Stacy Mosel, L.M.S.W.
Stacy Mosel, MSW is a licensed social worker, psychotherapist and substance abuse specialist. After receiving a Bachelor’s degree in Music from the State University of New York at Stony Brook, she continued her studies at New York University, earning a Master of Social Work degree in 2002. She has had extensive training in child, couples and family therapy and in the identification and treatment of substance abuse and mental health disorders. Currently, she is focusing on writing in the fields of mental health and addictions, drawing on her prior experience as an Employee Assistance Program substance abuse professional (SAP), youth and family counselor, and as the assistant director of a child and family services agency.
Recent contributions of Stacy Mosel, L.M.S.W.
Alcohol Addiction and TreatmentPublished on February 10, 2019 Updated on September 21, 2022
Problematic alcohol use is a prevalent public health issue in the U.S.1 According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), around 14 million American adults aged 18 and older have alcohol use disorder (AUD), the diagnosis for alcohol addiction.1 No matter how bad things might seem right now, treatment helps many people recover. Research indicates that roughly 1/3 of people who are treated for alcohol use disorders have no further symptoms 1 year later, and others make significant improvements in their drinking and alcohol-related problems.1 Evidence-based treatment, which can mean behavioral therapies and medication, has been shown to be effective for treating AUD and can help you start the path to recovery.2 What is Alcohol Addiction? Alcohol use disorder is a chronic medical issue characterized by compulsive alcohol use despite the negative consequences.3 When AUDs develop, people become unable to control their alcohol intake and drink even when their health and overall wellbeing suffer.3 A person’s risk for developing AUD is thought to be influenced by their patterns of drinking in addition to several other factors, which can include: Using alcohol at an early age. Research has found that people who start drinking before age 15 are 5 times more likely to develop AUD than those who wait until they are 21 to start drinking.3 Genetics and/or family history of alcohol problems. Genes aren’t destiny, but the interaction between genes and the environment may increase your risk. Research shows that AUD is up to 60% heritable.3 Having a close relative with AUD can increase risk by 3–4 times.4 Having parents who drank alcohol around you can also increase the risk.3 Social, cultural, and other environmental factors. For example, exposure to peer pressure, thinking that alcohol will help you cope with stress, or viewing drinking and intoxication as relatively favorable cultural norms could raise the risk of developing alcohol-related problems.4 Having a high level of impulsivity is usually related to more severe AUD and an earlier onset of the disease.4 Alcohol can affect communication pathways within the brain and alter certain types of physiological functions.5 For example, it can negatively impact the areas that are responsible for balance, coordination, and memory.5 Its impact on several key regions of the brain, including those involved with impulsivity, executive function, and reward, can ultimately reinforce continued drinking behavior and further promote the cycle of alcohol addiction.6 Signs of Alcohol Addiction The American Psychiatric Association outlines several criteria for AUD in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Doctors and other treatment professionals use these criteria to diagnose alcohol use disorders. Though not intended for people to diagnose themselves, it can be helpful to understand the diagnostic criteria and signs of alcohol addiction, which include:4 Using alcohol in higher quantities or more frequently than you originally intended. Being unable to cut down or control your alcohol use. Spending most of your time obtaining, using, and recovering from the effects of alcohol. Experiencing cravings, or intense desires for alcohol. Being unable to fulfill obligations at work, home, or school due to alcohol use. Continuing to drink alcohol despite having social or interpersonal problems that are caused or worsened by alcohol. Continuing to use alcohol despite knowing that you have a persistent or ongoing physical or mental health problem that is likely due to your alcohol use. Giving up activities you once enjoyed in order to drink alcohol. Drinking alcohol in situations where it is physically dangerous to do so (such as while driving or operating machinery). Developing tolerance, which means you need to drink increasingly more to achieve a desired level of intoxication. Experiencing withdrawal symptoms when you stop drinking or needing to continue drinking to relieve or avoid such symptoms. Health Effects from Alcohol Misuse Alcohol misuse can result in negative short- and long-term effects. The types and severity of such effects may depend on how much and how often you drink.7 Potential short-term effects can include:7 Acute alcohol poisoning. Injuries resulting from falls, drownings, car accidents, etc. Increased risk of engaging in violent behaviors. Increased likelihood of risky sexual behaviors, which can increase your chances of contracting sexually transmitted diseases. Chronic alcohol use can harm your physical and mental health. Some of the potential long-term effects include:7,8 Cardiovascular issues, including high blood pressure, cardiomyopathy, and increased risk of stroke. Liver disease. Digestive problems. Nutritional deficiencies. Serious neurological conditions such as Wernicke-Korsakoff Syndrome. Increased risk of certain cancers, including breast, mouth, throat, esophagus, voice box, liver, colon, and rectum cancer. Learning and memory problems, including a risk of dementia. Mental health problems, such as depression or anxiety. Alcohol use disorders, including significant physiological dependence and withdrawal risks. What is Alcohol Withdrawal? When someone regularly drinks, they can develop alcohol dependence, which means that their bodies have adapted to the presence of alcohol to a point that withdrawal symptoms may arise when drinking slows or stops.9 Withdrawal symptoms for alcohol can range in severity from mild to severe and may be life-threatening in some cases.10 According to the DSM-5, withdrawal symptoms can include:4 Autonomic hyperactivity (which includes symptoms such as sweating or pulse rate greater than 100 bpm). Hand tremors. Insomnia. Nausea or vomiting. Transient visual, tactile, or auditory hallucinations or illusions (such as seeing or hearing things that aren’t there). Psychomotor agitation, which means repetitive and purposeless movements. Anxiety. Generalized tonic-clonic seizures – the type most people think of when they think about seizures. Though relatively rare, some people may also be at risk of serious withdrawal complications, such as delirium tremens, which can include symptoms such as visual hallucinations, profound confusion, tachycardia (rapid heartbeat), hypertension (high blood pressure), hyperthermia (low body temperature), agitation, and diaphoresis (excessive sweating).11 It can be fatal if left untreated.11 Alcohol detox, and particularly medically supervised detox, can help ensure your safety and comfort and minimize withdrawal symptoms. It can also provide immediate medical care should complications arise, which is why it is safer that detoxing at home. In fact, the Substance Abuse and Mental Health Services Administration (SAMHSA) indicates that the preferred setting of care for managing alcohol withdrawal is hospitalization or another form of 24-hour medical care.10 Occasionally, one may receive sedating medications such as benzodiazepines during alcohol withdrawal in order to help mitigate any potentially uncomfortable withdrawal symptoms, and to minimize the risk of severe withdrawal issues such as seizures.10,11 Treatment for Alcohol Addiction Treatment for AUD can involve a combination of medications and behavioral therapies. Medications for alcohol addiction treatment may include naltrexone, acamprosate, and disulfiram.1 You may also participate in behavioral therapies, such as cognitive-behavioral therapy (CBT), to help you make positive and healthy changes to thoughts and behaviors that contribute to AUD.1 Depending on your unique needs, treatment for AUD can take place in different settings. Potential treatment programs can include: Detox, which can be the first step in the recovery process. It helps you safely and comfortably withdraw from alcohol while preparing you for continued treatment efforts.12 Inpatient/residential treatment. You live onsite and receive 24/7 care. It’s usually well-suited for people with relatively severe addictions, co-occurring mental or medical health issues, less stable living environments, and fewer social supports.12 Outpatient treatment. Though treatment may take place at a rehab center or other clinical setting, you’re able to return home outside of treatment hours. Outpatient treatment settings can benefit people with less severe addictions, access to transportation, supportive home environments, and good support systems.12 Alcoholism recovery is a lifelong process, so most people benefit from some form of ongoing care once formal treatment ends. This can include different options, such as regular checkups with a treatment provider, counseling, or participating in mutual support groups, like Alcoholics Anonymous (AA).1 [vob-aktify-cta title="Does your insurance cover treatment for alcohol addiction?" subtitle="Check your coverage online or text us your questions for more information"] Finding Alcohol Addiction Help Seeking alcohol addiction help might start with consulting your healthcare provider. They can perform an evaluation and help determine the appropriate setting based on your unique needs.1 You can also find treatment facilities around the country using SAMHSA’s FindTreatment.gov website. Reaching out to an addiction helpline, such as the one owned and operated by American Addiction Centers (AAC), can help answer questions you may have about alcohol addiction treatment and potentially help you find treatment. If you or a loved one are struggling, AAC is here to help. Please call [phone] to speak to an admissions navigator to learn more about your rehab options. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Preparing for rehab State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] [sources] National Institute on Alcohol Abuse and Alcoholism. (2021, August). Treatment for alcohol problems: finding and getting help. National Institute on Alcohol Abuse and Alcoholism. (2022, May 6). Recommend evidence-based treatment: know the options. National Institute on Alcohol Abuse and Alcoholism. (2021, April). Understanding alcohol use disorder. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Alcohol and the brain: an overview. National Institute on Alcohol Abuse and Alcoholism. (2021). The cycle of alcohol addiction. Centers for Disease Control. (2022). Alcohol Use and Your Health. National Institute of Neurological Disorders and Stroke. (2022, April 25). Wernicke-Korsakoff syndrome. National Institute on Drug Abuse. (2018, January). Principles of drug addiction treatment: A Research-based guide (third edition): Is there a difference between physical dependence and addiction? Center for Substance Abuse Treatment. (2015). Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment. Rahman, A. & Paul, M. (2021, August 27). Delirium Tremens. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. Substance Abuse and Mental Health Services Administration. (2019, October). Treatment options: Types of treatment. [/sources] ...Read more
Medications to Help Xanax WithdrawalPublished on February 10, 2019 Updated on May 26, 2022
Withdrawing from benzodiazepines like Xanax on your own can be quite difficult, physically distressing, and in some instances, dangerous. Due to certain medical complications associated with acute sedative withdrawal, attempts to detox from Xanax alone could present significant health risks. Professional medical detox programs can keep you comfortable and safe throughout this potentially risky period. Staff at these programs can administer medications to manage benzodiazepine withdrawal and can also help treat symptoms of anxiety that may emerge once you stop using Xanax.1 Why Use Medications for Xanax Withdrawal? The acute benzodiazepine withdrawal syndrome associated with medications like Xanax may include symptoms such as: 1,2 Autonomic hyperactivity, which can lead to sweating and elevated pulse. Hand tremors. Nausea or vomiting. Insomnia. Psychomotor agitation, such as pacing or fidgeting. Hallucinations. Delirium. Seizures. Xanax withdrawal may also cause anxiety and panic; however, because the drug may have initially been prescribed to manage conditions such as panic and anxiety disorder, it may be difficult to know whether symptoms are the result of a withdrawal or whether they simply reemerged once Xanax was no longer available to keep them at bay.1 In cases of severe physiological dependence, the abrupt discontinuation of Xanax raises the risk of more severe, and potentially life-threatening, withdrawal symptoms. These risks may also be increased should a person have developed polysubstance dependence with substances such as alcohol or other sedating drugs. Medications help to lower the risk to the patient by preventing the most serious symptoms, such as seizures and agitation, from developing. They also help to keep the patient more comfortable and psychologically stable during acute withdrawal.1 What Medications Are Used? Different medications are used to manage benzodiazepine withdrawal and can vary based on your individual situation and needs. For example, people who are detoxing from benzodiazepines are often put on a controlled taper of the same medication they are currently taking. However, such a tapering protocol may be easier to conduct and, ultimately, more effective with relatively long-acting benzodiazepines, whereas Xanax is short-acting. In many cases, people who are detoxing from shorter-acting benzodiazepines will be first switched over to a longer-acting agent like clonazepam (Klonopin), diazepam (Valium), or chlordiazepoxide (Librium). More rarely, you may be switched from Xanax to phenobarbital, a long-acting barbiturate, for seizure prophylaxis or control of seizure activity that isn’t responding well to benzodiazepine management.1 In certain cases, to further help minimize the risk of seizures, you may be given an anticonvulsant, such as carbamazepine or valproate. Anticonvulsants are usually only recommended for use in conjunction with long-acting benzodiazepines or phenobarbital.1 Other adjunct treatments might include clonidine or propranolol may to help alleviate autonomic symptoms of withdrawal, e.g. excessive sweating or elevated pulse.1 Is Medical Detox Always Necessary? Benzodiazepine-dependent individuals are often advised to detox under medical supervision. Very commonly, this involves inpatient treatment so that any emergencies, such as seizures, may be dealt with immediately. People who have been using Xanax in high doses or for long periods of time may be more susceptible to severe withdrawal symptoms and thus are safest under 24-7 medical supervision.1 Keep in mind that people who abuse benzodiazepines often use alcohol, other sedatives, or other substances simultaneously, which is referred to as polysubstance abuse. For those who are dependent on more than one drug, withdrawal can be somewhat complicated; inpatient medical care, and the intensive monitoring that it avails, may be necessary during acute withdrawal.1 Inpatient medical detox is a safe environment for those withdrawing from Xanax because it provides 24/7 supervision, monitoring, and care. Staff in the facility are available as needed to address any physical or psychological symptoms that arise and will also understand the safest ways to manage polysubstance withdrawal.1 For some, outpatient detox may be an option. However, an outpatient detox route should only be taken by someone with relatively mild sedative dependence (someone who has not used Xanax in high doses for significant periods of time), who can commit to regular doctor visits, and who has a strong family or social support network to provide regular monitoring and support.1 If you are considering outpatient detox, your physician can help you to determine whether this is the appropriate level of care for your needs. Ideally, outpatient detox should only be used by those at relatively low risk of experiencing a difficult or complicated withdrawal. Outpatient detox may not be appropriate for you if you suffer from:1,3 Polysubstance dependence or abuse of any other CNS depressant (e.g., alcohol, sedative-hypnotic medications). One or more medical or psychiatric conditions. A seizure disorder or have a history of seizures. Furthermore, if you wish to undergo outpatient detox, you and your family and/or support network should be informed that there is an increased risk of seizures. You will be instructed not to drive or operate dangerous machinery while you are undergoing detox, and possibly for a certain period of time after the detox process is complete.1 Will your insurance cover medical detox for Xanax withdrawals? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] How To Treat Anxiety Without Xanax? Xanax is often prescribed to treat panic and anxiety disorders. When you stop taking Xanax, you may be concerned that your anxiety will return. However, there are several medications your doctor might consider as an alternative to benzodiazepines. Some people prefer a holistic or alternative approach or prefer to use a combination of medication and holistic methods of treatment; it’s advisable to talk to your doctor about the options that are best for your needs so that you can make an informed decision. Some of the non-benzodiazepine medications that can be helpful in managing anxiety include:1,4 Such antidepressants can include SSRIs such as fluoxetine (Prozac) and paroxetine (Paxil), as well as tricyclic agents such as imipramine and nortriptyline. These medications have a much lower potential for abuse and are less sedating than benzodiazepines. Buspirone (BuSpar). This medication, which has less potential for abuse than Xanax, may serve as a substitute when anxiety management is still needed but the risks of continuing benzodiazepines are too high. Therapeutic alternatives for managing anxiety that may be used alone or in combination with medication include the following:4,7 Cognitive-behavioral therapy (CBT), which helps you identify and rectify certain thoughts and behaviors. It is usually a short-term treatment that can help you change negative or unhealthy thought patterns common to anxiety, such as catastrophizing. Psychotherapy, which can help you identify and work through the underlying causes of anxiety and teach you healthier coping skills. Exercise, which can help you release stress while promoting the release of feel-good chemicals in your body known as endorphins. Yoga, which is an increasingly popular approach that combines physical postures, breathing exercises, meditation, and a philosophy that focuses on the integration of the body, mind, and soul. Relaxation techniques, such as deep breathing. Acupuncture, which utilizes thin needles to aid in releasing stress. Although more clinical research is needed to fully support the benefits, limited studies have shown that acupuncture may produce positive results for people suffering from anxiety. Nutritional supplements and herbal remedies, such as passionflower or kava. Always consult a qualified practitioner before using any supplement. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Inpatient rehab Medication asssisted rehab Outpatient rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] Detox 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] [sources] Center for Substance Abuse Treatment. (2015). Detoxification and Substance Abuse Treatment: A Treatment Improvement Protocol (TIP 45). Rockville, MD: Substance Abuse and Mental Health Services Administration. Government of South Australia, SA Health. (2012). Benzodiazepine withdrawal management. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Harvard Health Publishing. (2014). Benzodiazepines (and the alternatives). Anxiety and Depression Association of America. (2018). Complementary & Alternative Treatments. Lakhan, S. E., & Vieira, K. F. (2010). Nutritional and herbal supplements for anxiety and anxiety-related disorders: a systematic review. Nutrition Journal, 9, 42. Pilkington, K., Kirkwood, G., Rampes, H., Cummings, M., & Richardson, J. (2007). Acupuncture for anxiety and anxiety disorders – a systematic literature review Acupuncture in Medicine. Acupuncture in Medicine, 25,1-2. [/sources] ...Read more
Vicodin Withdrawal Symptoms and DetoxPublished on February 10, 2019 Updated on May 03, 2022
Vicodin is a commonly prescribed opioid pain medication that contains hydrocodone and acetaminophen.10 Used to treat moderate to severe pain, Vicodin can easily lead to dependence and addiction if abused. Sometimes, people who are addicted to Vicodin may be unaware of the problem at hand which can hinder their willingness to seek help. The withdrawal symptoms that opioid-dependent individuals experience when they stop using can make quitting extremely difficult and might discourage them from seeking help in the first place. Withdrawal symptoms can be unpleasant and uncomfortable and may lead to relapse. The good news is that many treatment options are available to help you through the withdrawal and rehabilitation process. What Are the Withdrawal Symptoms of Vicodin? Withdrawal from Vicodin can be unpleasant, but symptoms are not generally life-threatening (though certain complications can arise).1 Vicodin withdrawal symptoms may vary somewhat in intensity and duration from person to person. Common symptoms of withdrawal from opioids like Vicodin include:1,2,3 Dysphoric mood. Fever. Muscle aches. Runny nose. Teary eyes. Dilated pupils. Goosebumps. Sweating. Yawning. Insomnia. Nausea and vomiting. Diarrhea. Vicodin withdrawal symptoms develop and change in the days to weeks following the last dose taken. People who are dependent on short-acting opioids like Vicodin may experience relatively early onset withdrawal symptoms that start within 6–12 hours of their last dose. Symptoms usually peak after 1–3 days and then resolve over a period of 5–7 days.2 During early opioid withdrawal, you’ll begin feeling some of the less severe flu-like symptoms, which often include sweating, aching, yawning, and inability to sleep. You’ll also likely start to feel anxious or agitated. [self-assessment] As time goes on, you may start feeling the more intense symptoms and may feel as though you’re experiencing the very worst flu you can imagine. You might have stomach cramping, goosebumps, and gastrointestinal upset.1,11 Some symptoms may last beyond the acute phase of withdrawal. These are referred to as “protracted” or “post-acute” withdrawal symptoms.2 These symptoms can include feelings of anxiety, low mood, anhedonia (an inability to feel pleasure), and problems sleeping.2 Can I Go through Withdrawal if I’m not Addicted? Yes. You can still be physically dependent on Vicodin even if you aren’t addicted. You might develop some physiological dependence even if you’ve been taking Vicodin as prescribed by your doctor. Dependence simply means that your body has adapted to the presence of the drug, and you may experience some withdrawal without it.6 Risks of Withdrawing from Vicodin Alone In some cases, medical complications may arise over the course of Vicodin withdrawal: 1, 4 You could suffer from aspiration, meaning that you vomit and breathe your stomach contents into your lungs, which could lead to lung inflammation and infection. Vomiting and diarrhea can also cause dehydration and electrolyte depletion. Additionally, if you suffer from an anxiety disorder, pain condition, or underlying cardiac condition, you may experience a worsening of your symptoms during withdrawal. One of the biggest risks of withdrawal is relapse. Vicodin withdrawal symptoms, while not life-threatening, can feel intolerable, and individuals attempting to quit often resume using Vicodin as a way of escaping these symptoms. For someone withdrawing at home without the medical and emotional support and substance-free environment of a professional detox program, the risk of relapse may be especially high. Vicodin abuse, while always troubling, is especially dangerous after a period of abstinence. Your body adjusts during this period and its tolerance for opioids decreases. When someone quits for a period and then returns using, their body will no longer be able to handle the dose that they previously tolerated. This could result in a serious overdose. Most opioid overdose deaths happen to people who have relapsed after going through withdrawal.1,4 Vicodin Information at a Glance Medication Name, Costs Class of Medicine Generic Name: Vicodin Generic Name Variations: N/A Chemical Name: Hydrocodone bitartrate and acetaminophen Brand Name: N/A Brand Name Variations: N/A Cost/Price: Roughly $36 per 45 tablets Used to Treat Addiction? No Function or Use: Pain relief System: Narcotic analgesic Duration of Action: 4-6 hours Form, Intake, and Dosage Interactions and Complications Drug Forms: Tablet Administration Routes: Oral Dosage: Each tablet contains 5mg hydrocodone bitartrate and 500mg acetaminophen Overdose: N/A Alcohol Interaction: Vicodin should not be taken with alcohol. Prescription Medications: Consult your doctor before taking Vicodin with any other prescription medications. Contraindications: Those who have been hypersensitive to other hydrocodone or acetaminophen medications may also be hypersensitive to Vicodin. Effects and Adverse Reactions Substance Abuse Short-Term: Lightheadedness, dizziness Long-Term: Liver failure, sedation Risk of Substance Abuse: High Physiological Problem Signs and Symptoms Dependence and Addiction Issues Withdrawal Syndrome Onset: N/A Withdrawal Symptoms: Headaches, fatigue, sleepiness, irritability, dilated pupils, shakes, tremors, insomnia, anxiety, nausea, vomiting, diarrhea, sweating, runny nose, fever Tolerance: Tolerance may develop quickly Cross Dependence: N/A Physical Dependence: Dependence may develop Addiction: Abuse may result in addiction Legal Schedules and Ratings Controlled Substances Act Rating: Schedule II What Are the Options for Treatment? When opioid withdrawal is uncomplicated, it is not particularly dangerous; however, issues can arise that may require immediate medical intervention. For this reason and because opioid withdrawal is so intensely uncomfortable, the Substance Abuse and Mental Health Services Administration (SAMHSA) recommends some form of 24-hour care and supervision for opioid withdrawal. Additionally, SAMHSA does not advise opioid withdrawal without pharmaceutical intervention and states that “management of this syndrome without medication can produce needless suffering.” Withdrawal medications can help mitigate painful symptoms and alleviate cravings.4 Some of the medications that are used for Vicodin withdrawal include:4 Methadone. This long-acting opioid agonist is one of the most commonly used medications for opioid withdrawal and can help to reduce withdrawal symptoms and cravings. Because it is a full opioid agonist and does have some potential for abuse, you must receive it from a doctor in a SAMHSA-certified methadone clinic or at the hospital. Buprenorphine. Unlike methadone, buprenorphine is a partial opioid agonist, so it has a “ceiling effect” which helps to prevent abuse. This medication can be dispensed in a physician’s office. NOTE: Not all physicians are qualified to prescribe this drug. You can find prescribers here. Clonidine. Also used to combat withdrawal symptoms, clonidine is not an opioid agonist so it allows for detoxification without the use of other opioids, which may be important for people who want to stop using these substances completely. Clonidine is not approved by the FDA for opioid withdrawal but is often used “off-label” for this purpose. Other medications may also be used to treat specific symptoms. For example, diphenhydramine (Benadryl) or trazodone may be used to help with insomnia; acetaminophen or ibuprofen may be given for headaches and muscle pain; Mylanta or Maalox may be used to treat acid reflux.4 Once you have decided to undergo detoxification, you should discuss possible Vicodin withdrawal treatment methods with a doctor. Once you’ve decided it’s time to quit, you should discuss your Vicodin withdrawal treatment options with a doctor. Individuals considering Vicodin detox could benefit from inpatient services for at least the first few days after the onset of withdrawal:4 p.13 Social detox. This is a nonmedical form of residential detox that involves peer and social support and is mainly intended for people who require 24-hour supervision and support but do not wish to use medication during withdrawal. Medical detox. This is an inpatient form of detox that provides both round-the-clock monitoring and supervision from treatment center staff as well as the administration of medications to improve comfort and prevent complications. While inpatient detox is recommended for Vicodin withdrawal by SAMHSA, it is not the only option. Outpatient detox may also be appropriate for those whose addictions are less severe and who feel they have a supportive home environment that minimizes the chance of relapse. Outpatient detox allows you to live at home while regularly visiting a detox facility or your physician’s office to receive monitoring, support, and any medications indicated for treatment. Once you have successfully completed withdrawal, you may continue to take maintenance medications, such as methadone, buprenorphine, or naltrexone, to help keep cravings at bay and prevent relapse.5 Depending on which medication you use for recovery maintenance, you may be able to get an injection on a monthly or even bi-annual basis. Does your insurance cover rehab for Vicodin addiction? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] Is Ultrarapid Detox Safe? Ultrarapid detoxification involves placing the person under general anesthesia prior to the induction of withdrawal in an attempt to accelerate the detoxification process. Many ultrarapid detoxification protocols can be completed in several hours. Providers of this kind of detox claim that the procedure helps people avoid much of the discomfort associated with the detoxification process. However, this procedure is controversial, risky due to the involvement of general anesthesia, and can cause serious harm for people with underlying medical conditions such as diabetes, pneumonia, or hepatitis.4,12 Does every detox center offer medication? Not every detox center offers medication, although medication can be very helpful during withdrawal. SAMHSA advises medical detox for opioids. One study found that up to 80% of all detox facilities used medications.8 Nonmedical approaches to detox could be viable options for some groups—young, healthy people at low risk of complicated withdrawal, for example. However, in even in nonmedical detox settings, staff members must be properly trained to identify life-threatening situations and to know when to call in emergency medical assistance.4 How Can I Ensure a Successful Recovery? Detox is often the first step in the recovery process. It is a set of interventions to help you as the substance is eliminated from your body. Alone, detoxification programs are not a substitute for comprehensive substance abuse treatment because they don’t address the underlying issues that led to substance abuse. Detox helps to best prepare you for your continued recovery efforts by helping you stabilize physically and mentally. Ideally, after the successful completion of a detox program, further addiction treatment should continue. Addiction treatment focuses on addressing the root causes of drug addiction and helps the person learn new skills, develop healthier beliefs and ways of thinking, and helps begin the process of healing key relationships. All of these are integral parts of staying sober in the long run. Some of the treatment options for Vicodin addiction include: Inpatient treatment. Like inpatient detox, you will reside at the facility but for a longer duration of time. Many inpatient programs last for approximately 30-90 days, though durations will vary. During your stay, you’ll participate in a range of treatments, such as individual and group counseling, and will have 24-7 access to care and support. Outpatient treatment. You can choose from different outpatient options depending on your specific needs. These include: Standard outpatient programs. You live at home and travel to a treatment center on a regular basis, often a few times per week. This form of treatment usually accommodates evening and weekend appointments for those who have other obligations during the day. Partial hospitalization programs (PHP). This is a more intensive form of outpatient treatment that is often used as a step-down from inpatient programs. It is also beneficial for those who require a higher level of support but cannot commit to inpatient treatment. You attend treatment (mostly during the week during daytime hours), usually for 6 hours per day, at a minimum of 5 days per week.13 Intensive outpatient programs (IOP). This is more intensive than standard outpatient treatment but less intensive than PHP. You usually attend treatment 3 hours per day, with frequency decreasing as time goes on.14 Most people recovering from Vicodin addiction view the rehabilitation process as a lifelong effort. Beyond completion of any detox and rehabilitation programs, you will need to maintain a focus on your recovery via various aftercare efforts. Groups like Narcotics Anonymous (NA) or other recovery support groups can help to provide a foundation for long-term abstinence through regular meetings and a supportive circle of people going through similar struggles. 12-step fellowships like NA or other, secular groups can offer daily encouragement for those who have recently left a rehabilitation facility. Regular meetings with a substance abuse counselor or psychologist are also commonly recommended to help reinforce the lessons learned during treatment and to maintain your enthusiasm for sobriety. If you or someone you know needs help, you can call for confidential information about rehabilitation facilities and treatment options at any time, day or night. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Inpatient rehab Medication asssisted rehab Outpatient rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] Detox 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] [sources] U.S. National Library of Medicine. (2016). Opiate and Opioid Withdrawal. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Arlington, VA: American Psychiatric Publishing. New Zealand Drug Foundation. Opiates. Substance Abuse and Mental Health Services Administration. (2006). Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 134131. Rockville, MD: Substance Abuse and Mental Health Services Administration. Bart, G. (2012). Maintenance Medication for Opiate Addiction: The Foundation of Recovery. Journal of Addictive Diseases, 31(3), 207–225. National Alliance of Advocates for Buprenorphine Treatment. (2016). Physical Dependence and Addiction. National Institute on Drug Abuse. (2016). What Science Tells Us About Opioid Abuse and Addiction. National Institute on Drug Abuse. (2018). Treatment Approaches for Drug Addiction. University of Pennsylvania Health System. Can Addiction Be Cured? U.S. National Library of Medicine. (n.d.). Hydrocodone and Acetaminophen (Oral route). Wesson, D. R., & Ling, W. (2003). The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs, 35(2), 253–9. National Institute on Drug Abuse. (2006). Study Finds Withdrawal No Easier With Ultrarapid Opiate Detox. Nebraska Department of Health and Human Services. (n.d.). Partial Hospitalization - MH - Adult (Managed Medicaid only Service). Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 47.) Chapter 4. Services in Intensive Outpatient Treatment Programs. [/sources] ...Read more