How To Help Someone Through Drug or Alcohol Withdrawal During the COVID-19 Outbreak

 

 

Originally posted on Eleanor Health

As the COVID-19 outbreak continues to put a strain on the nation’s healthcare system at-large, it also puts people with addiction at a greater risk for serious health problems, including withdrawal from alcohol, opioids and other drugs. In light of stay-at-home orders and the need to practice social distancing, some people with addiction may be unable to access substances. Others may think this is a good time to “go cold turkey” and quit their substance use.

In reality, suddenly stopping substance use, either involuntarily or voluntarily, can lead to withdrawal. Depending on the substance and severity of the addiction, withdrawal symptoms can be mild, moderate, severe, or potentially fatal. Withdrawal is especially high-risk for people with pre-existing medical conditions and pregnant women.

With many hospitals’ resources already exhausted, it may be difficult to seek timely medical help for withdrawal, especially if people are hesitant to leave their homes at this time. Here is what you need to know about withdrawal, some ways to manage withdrawal symptoms at-home and when to seek medical help.

Alcohol Withdrawal

In an effort to stop the spread of the novel coronavirus, most states have classified restaurants and bars as non-essential businesses, requiring them to shut their doors to patrons for the foreseeable future. Certain states have even required liquor stores to close. For people with an addiction to alcohol, these circumstances can pose a serious risk and increase their likelihood of withdrawal symptoms occurring.

For people who drink excessively, over time, the brain becomes used to the high level of alcohol being consumed. When the body’s level of alcohol suddenly drops, the brain becomes overstimulated, which causes uncomfortable physical and mental effects of withdrawal. Symptoms can begin within a few hours of a person’s last drink and peak usually peak around 72 hours after the last drink. The symptoms can include:

  • Trembling (body shakes, often most noticeably in the hands)

  • Headache

  • Nausea

  • Vomiting

  • Loss of appetite

  • Chest pain

  • Fever

  • Sweating (most noticeably from the palms or face)

  • Insomnia

  • Anxiety

The most severe syndrome of alcohol withdrawal is delirium tremens, which develops due to sudden and severe changes in the central nervous system. Often referred to as the DTs, the symptoms usually begin within 48 to 96 hours after the last drink but in some cases, may occur 7 to 10 days following the last time alcohol was consumed. After the initial onset, symptoms may worsen very quickly and can include:

  • Seizures

  • Confusion

  • Vivid hallucinations (seeing, feeling, or hearing things that aren’t there like bugs crawling on the skin)

  • Rapid mood changes and sudden bursts of energy

  • Fatigue and sleepiness

  • Tremors

Delirium tremens is the most severe withdrawal syndrome and could result in serious health problems or death if untreated. If a person develops any symptoms of delirium tremens, they should seek medical attention right away. During this time of the COVID-19 outbreak when it may be difficult to leave the house or see a medical professional in-person, telehealth can be an appropriate way to seek help. Due to the virus outbreak, many telehealth services are waiving co-pays at this time.

Benzodiazepines Withdrawal

Benzodiazepines are a group of medications, which like alcohol,  are central nervous system depressants. They are used to treat anxiety, panic disorders, insomnia, and seizures. Often referred to as benzos, some of the most familiar brand names include Valium, Xanax, Ativan, and Klonopin.

This class of medication can be habit-forming, even when prescribed at therapeutic doses. The body can become physically dependent on the medication, in as little as 30 days of use, which is why it is generally only prescribed for short-term use. As soon as physical dependency sets in, withdrawal can occur whenever a person reduces their dose or abruptly stops taking it altogether.

Depending on the specific benzodiazepine, the timeframe for experiencing withdrawal symptoms can begin in as little as 8 hours or as long as a week. With shorter-acting drugs like Xanax and Ativan, symptoms typically begin with 24 hours and peak after 72 hours. For longer-acting drugs like Klonopin and Valium, withdrawal usually begins within 48 hours to one week after the last dose. Because benzodiazepines work in the same part of the brain as alcohol,  symptoms of benzo withdrawal are the same as alcohol withdrawal and can include:

  • Seizures

  • Muscle spasms and tremors

  • Dizziness and lightheadedness

  • Ringing in the ears, blurred vision, and sensitivity to light

  • Anxiety, panic attacks, and depression

  • Insomnia

  • Headache

Like alcohol withdrawal, the most severe form of benzo withdrawal is delirium tremens (see earlier in this article).  The dTs are more likely to develop in individuals who have become dependent on shorter-acting benzodiazepines like Xanax and Ativan, but can also develop in those using longer-acting benzos.  If a person develops any symptoms of delirium tremens as a result of benzodiazepine withdrawal, they should seek medical attention right away.

Opioid Withdrawal

Opioids are a class of drugs used to treat pain, which can be divided into two categories: opiates and synthetic opioids. Opiates are drugs that originated from the opium poppy plant and include morphine, codeine, heroin, and opium. Synthetic opioids are prescription drugs manufactured in laboratories, like Oxycontin, Vicodin, and Dilaudid, but have similar effects to the drugs naturally derived from opium poppies.

Both categories of opioids can cause physical dependence and addiction. The longer a person takes opioids, the more their body needs to feel the same effects. If opioid usage is stopped suddenly, a person could begin to feel withdrawal symptoms within 24 hours of their last use, including:

  • Muscle aches

  • Restlessness

  • Anxiety, irritability, or agitation

  • Watery eyes and runny nose

  • Sweating

  • Insomnia

As time progresses, symptoms may change and become more intense-feeling after the first day. They include:

  • Diarrhea and stomach cramping

  • Nausea and vomiting

  • Rapid heartbeat and high blood pressure

  • Blurry vision

  • Goosebumps on the skin

At-Home Treatment for Withdrawal

To avoid developing severe symptoms of withdrawal, an individual should gradually reduce the amount of the substance used whether that is alcohol, benzodiazepines or opioids.  For example, if you typically drink a bottle of vodka daily, rather than stopping cold turkey, you would slowly reduce your drinking over several days — drinking ¾ of a bottle on day 1, half a bottle the second day and ¼ of the bottle on the third day.

While serious withdrawal symptoms require immediate medical attention, many of the milder symptoms can be treated at home with over-the-counter medicines or home remedies.

  • For nausea and vomiting: antacids (TUMS, Milk of Magnesia, Alka-Seltzer) and bismuth subsalicylate (Pepto-Bismol, Kaopectate)

  • For diarrhea: bismuth subsalicylate (Pepto-Bismol, Kaopectate) and loperamide (Imodium)

  • For muscle aches: ibuprofen (Advil) or acetaminophen (Tylenol)

  • For dehydration: water or Pedialyte/Hydralyte

  • For high blood pressure and checking vital signs: a blood pressure cuff (can be purchased from a drugstore or online retailer)

Withdrawal can be a stressful situation, made even more overwhelming by the virus outbreak. This may cause certain people to experience significant emotional changes as they go through the withdrawal process, including intense feelings of helplessness and suicidal thoughts.

Receiving emotional support and reassurance during withdrawal can make a world of difference in a person’s outlook. To access help while practicing social-distancing, there are a variety of hotlines and online resources that can help make withdrawal feel less overwhelming, including:

Even with the unusual circumstances caused by the COVID-19 outbreak, it is still possible to seek treatment for addiction. If you or someone you love is going through withdrawal, we’re here to help.

Contact us today to set up a virtual intake and start your #RecoveryForLife.

 

 

About Eleanor Health – Durham

Our mission at Eleanor Health is to help people struggling with addiction live amazing lives. As an integrated, multidisciplinary team, we’re focused on delivering whole-person, comprehensive care. We are passionate about transforming the quality, delivery, and accessibility of addiction treatment. Every member of our team works together integrating care and coordinating services to improve our members’ quality of life.

Contact Eleanor Health – Durham

3711 University Drive
Durham
NC 27707
United States

919-752-4028

Website: https://www.eleanorhealth.com/locations/north-carolina/durham


The post How To Help Someone Through Drug or Alcohol Withdrawal During the COVID-19 Outbreak appeared first on Business Tribune.



from WordPress https://ift.tt/2THfBHi
via Business Tribune

Comments

Post a Comment

Popular posts from this blog

LA Injury Group Asks Drivers to Be Careful as Emptier Streets Lead to Higher Speeds

LOS ANGELES, April 27, 2020 – The LA Injury Group, with a Los Angeles personal injury lawyer team, recommends that drivers obey all speed limits regardless of how much traffic is on the road in Southern California. Due to the COVID-19 pandemic, people drive less frequently, leading to less traffic. In turn, drivers are driving at faster and faster speeds. Recently, “Car and Driver” Magazine reported a 48% increase in average Los Angeles car speeds. This has led to car accidents that have gravely injured drivers and passengers. As the COVID-19 pandemic has put a strain on healthcare resources, that can make it much more difficult for injured parties to receive the proper care. The California Highway Patrol has given out more speeding tickets to people driving that much faster. For example, from March 19, 2020 to April 19, 2020, the California Highway Patrol gave out 2,493 tickets for speeding more than 100 mph. During that period last year, the number of tickets written was 1,335.
Read more

PatchMD Finally add Collagen to their Extensive Product line

PatchMD has just recently added collagen to its product line. PatchMD is very excited about this new addition with their new formulated collagen patch. This is the latest product in their ever-expansive product line of topical vitamin patches. For many individuals, this has been a long-awaited addition to PatchMD’s health and beauty category of products. PatchMD PatchMD is well known for providing consumers with an alternate option to digesting vitamins orally as they have even researched that oral tablets can cause stomach issues and much more. Therefore, PatchMD is proud to offer consumers another option with their easy to use patches and interestingly all their patches are 100% Gluten-Free, Non-Synthetic, Latex, Lactose and sugar-free, yet delivers high levels of nutrients. PatchMD offers a great alternative for shots, injections or infusions. According to PatchMD, the patches deliver an  – “EFFECTIVE MODE OF DELIVERY OF NUTRIENTS. THERE ARE LOTS OF PEOPLE DO NOT WANT TO TAKE L
Read more

Pavé Tile Co Announce the Launch of Live chat on their website and an Online Calendar for appointments

Image
Pavé Tile Co has just announced the Launch of Live chat on their website and an online Calendar for appointments. Pavé Tile Co is located in Melbourne, Victoria. They have over forty years of expertise, knowledge, and dedication in providing individuals with the most beautiful collection of crafted porcelain and ceramic tiles. The family-owned business spends a considerable amount of time sourcing unique designs from Europe and across the globe. Pavé is happy to mention that their showroom is also now open. Tile Collections At Pavé Tile Co Melbourne, you are spoilt for choice with a comprehensive range of tiles such as Porcelain wall and floor tiles, stone and concrete tiles, timber tiles, mosaics, Spanish feature tiles, slimline large-format sheets, and pool tiles. With the collection of stone tiles, for instance, Pavé showcase a vast range of stone look tiles on their site to give you a better idea for your project. From all marble to boutique, eternity, horizon, prime stone, Ri
Read more