacks. It can also potentially lead to cell damage or death.

Depletes serotonin levels

Ecstasy has a high potential for neurotoxicity due to the nature of how it works. The reason why ecstasy might feel so enjoyable in the moment is because it causes a tremendous surge in serotonin — one of the key feel-good neurotransmitters. This high comes at a cost, however, and the brain finds itself depleted of serotonin afterward. In this “comedown” phase, ecstasy users may feel depression, fatigue, and irritability in the days following use

Impaired cognitive function

Using ecstasy can hurt cognitive function both during and after its use, particularly memory and attention. This is primarily due to ecstasy’s impact on serotonin, which has a direct relationship with memory. Simple tasks like driving or operating machinery after using ecstasy can be extremely risky.

Mood disturbances

Repeated ecstasy use can cause longer-term neurochemical imbalances. After experiencing such intense highs and lows, the brain no longer knows what “normal” levels should be. As a result, ecstasy can cause mood disorders such as depression and anxiety, in addition to other long-term changes to brain function.

Sends signals to stimulate the body

Unlike serotonin or dopamine which can make a person feel good, the other key neurotransmitter targeted by ecstasy is norepinephrine. Norepinephrine is a counterpart of adrenaline that helps prepare the body’s fight-or-flight response. Ecstasy signals this hormone to be released, which leads to many of ecstasy’s physically stimulating effects such as increased heart rate, blood pressure, and alertness. This can be dangerous with increases in heart rate and blood pressure potentially leading to heart complications, heat stroke, and even death.

Are ecstasy’s effects on the brain permanent?

Science isn’t sure if brain damage caused by ecstasy is permanent. Research into methamphetamine, another stimulant, has been shown to have some permanent effects, but there have been no such findings for ecstasy in particular. One study looked into individuals who stopped using ecstasy for 20 weeks and found indications that their brain was recovering.

How does ecstasy cause the high?

One of the main effects of ecstasy in the body is that it causes a massive release of serotonin. This important neurotransmitter deals with mood regulation, pleasure, and feelings of well-being. As a result, this temporary surge will make a person feel a rush of positive emotions, empathy, and increased sociability. These effects typically last between 3 and 6 hours. The comedown period, however, can take several days.

How addictive is ecstasy?

Ecstasy is a stimulant drug, like that of cocaine and meth. It’s not nearly as addictive as either substance but can still get someone hooked quickly. Some of the most common signs of ecstasy addiction or withdrawal are:

Anxiety or depression
Difficulty concentrating
Fatigue
Headache
Loss of appetite
Nausea
Teeth clenching

There are no FDA-approved medications for treating ecstasy addiction. Instead, treatment typically includes detox and a focus on behavioral therapies like cognitive-behavioral therapy (CBT). If you or someone you know has been dabbling with ecstasy, get free help near you at local Narcotics Anonymous meetings. There you can learn more about treatment options that have worked for others and get judgment-free support.

https://nida.nih.gov/publications/research-reports/mdma-ecstasy-abuse/what-are-mdmas-effects-on-brain

Embracing Sobriety: One Day at a Time with AA

Focusing your energy and attention on the present is essential to recovery. Instead of worrying about the possibility of a relapse or mulling over past mistakes, concentrate on the next 24 hours and what you can do to recover within that time. It sounds simple, but it has helped many people embrace their sobriety. Let’s explore the infamous “one day at a time” mindset and how it can help you stay on track with your recovery goals.

What is “One Day at a Time”?

Alcoholics Anonymous (AA) offers different mantras and affirmations to remind you that you’re making progress every day, little by little.

“One day at a time” is one of those mantras. While not unique to the 12-Step Program, it aims to make the long process of maintaining sobriety achievable when it can feel impossible.

Many people recovering from alcoholism find it impossible to picture a life without addiction or drinking, especially in the beginning. This saying is a reminder to stay in the present, leave the past behind, and not obsess over the future.

“One day at a time” helps by giving them a task they can achieve right now: avoid drinking for the next 24 hours. Don’t think about tomorrow. It doesn’t matter if you drank yesterday. What you should be focusing on is the here and now.

The Benefits of Living “One Day at a Time” in Recovery

Studies have shown that alcoholism significantly changes the way the brain works. Managing cravings is not a matter of willpower or a moral flaw when your brain has rearranged itself around addiction. But you can reverse this rearrangement by following the 24-Hour Rule.

Promotes Self-Awareness in Recovery

When you only think about the end goal of “someday I’ll be fully sober,” you’re not really experiencing your recovery journey. For many, it’s not as cut and dry as quitting cold turkey and going on with their lives as if nothing happened.

Instead, it’s a lifelong process.

By focusing only on the future, you fail to see the progress you make every day. The 24-hour Rule makes you think about everything you’ve accomplished in just one day – big or small, it all adds up.

Encourages Mindfulness Throughout Recovery

The “one day at a time” approach helps you stay in the moment and connect with yourself, which can be especially useful during stressful situations or when you are overwhelmed by complex emotions. In those cases, coming “back to earth” can turn your day around for the better.

You can control feelings of anxiety by focusing on physical sensations. If you find yourself overwhelmed by everything that needs to be done at home or have a backlog of unfinished tasks at work, try to tune in to your senses first. List things you can see, feel, hear, smell, or taste. Even out loud if you think it will help.

Don’t spend your time and energy catastrophizing. Instead, try to calm down first and then return to your tasks.

Makes Recovery Seem More Manageable

How do you ensure you’ll stay sober for the rest of your life? Can you be sure that you will never relapse? That you will never have a bad day and fall back on old habits?

It can be daunting to think of recovery like this, but you can make the process more manageable by focusing on what you can do right now. One day at a time means you can learn to focus on managing the small aspects of life instead of constantly worrying about the future and what you can’t control.

“One day at a time” asks you to take your recovery day by day instead of planning out the rest of your life. There’s a place for long-term plans, but executing them requires a “day-by-day” approach.

How to Practice Living One Day At a Time?

Living one day at a time is easier than you think. Here are some strategies to help you get started:

Repeat Mantras: You’ll hear a few common phrases in group meetings and recovery circles. Mantras and slogans that help you keep the core beliefs of the 12-Step Program in mind when you need them. Feel free to pick and memorize your favorites or write them down somewhere you’ll see them daily, like a whiteboard, journal, or bathroom mirror.
Use Affirmations: Telling yourself you are strong in your weakest moments might initially feel insincere, but this isn’t about lying to yourself. Affirmations are promises you make to yourself, reminders of your worth and progress. Remember, affirmations aren’t goals. It’s not “I will be strong” but “I AM strong!” Being kind to yourself in this way while trying to do your best goes a long way.
Reflect/Journal: Living in the now doesn’t mean you never spare a thought for the past or future. Planning is still important, and looking back on your efforts toward sobriety lets you see just how far you’ve come, no matter where you are in your journey. Try to make time to meditate or simply sit in silence and check in with yourself occasionally. Journaling is also a powerful, fulfilling tool.

Living One Day at a Time Benefits Your Recovery

Addiction is a complex condition with many factors. It’s not shameful to recognize how powerful and easily it gets overwhelming. Thinking about perceived past failures or future challenges can be paralyzing, which is why taking things “one day at a time” helps you focus on what you can do now rather than overthink what was or could be.

Try to take your recovery 24 hours at a time, and you will eventually notice how being in the moment helps you be more mindful and appreciate the small daily victories.

Subutex vs. Suboxone

Despite some pretty major similarities, including sharing the same first syllable, Subutex and Suboxone are not the same drug. They cannot be used interchangeably or substituted for one another (unless designated by a medical professional). Join us as we dive into the differences between Subutex and Suboxone, how they work, and which one is better to use for opioid addiction.

What is Subutex?

Subutex is the brand name of a prescription medication used in the treatment of opioid use disorder. Its active ingredient is buprenorphine, a very weak opioid, which is used as a pain reliever and to reduce the intensity of withdrawal symptoms.

Subutex is typically prescribed during the induction phase of treatment (i.e. the beginning of treatment), but after they have already gone through the initial withdrawal phase from other opioids. It may not be suitable for long-term maintenance therapy for some individuals

What is Suboxone?

Suboxone, on the other hand, is a combination medication. It too contains buprenorphine (though it is not the same as buprenorphine), which means suboxone is able to safely activate opioid receptors and make opioid withdrawal a lot less uncomfortable. However, the key to suboxone’s success is its other active ingredient: naloxone, an opioid antagonist.

Opioid antagonists are the opposite of opioid agonists and prevent opioid receptors from being activated. Suboxone has both, which makes it uniquely equipped to deal with some of the key challenges that can occur in medically assisted opioid addiction treatment.

Suboxone is used during both the induction stages of treatment as well as ongoing maintenance phases.

How Subutex and Suboxone are similar

Both Subutex and Suboxone are FDA-approved medications used in opioid addiction treatment. They belong to a class of drugs known as partial opioid agonists which means that they’re technically opioids, but extremely weak ones — a key factor to why they’re so effective and their use is so widespread.

Being opioids, Subutex and Suboxone are able to bind to opioid receptors in the brain, fulfilling the body’s physical dependence on opioids and thereby reducing cravings and withdrawal symptoms. And since they’re only partial opioids, they don’t cause euphoric highs like their predecessor, methadone, which is a full opioid agonist. As partial opioid agonists, these drugs carry a low risk of abuse or addiction.

The biggest difference between Subutex and Suboxone

The main difference between Subutex and Suboxone comes down to what they’re made of: Subutex’s only active ingredient is buprenorphine while Suboxone is a combination of buprenorphine and naloxone.

Buprenorphine is a key ingredient in both Subutex and Suboxone which enables both medications to be so effective at treating opioid addiction, and the presence of naloxone in Suboxone doesn’t change that. What it does affect is the potential for long-term use of a buprenorphine-based medicine and that is why suboxone is preferred for the long-term maintenance treatment of opioid dependence over Subutex.

What does naloxone do?

Naloxone is an opioid antagonist that blocks the effects of opioids at the receptor level. It’s the same active ingredient in the brand name medication, Narcan, that’s used to reverse an opioid overdose quickly.

Its purpose as part of a buprenorphine duo is to discourage misuse of the medication. If Suboxone is taken sublingually (placed under the tongue) as it’s supposed to be, the naloxone component has little to no effect. However, if someone tries to misuse Suboxone by injecting it, the naloxone becomes active and initiates some very unpleasant withdrawal symptoms very quickly. This makes suboxone much better equipped to deter misuse than subutex, which has no chemical safeguard.

What does buprenorphine do?

Buprenorphine is the key component in medication-assisted treatment (MAT) for opioid dependence and opioid use disorder. It’s a partial opioid agonist that activates opioid receptors enough to alleviate withdrawal discomfort without producing intense euphoria. In addition to being an effective treatment for opioid addiction, buprenorphine is also used for pain relief and as an anesthetic.

Buprenorphine is a controlled substance due to its opioid nature. It should always be used under the supervision and guidance of a qualified healthcare provider. While the potential for abuse and addiction is low, all opioids carry some risk and should be used cautiously.

Even though it’s only a partial opioid, buprenorphine has a long duration of action and half-life (between 25 to 70 hours). This is great for addiction recovery patients because it means that the medication’s effects provide relief for a long time and don’t require frequent dosages.

If you or a loved one are looking for relief from opioid dependence, you can talk to someone for free at an NA meeting near you.

3 Alternatives to Buprenorphine (Suboxone)

Although buprenorphine-based medications, Suboxone and Subutex, are widely used as part of opioid addiction treatment (and are considered to be safe and effective), there are plenty of good reasons why someone would be interested in buprenorphine alternatives. Here are 3 other options that can be used instead.

Naltrexone

Naltrexone is the generic name for another FDA-approved medication used for the treatment of opioid addiction (Vivitrol is the brand name version). Unlike buprenorphine, Naltrexone is not an opioid. It’s an opioid antagonist like naloxone, the deterrent component in Suboxone, which blocks the effects of opioids.

Since it can’t occupy and activate opioid receptors in the brain, there’s no risk of naltrexone causing a high. That can be a double-edged sword since it also means that naltrexone can’t provide relief for opioid withdrawal symptoms. This medication is purely for disincentivizing relapse and is best suited for someone with less severe opioid addiction and who’s at a lower risk of relapse.

Methadone

Methadone is the predecessor to medications like Suboxone and Subutex, and was one of the first medications approved to treat opioid addiction. It’s a full opioid agonist (compared to buprenorphine’s partial opioid status) that’s powerful and long-lasting. This makes it highly effective for providing relief from opioid withdrawal symptoms but also gives it significantly higher misuse potential.

One benefit of methadone over a buprenorphine-based medication is that it does not require the patient to already be in a state of withdrawal, and it can be used at any time. Methadone can only be acquired through federally certified opioid treatment programs (OTPs).

Suboxone Alternatives

If you’re okay with using buprenorphine but instead looking for an alternative to Suboxone in particular, you’re in luck. Zubsolv is the brand name of another buprenorphine/naloxone combination. The primary difference is the form of the medicine: Suboxone is a film that’s dissolved under the tongue whereas Zubsolv is a tablet.

One benefit of this Suboxone alternative is for patients who require higher doses. Zubsolv is more bioavailable (more of the medicine is absorbed and used in the body), so it requires less of this medication to have the same effects as a larger dose of Suboxone.

Reasons Why You Might Want Buprenorphine Alternatives

Not all people will respond to medications the same way. Differences in physiological or mental health, diet, lifestyle, and a whole range of other factors will affect how a drug works in the body. Then there are differences in treatment preferences to consider, which can also vary based on individual circumstances and medical needs.

Side Effects

Some of the most common side effects of buprenorphine-based medications like Suboxone include tiredness, nausea, constipation, headache, and dizziness (but these occur in less than 10% of patients). Symptoms may be more severe in some individuals than others, especially if they have an opioid sensitivity, which could merit finding a different medication.

Allergies

It’s not common, but some people may be allergic to buprenorphine (or in the case of Suboxone, to the compound naloxone). Symptoms can include a rash, hives, and pruritus. Typically, a person allergic to buprenorphine is allergic to all opioids — so if you’ve never had a reaction before, you’re likely not at risk. Some of the more serious, but highly rare, symptoms can be trouble breathing (anaphylactic shock), low blood pressure, or loss of consciousness.

Concerns for risk of abuse

Though buprenorphine-based drugs are considered to be “safe”, it’s technically still an opioid and therefore has the potential to be abused, and in some cases, to even result in addiction.

Preferences in medication administration

Suboxone and other buprenorphine medications are typically taken sublingually as a thin film that’s dissolved under the tongue, or in tablets. However, different formulations such as long-acting injectable buprenorphine, oral tablets, or transdermal patches, may be a better fit based on a person’s medical history, lifestyle, or personal beliefs.

Co-occurring disorders

A person with a co-occurring disorder may be on one or multiple prescriptions and could potentially have adverse reactions when taken with buprenorphine medications. Some of the most common drugs known to have interactions with drugs like Suboxone include:

Alcohol
Antifungal medications, antibiotics, or antiretroviral drugs that affect the liver
Antidepressants (particularly monoamine oxidase inhibitors)
Antipsychotics
Barbiturates or other sedatives
Benzodiazepines
Erythromycin
Hormonal contraceptives
Phenobarbital
Rifampin
HIV protease inhibitors

Plus, some medications may simply be better suited to managing both the addiction and the other medical needs simultaneously.

Ease of access

At the end of the day, what good is a medication that you can’t get your hands on? Accessibility is a major factor in the viability of using some medications over others. For instance, Suboxone is only available through specially licensed medical professionals, many of which are limited to specific clinics.

However, accessibility doesn’t just refer to the ability to physically get the medication but also cost. In some cases, certain medications might be more affordable or more readily available. A treatment option that’s always free and readily available is support groups like Narcotics Anonymous. Find an NA meeting near you today.

Source: https://www.ncbi.nlm.nih.gov/books/NBK541393/

Is it Dangerous to Mix Alcohol & NSAIDs?

Typical over-the-counter (OTC) medications seen as relatively harmless on their own become potentially dangerous when ingested with alcohol or when alcohol is already in your system.

Nonsteroidal anti-inflammatory drugs (NSAIDs) are one such case. NSAIDs are OTC pain relievers that treat pain, inflammation, and fever. Some of the most common include ibuprofen, diclofenac, ketoprofen, meloxicam, and naproxen. While they can be safe in moderation, they can also lead to unexpected side effects combined with alcohol.

Let’s explore how NSAIDs and alcohol interact and who’s more at risk of experiencing side effects.

What Are the Dangers of Mixing Alcohol and NSAIDs?

Mixing alcohol with nonsteroidal anti-inflammatory drugs (NSAIDs) can be dangerous for several reasons. Here are some of the potential risks and concerns:

Gastrointestinal (GI) Bleeding: Both alcohol and NSAIDs can irritate the stomach lining. When taken together, the risk of developing ulcers and gastrointestinal bleeding increases. Consuming up to 1 drink per day increases the risk of gastrointestinal bleeding associated with NSAID use by about 37%. This can be life-threatening if not addressed promptly.
Liver Damage: Some NSAIDs (sulindac and diclofenac), when taken in large doses or over a prolonged period, can adversely affect the liver. Combining NSAIDs with alcohol, which is also metabolized by the liver, can amplify this risk. This combination can lead to liver inflammation, liver disease, or even liver failure in severe cases.
Kidney Damage: Ibuprofen, naproxen sodium, and ketoprofen can reduce blood flow to the kidneys, leading to kidney damage over time. Alcohol can also have harmful effects on kidney function. When combined, the risk of kidney problems may increase.
Increased Blood Pressure: NSAIDs can lead to increased blood pressure. Alcohol can also have this effect, especially when consumed in large quantities. Combining the two can exacerbate hypertension, leading to other cardiovascular problems.
Exacerbate Medication Effects: Alcohol can intensify the sedative effects of many medications, leading to drowsiness, dizziness, and impaired coordination. This can be dangerous, especially if driving or operating heavy machinery.
Risk of Overdose: If someone consumes alcohol to the point of impaired judgment, they might inadvertently take more NSAIDs than recommended, leading to an overdose. NSAID overdose can lead to nausea and vomiting, dizziness or vertigo, slowed or shallow breathing, confusion, or altered mental status. In severe cases, cardiovascular collapse, seizures, or coma can occur.

Other Dangers of Mixing Alcohol and NSAIDs

In addition to the dangers mentioned previously, here are some other risks associated with combining alcohol and NSAIDs:

Prolonged Bleeding Time: Both alcohol and NSAIDs can interfere with platelet function, leading to prolonged bleeding time. This can be especially concerning if someone has a bleeding disorder or is on other medications that affect blood clotting.
Exacerbation of Health Conditions: People with certain health conditions, such as liver disease, kidney disease, or peptic ulcer disease, can experience exacerbated symptoms when combining alcohol and NSAIDs.
Masking of Symptoms: Alcohol can sometimes mask the symptoms of an adverse reaction or overdose of NSAIDs, leading to a delay in seeking medical attention.
Impaired Judgment: Alcohol can impair judgment, which might lead someone to take more NSAIDs than recommended, increasing the risk of overdose or adverse reactions.

Who is More At Risk?

Certain individuals may be at a higher risk of experiencing adverse effects when mixing alcohol and NSAIDs:

Elderly Individuals: As people age, their body’s ability to metabolize drugs and alcohol can decrease.
Individuals with Chronic Medical Conditions: People with liver disease, kidney disease, heart disease, hypertension, or gastrointestinal disorders are at a higher risk of complications.
Individuals Taking Multiple Medications: Those on multiple medications, especially anticoagulants, antiplatelet agents, other pain relievers, or medications for blood pressure, may experience drug interactions when adding NSAIDs and alcohol.
Heavy or Chronic Drinkers: Those who consume alcohol regularly or in large quantities are at a higher risk of liver and gastrointestinal complications when adding NSAIDs.
Individuals with a History of Peptic Ulcer Disease or GI Bleeding: These individuals are at a higher risk of developing ulcers or GI bleeding when combining NSAIDs and alcohol.

FAQs

Can you drink alcohol while taking NSAIDs?

Those who drink heavily are at a higher risk of experiencing gastrointestinal issues when using NSAIDs concurrently with alcohol or shortly after. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines heavy drinking as more than three drinks daily for women and more than four for men.

Can I drink alcohol and ibuprofen?

It’s important to note that mixing any pain medication with alcohol carries inherent risks. Ideally, one should avoid consuming ibuprofen and alcohol simultaneously.

How long after taking NSAIDs can I drink alcohol?

For safety, it’s recommended to wait between 10 to 17 hours after your last dose of NSAIDs before consuming alcohol.

The Crucial Role of Step Work in Addiction Recovery

Recovery is a journey; for many, step work is integral to this process. Research suggests that step work, in conjunction with therapy, might not only lead to increased rates of addiction recovery but also sustained sobriety. Let’s explore the crucial role of step work in addiction recovery.

Understanding Step Work

Step work is primarily rooted in the traditions of Alcoholics Anonymous (AA). Founded in 1935, AA is perhaps the most well-known step work program. It emphasizes the importance of admitting powerlessness over alcohol and seeking a higher power for guidance.

Narcotics Anonymous (NA) and Al-Anon, a program designed for families and friends of addicts, have very similar step programs.

This structured approach to recovery involves a series of actions and self-reflections designed to help individuals confront their addiction and build the foundation for sober living. Each step builds on the previous one, focusing on self-awareness, acceptance, and growth.

The Importance of Step Work in Recovery

The philosophy behind the 12-Steps addresses not just the physical aspect of addiction but also the emotional, mental, and spiritual aspects.

Personal Transformation: Step work is not just about abstaining from substances; it’s about personal growth. Individuals undergo a profound transformation by confronting past mistakes, making amends, and setting new intentions.
Building a Support System: Recovery can be a lonely journey, but step work emphasizes the importance of community. Through group meetings and shared experiences, individuals build a support network crucial for long-term sobriety.
Accountability and Responsibility: Step work teaches individuals to take responsibility for their actions. This sense of accountability is a powerful motivator for staying sober and making positive life choices.

Challenges and Criticism

While many have found solace and support in step work, it’s not without its critics. Some argue that the emphasis on a higher power can be alienating for non-religious individuals. Others feel that the structure can be too rigid. Here are some obstacles during the process of healing-by-step work:

Resistance to Change: It’s hard enough when the individual has to accept that they are an addict. By doing this, they face everything in their life that they have to change. Also, facing a new sober life may give them a sense of uncertainty by not knowing what lies ahead in their recovery journey. This fear can create resistance to change.
Fear of Overwhelming Emotions: Since the steps require a lot of self-analysis and trips to the past, it’s common to be afraid to remember stressful situations. For many, this can turn into a trigger challenging to manage, leading them straight into the road of relapse without proper guidance.
Lack of Professional Support: While the steps are an excellent option to start addiction recovery, it’s not the best route for everyone. People with dual diagnosis (struggling with addiction and mental illness) might not receive the assistance and help they need in such a program. It also doesn’t involve professional therapy since group talks are not led by trained therapists but by other members.

However, it’s essential to remember that recovery is a personal journey, and what works for one person might not work for another. Finding a path that resonates with you and supports your unique needs is crucial.

Tips for Working the 12 Steps

Step work is an excellent way to kickstart your journey to sustained sobriety and long-lasting recovery. Here are some tips to help you work through the steps:

Keep an Open Mind: Approach the steps with curiosity and openness. Remember, it’s a personal journey, and everyone’s experience will differ.
Find a Sponsor: A sponsor has worked the steps and can guide you. They offer support, wisdom, and a listening ear.
Attend Regular Meetings: Regular meetings provide a sense of routine and a supportive community.
Journal Your Journey: Journaling can be a therapeutic way to process emotions and track progress.
Focus On One Step At a Time: Recovery is not a race. Take time with each step and ensure you fully understand and internalize its lessons.
Stay Connected: Lean on your support system, whether it’s family, friends, or your group. They’re there to help you through the tough times.
Find Service Work: The last of the 12 steps is about carrying the message to others that need it. Consider volunteering at meetings, helping newcomers, or contributing in different ways.

Find Recovery offers a comprehensive list of AA meetings for those interested in starting their step work journey or seeking additional support. Remember, recovery is a personal process, and finding the path that best supports your unique needs and challenges is essential.

Look Out for This Typical Addict Behavior in Relationships

All types of relationships, be they friendly, romantic, or familial, are strained when addiction is involved. Despite their differences, the harmful patterns disrupting these relationships are very similar. Recognizing common addictive behaviors in relationships can help cope with a loved one’s substance abuse and protect your well-being. Here’s what you should know.

5 Common Addict Behaviors in Relationships

Drug or alcohol addiction involves selfish, self-centered behavior. The addict may manipulate, verbally abuse, or gaslight their partner to get what they want, often leaving the loved one feeling trapped or pressured to accommodate the addiction. These are the most typical addict behaviors in relationships.

1. Codependency

In an addict’s relationship, codependency affects both parties. The addict becomes reliant on you, viewing you as their caregiver. You may become dependent on them, needing to care for them, leading to a loss of self-worth and identity.

This dependence gives the addict the illusion that they don’t need help beyond your care. If you try to leave this caretaker role, the addict may react aggressively. Becoming a never-ending vicious cycle.

2. Controlling Behavior

An addict’s life is chaotic, with their addiction and other life aspects out of control. They may try to control yours, dictating where you go, what you do, and who you’re with. This behavior can turn violent and abusive in relationships.

3. Dishonesty

Your partner might not initially disclose their addiction due to guilt or fear. They may lie about their daily activities, eventually resorting to making excuses about their whereabouts as the addiction escalates.

4. Gaslighting

Gaslighting is a psychological abuse tactic where the addict distorts your reality to continue their behavior. You may take time to recognize that your partner is gaslighting, as they’ll insist that they don’t need help, making you question your perceptions.

5. Manipulation

Manipulation often starts subtly, with the addict being excessively nice when making a request. They resort to begging, arguing, self-pity, or threats if questioned or denied. You can protect yourself from their unhealthy demands by identifying these manipulation attempts.

Other Signs of Addiction in Relationships

Drug or alcohol abuse can emotionally alter your partner, causing them to become distant or indifferent. Aggressive behavior towards you is not your fault. Other signs of addiction in a relationship include:

Isolation: Addicts may avoid family, friends, and romantic partners due to shame or guilt or to hide their addiction.
Obsession: Addicts might obsess over their partners or enablers, focusing on them more than themselves.
Poor Communication: Mood swings can obstruct communication, making conversations fraught with aggression.
Unhealthy Habits: Neglecting self-care and their partner’s needs while prioritizing drug use can erode the relationship.

Dealing with Addiction in Your Relationship

Seeing a loved one act aggressively and unpredictably due to addiction can be distressing. Here are some tips to help you:

Seek Help: Support groups for loved ones of addicts can provide much-needed understanding and reduce feelings of isolation.
Avoid Confrontation: Don’t argue with the addict while they’re using to prevent escalating tensions and potential violence.
Stay Calm: Try to remain objective and calm during confrontations. Identify manipulative tactics and think before responding.
Prioritize Your Mental Health: Focus on self-care and consider speaking with a therapist.
Show Support: If your partner starts recovery, be supportive and actively involved in their journey.

Setting Boundaries and Practicing Self-Care

Navigating a relationship with an addict can be stressful and emotionally draining. Prioritizing self-care and establishing firm boundaries is vital for maintaining your mental health and preventing enabling behaviors.

Setting Boundaries

Clear boundaries can help establish a healthier dynamic in your relationship. These could be related to finances, behaviors, responsibilities, or other aspects of your shared life.

Make it clear that you will not support their addictive behaviors, like providing money for substances or covering up their mistakes. These boundaries should be communicated openly, respectfully, and firmly, keeping in mind that they are set to protect both you and your loved one.

Understanding Detachment

It’s important to understand the concept of emotional detachment. Detachment doesn’t mean you stop caring about the person; instead, it’s about separating your emotional well-being from the chaos that addiction can cause.

It’s recognizing that you can’t control or cure your loved one’s addiction – they need to face themselves.

Prioritizing Self-Care

Amid the turmoil, it’s easy to forget about your needs. However, remember that self-care is not a luxury but a necessity. This can involve physical activities like regular exercise, a balanced diet, and enough sleep, as well as mental health practices like meditation, relaxation techniques, or engaging in hobbies and activities you enjoy.

Keeping a support system and sharing your feelings with trusted friends, family, or support groups can also be highly beneficial.

Stay Positive

Remember, helping your loved one doesn’t mean neglecting your well-being. By practicing self-care and setting boundaries, you’re helping yourself and creating an environment that could encourage your loved one to seek help.

If your loved one has a substance use disorder, don’t hesitate to seek help. If your safety is in immediate danger, call 911. Addiction affects people of all backgrounds, and there’s no shame in seeking help.

Is Mixing Energy Drinks with Alcohol Safe?

Energy drinks are beverages with high levels of stimulant substances (generally sugar, caffeine, and herbal extracts) marketed as a quick solution to increase mental awareness and physical performance. Red Bull, Monster, and Bang are some of the most popular energy drinks.

Some people enjoy drinking energy drinks and alcohol simultaneously to party longer. As a depressant, alcohol tends to slow you down after enough drinks, leading some to take energy drinks to counteract the effects of alcohol.

As we will see, this combination is problematic and may lead to many undesirable side effects.

The Side Effects of Mixing Energy Drinks and Alcohol

One of the main risks associated with mixing energy drinks and alcohol is the combination of a depressant (alcohol) with a stimulant (the energy drink).

Mixing depressants and stimulants can be risky because the results are unpredictable, often leading to both substances masking each other’s effects. When this happens, it’s easy to believe they’re not affecting you, increasing the likelihood of consuming more of both beverages and suffering more severe side effects from the combination.

Physical Side Effects

The physical side effects of mixing energy drinks and alcohol include the following:

Alcohol-related injuries. Some evidence suggests that mixing alcohol and energy drinks increases the chances of suffering alcohol-related injuries, such as car wrecks, falls, drownings, and burns.
Increased systolic and diastolic blood pressure. Primarily caused by excessive energy drink consumption. Some energy drinks also contain high amounts of sodium, increasing blood pressure.
Irregular heartbeat. Both drinks may cause irregular heartbeat, making them riskier in combination. This is especially true for people naturally vulnerable to the condition.
Dehydration. Both drinks make you want to pee, potentially dehydrating you if you pee too much.
Physical incoordination. Being uncoordinated increases the risk of falling and other alcohol-related injuries.

Cognitive and Behavioral Side Effects

Combining these drinks may also lead to some cognitive and behavioral side effects, such as:

A stronger desire to drink, as energy drinks, may increase the urge to drink more. The more you drink, the higher the chances of suffering alcohol’s side effects, such as alcohol poisoning.
Decreased perceived intoxication or being “wide-awake drunk.” Some people may feel like they’re less intoxicated than they are, leading them to drink more alcohol.
Impaired driving skills, heightening the risk of car accidents.
Risky sexual behavior from alcohol intoxication, such as unprotected sex.
Reduced self-control and ability to anticipate the consequences of your actions.

It’s also important to point out that the caffeine in energy drinks doesn’t affect alcohol metabolism.

Long-term Health Side Effects

Consistently mixing these drinks may lead to long-term consequences from individual and combined side effects, such as:

Chronically elevated blood pressure increases the risk of strokes, heart attacks, and heart diseases.
Sleep pattern alterations, such as insomnia. Long-term disordered sleeping may also lead to heart disease.
Chronically high triglycerides from excessive sugar consumption increase the risk of plaque forming in your arteries.
Gain weight from excessive caloric intake. Alcoholic beverages and energy drinks can increase caloric intake, accelerating weight gain and the potential side effects of being overweight or obese.
Higher risk of developing alcoholism.
Weakened immune system, caused by alcohol abuse.
Long-term alcohol abuse causes sexual dysfunction. Additionally, women may suffer from disrupted menstrual cycles and increased pregnancy complications.

Impact on Teenagers and Young Adults

Teenagers and younger adults are generally more at risk of the side effects of mixing alcohol and energy drinks. The fruity flavors and the high-budget, attractive marketing campaigns for a younger audience make energy drinks more appealing to college-aged adults and underaged teens.

Some data shows that younger people have a preference for this combination. A 2017 survey on adolescent drug use determined that 10.6% of 8th, 10th, and 12th-grade students reported mixing alcohol with energy drinks at least once in the past year. 31.8% of young adults between 19 and 28 did the same.

These statistics are unsurprising, considering that marketing campaigns for caffeinated alcoholic beverages (CABs, premixed alcoholic-caffeinated drinks) have historically targeted the younger demographic with flashy youth-oriented graphics, often associating them with extreme sports and risk-taking behavior.

In November 2010, however, the FDA warned seven CAB manufacturers their product could not stay in the market, and the manufacturers removed the stimulants from their drinks.

However, banning CABs from the market doesn’t change the fact that mixing alcohol and energy drinks is very easy, leaving teens and college-aged adults vulnerable to their side effects.

Additional factors like peer pressure, inexperience, or lack of knowledge of either drink’s side effects may still make teens and younger people more vulnerable to mixing them.

Educating teens and younger adults close to you about their side effects and long-term consequences is important.

Are Energy Drinks Riskier Than Other Caffeinated Drinks Combined With Alcohol?

In addition to caffeine, many energy drinks contain other ingredients like sugar, ginseng, guarana, and B vitamins. Ginseng, for example, may cause dizziness, sluggishness, drowsiness, and shortness of breath when combined with alcohol.

Mixing alcohol with energy drinks may expose you to the side effects of additional ingredients combined with alcohol (on top of caffeine), depending on the concentration.

How to Minimize Risks?

The best way to mitigate the combined risks of energy drinks and alcohol is not to combine them. Still, you may like the taste or how the caffeine-alcohol combination makes you feel. In those cases, moderation is the name of the game.

Try following these recommendations if you plan to combine energy drinks and alcohol:

If you like the stimulant effect when you drink alcohol, try to drink a caffeinated drink a few hours before you start consuming alcohol. Even a cup of coffee hours earlier helps you stay more “awake” while drinking.
Try to avoid energy drinks with high sugar content. Sugary drinks are addictive and may lead you to drinking higher quantities in short periods.
Drink water between alcoholic or energy drinks. It helps you rehydrate and lessens tomorrow’s hangover.
Drink only with people you trust.
Have a plan for returning home that doesn’t include driving.
If going out with friends, plan where you’re going and stick to that plan. It’ll help control your drinking.

Ultimately, the best solution is not mixing them since mixing energy drinks with alcohol is riskier than only drinking alcohol. But if you combine them, follow the advice above and listen to your body.

When you start to feel too drunk, uncoordinated, or any other side effects of this combo, stop mixing them and rehydrate.

If you or anyone close to you frequently mixes alcohol with energy drinks and suffers consistent side effects, they would likely benefit from talking to a professional and developing coping skills. It’s always possible to overcome substance abuse and dependence with the right support system.