Physical Symptoms and Pain Management in Gabapentin Withdrawal

The drug gabapentin, also marketed under the name Neurontin, was mainly created to treat epilepsy. However, currently, its uses have expanded, and it is now used to treat ailments including nerve discomfort, restless legs syndrome, and even as a support for pain management. Despite its adaptability, withdrawal symptoms may occur if consumption is stopped abruptly after an extended period. Patients and healthcare professionals must comprehend and manage these symptoms.

Introduction to Gabapentin

Gabapentin was primarily used to treat epilepsy patients by acting as an anticonvulsant. Since then, though, postherpetic neuralgia and other neuropathic pain syndromes have been treated with it. The medication basically reduces hyperactivity by altering the impulses that nerves give to the brain. While it is not a pain medication or an opioid, it still has some risk of abuse. Once you get off of gabapentin, it can result in withdrawal. Here are some of the common physical symptoms of gabapentin withdrawal.

Physical Symptoms of Gabapentin Withdrawal:

Gabapentin withdrawal can manifest neurological, abdominal, heart, and muscle-related symptoms. The following is a detailed explanation of gabapentin withdrawal:

Neurological Symptoms:

Since gabapentin directly impacts the central nervous system, the most pronounced symptoms are neurological:

  1. Tremors: Irregular, involuntary muscular movements that are most evident in the hands.
  2. Dizziness: Patients frequently complain of dizziness or the sensation that everything is whirling around them.
  3. Fatigue and insomnia: It is a common symptom that involves trouble falling asleep or staying asleep.
  4. Feeling Anxious: Patients may have elevated anxiety, which frequently shows itself as excessive concern or restlessness.
  5. Restlessness and hyperactivity: A strong need to move or an inability to remain motionless is known as restlessness.
  6. Seizures: Although less common, some patients may get seizures, particularly if they stop taking their medicine suddenly.

Abdominal Withdrawal Symptoms:

  • Nausea 
  • Vomiting
  • Diarrhea

Heart and Muscular Symptoms:

  • Heart Palpitations: Feeling that the heart is either racing, pounding, or skipping beats.
  • Sweating: Increased sweating without any visible triggers.
  • Muscle pain: Random body aches or muscle discomfort.
  • Headaches: Mild to severe headache, depending on the severity of the withdrawal and dependence.

Pain Management and Mitigation of Withdrawal Symptoms

Withdrawal symptoms from any medication may take a toll on your health. There are some medical techniques that you can use with the guidance of a healthcare provider. 

Gradual Tapering

Rather than discontinuing gabapentin suddenly, it is recommended to taper off the drug under the supervision of a professional. This is done to avoid gabapentin withdrawal symptoms that may worsen the underlying condition. Your doctor will formulate a proper tapering schedule specifically for you, keeping an eye out for withdrawal symptoms and adjusting as needed. It’s crucial to stay hydrated, have a healthy lifestyle, and look for support during this period. To guarantee a safe and successful tapering procedure, it’s important to exercise patience and adhere to your provider’s advice.

Over-the-counter (OTC) Medications

While there are no medications to address gabapentin withdrawal, there are certain over-the-counter (OTC) drugs that may assist in managing specific discomforts during gabapentin withdrawal if your doctors recommend. However, no OTC medication may totally reduce symptoms during this time. Antacids and anti-nausea drugs can help with gastrointestinal problems, while over-the-counter pain treatments like NSAIDs can help with aches and pains in the muscles. Insomnia may be alleviated with over-the-counter sleep medications. Do not take these medications without consulting your doctor. 

Counseling and Support Groups

During gabapentin withdrawal, counseling and support groups may be very helpful as they provide a feeling of community, coping mechanisms, and emotional support. The emotional and psychological components of withdrawal can be addressed in individual counseling and therapy sessions with mental health specialists, while group therapy and support groups offer the chance to exchange experiences and ideas with others going through comparable struggles. 

Furthermore, peer support and additional assistance may be obtained through internet forums and addiction rehab programs. To effectively manage the difficulties of gabapentin withdrawal, specialists may personalize your strategy to your specific requirements and look for the ideal combination of tools and support while working with a healthcare professional or therapist.

Aftercare

Aftercare is a vital aspect of recovery following withdrawal, whether from substances or medications like gabapentin, encompassing ongoing support, coping strategies, and lifestyle changes. It involves continued counseling or therapy, participation in support groups, relapse prevention planning, medication management, regular check-ins with healthcare professionals, and a focus on healthy relationships, hobbies, and self-monitoring. Personalized and consistent aftercare is essential to maintaining sobriety and reducing the risk of relapse, and it should be crafted in collaboration with healthcare providers, therapists, and support networks to address individual needs and circumstances effectively.

Potential Long-Term Implications

For some individuals, the withdrawal process may be prolonged. Chronic symptoms might need long-term management strategies, underscoring the importance of regular check-ins with healthcare providers.

Conclusion

In summary, gabapentin is a flexible drug that was first created to treat epilepsy. It is widely used to treat a variety of conditions, on-label and off-label. However, stopping suddenly might cause withdrawal symptoms. The physical symptoms of gabapentin withdrawal have been described in this article, with a focus on the necessity of careful weaning down under medical supervision and the possible use of over-the-counter drugs to ease some discomforts. Counseling and support groups also offer vital coping mechanisms and emotional support during this trying time. Aftercare is essential to sustaining sobriety and averting relapse because of its emphasis on continuing support, coping mechanisms, and lifestyle modifications. Healthcare practitioners must continue to monitor long-term effects. Those who are aware of these difficulties and take the necessary action can quit gabapentin more easily and confidently.

Navigating the Path to Recovery: Laura’s Journey and Your First Steps

Laura was 29 and seemed to have it all—a prestigious degree, a coveted job, and the praise of her colleagues. Yet, her regular alcohol abuse, normalized by a high-achieving but high-pressure environment, clouded her judgment. She didn’t see her drinking as a problem; her life was still on an upward trajectory—or so it seemed.

Her distance from friends and family was the first red flag that Laura’s lifestyle was not as sustainable as she believed. The high-stress nature of her job only fueled her reliance on alcohol, leading her to a critical crossroads. Her family watched with concern, knowing the path she was on could only lead to hardship and suffering. But Laura’s story doesn’t end there. And this is not a pitch for the rehab center that became her turning point.

Laura’s competitive spirit, the very trait that propelled her to academic and professional success, also sparked her commitment to recovery. Recognizing her substance abuse and rigid mindset as barriers to progress, she embarked on a journey to reclaim her health and well-being.

Understanding Hesitation: Common Barriers to Committing to Rehab

It’s not unusual to feel hesitant about seeking help for substance abuse. Understanding these common barriers can help you, or someone you care about, to move past them:

Fear of Judgment or Stigma

The fear of being judged for struggling with addiction is a common concern for many. Yet, as society’s understanding deepens, compassion is increasingly the response to those seeking treatment. It’s essential to recognize the importance of putting your health and well-being above societal opinions. 

This realization is often challenging, particularly if your social circle has been a central part of your life. There might be a fear that stepping away from rehab could be seen as abandoning your friends. However, true friends will understand and support your journey towards betterment. Surrounding yourself with people who encourage your recovery is crucial. Anyone who views your decision to enter rehab as abandonment may not have your best interests at heart.

Concerns About Privacy

Privacy and confidentiality are foundational pillars of alcohol rehabilitation programs. When you commit to a rehab program, you can trust that your personal information, treatment details, and any disclosures made during therapy are safeguarded with the utmost discretion. 

These programs are bound by strict privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, which ensure that your journey to recovery remains a private affair between you and your healthcare providers. This commitment to confidentiality is designed to create a safe and secure environment where you can focus on your healing without the concern of external judgment or unwarranted disclosure.

The Cost of Treatment

Alcohol rehab can fit various budgets with insurance coverage, sliding scale fees based on income, and potential financing plans. Explore grants and government aid if uninsured. Treatment centers aim to make recovery financially attainable, so don’t hesitate to discuss your situation with them.

Fear of Failure

Fear of failure in alcohol rehab is natural, but remember, most who commit to a program see reduced relapse rates and sustained sobriety. Success rates are encouraging, and rehab doesn’t end at discharge—aftercare and alums support continue to back your recovery journey. You’re not alone; rehab equips you with the tools for success.

Uncertainty About Life Post-Rehab

Aftercare bridges the gap between rehab and everyday life, ensuring long-term success. Rehab centers lay the groundwork for seamless reintegration by providing ongoing support, resources, and counseling. They equip individuals with coping strategies, relapse prevention plans, and a supportive community to lean on. This continuous support helps individuals navigate the complexities of ‘normal’ life post-rehab, promoting sustained sobriety and well-being. Establishing a post-rehab exercise routine can also do wonders for cementing your recovery into lasting change that sticks.

Misconceptions About Rehab

Rehabilitation can be such a beneficial period, but it is often shrouded in misconceptions. In reality, it’s a structured environment that offers evidence-based treatments tailored to individual needs. Beyond the stereotypical group sessions, rehab provides a blend of therapy options, including cognitive-behavioral therapy, medication-assisted treatments, and holistic approaches like mindfulness and fitness programs. Each plan is designed to address the root causes of addiction, facilitate healing, and develop healthier coping mechanisms, all within a safe and supportive setting that respects the individual’s pace and privacy.

Denial or Underestimation of Addiction

Recognizing addiction starts with honest self-reflection on how substance use affects daily life. Signs include increased tolerance, withdrawal symptoms, neglecting responsibilities, and continued use despite negative consequences. Understanding the severity involves acknowledging the physical, emotional, and social toll of addiction. When substance use becomes a central focus, interfering with work, relationships, and health, it’s a clear indicator that professional help is needed. Accepting this reality is the first critical step towards seeking rehabilitation and reclaiming control over one’s life.

Worry About Work and Family Responsibilities

Balancing treatment with work and family commitments is manageable through careful planning and understanding your legal rights. Many rehab centers offer flexible programs, such as evening outpatient services, to accommodate work schedules. For family obligations, planning with relatives or utilizing community resources for childcare can provide support. Legally, the Family and Medical Leave Act (FMLA) in the United States allows eligible employees to take unpaid, job-protected leave for medical reasons, including substance abuse rehabilitation, ensuring they can prioritize their health without risking their employment. It’s important to communicate with your employer and explore the protections and options available for taking the necessary time for recovery.

Fear of the Unknown

A typical day in rehab is structured to provide stability and focus on recovery. You’d start with a healthy breakfast followed by a morning therapy session, such as cognitive-behavioral therapy or group counseling, to address mental health and addiction issues. Post-lunch activities often include skill-building workshops or fitness activities, fostering psychological and physical well-being. 

The afternoons might be for individual therapy or specialized sessions, such as stress management. Evenings usually wind down with peer support groups like AA meetings, providing a sense of community and shared experience. Throughout the day, there are breaks for reflection, journaling, or relaxation, ensuring a balanced approach to recovery. This is, of course, a general framework, and the average day at rehab can vary across different facilities. 

Taking Action: Next Steps to Overcome Barriers To Entering Rehab

Encourage readers to take proactive steps to overcome these barriers, such as:

  • Reaching out to a trusted friend or family member to discuss their concerns.
  • Scheduling a confidential consultation with a rehab facility to ask questions.
  • Attending a local support group meeting to hear from others who have been through the process.
  • Write down a list of pros and cons to visualize the benefits of seeking treatment.

Assessing Personal Requirements for Effective Alcohol Rehab Selection

If you or a loved one is facing a similar battle with addiction, it is crucial to choose a drug or alcohol rehabilitation center that aligns with your unique needs. Here is how to start:

1. Define Your Needs and Goals:

Understanding the specific challenges you face is the first step towards recovery. Whether it’s the nature of your addiction or co-occurring mental health conditions, clarifying your goals is essential.

2. Research Options:

Begin with a simple Google search, explore maps for proximity, and consult online directories to find centers that cater to your criteria.

3. Evaluate Treatment Programs:

From inpatient to outpatient and partial hospitalization, identify the program structure that best fits your lifestyle and recovery needs.

4. Check Credentials:

Ensure your chosen facility is not only licensed but also accredited, confirming their adherence to high care standards.

5. Understand Your Coverage:

Financial considerations are crucial. Determine how your insurance aligns with potential rehab centers and what out-of-pocket expenses you might expect.

6. Inquire and Interact:

Reach out with questions about staff credentials, treatment success rates, and the inclusion of family in the recovery process.

By taking these informed steps, you can navigate toward a rehab center that supports your journey to a healthier life.

Find an Alcohol Rehab Center Near You Today

Laura’s success story began with a simple online search by typing in alcohol rehab near me—a search that led her to share her experience and advocate for the life-changing benefits of a credible rehabilitation program.

Remember, struggling with addiction does not reflect on your character. It’s an intricate issue, often tied to deeply rooted behaviors and patterns that can be difficult to break free from. However, the decision to step back and assess your life objectively is a decisive move toward empowerment and healing.

Taking that first step, much like Laura took, is an act of bravery. It’s a recognition that while your journey is uniquely yours, you don’t have to walk it alone.

Take the First Step Towards Your New Horizon

Every journey begins with a single step—a step toward healing, understanding, and a healthier future. If Laura’s story resonates with you, or if you recognize the need for change in your own life or that of a loved one, we invite you to reach out.

Don’t let uncertainty hold you back. Contacting a rehab center or just having a conversation can be the most critical move toward recovery you’ll ever make. You’re not committing to anything by picking up the phone or sending an email—you’re just gathering information to make the best decision for you.

So, take that step. Reach out to a rehab center, consult with a healthcare professional, or simply talk to someone you trust about your options. Your path to recovery is waiting, and it starts with you making the brave decision to seek help. It’s not just about overcoming addiction; it’s about reclaiming your life.

Start Your Journey to a Better Tomorrow – Find an Alcohol Rehab facility near your zip code today.

Should I Go to Rehab? When 12-Step Meetings Just Aren’t Enough

While 12-step programs like Alcoholics Anonymous boast a nearly 50% success rate, what about the other half who find these programs insufficient for their recovery journey? Studies suggest that rehab can offer a more comprehensive and tailored approach, often resulting in higher long-term success rates. If you or a loved one are among those questioning the effectiveness of a 12-step approach, it may be time to consider rehab as an alternative.

1. When Your Physical Health Needs Care

Recovery is a holistic process that involves both your mental and physical well-being. While 12-step programs like AA focus primarily on emotional and spiritual healing, they often overlook the physical aspect. If you’re dealing with poor nutrition, lack of exercise, or worsening preexisting conditions, rehab offers a more rounded approach to health.

2. When You’re Having Trouble Quitting 

Achieving sobriety is a monumental task that often requires professional guidance. If you’re struggling to quit despite attending 12-step meetings, a rehab facility can provide the medical supervision and supportive care you need for a safer and more effective detox process.

Research indicates that alcohol withdrawal needs to be supervised with supportive care to be effective. Suden quitting or an unsupervised detox from drugs or alcohol can negatively affect your healing and overall health. For example, alcohol or benzodiazepine detox can cause seizures or psychosis. Similarly, opioid detoxification can result in intense withdrawal symptoms, increasing the likelihood of relapse.

3. When You’re Dealing with a Co-occurring Mental Illness 

Approximately 9.2 million adults in the United States have a co-occurring disorder. Substance use disorder often co-occurs with anxiety, mood disorders, post-traumatic stress disorder (PTSD), bipolarity and other serious mental illnesses. 

While 12-step programs offer emotional support, they lack the expertise to diagnose or treat mental illnesses. Rehab facilities, on the other hand, provide professional assessments and tailored treatment plans that address both addiction and mental health.

4. When You’re Dealing with a Challenging Detox

Detoxification is a critical phase in any recovery journey, and it can be particularly challenging for substances like alcohol, benzodiazepines, or opioids. Rehab facilities offer specialized interventions and medical supervision to manage severe withdrawal symptoms, reducing the risk of complications and relapse.

5. When the AA Program Doesn’t Fit You

Not every recovery journey fits the 12-step mold. If the traditional 12-step program doesn’t resonate with your personal beliefs or needs, don’t worry. 

Rehab centers offer various alternative treatment options, such as cognitive behavioral therapy, holistic therapies, and medication-assisted treatment tailored to your unique challenges and preferences. With the help of these specialized interventions, you can achieve a successful recovery journey that aligns with your values and goals.

Factors to Consider Before Making a Decision

Studies suggest that rehab can offer a more comprehensive and tailored approach, often resulting in higher long-term success rates. Nonetheless, choosing to enter rehab is a significant life decision that shouldn’t be taken lightly. Here are some key considerations to weigh:

  • Financial Aspects: Rehab can be costly, so explore payment options like insurance coverage, employee assistance programs, or financial aid offered by the facility.
  • Treatment Modalities: Different rehab centers offer various treatment approaches. Make sure to choose a facility that aligns with your needs and preferences. Many facilities offer virtual tours and consultations to help you make an informed decision.
  • Location: Proximity to loved ones can be both a benefit and a drawback, depending on your situation. Consider whether you’d do better with or without easy access to your regular environment.
  • Duration: Treatment lengths can vary. While some programs last 30 days, others may require a more extended commitment. Assess what duration is most suitable for your recovery journey.

Take the Next Step

Recovery is a deeply personal journey, and what works for one person may not be effective for another. If you find that 12-step meetings aren’t fully addressing your needs, rehab could offer the comprehensive care you’re seeking.

Remember: Your path to recovery is yours to define, but you don’t have to walk it alone. Reach out to experts and trusted loved ones for guidance and support as you make this crucial decision. Many rehab facilities offer free assessments to help you determine if their program is the right fit for you.

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.

  1. 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. 

  1. 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

  1. 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. 

  1. 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.

  1. 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

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. 

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.

7 Tips for Dealing with Stress in Sobriety

Nothing can hijack sobriety progress quite like stress. The emotional response can trigger cravings, disrupt emotional stability, impair decision-making abilities, undermine coping strategies, and exacerbate mental health issues. That’s why it’s absolutely essential that a person in recovery has strategies for dealing with stress in sobriety. Here are 7 healthy ways to cope with stress during recovery. 

7 Ways to Deal with Stress in Sobriety

Dealing with stress can be especially tricky for someone in recovery.  Not only because drug use can disrupt how their minds process emotions, but because their substance of choice was very likely their main coping mechanism. Maintaining sobriety means losing that past source of comfort — which often ends up being its own source of stress. 

The difference between a healthy and an unhealthy coping mechanism is the long-term impact on a person’s well-being. Bad coping mechanisms harm physical, emotional, or mental health and often have other negative consequences to either the individual, their immediate surroundings, or the larger community. 

By contrast, good coping mechanisms are constructive and sustainable, and have only positive consequences for both the individual and the world around them. Incorporating these suggestions into your daily life will help improve your overall emotional resilience.

  1. Move your body

One of the best things you can do for your physical, mental, and emotional health is to exercise. You don’t need to exert yourself so much that you’re red-faced and out of breath. A 15-minute brisk walk is enough to get the blood pumping and your brain firing off those feel-good neurochemicals. 

  1. Meditate/Deep breathing

These practices promote a state of relaxation, reduce physiological arousal, and calm the mind. Meditation also encourages individuals to become more in tune with themselves, allowing for greater emotional awareness and regulation. 

  1. Skip the caffeine

Caffeine is a stimulant that activates the central nervous system. It can exacerbate stress by heightening feelings of anxiety and restlessness as well as amplifying stress’ physiological effects by increasing heart rate and blood pressure. Caffeine is also counterproductive because it makes it harder for the body to come down from its state of high alert. 

  1. Smile!

The mind-body connection is powerful, and one easy way to trick your body into feeling happier and calmer is simply to smile. Doing so signals to the brain that you’re feeling good (why else would you be smiling?) which in turn, causes the release of dopamine, serotonin, and endorphins. Smiling can also counteract muscle tension, thereby activating the body’s natural relaxation response. 

  1. Spend time outdoors

Spending time in natural environments, such as parks, forests, or near bodies of water, has a soothing and calming effect on the mind and body. Surrounding yourself with greenery has been scientifically proven to have calming effects. The sounds of nature can help too. Multiple studies found that participants who listened to bird calls had reduced feelings of anxiety, depression, and paranoia. 

  1. Listen to music

Listening to music you enjoy can uplift your mood and evoke positive emotions and serve as a useful distraction to whatever puts you in a bad mood. Listening to calming music (which may not be your usual genre), might have the greatest benefits.  Slow-tempo music with soft melodies and gentle rhythms can help lower cortisol levels, and directly counteract the effects of stress by slower breathing, reduced heart rate, and decreased muscle tension.

  1. Journal

Journaling is a productive form of self-expression that also encourages self-reflection. By writing about your experiences, challenges, and stressors, you can gain a deeper understanding of yourself and your reactions to certain situations. This self-awareness can help identify patterns and triggers that contribute to stress and help you evaluate how you handled them and what did or didn’t work about your approach. 

Need help dealing with stress in sobriety?

Stress is unavoidable, whether the cause is work, money, or relationships. When it strikes, higher-level thinking, self-restraint, and decision-making take a backseat and our base primal instincts take control. Bad news for those in recovery.

Rather than trying to avoid stress entirely, it’s far more practical to learn how to deal with stress in a healthy and productive way. These natural stress relief methods are easy to incorporate into your daily routine. For more ideas on how to deal with stress, there’s no better source than your peers. 

Consider attending an AA meeting or NA meeting today to connect with other people who are in addiction recovery and know first-hand the struggles you are facing. If you’re dealing with chronic stress or another underlying mental health condition, talk to a medical professional to discuss possible medications for stress that could help you. 

The 10 Fundamental Components of Recovery

Recovery is a multifaceted, personal journey involving more than symptom reduction. It’s about building a fulfilling, meaningful life, regardless of mental health challenges. At the heart of this journey lies ten fundamental components of recovery, each contributing uniquely to the process. Let’s explore these pillars, underpinned by extensive research and forming the bedrock of the recovery model.

1. Self-Direction

Recovery starts with the individual. A person’s unique needs, strengths, preferences, and goals guide the process. People in recovery assert control over their own lives, making informed decisions and shaping their path toward wellness.

Tips: Try setting personal goals, like practicing self-care for 10 minutes each day, to help guide your recovery journey. 

2. Individualized and Person-Centered

Each recovery journey is as unique as the person undertaking it. Tailoring plans to the individual – considering their life experiences, cultural background, and values – is key. It recognizes the person behind the diagnosis, emphasizing their individuality and uniqueness.

Tips: Work with your healthcare provider or counselor to develop a treatment plan tailored to your unique needs, preferences, and goals. This might include a combination of medication, psychotherapy, lifestyle changes, and supportive services.

3. Empowerment

Recovery cultivates personal power. People in recovery have the authority to make decisions and choices, fostering a sense of control. Empowerment fuels motivation and instills hope, driving the recovery process forward.

Tips: Do your best to actively participate in your treatment decisions. Learn about your condition and treatment options to make informed decisions about your care. 

4. Holistic

Recovery goes beyond mental health. It encompasses all aspects of a person’s life, including physical health, social networks, community participation, and more. A holistic approach recognizes that various elements interplay to contribute to overall well-being.

Tips: Incorporate practices that support overall wellness, such as regular exercise, a balanced diet, adequate sleep, and mindfulness or meditation. 

5. Non-Linear

Recovery isn’t a straight path; it’s a series of ups and downs. People might face setbacks, but these don’t denote failure. Instead, they’re part of the process, offering valuable lessons and opportunities for growth.

Tips: Develop a resilience plan to manage these challenging times, such as identifying coping strategies and supportive resources.

6. Strengths-Based

Recovery builds on a person’s strengths and resilience, not just managing their weaknesses. A strengths-based approach empowers individuals to draw upon their innate abilities and resources, fostering self-confidence and resilience.

Tips: Identify your strengths and use them in your recovery process. This could be creative problem-solving skills, empathy towards others, or even a strong determination to overcome challenges.

7. Peer Support

Peer support is a vital element of the recovery model. The shared experiences among people with similar struggles offer a sense of understanding, acceptance, and communal strength that can significantly aid recovery.

Tips: Sharing your experiences and hearing others’ can provide mutual support and encouragement. This could be through formal support groups or online communities.

8. Respect

Recovery flourishes in an environment of respect. This involves overcoming stigma, fostering acceptance, and ensuring that people in recovery have the same rights and opportunities as anyone else.

Tips: Practice self-respect and kindness. Surround yourself with people who respect and support your recovery journey.

9. Responsibility

People in recovery take responsibility for managing their health and wellness. This responsibility extends to seeking help and support, engaging in self-care practices, and taking proactive steps toward recovery.

Tips: Take an active role in your recovery process. This might include adhering to your treatment plan, practicing self-care, and seeking help when needed.

10. Hope

Finally, recovery is grounded in hope. The belief in a better future, that challenges can be overcome, and that a fulfilling life is achievable fuels the journey of recovery.

Tips: Cultivate a hopeful outlook. This could involve keeping a gratitude journal, practicing mindfulness, or visualizing your recovery goals.

Understanding the Fundamental Components of Recovery

These components serve as the foundational elements underpinning the concept of mental health recovery. Regardless of their specific circumstances, diagnoses, or personal background, they are universal and applicable to anyone embarking on a recovery journey.

Recovery is a deeply personal, unique journey – one about surviving and thriving. These ten fundamental components provide a roadmap, a compass to navigate the often complex terrain of mental health recovery. Each element contributes to a broader understanding of what recovery means, reminding us that recovery is not just a possibility – it’s an expectation.

Writing Prompts for Recovery

Looking to sleep better and heal faster? We’re not talking about exercise–there’s another champion of self-care that’s also one of the best addiction recovery tools out there: it’s journaling. 

As little as 15 minutes of writing a day can improve memory, mindfulness, and mood and make sense of things when your life has turned upside down–or more accurately, right side up–after addiction. Here are 23 addiction recovery journal prompts for you to try.

23 Writing Prompts for Recovery & Daily Recovery Questions

There are a few different approaches you could take when journaling. You could write free-form about whatever pops into your mind at the moment without any guide or prompt. But when you’re not sure what to write about, answering thought-provoking questions about recovery, your feelings, or your past is a great way to process this major life event. 

These 23 suggestions will range from specific questions to broad ideas to explore. Either type is capable of providing a better understanding of how you got where you are today, highlighting your triumphs and acknowledging rough patches, and a safe space to reflect on the past and future.

Prompts if you’re just starting the recovery process

  • What scares me most about recovery?
  • What would I be doing right now if I wasn’t in recovery?
  • Write a goodbye letter to things, people, or behaviors I know aren’t healthy and want to leave behind.  
  • What did I do to strengthen my recovery today?

Prompts if you’re struggling to find motivation

  • List 10 things you’re most grateful for since being in recovery.
  • What do I want to accomplish tomorrow? What steps can I take to set myself up for success and how will that benefit my long-term recovery journey? 
  • When I meet new people, what do I want them to think about me? 
  • When do I feel most in tune with myself?

Prompts for dealing with setbacks

  • What’s the last mistake I made that made me feel ashamed? Why did I feel that way?
  • What emotions am I holding on to? What hurts right now? How can I find relief?
  • What’s the most recent instance where I didn’t set healthy boundaries? What happened because of it and how could the outcome have been different?
  • What distractions get in the way of being my most productive?

Prompts for living in the moment

  • If my body could talk, it would say….
  • What was the highlight of my day?
  • What are the things in my home that are the most “me”?

Prompts for self-discovery

  • What three important things have you learned from previous relationships?
  • How can you better support and appreciate your loved ones?
  • What are 10 words you’d use to describe yourself? Now list the 10 words you want to use. How can you make that happen?
  • What’s something new I’ve learned about myself since getting sober?

Prompts for tracking your progress

  • Where was I 1,3, or 5 years ago? What differences am I most proud of? 
  • What would my friends and loved ones say are the biggest ways I’ve changed (for the better)? 
  • What things can I appreciate better now because I’m sober?
  • What have I learned about myself during the recovery process?

The Benefits of Journaling for Addiction Recovery

Science has shown that putting pen to paper can have real, tangible benefits on our health. These benefits include lowering blood pressure, boosting the immune system, and improving liver functionality. However, it’s journaling’s benefits for psychological well-being and cognition that make it so deeply beloved by the addiction recovery community. 

Journaling helps us process our feelings and work through emotions that are difficult to express, like those related to traumatic experiences. This is why writing down our thoughts is a powerful outlet for people struggling with mental illness like anxiety or depression but is particularly beneficial for those in recovery.  

The isolating nature of drug use can leave people feeling isolated and estrange them from loved ones who, after recovery, may not have a support network to express themselves to. There’s also the high probability that those newly in recovery haven’t been alone with their thoughts in a long time and aren’t sure how to deal with them. Journaling provides a safe, judgment-free place to lay out their thoughts–and because it’s so widely accepted as part of mainstream culture, it’s a practice a person can take up without feeling gimmicky and self-conscious.

Another easy way to support your recovery journey is to participate in Alcoholics Anonymous or other 12-step meeting groups. Find an AA group near you, today. 

Do Your Friends Support Your Recovery Journey?

Science has proven that having friendships in recovery can have major benefits for recovery. Support networks provide motivation and all-important accountability, which have been shown to significantly decrease the odds of relapse and increase overall recovery success. 

That said, achieving this supportive friend group isn’t always easy. 

Many who come home after rehab find that those close to them may resist the idea of their new sober selves, especially if these were people that a recovered person used to cavort with when doing their drug of choice. In these instances, it’s best to ditch your toxic, unsupportive old friends and find a new tribe of like-minded people who respect your new lifestyle and will support you in upholding it–here’s how to do just that. 

How to ditch unsupportive friends and cut ties

When it comes to friendships, especially for a person who’s newly sober, you want quality over quantity. It’s better to have few or no friends than to be surrounded by bad ones that don’t support your sober lifestyle. These are the “friends” that urge you to resume your old ways, scoff and belittle your attempts to better yourself, or continue to drink or use drugs around you. These individuals will actively hinder your progress and lead you to relapse. 

Even if your old friends aren’t actively deterring your progress, there’s still a strong chance they’ll keep you anchored to your previous not-so-great way of life. Addiction and cravings are strongly tied to memories. If you’re hanging out with the same people or in the same places, it becomes harder to distance yourself from your old ways.

There’s no one right way to cut ties. If you feel inclined, you can let them know you’ll be stepping back in order to focus on yourself and your recovery — though they’re invited to stick around if they’ll be supportive. If the relationship is highly toxic, it might just be best to ghost them entirely without a formal farewell. 

Finding a new friend group

First, what not to do. At least in the beginning, steer clear of places where you know people are dealing or using drugs like nightclubs and bars. For the best odds of success, put yourself in the mindset of a person who’s already sober and stable. Where do they hang out? What hobbies do they have? 

Apps, video chats, and social media have made it easier than ever to connect with others and find highly specific communities. There are plenty of events and resources dedicated to sobriety and recovery communities, and finding them is as easy as a quick search on your phone. Here are a few ways to find your people: 

Follow sober social media accounts

There are lots of accounts dedicated to recovery content–some funny, some uplifting. Whatever you’re looking for, you’ll feel comforted seeing their mass of millions of followers and know that you’re far from alone in your journey. Want to connect with people one on one? Create an account on recovery-exclusive communities like Sober Grid, which is like Facebook and Snapchat combined, but a platform dedicated to those recovering from addiction. 

Take a workout class

If you’re looking to expand your circle beyond people who are sober or in recovery but who are likely to uphold similar values to your new lifestyle, fitness classes are a great place to look. These are people who are (at least somewhat) committed to being healthy and likely to be very understanding of your drug-free ways. Bonus, you’ll also get a workout buddy! 

Volunteer

If you’re looking to surround yourself with upstanding people, joining others with a desire to give back to the community is a sure bet. Here you’ll find people with compassion and patience who are sure to be super supportive in your recovery journey.

Keep in touch with your treatment facility

Graduation from rehab doesn’t have to mark the end of your relationship with the professionals and clinicians who care about you. Odds are, your facility has an alumni program that regularly hosts events and other gatherings that allow you to either meet other graduates or those who are still in treatment. Either way, it’s a guaranteed place to find your peers without the burden of you having to initiate the first move.

Join a 12-Step group

Whether it’s Alcoholics Anonymous, Narcotics Anonymous, Dual Diagnosis Anonymous, or any of the many other peer-based support groups, attending a meeting is a very low-stakes way to meet others who are in recovery. These groups are host to people in various stages of recovery (including those who have yet to begin), which could be beneficial for you, giving you a glimpse of how far you’ve already come as well as a peek into what success looks like.