Whenever you meet with your doctor, you need to provide a list of all of the medications you are currently taking, including both prescription and over-the-counter drugs. Certain drugs can have dangerous interactions with other medications. Two commonly prescribed drugs, Xanax and Ambien, are prescription drugs that are both central nervous system (CNS) depressants. People might be prescribed Xanax for the treatment of anxiety and panic disorders. They might also be prescribed Ambien for help with sleep. Here is what you should know about these drugs before you take them together.

Can You Take Xanax and Ambien Together?

If you are prescribed Xanax and Ambien, you should generally not take them together. When these drugs are combined, they can interact with each other and cause more side effects of one or both drugs.

As CNS depressants, both Xanax and Ambien work to increase the effect of gamma-aminobutyric acid (GABA). This substance is a neurotransmitter that is naturally produced in the body. It works by slowing certain brain functions by blocking signals from certain brain regions. GABA is believed to relieve stress and anxiety while also improving sleep. Since both Xanax and Ambien encourage the brain to release more of this substance, combining them can compound the following side effects:

• Drowsiness
• Confusion
• Dizziness
• Cognitive impairment
• Motor coordination impairment
• Depressed respiration

Since a combination of these medications can depress the respiratory system, taking these drugs together could cause a cessation of breathing, coma, and death.

If you are prescribed both of these medications, you should not engage in any activity that involves decision-making or alertness, including driving or operating machinery. Both of these drugs also have the potential to cause drug dependence and abuse and are Schedule IV controlled substances. Combining them can increase the risk of addiction as compared to taking either drug by itself. If you suddenly stop taking these drugs, you might also experience withdrawal symptoms because of the potential of becoming physically dependent.

Similarities and Differences of Xanax vs. Ambien

The generic for Ambien is zolpidem, which is a drug classed as a sedative-hypnotic medication to facilitate sleep. This medication facilitates sleep by targeting certain neural receptors in your brain. When you take Ambien, the drug slows the activity of your brain so that you can fall asleep faster. It is also available in an extended-release version, Ambien CR, which includes two layers of medication with one that helps you fall asleep while the second layer helps you remain asleep.

If you are prescribed Ambien, you should take it immediately before you go to bed. You should only take this medication when you will have enough time to get at least seven to eight hours of rest. You should take Ambien on an empty stomach because food can reduce your body’s ability to absorb it. Women generally start with a dose of 5 mg once per day at bedtime. Men start at a dose ranging from 5 mg to 10 mg once per day at bedtime. Patients with mild to moderate liver issues and those who are elderly start with doses of 5 mg regardless of gender. Ambien is contraindicated for those with serious liver conditions.

Ambien is approved to treat insomnia in people who have trouble falling asleep. People who have trouble both falling and remaining asleep might be prescribed Ambien CR.

The generic for Xanax is alprazolam, which is classed as a benzodiazepine drug. It also works within the CNS by facilitating the receptivity of neural receptors to GABA. This helps to produce a feeling of calm and relaxation. After you take a dose of this drug, you will begin experiencing its effects within about an hour, and they will last for around five hours. There is also an extended-release version of Xanax for which the effects will last for up to 11 hours.

Ambien is prescribed to people who suffer from anxiety disorders and might also be prescribed for short-term relief of anxiety symptoms associated with depression. It can also be prescribed for people who suffer from panic disorder.

Characteristics	Ambien	Xanax
Class	Sedative-hypnotic	Benzodiazepine
Generic	Zolpidem	Alprazolam
Indications	Insomnia	Anxiety/Panic DO
Forms	Immediate release/extended release	Immediate release/extended release/oral concentrate

Ambien and Xanax are used for different purposes and are different drugs, so there aren’t any studies comparing these two medications. If you struggle to fall asleep, your doctor might prescribe Ambien to you. If you struggle with anxiety disorder, your doctor might prescribe Xanax to you. Your doctor has the education and experience to choose the right medication for you based on your underlying medical conditions, symptoms, medical history, and any other medications you might take that could have potentially dangerous interactions. Make sure you tell your doctor about all of the drugs, medications, and supplements you take so that you can avoid being prescribed something that could cause dangerous side effects.

Possible Side Effects of Xanax and Ambien

The side effects of Xanax and Ambien can be compounded if they are taken together.

Xanax Side Effects

Xanax can be taken with or without food. However, if you are prescribed the extended-release form, you should take your medication with water. Some of the known side effects of Xanax include the following:

• Dizziness
• Drowsiness
• Reduced libido
• Appetite increase
• Cognitive impairment
• Weight gain
• Depression
• Headache
• Blurry vision

The side effects of Xanax can increase when higher doses are taken. They can also be more severe if you take Xanax with Ambien.

Ambien Side Effects

If you are prescribed Ambien or Ambien CR, you should take your medication when your stomach is empty right before you go to bed. The medication takes about 30 minutes to take effect, but it can be delayed if you take it with food.

The following side effects have been associated with Ambien:

• Excessive drowsiness when not desired
• Grogginess
• Headache
• Irregular heart beat
• Dry mouth
• Anxiety
• Depression
• Skin reactions
• Thought disturbances
• Dementia

The side effects of Ambien can be more severe if Ambien is taken at higher doses or in combination with Xanax or another CNS depressant.

Potential Interactions of Xanax and Ambien

Ambien should not be taken with other CNS depressants, including alcohol, opioids, anti-depressants, or benzodiazepines. These drug classes can have additive effects when combined. Other drugs that can interact with Ambien include rifampin, which can lower the level of Ambien, and ketoconazole, which can increase the level of Ambien.

Xanax should also not be taken with other CNS depressants. If it is taken with opioids, there will be an increased risk of respiratory depression, sedation, overdose, and death. Xanax should also not be taken with alcohol, sedative-hypnotics, anti-psychotics, anti-convulsants, or anti-depressants.

Other interactions are possible, which is why you should bring a complete list of all medications and over-the-counter substances you are taking with you to your doctor’s appointments.

Both Ambien and Xanax offer some benefits to people suffering from insomnia or anxiety disorders. However, they should not be taken together. If you are prescribed one of these medications, you should make sure to follow your dosing schedule and never take more of the medication than you are prescribed. Make sure to inform your doctor about all of your prescribed and non-prescribed medications to prevent potentially dangerous drug interactions. In general, you should avoid taking Ambien and Xanax together. If you are already prescribed one of these drugs, make sure to tell your doctor if they discuss prescribing the other one.

Drug and alcohol detox programs are not directly offered by Long Island Interventions. If you or a loved one require any services that we do not offer, we would be glad to refer you to one of our trusted affiliate providers. To learn more, contact Long Island Interventions today.

FAQ

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Published on: 2022-11-17
Updated on: 2024-06-21

Just like any other ativan (lorazepam), diazepam (valium), clonazepam (Klonopin and Rivotril), Xanax, an antidepressant meds which is also known as brand name alprazolam, is a benzodiazepine. Doctors commonly prescribe it to treat panic disorders and generalized anxiety disorder because it has a calming effect on the central nervous system (CNS depressant) and brain. Specifically, it is a GABA enhancer that slows down brain cell activity. Despite the approval from the Food and Drug Administration (FDA) and while it is prescribed frequently, it has psychodynamic properties that make it highly addictive. In addition, it has adverse and even serious side effects when consumed with various other medications. You may have heard that these controlled substances, Xanax, should not be taken with Tylenol and should only be taken with medical advice to avoid any side effects and possible impairment. 

Let’s take a closer look and reveal when these medications can be consumed together and the possible effects.

Side Effects of Taking Xanax and Tylenol

Tylenol, or acetaminophen, is an over-the-counter medication like codeine often used to treat fever, headaches, and other minor aches and pain relievers, just like tramadol, and this drug serves as a muscle relaxant supplement. Plain Tylenol can safely be used with Xanax, but the Tylenol dosage should not exceed 3,000 milligrams per day.

On the other hand, Tylenol PM should generally not be used with Xanax. This medication contains a sedating antihistamine known as diphenhydramine. Like Xanax, diphenhydramine depresses the central nervous system. As a result, drug interactions of the combined effects of these medications significantly impact the central nervous system. When Tylenol PM and Xanax are consumed together, drowsiness or sleepiness, lightheadedness, dizziness, dry mouth, confusion, trouble concentrating, and respiratory depression may develop. Be aware that diphenhydramine is also the main ingredient in Benadryl, an over-the-counter allergy medication. The side effects of taking Benadryl with Xanax are similar. More severe side effects of Xanax and diphenhydramine combined are a slower heart rate and reduced consciousness. Notably, respiratory depression associated with the combined use of alcohol, benzodiazepines, opioids, and other similar substances is one of the leading causes of overdose deaths.

Recommendations for Using Xanax with Tylenol

If you take plain Tylenol with Xanax, you should be careful not to mix this combination of medications with opioids, that’s why reading drug information and disclaimers should be observed. Severe and even fatal side effects may occur. In addition, this combination of drugs could increase the likelihood of developing an addiction. Some doctors may still recommend the use of Tylenol PM and Xanax from time to time for medically-necessary situations. However, consistent or frequent use of these medications together should be avoided. Be aware that taking more than the recommended or prescribed dose of either of these medications can increase your risk of developing an addiction and of experiencing more severe side effects. You should always consult with your doctor before taking a new over-the-counter or prescription medication for the first time with Xanax. In addition, driving and using heavy machinery should be avoided whether you take Xanax and Tylenol PM together or separately.

Treatments for Xanax Abuse

Because of how addictive Xanax is, dependence, abuse, and addiction are significant issues. Generally, prescribing this drug–Xanax, for a short period of time made by doctors to minimize these risks. Those who have been taking Xanax for a more extended period of time may need to taper down their dose to reduce the unpleasant withdrawal symptoms. In some cases, individuals can successfully wean themselves off of Xanax through a tapering effort under their doctor’s supervision. However, many people who have been taking high doses, who have been using Xanax for a long time, or who have mixed the use of different substances may find it more challenging to get clean.

Addiction treatment centers offer programs that are specifically designed for prescription drug abuse. Depending on the program, a person with an addiction may benefit from medically assisted detox followed by inpatient or outpatient treatment. Counseling, group and family counseling, and other services may also be provided. While breaking an addiction to prescription medications is not easy, getting the support you need can help you achieve your goal more successfully.

Learn About Your Treatment Options Today

Xanax abuse and addiction are significant problems in the United States, impacting physical and mental health, professional lives, finances, personal relationships, and more. While your Xanax addiction may negatively impact your life in many ways today, rest assured that it is possible to break your addiction. Our compassionate addiction experts at Long Island Interventions are committed to helping each of our clients live a healthy, sober life. To learn more about your treatment options and about us, a healthcare provider for Xanax addiction, contact us today.

FAQ

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Published on: 2022-11-17
Updated on: 2024-06-21

There are many reasons why an individual might have to undergo a drug test. Perhaps it is for a job interview, court-ordered as part of probation, or part of a sobriety test for drug rehab.

Regardless of the reason, there are many ways that drug tests can be done. This includes testing hair, urine, and blood. However, one of the easiest and most common ways is to test saliva.

Let’s take a few moments to discuss more saliva drug testing. By the end, you will better understand how drug tests work and how accurate they are.

How Do Saliva Drug Tests Work?

A saliva drug test is about as straightforward as it comes. To perform the test, you must have the underside of your tongue or the inside of your cheek swabbed with a cotton swab.

That is the most common way to gather saliva, but the collection method of your saliva will depend greatly on where you have the test performed. Other collection methods involve spitting into a vial or gathering saliva through a suction device.

The test is typically conducted on-site, so you will quickly know the results. That said, it could still be a day or two before you are informed of the results of a saliva drug test. For a job interview, the tester usually sends drug test results to the employer first. Then, you will get the results from your boss.

Before the test, you must avoid drinking or eat for at least 10 minutes. This is because mouthwash, beverages, and some medications can hurt the accuracy of the test.

Which Drugs Can Be Detected in Saliva Testing?

Like most drug tests, a saliva drug test can check for several drugs. In fact, a test can detect one single substance or screen for a whole combination of substances. While it is impossible to list all of the drugs that can be detected in a saliva test, some of the most common ones include:

• Alcohol
• Marijuana
• Cocaine
• Methamphetamine
• Opiates
• Opioids
• Benzodiazepines

The types of drugs for which individuals are tested will depend on their situations. For example, when individuals are tested before entering drug rehabs, the facilities will likely test for the specific drugs that they misused. They might be tested for multiple drug substances for a job interview or probation.

How Accurate Are Saliva Drug Tests?

Many people question the accuracy of a saliva drug test. Compared to other tests, it is relatively accurate when performed correctly. In most cases, it has an accuracy of over 97%. Of course, like with any drug test, the accuracy varies depending on several factors.

When it comes to testing for opiates, for instance, it can show up in a saliva drug test several days after the last dose. Codeine can be detected in a saliva drug test for up to four days after an individual has taken it. Other drugs, such as marijuana, typically only show up in saliva drug tests within 72 hours of the last dose.

Some other factors that might play a role in the accuracy of drug tests include the number of substances individuals consume, their frequency of use, and how they consume the drugs. Once again, eating or drinking can affect the accuracy of the tests too. This is why many people are asked to sit in a room where they can be monitored for several minutes before they are given saliva drug tests.

What Are Some of the Drug Detection Times?

The time that drugs stay in your system depends heavily on their type. As a result, not all drugs have the same drug detection time. This refers to the time that drug tests can detect the drugs.

Some drug tests, like for testing hair, have a much longer detection time. For example, most drugs are only present in saliva for a few hours to a few days. However, hair drug tests can detect some drugs used within the past 90 days.

As mentioned, the drug detection time on marijuana for a saliva drug test is around 72 hours. Heroin, however, has a detection time of roughly an hour. Hydrocodone has a detection time of roughly 36 hours, whereas methadone can be detected upward of 10 days after the last dose.

Many benzodiazepines, such as Librium and Valium, can be detected in saliva drug tests for close to 10 days after taking them. Of course, not all benzodiazepine drugs stay in the system that long. For instance, Ativan is only present in a saliva drug test for about 10 hours after the last dose.

Why Have Saliva Drug Tests Become Popular?

The bottom line is that saliva drug tests are becoming the standard for drug testing. This has much to do with how cost-efficient they are compared to other drug tests. On top of that, saliva drug tests are easy to perform, and the specimens are very hard to tamper with.

For example, people often tamper with urine drug tests by using other people’s urine instead of their own. They get away with this because they are alone in the bathroom while taking the test. This makes it easy to switch or tamper with the specimens before handing them over to the testers. Saliva drug tests are performed right in front of the testers, so it is not possible for the tested individuals to tamper with the samples.

Are There Any Disadvantages to Saliva Drug Tests?

There are several advantages of doing a saliva drug test. As we mentioned, the test is cheap and fairly accurate. However, there are a few disadvantages, which is why other drug testing methods are still used.

As you have likely noticed from the detection time, drugs do not stay present in saliva for as long as they do in urine. In this regard, a urine test can provide a bigger window into the usage history of an individual. In contrast, a saliva test only helps if the individual has used it recently.

However, those are the only real disadvantages of using a saliva drug test. Beyond that, the tests are cheap, accurate, and easy to perform. These aspects make it the perfect option for most individuals who need a quick drug test.

Are You Ready to Take Addiction Seriously?

Drug addiction is no laughing matter. It is estimated that roughly 22 million people have some substance use disorder. As a result of this high number, experts suggest that over 45 million people are directly impacted by addiction. Thus, getting addiction treatment from a facility that you can trust is very important.

The best way to help individuals understand their addiction problems is through interventions. Here at Long Island Interventions, we can help you set up an intervention for a loved one who needs help. We can set your friend or family member on a course toward recovery.

Do not wait any longer to get the treatment you or a loved one needs. Give us a call today so that we can help you take your first step toward a new life without substance misuse.

FAQ

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Published on: 2022-10-31
Updated on: 2024-06-21

Drug tests have become a standard part of life. Administered for medical, legal, or occupational reasons, these tests can significantly impact your opportunities. Whether you’re hoping to keep your job or restore lost driving privileges, they affect how you’re able to participate in society.

Among the tests, you may be given is a 12-panel drug screening. Let’s take a closer look at it and what it covers.

What Is a 12-Panel Drug Test?

A drug test checks for the presence of various drugs in the body. Each panel refers to a different drug or drug category. If the test has 12 panels, it’s being used to screen for 12 categories of substances.

A category may have more than one drug associated with it. For example, an opioid panel may cover codeine, morphine, and heroin. An amphetamine panel may test for both amphetamines and methamphetamine, as in the five-panel screening used by the U.S. Department of Transportation. Cocaine, in contrast, would be in a panel by itself.

Which Substances Get Screened in a 12-Panel Test?

There’s some variation in what a 12-panel screening looks for. The following is only one example of the types of panels the test may cover:

Panel	Substance	Common Names	Common Uses/Effects
1	Marijuana (THC)	Cannabis, Weed, Pot	Euphoria, altered senses, relaxation
2	Cocaine	Coke, Crack	Increased energy, euphoria, alertness
3	Amphetamines	Speed, Adderall, Dexedrine	Increased energy, alertness, focus
4	Methamphetamines	Meth, Crystal, Ice	Increased energy, euphoria, alertness
5	Opiates	Heroin, Morphine, Codeine	Pain relief, euphoria, relaxation
6	Phencyclidine (PCP)	Angel Dust, Hog, Love Boat	Hallucinations, dissociation, euphoria
7	Benzodiazepines	Valium, Xanax, Ativan	Sedation, anxiety relief, muscle relaxation
8	Barbiturates	Phenobarbital, Secobarbital, Butalbital	Sedation, anxiety relief, sleep induction
9	Methadone	Dolophine, Methadose	Pain relief, opioid dependence treatment
10	Propoxyphene	Darvon, Darvocet	Pain relief, mild euphoria
11	Ecstasy (MDMA)	Molly, E, X	Euphoria, increased sociability, energy
12	Oxycodone	OxyContin, Percocet	Pain relief, euphoria, relaxation

Generally, 12-panel screenings will include a particular core set of drugs that don’t change from one screening to another, such as cocaine and cannabis. But they may vary for other kinds of drugs.

For example, in some 12-panel tests, buprenorphine may be investigated instead of propoxyphene. Both of them are synthetic opioids.

Panels of drugs may also differ by cut-off levels or thresholds determining the presence of a drug. For example, a urine-based drug screening may have an opioid panel with a threshold of 300 nanograms per milliliter. But the same screening may look for oxycodone, an opioid painkiller, at a threshold of 100 nanograms per milliliter.

The drugs included in each panel and their thresholds vary from one 12-panel test to another. These variations will depend on multiple factors, such as the purpose of the screening and the policies of the organization administering it.

What About Tests That Have Fewer Panels?

You may be given a test with fewer than 12 panels depending on the circumstances. If so, what can you expect?

A 12-panel test is an extension of drug tests with fewer panels, so you’ll see a significant overlap in the kinds of drugs you’re screened for.

For example, let’s say you’re given a 10-panel screening. There’s a possibility that it won’t test specifically for oxycodone or ecstasy, but it will otherwise overlap with a 12-panel test.

How Do 12-Panel Tests Get Administered?

There are different ways to collect samples from people and test for the presence of drugs. The following are a few standard methods for administering a drug screening:

Saliva

One way to obtain a sample is through a mouth swab that collects saliva. An advantage to a saliva test is that it requires no privacy. The collector can see you the whole time, which gives them greater peace of mind about the sample being genuine; there isn’t much room for tampering.

The main disadvantage of this method is that it has a relatively short detection window. Many drugs don’t turn up in saliva 48 to 72 hours after use. That said, saliva collection can still be an effective method for a random drug test. Also, law enforcement may use mouth swabs to evaluate people during a traffic stop or in the immediate aftermath of an accident.

Urine

Urine analysis is used widely for drug testing, including millions of employees. Although urine samples are more susceptible than saliva to tampering, new technologies make it easier for organizations to detect falsified samples.

Detection windows for urine are generally longer than for saliva. For some substances, the window may last up to a few days or a week. Other times, a drug may remain detectable in urine for weeks or even months. For example, heavy users of cannabis may have the drug show up in their urine months after they last used it.

Hair

Analyzing hair follicles is a more expensive method than the use of saliva or urine samples. However, hair is easy to obtain, giving collectors the advantage of a long detection window. The range may be a few months to a year, showing possible long-term drug use patterns.

Blood

Blood has a reasonably short detection window, often measurable in hours, and it’s the most invasive drug testing method among the ones listed here. Because it relies on venipuncture, collection requires the services of somebody trained in phlebotomy. This sample collection method is generally limited to specific emergency situations.

Are Detection Windows Set in Stone?

When considering the detection windows for different sample collection methods, such as saliva or urine, it’s important to remember that these windows are just estimates. They’re affected by multiple factors, including the quantity and frequency of your drug use, the types of drugs you’ve been using, your age, your weight, and the general state of your health.

If you learn that a specific drug disappears from urine after a few days, don’t count on the absolute reliability of this estimate. Maybe the drug’s presence will last longer in your sample.

Detection Times

The approximate detection times for substances commonly tested for in a 12-panel drug test:

Panel	Substance	Urine Detection Time	Blood Detection Time	Hair Detection Time
1	Marijuana (THC)	3-30 days	2-7 days	Up to 90 days
2	Cocaine	2-4 days	1-2 days	Up to 90 days
3	Amphetamines	1-3 days	12 hours	Up to 90 days
4	Methamphetamines	2-4 days	1-3 days	Up to 90 days
5	Opiates	2-3 days	12-24 hours	Up to 90 days
6	Phencyclidine (PCP)	3-7 days	1-3 days	Up to 90 days
7	Benzodiazepines	3-7 days (up to 30 days for chronic use)	2-3 days	Up to 90 days
8	Barbiturates	2-4 days (up to 3 weeks for chronic use)	1-2 days	Up to 90 days
9	Methadone	3-4 days	24-36 hours	Up to 90 days
10	Propoxyphene	2-3 days	1-2 days	Up to 90 days
11	Ecstasy (MDMA)	2-4 days	1-2 days	Up to 90 days
12	Oxycodone	2-4 days	1-2 days	Up to 90 days

These detection times can vary depending on several factors, including the individual’s metabolism, frequency of use, and the sensitivity of the test used.

When Do 12-Panel Tests Get Administered?

Drug testing crops up in a wide range of scenarios. Prospective employees may need to undergo a drug screening as part of the hiring process for an organization. Once hired, they may be subject to random drug testing or be asked to undergo testing if their behavior arouses suspicion of intoxication.

A drug test may be required as part of probation or parole, and it may be a necessary step for restoring lost driving privileges. Other scenarios for drug testing include divorce and child custody cases.

Testing also occurs in treatment contexts, such as programs for drug rehabilitation. If you’ve moved into a sober living home, you may be subject to random tests to check that you’re maintaining sobriety.

You won’t necessarily be given a 12-panel test in these contexts. Several organizations may stick to using a five-panel test or another variety. However, there will be scenarios where an organization or a court wants a more comprehensive 12-panel screening.

What Are the Consequences of a Positive Test Result?

In many situations, a positive test result for a drug leads to significant problems, including job loss or criminal penalties. Although it may be possible to contest a positive result, the best thing you can do is to try to avoid such an outcome, to begin with.

If you have a drug addiction or use illegal drugs, the likelihood of a positive test result increases considerably. Fighting your addiction or problematic drug use is the best way to give yourself more opportunities in life. You’ll be better positioned to hold down a job and receive favorable legal outcomes while enjoying an improved quality of life.

Contact Long Island Interventions

Even if you don’t have a full-blown addiction, you can benefit from interventions that tackle your drug misuse. Our program will preserve your dignity and confidentiality. You’ll work with experienced and highly skilled professionals and receive individualized treatment. We’ll treat you as a whole person with your own psychological, spiritual, social, and medical needs.

Don’t hesitate to contact us today. With our help, you’ll be more likely to pass future drug screenings and avoid the damaging consequences of positive results.

FAQ

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Published on: 2022-10-31
Updated on: 2024-09-23

Many people use cough remedies containing dextromethorphan, also called DXM, for quick cough relief. Its effectiveness is well known in over-the-counter medicines like Robitussin, and it is a widely used ingredient in many different cough remedies. But when DXM is combined with another strong substance like alcohol, users put themselves at great risk for harm. So what is dextromethorphan, and how does combining alcohol and Robitussin affect those with substance abuse issues? Let’s look at what you need to know if you or someone you love is using alcohol and DXM.
Many people use cough remedies containing dextromethorphan, also called DXM, for quick cough relief. Its effectiveness is well known in over-the-counter (OTC) medicines like Robitussin and is a widely used ingredient in many different prescription cough remedies. But when DXM is combined with another strong substance like alcohol, users put themselves at great risk for harm. So what is dextromethorphan, and how does combining alcohol and Robitussin affect those with substance abuse issues? Let’s look at what you need to know if you or someone you love is using alcohol and DXM.

What is DXM?

Dextromethorphan is a widely used cough suppressant ingredient that has been around since the 1950s. This ingredient works by directing the brain to suppress the cough reflex, but as a synthetic derivative of morphine, its potential as an abused substance has caused it to become pulled from the shelves briefly before returning in a less potent form. More than 100 different OTC and prescription cough and cold medicines contain this ingredient in some strength like

• Dayquil syrup and liquicaps
• Delsym
• Mucinex DM
• Phenergan DM
• Robitussin DM

Effects of DXM

When dextromethorphan is an ingredient in a cough suppressant medication, the compound’s primary expected effect is a reduction in an urge to cough. But this strong medicine does more than just tell your brain to cough less. When DXM is the key ingredient in a cough and cold medicine, users will also experience other strong effects like dizziness or lightheadedness. As a result, users are told to avoid driving or operating heavy machinery for up to six hours after ingesting a medicine with this ingredient.

Another common side effect of medicines containing this ingredient is drowsiness. But those who need cough and cold remedies often feel poorly and feeling sleepy can be a positive side effect when coughing or congestion keeps them from sleeping soundly. Along with sleepiness, those who use OTC or prescription medicines with this ingredient also may have impaired judgment or lessened mental alertness. So medical professionals encourage users to limit activities that require participation in any decision-making activities while the compound is active.

Misuse of Dextromethorphan

For some, though, the side effects of DXM are precisely why these OTC or even prescription medicines are used. Substance abuse of dextromethorphan occurs when a user seeks the side effects of the ingredient without needing it for cough suppression. By ingesting large doses of this ingredient, users report feeling an “out of body” experience that is similar to phencyclidine (PCP) or ketamine which is often called “robo-tripping,”. This floating feeling can last up to six hours or more and chronic users can have heightened effects, especially when combined with other substances like alcohol. To disguise the taste, users often mix cough syrup with soda or candy, making it difficult to detect medicine misuse.

Some of the short-term side effects of misuse can be dry mouth, fast heart rate, headache, nervousness, upset stomach, diarrhea or constipation, and the typical drowsiness and dizziness that come with the ingredient’s use. But long-term abuse of this substance can result in much more dire side effects, partially due to the fact that users build up a tolerance and need larger and larger amounts of it to produce the high effects. Over time, misuse can also lead to serious medical problems like epilepsy, psychosis or even brain lesions that can lead to memory and behavioral problems. Long-term abuse can result in many devastating side effects, such as:

• agitation
• difficulty speaking or confusion
• drop in body temperature
• face discoloration (blue or pale)
• hallucinations
• mania
• nausea
• paranoia
• slowed breathing
• vision and coordination problems
• vomiting

Mixing DXM and Alcohol

A sometimes-deadly combination of abused substances is the misuse of alcohol with a product containing dextromethorphan. When two system depressants are used together, the body can slow down dangerously, creating a powerful effect on the brain. Users will experience a slowed sense of coordination and ability to make judgments while also feeling a dulling of the senses. Some users who combine these two feel nauseous and experience vomiting as well. Unlike abuse of a single substance, when alcohol and DXM are combined, the effects can last up to several days before improving.

But the most dangerous side effect of both substances is respiratory. The body’s ability to breathe is slowed down by alcohol and dextromethorphan, creating an unsafe situation for users because combining these substances puts users at risk of respiratory failure. Those that have developed a tolerance to lower quantities of the combo and therefore increase the volume they ingest are at an even higher risk of respiratory failure, which can lead to death.

Interactions

Cough suppressing medicines strongly affect the body, so it is no surprise that there are many drug interactions to watch out for when using dextromethorphan. Over 300 food and drugs might affect or be affected by the use of this substance and 72 are considered major interactions. If you are taking a cough medicine with DXM, avoid taking medicine with Benadryl (diphenhydramine), gabapentin and melatonin as all of these ingredients also slow down the nervous system or depress respiration creating a potentially-deadly combination for users.

But interactions, as well as side effects of any medicine or chemical, also depend on the user’s sex, age, general health, genetics and other drugs used simultaneously. So a combination of medicines that appears safe for one person may have dangerous or deadly consequences for another person. In addition, combining the use of DXM with alcohol produces extra strain on the liver for any user. Since many cough suppressants also contain other OTC medicines like acetaminophen (the active ingredient in Tylenol), those who misuse them risk liver toxicity and liver failure since the organ will be taxed with excess use of all of the ingredients in the cough suppressant along with the physical harms alcohol abuse brings.

Alcohol, DXM and Pregnancy

Overuse of any substance while pregnant can create lasting effects on both mother and baby. And the risks associated with alcohol misuse during pregnancy are also well-documented. But overuse of cough suppressants, especially in conjunction with alcohol while pregnant, can pose extra concerns for the mom even though the effects of regular use of the substance during gestation are unclear.

Signs of Misuse

One of the ways that family members, friends, or other loved ones notice misuse of this common but sometimes deadly substance simply hears some of the slang terms for its use. In addition to robo-tripping, users may use it for a high as candy, skittles, tussin, triple C, red devil, velvet, vitamin D and dexing.

If you suspect someone you know is misusing alcohol and Robitussin-type products, you may observe behaviors like being excessively tired for long periods of time, mental fog or confusion, slowed breathing and a lack of motor skills or awareness. Other signs of misuse, in addition to the short- and long-term symptoms, can be:

• extreme anxiety or panic attacks
• hot flashes and agitated behavior
• loss of rational activity or thinking
• seizures
• severe nausea or excessive periods of vomiting

Getting Help

If you or someone you know is struggling with alcohol or substance abuse, help is right around the corner. Don’t delay in getting support for yourself or your loved one. Expert help for alcohol or drug misuse is just one call away. For help with alcohol abuse, call Long Island Interventions for information on alcohol treatment.

FAQ

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Published on: 2022-09-30
Updated on: 2024-06-21

Cocaine is a powerful stimulant with addictive properties that directly impact the brain. Because of the drug’s popularity during the ’80s and ’90s, many consider it less of an issue now. However, cocaine presents as much a problem today as it always has. In fact, it’s one of the oldest known drugs; coca leaves and the pure chemical have been abused for over a century.

About Cocaine

There are two primary forms of cocaine: powdered and “freebase.” Powdered, or hydrochloride salt, dissolves in water and can be taken intranasally or intravenously. Freebase is a compound not yet neutralized into powder often smoked when abused.

Cocaine is sold as a fine, white powder, but street dealers commonly dilute it with inert substances like sugar, talcum powder, or cornstarch. Some may instead combine it with other stimulants, such as amphetamines, or other active drugs, such as procaine (a local anesthetic).

What is an 8-ball of cocaine?

An “8-ball” or “eight-ball” of cocaine is a measurement equal to about one-eighth of an ounce (3.5 grams). It may be purchased for multiple people to use at once or for a high dose. This name may also refer to other illicit substances and drugs, including meth or malt liquor.

Drug dealers and people abusing cocaine most often use these terms. If your loved one uses it, it could indicate a cocaine addiction.

Other Names

Cocaine has several street names to mask its use. Most of these nicknames refer to how the drug is consumed and its physical properties.

The most common slang for cocaine include:

• C
• Coca
• Coke
• Bump
• Blow
• Snow
• Rock
• Charlie

Some conversations about substance abuse may include the term “speedball,” which is cocaine combined with heroin.

Why Take This Much Cocaine?

Cocaine has euphoric effects depending on how fast it reaches the brain, which depends on the consumption method and dose. For example, the brain feels the effects of intravenous injection or smoking within seconds as levels rapidly build up in the blood. The intense onset of euphoria is known as a “rush.” By contrast, the effects from intranasal use have a slower onset and peak.

In all cases, tolerance to cocaine develops rapidly, prompting those addicted to the substance to take higher and higher doses. Prolonged use of high doses, such as binging, can lead to paranoia. Additionally, the crash following the excitation of euphoria is marked by depression, exhaustion, and sleep. When the crash is over, the craving to use again begins.

Side Effects of Taking an 8-Ball

Even one dose of cocaine can lead to a variety of health problems.

Effects on the Eyes

One of the most common symptoms of cocaine use includes large, dilated pupils and bloodshot eyes. This common appearance has led to the condition being known as “cocaine eyes.”

This symptom occurs because cocaine is a stimulant; pupils dilate in response to neurotransmitters, such as adrenaline, involved in the fight or flight response that cocaine triggers. It starts at different points into drug use, depending on how it’s consumed. For example, pupils dilate almost immediately after smoking freebase cocaine, but they’ll take a few minutes if a person smokes it.

Effects on the Face

There are several reasons why a person may bloat after using cocaine. The most common, facial bloating, is known as “coke bloat” among those who use the drug.

One reason bloating occurs may be due to fluid retention. In addition, after snorting cocaine, short-term inflammation and irritation can occur in the nose, which can also contribute to facial bloating.

Bloating might also indicate that another drug is mixed into the cocaine. For example, levamisole is a cattle dewormer often cut into 8-balls, leading to facial swelling.

Effects on the Nose

Snorting cocaine includes particular problems in the nasal passages, such as a frequently runny nose and regular nosebleeds.

Long-term, regularly inhaling white powder can dull a sense of smell or lead to necrosis in the nasal cavity, which may even lead to perforations in the palate as the surrounding tissue dies.

Fortunately, it is possible to treat the so-called “cocaine nose.”

Effects on the Jaw

Using an 8-ball of cocaine can also harm your teeth and gums, especially if ingested by rubbing the drug on them.

This side effect, known as “coke jaw,” happens because of muscle tension throughout the body, accelerating biological functions, sporadic twitching in the mouth, and clenching jaw muscles.

Eventually, using cocaine can lead to erratic mouth movements, teeth grinding, dental erosion, and several other oral problems.

Effects on the Digestive System

Cocaine use can cause multiple forms of gastrointestinal distress. They can occur no matter how the drug is taken, but eating it worsens exposure. They may also happen when someone tries to hide cocaine by swallowing it within a balloon or similar package.

Nausea is the most common abdominal symptom of cocaine use, but long-term use can lead to perforation, bowel decay, ulcerations, colitis, and gangrene.

Effects on Sleep

As a stimulant, cocaine impacts a person’s sleep by increasing their level of dopamine. Dopamine is essential to the sleep cycle, so disrupting it can impact a person’s physical and mental well-being.

Many people who take cocaine feel a decreased need to sleep or eat. In addition, mental alertness is a typical effect, which can also prevent a person from desiring or trying to sleep.

Many also report feeling as though they slept well while displaying signs of insomnia. Because the drug impacts memory, it’s theorized people on cocaine forget how poorly they slept.

Using cocaine at any dose can have profound short-term and long-term side effects. Unfortunately, many of these effects worsen over time and lead to more severe health risks. But with treatment, many are manageable.

Treatment

If you or a loved one struggles with an addiction to cocaine, it isn’t too late to seek treatment for substance use disorder. At Long Island Interventions, we guide you through each level and what services we offer to tackle treatment for illicit substances. Treatment can include a combination of detox, inpatient care, behavioral therapies, and other services.

Rehab treatment for cocaine at a licensed facility may include:

• Medical detox: Usually an essential first step toward recovery, medically-supervised detox can occur in several settings, such as clinics, hospitals, and inpatient and outpatient facilities. Cocaine use has been linked to several types of heart disease and can trigger chaotic rhythms, convulsions, and a coma, so recovering from addiction will often require supervised detox.
• Residential treatment: Clients in residential treatment continue to benefit from 24/7 supervision by medical staff, creating a stable and secure space for those in recovery to find their footing.
• Partial hospitalization: A client has more independence in this situation compared to residential treatment programs. A partial hospitalization program may work for someone highly motivated to quit using cocaine and/or who has already completed a more intensive program.
• Intensive outpatient programs: These facilities are designed for clients to visit during the day for treatment and return home each night. It’s an optimal program for those who have proven not to require 24/7 monitoring to maintain their recovery.
• Transitional/sober housing programs: After completing one of the above programs, some people would also benefit from a sober living environment that facilitates reintegration into society. These programs are supported by peers in similar situations and staff that can provide job opportunities and medical services.

SAMHSA recommends the following therapy in conjunction with treating cocaine addiction:

• Motivational interviewing: Helps people recognize how addiction strains their relationships and prevents them from reaching their goals. It’s designed to help clients overcome apathy and feel optimistic about recovery.
• Contingency management: Works to repair faulty reward circuits in the brain that were rewired by stimulants. For example, taking prescribed medication and passing drug toxicity exams are rewarded.
• Community reinforcement: Promotes positive behaviors from contingency management and builds a support network.
• Cognitive behavioral therapy: Crucial for patients with co-occurring mental health issues.

In addition to the risks associated with using cocaine at any dose, people with an addiction often struggle with the social stigma. However, addiction is never a sign of weakness or a choice; it’s a complex disease that medical professionals can treat. Many people live fulfilling lives after receiving the proper treatment.

Contact Long Island Intervention Today

At Long Island Interventions, we believe that recovery from addiction is possible when we learn from our mistakes. This process helps us emotionally, mentally, and spiritually, allowing us to become more responsible adults. Contact us today to learn more about how we can help you or your loved one.

FAQ

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Published on: 2022-09-30
Updated on: 2024-09-23

Ibuprofen, also sold over-the-counter as Advil, Midol, and Motrin, is a non-steroidal anti-inflammatory drug (NSAID) commonly used for everyday pain relief. Because it’s so readily available, it can seem relatively harmless, but it’s a strong medication that can have unwanted side effects when mixed with alcohol. Both substances can irritate your intestinal tract and stomach, and taking ibuprofen while drinking can put you at risk for ulcers, kidney damage, and other ailments. People with preexisting liver and kidney conditions face the highest risk of harm.

Are Alcohol and Ibuprofen Safe?

People drink alcohol to unwind and relax. It’s not difficult to imagine taking a dose of ibuprofen with a glass of wine to ease your aches and pains at the end of the day, but mixing alcohol and ibuprofen is not a good idea. Although each is safe when consumed in moderation, taking them together can cause side effects that can negatively affect your health. Most people perceive alcohol and ibuprofen to be fairly harmless so long as they are not abused. Mixing alcohol and ibuprofen creates no desirable or recreational effects, and people may not associate taking them together with physical harm. Unfortunately, a lack of knowledge or intention does not mitigate risk. Although occasionally consuming ibuprofen with a small amount of alcohol is unlikely to cause serious damage in healthy people, the health risks increase with regular use or too-strong dosages. Because it’s so easy to accidentally combine and over-consume these substances, it’s best to avoid them altogether.

How Does Ibuprofen Work?

Ibuprofen works by blocking cyclooxygenase (COX), an enzyme responsible for creating prostaglandins that cause pain and swelling when the body faces an internal threat. They also protect the digestive tract’s mucous lining, help your kidneys filter out impurities, and prevent excessive bleeding. Artificially lowering your prostaglandin levels can increase your risk of gastrointestinal irritation, ulcers, bleeding problems, kidney damage, heart attack, and stroke. Alcohol can increase the intensity of ibuprofen’s side effects, including internal bleeding, drowsiness, and rapid heartbeat.

Gastrointestinal Issues

Alcohol causes your stomach to produce more acid, while ibuprofen makes your gut susceptible to irritation, also known as gastritis. Taking ibuprofen regularly in the long term or in large doses can increase and even triple the chances of stomach bleeding. Using ibuprofen occasionally (say, weekly or monthly) at the recommended dose lowers the risk of stomach ulcers. If you drink daily, have a few drinks at a time, and also take ibuprofen, the substances are likely to interact and push that risk higher.

Signs of gastrointestinal bleeding include:

• Bloody or tar-like stools
• Ongoing, persistent stomach pain or cramps
• Vomit that contains brown granules that look like coffee
• Bloody vomit
• Dizziness or fainting
• A racing pulse

Seek medical attention if you experience these symptoms.

Kidney Damage

Alcohol puts a strain on the kidneys, and drinking heavily regularly can lead to chronic kidney disease. As ibuprofen decreases the level of prostaglandins, it reduces blood flow to the kidneys and affects how well these organs can filter out harmful substances, including alcohol. Usually, healthy people will not experience significant harm from a temporary drop in kidney function, but ibuprofen can be dangerous for people with kidney disease. Taking alcohol and ibuprofen together can increase the incidence and severity of kidney damage and kidney failure. Drowsiness, breathing difficulties, and swollen hands and feet can all be symptoms of kidney damage. People who experience these symptoms or have kidney damage should consult a doctor to determine what levels of alcohol and ibuprofen can be consumed safely.

Heart Attack and Stroke

People who regularly consume ibuprofen experience more heart attacks and strokes than people who don’t take ibuprofen. Consuming more than three drinks a day while also taking ibuprofen increases this risk.

Drowsiness and Cognitive Impairment

When taken on their own, alcohol and ibuprofen can cause drowsiness. Combining these substances can make you feel extremely sleepy and affect your balance, concentration, and reaction time. Lack of alertness and coordination, slow movement, and confusion are impairments that can increase the risk of harmful accidents.

Who Faces the Greatest Risk of Harm From Mixing Alcohol and Ibuprofen?

Heavy drinkers and people who frequently take ibuprofen face the highest risk of harm from mixing the two substances.

High-risk populations include:

• People who take high doses of ibuprofen
• People with cognitive impairments that affect memory or judgment
• Heavy drinkers
• Teenagers who drink
• People with kidney or liver disease
• Older adults who metabolize alcohol slowly
• People who are unaware of the potential side effects of ibuprofen

Older Adults

Older adults tend to take more medication than younger people, so they are situationally more susceptible to experiencing negative side effects from drug interactions. Since a person’s ability to break down alcohol decreases with age, older people who drink are more likely to experience a negative interaction when they take ibuprofen. Mixing alcohol and medications, including ibuprofen, increases the risk of falls and other accidents.

Heavy Drinkers

People who consume more than a few glasses of alcohol daily or rely on alcohol may be at greater risk for liver, kidney, and other health issues. Since overconsuming alcohol can result in stomach upset, cognitive impairment, and other symptoms, it can be tricky to recognize the combined side effects of mixing alcohol and ibuprofen. Heavy drinkers may also be more likely to forget that taking ibuprofen after drinking (or vice versa) is a bad idea. If you believe that someone in your life may be mixing ibuprofen with alcohol, it is best to mention it or otherwise intervene with kindness to prevent accidents. The side effects that may indicate the need for attention include:

• Gastritis and vomiting
• Frequent headaches
• Fainting
• Fatigue and lethargy
• Clumsiness and stumbling
• An increase in avoidable accidents
  

Signs a person may need support for alcohol addiction include:

• Depression
• Irritability
• Personality changes
• Seclusion
• Missing work
• Anxiety and fearfulness

If you notice or experience these symptoms, seek help from a medical professional immediately. The sooner you seek treatment, the better you will feel.

How to Take Ibuprofen and Alcohol Separately

Healthy people who take ibuprofen infrequently and accidentally have a drink when they do take a dose may experience few to no side effects, but it’s always best to avoid mixing these substances. Taking ibuprofen or drinking alcohol with a meal can also mitigate any problems. Health problems like substance abuse disorders and liver or kidney disease increase the risk of adverse effects. 

People should take the lowest dosage of ibuprofen as infrequently as possible. Chronic pain should not be managed with ibuprofen.

Be Aware

Mixing alcohol and ibuprofen is often unintentional. People often forget or don’t realize that common cold medicines and combination headache and flu medications contain ibuprofen. Reading labels on any medication before consumption is key to avoiding the over-consumption of ibuprofen and preventing harmful drug interactions. Moderate alcohol consumption (no more than one drink per day for women and two drinks per day for men) can prevent adverse effects. It’s important to follow the recommended guidelines for alcohol consumption based on gender and body weight. One also needs to consider the strength of a particular beverage as well as the volume of the drink.

One alcoholic drink could be characterized as:

• 5 ounces of wine with a 12% alcohol content
• 12 ounces of beer with a 5% alcohol content
• A 1.5-ounce shot of 40% alcohol-content distilled spirits or liquor, such as whisky, gin, or vodka

When Can I Take Ibuprofen After Drinking Alcohol?

If you have had more than one drink, it’s best to wait until the alcohol leaves your body before taking ibuprofen. It can take about 25 hours for alcohol to completely leave a healthy person’s system, and women, older people, and heavy drinkers often metabolize alcohol more slowly. If you have a hangover, resist the urge to take ibuprofen. It’s likely the alcohol has not completely left your system, and your stomach may also be more sensitive than usual.

When Can I Drink Alcohol After Taking Ibuprofen?

Although the pain relief from alcohol can last up to six hours, it can take up to ten hours for your body to break down the drug. This means you should avoid drinking alcohol for at least ten hours after taking ibuprofen to reduce any chance of side effects.

Alternative Forms of Pain Relief

If you want to avoid taking ibuprofen altogether, you can try a different approach to pain management.
Drug-free alternatives to ibuprofen include:

• Heating pads or a warm bath
• Massage
• Light exercise
• Mentholated topical treatments
• Acupuncture
• Yoga

Reduce Your Reliance on Alcohol and Medication

Dependence on alcohol or medication can diminish your quality of life. Long Island Interventions can help you reduce your reliance on medication and alcohol to live a happier, healthier life. Our professional staff will create a personalized treatment plan to help you regain your physical and emotional well-being. Contact us to learn more about starting on the path to a better life.

FAQ

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Published on: 2022-09-30
Updated on: 2024-09-23

Made out of oxycodone and acetaminophen, Percocet is designed to relieve moderate to severe pain. Oxycodone is an opioid pain reliever, so it affects the way the body responds to pain. Unfortunately, this means that some people use Percocet for recreational purposes. Over time, recreational use can lead to an opioid addiction and drug dependence.

How long does Percocet stay in your system? If you have been using Percocet recreationally, you may be concerned about it showing up on a drug test. The drug’s elimination time can vary based on how long you have been using the drug, your physical chemistry, and the amount you used. The only way to completely avoid having Percocet appear on a drug test is to quit taking it. Because withdrawal symptoms can be dangerous, it is important to quit using drugs under the guidance of a trained medical professional.

Percocet: Half-Life and Elimination

The half-life of a medication is the amount of time it takes for half of the initial dose to leave your body. There are many things that can affect how fast your body metabolizes a drug, so this figure is just a general estimate. For the drug to completely leave your body, it will take multiple half-lives.

For the typical person, Percocet has a half-life of 3.5 hours in the bloodstream. Because of this, it would take around 19 hours for your body to get rid of all of this medication. If your liver is not functioning properly, it could take even longer to eliminate this medication completely.

Urine tests can pick up the presence of Percocet for an even longer period of time. In general, Percocet can be detected in your urine for 24 to 48 hours after you took your last dose. Because your body has to process the drug before it appears in your urine, you generally cannot detect Percocet in your urine until two hours after you took it.

If you are using immediate-release oxycodone, you can expect a half-life of 3.2 hours. When oxycodone metabolizes in the liver, it becomes a metabolite known as oxymorphone. Then, it metabolizes into noroxymorphone. Afterward, the metabolites will finally leave your body through your urine.

How Long Does Percocet Stay in Your System?

Each person has a different physical chemistry, so Percocet can stay in your body for a different amount of time. For the majority of people, Percocet can be found in the bloodstream for 24 to 48 hours after they take their first dose. It can be found in your hair for up to 90 days after your last dose. Meanwhile, Percocet can be discovered in your saliva for two days after your final dose.

How Long Does Percocet Appear in a Urine Test?

Many employers and drug rehabs use urine tests to detect addictive drugs. Because of this, most people primarily care about whether Percocet can be detected in their urine. While each person has a different metabolism, your urine test should be clean within four days after you take your last dose of Percocet.

What Affects Your Metabolism Rate?

Your metabolic rate is impacted by a variety of factors. Physical activity, age, and hydration can speed up or slow down how fast your body excretes different medications. If you are over the age of 40, your body will clear Percocet at a slower rate.

Your addiction history can also impact how quickly Percocet leaves the body. If you have been using Percocet to treat pain for an extended period of time, it will be stored in your body for longer. Because of this, you will need to spend more time detoxing before you take a drug test.

Finally, your kidney and liver health can impact your drug metabolism. Drugs are processed out of the body using the kidneys and liver. If these organs do not function properly, it will be difficult for your body to metabolize any type of drug. This can be a major issue for some people because Percocet can cause long-term harm to your liver function if it is not taken according to the prescription.

The Withdrawal Process From Percocet

How long does Percocet stay in your system after you begin detox? Unfortunately, there are not a lot of things you can do to speed up your body’s metabolism rate. Drinking extra fluid can dilute your urine and slightly boost your metabolism, but it will not make a major difference. The same thing is true for exercise. Despite providing a moderate boost to your metabolism, exercise is not enough to impact whether you pass a drug test or not.

The best way to deal with a drug test is to stop taking Percocet. You should always talk to your doctor first because the withdrawal process can be extremely unpleasant. Over time, your body will develop a physical dependence on Percocet and other opioids. If you suddenly quit using the drug, you may develop some of the following withdrawal symptoms.

• Irritability.
• Yawning.
• Runny nose.
• High blood pressure.
• Restlessness.
• Tremors and shaking.
• Watery eyes.
• Depression.
• Muscle aches.
• Anxiety.
• Diarrhea.
• Rapid heart rate.

If you are addicted to Percocet, you should talk to a medical professional before you quit. Withdrawal symptoms can be dangerous, and cravings are often difficult to manage. Once you are in a treatment center, medical professionals can safely wean you off of opioids. They can also use medications to alleviate some of the major side effects of withdrawal.

What Are the Symptoms of an Overdose?

Percocet contains oxycodone and acetaminophen. Unfortunately, both of these drugs can lead to an overdose. You should avoid taking any drugs that contain acetaminophen while you are using Percocet. Because many medications use acetaminophen as an ingredient, it is very easy to overdose.

You should never take more than 4,000 milligrams of acetaminophen during a 24-hour period. If your pain medication no longer seems to be working for you, you should talk to your doctor. When someone overdoses on acetaminophen, it can cause long-term damage to their liver and death.

Oxycodone can also cause a drug overdose. If you suspect that someone has overdosed on Percocet, you should call 911 right away. A medication known as naloxone can alleviate the overdose if it is given soon enough. The following symptoms are indications that an overdose may have happened.

• Fainting and dizziness.
• Depressed breathing.
• Slow heartbeat.
• Weak muscles.
• Clammy skin.
• Excessive sleepiness.
• Blue lips, skin, or fingernails.
• Coma or loss of consciousness.

How Long Do Pain Pills Stay in Your System?

How long does Percocet stay in your system? Is this time period longer than it is for other drugs? Ultimately, each pain pill stays in your system for a different amount of time. Your physical chemistry, addiction history, and other factors can affect how long a drug remains in your body.

• Hydrocodone: Hydrocodone can stay in your urine for two to four days. It remains in your bloodstream for up to a day after you take it.
• Heroin: Heroin remains in your urine for two to seven days and in your blood for six hours.
• Fentanyl: While fentanyl remains in the blood for just 12 hours, it can be found in your urine for up to a day after you take it.
• Codeine: This drug can be found in the urine for a day or two after you take it. Meanwhile, it can be found in your bloodstream up to a day later.
• Morphine: Morphine can be found in the urine for up to two to three days after your last dose. It can be discovered in your blood up to 12 hours later.

Get Help Overcoming an Opioid Addiction

If you or a loved one is struggling with an opioid addiction, you do not have to go through the withdrawal process alone. At Long Island Interventions, we have experience helping clients overcome substance abuse disorders. Contact us today to learn more about how we can help your recovery.

FAQ

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Published on: 2022-08-31
Updated on: 2024-06-21

Residential treatment is a necessary step for many people to overcome their drug or alcohol addiction. During your inpatient rehab program, you’ll receive extensive medical and psychological support in a safe, stable environment. However, this form of treatment can be expensive, which leads some patients to forgo rehab or wait too long to attend. Even with insurance coverage, your deductible, copays, and other out-of-pocket costs can add up.

If you’re struggling with the cost of residential addiction treatment, there may be some ways for you to reduce the financial strain. One option is to claim your treatment expenses as a tax deduction, which could save you a considerable amount of money. Tax laws and regulations are extremely specific and strict, though, so you must be aware of the guidelines before you claim any deductions.

Can you claim drug rehab on taxes? In most cases, patients can claim some but not all of their expenses. Here is everything you need to know about claiming your inpatient costs on your taxes:

What Are Tax Deductions?

Deductions reduce your taxable income so that you only pay taxes on a portion of your income. Most deductions are specific expenses that you may encounter throughout the year, such as college tuition, mortgage interest payments, or charitable contributions. When you file your taxes, you can add up all of the deductions you qualify for to determine how much of your income you’ll pay taxes on.

For example, you might make $50,000 and claim $10,000 in various deductions. This leaves you paying taxes on $40,000 of income. While this isn’t a full reimbursement for your deductible expenses, it does ease the financial burden. Deductions for the average individual can lead to thousands of dollars in savings on taxes.

Are Residential Treatment Centers Tax Deductible?

Fortunately, medical expenses qualify as a deduction for your income taxes. Inpatient rehab is included as a medical expense, so you can deduct some of your out-of-pocket costs on your taxes. These costs include payment for your treatment and meals at the rehab facility, follow-up care with a doctor or psychologist, transportation to medical centers, and other related expenses. Both medical and psychological care are included in this deduction, so virtually all of the healthcare expenses related to your addiction recovery should be deductible.

However, there are some key rules and limits to your medical deductions. You can only deduct the medical expenses that exceed 7.5% of your adjusted gross income. For example, if your adjusted gross income is $50,000, 7.5% of your income amounts to $3,750. You cannot claim the first $3,750 you spend on your healthcare costs. Any amount beyond $3,750 is deductible, though.

Itemized vs Standard Deduction

The medical expense deduction only applies when you itemize your deductions, which is the process of adding up each individual deduction you can claim to calculate your taxable income. The alternative is taking the standard deduction, which is a base deduction that any taxpayer can take regardless of their actual deductible expenses. For the 2022 tax year, the standard deduction is $12,950 for single filers and $25,900 for married couples filing jointly.

Most taxpayers find that the standard deduction amounts to more than their itemized deductions. If you paid for inpatient mental health treatment this year, your deductible expenses may or may not exceed the standard deduction. You’ll have to add up your deductible expenses and compare the total with the standard deduction to determine which one is higher. If you plan to take the standard deduction, you cannot also claim your medical expenses.

How to Claim Drug Rehab on Your Taxes

Taxes can become very complicated when you claim numerous deductions. To streamline the process and protect yourself legally, you must keep a careful record of your expenses. This includes medical bills, insurance documents, and any other official record of what you spent on rehab and other healthcare costs.

You’ll have to itemize your deductions if you plan to claim your residential treatment costs. To maximize your savings, you should also research other deductions that you may qualify for. You’ll calculate your deductions on the Schedule A form, or you can bring your documents to a tax professional to ensure that everything is correct.

You can claim medical expenses for dependents in exactly the same way. If you paid for your child or another dependent to attend a residential addiction program this year, you should keep track of your out-of-pocket costs so that you can claim them on your taxes.

Other Options for Reducing Your Tax Burden

Claiming medical expenses on your taxes is a popular option, but there are a few other ways to reduce your tax burden as well. A health savings account (HSA) can be an excellent resource if you’re facing sizable out-of-pocket expenses. A HSA is an account for medical bills that you can make pre-tax contributions to, which means you never pay taxes on the money in that fund. Most people with HSAs set them up through their employer, but you may be able to create one individually as long as you meet certain requirements.

A similar option is a flexible spending account (FSA), which is another account you can make pre-tax contributions to for your medical expenses. Your FSA is tied to your employer, though, so if you’ll lose the funds in the account if you lose your job. Additionally, unlike an HSA, the funds in your FSA do not roll over into the next year.

If you itemize your deductions, you can claim your residential costs and other addiction treatment expenses that exceed 7.5% of your income. Claiming these expenses can save you a great deal of money, which can make rehab more financially accessible. To reduce your out-of-pocket costs, you should carefully research the relevant deductions and any other sources of funding that are available to you. Inpatient care is a vital part of your recovery, and finances shouldn’t get in the way of you receiving the treatment you need.

Long Island Interventions helps New York residents get started on their path to a life free from drugs and alcohol. If you’re struggling with addiction, contact us today to receive the support you need.

FAQ

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Published on: 2022-05-13
Updated on: 2024-06-21

Delta 8 is commonly viewed as a middle ground between CBD products and marijuana. However, there is a considerable amount of confusion and misinformation surrounding delta 8 THC products. Before you make your next purchase, it is essential to know more about what you may be buying and how using it could impact your life in various ways.

What Is Delta 8?

To clearly understand what delta 8 is, you must understand how it differs from CBD and delta 9. CBD is derived from the marijuana plant. However, it contains only a trace amount of THC, which is the compound that creates the high that many people associate with marijuana. Specifically, CBD may have up to 0.3 percent of THC to meet legal requirements. At this level, it will not give you a high, but CBD may offer many of the health benefits associated with marijuana. For example, CBD can alleviate symptoms related to cancer treatment, arthritis, anxiety, general pain, and other issues. While CBD is not legal in all states, it is available for direct purchase through dispensaries in many areas.

The delta 9 products, on the other hand, contain higher levels of THC. THC is also known as tetrahydrocannabinol. This is the compound that is responsible for the psychoactive effects of marijuana. In fact, delta 9 can cause paranoia, impaired motor skills, mental fog, and other unpleasant effects.

Delta 8 is comparable to delta 9 in many ways. In fact, it has the same compounds, but they are arranged differently at the molecular level. This small difference delivers the same health benefits as delta 9 with less significant psychoactive effects. While delta 8 may not make you feel as high as delta 9, it can still create a high. For those who want to enjoy the therapeutic benefits of marijuana without its psychoactive effects, CBD is still a better option than delta 8.

Is Delta 8 Legal?

In 2018, the Federal Farm Bill was passed into law. This bill legalized hemp and all cannabinoids except for delta 9. As a result, Delta 8 is legal at the federal level as long as the product you are buying contains less than 0.3 percent THC. However, this does not mean that it is legal everywhere. Delta 8 is legal in all states where marijuana use has been legalized. It is also legal in many, but not all, states where CBD is legal. Specifically, delta 8 is currently legal in 31 states.

Be aware that the Drug Enforcement Agency created an interim rule in 2020 that clarified the differences between hemp and marijuana. If this rule is passed as law, it will illegalize delta 8. Laws related to delta 8 at the state and local levels are evolving. With this in mind, staying informed about changing legislation is important.

You should also understand that not all delta 8 products you could find in a headshop, online or in your local convenience store contain pure delta 8. Delta 8 is a synthetic substance that is chemically derived. In some cases, a sizable amount of delta 9 THC is found in these products. If you purchase your delta 8 products from an untrusted source, it is possible that other substances may be in the products as well.

Does Delta 8 Show Up on a Drug Test?

Drug tests are designed to detect a variety of substances. These include alcohol, barbiturates, cocaine, amphetamines, marijuana, and others. Specifically related to marijuana, drug tests can detect the presence of THC in your urine. There are two common types of drug urine tests. The gas chromatography-mass spectrometry test, or GC-MS, provides the most accurate results. It is often referred to as a definitive test. However, it also takes more time and deeper analysis. The other test, which is the immunoassay test, is a rapid test that checks for macromolecules. It is more likely to be inaccurate than a GC-MS test. The immunoassay test is often called a presumptive drug test. Be aware that hair follicles, blood, and saliva may also be tested in some cases.

While delta 8 contains small amounts of THC, the level is large enough to be detected through both definitive and presumptive tests. Some of the reasons for this are because of the similar molecular structures of delta 8 and delta 9 and because they are metabolized in the human body similarly. Specifically, both compounds are broken down into the same THC-COOH compound. The tests in use today detect this compound, and they are simply not refined and sophisticated enough to determine the difference between delta 8 and delta 9. This means that if you ingest delta 8 products that may be legal in your area, you may fail a marijuana test.

It is important to note one important fact, however. Delta 8 THC yields approximately 30 ng/ml. The test threshold is 50 ng/ml. The immunoassay urine test is not sensitive to be accurate in this area, but the GC-MS test is. If you fail an immunoassay urine test because of delta 8 consumption, consider asking for a more accurate GC-MS test. Generally, however, it may be best to avoid putting yourself in this type of situation. If you know that you will be applying for a new job soon or if your employer conducts random drug tests, enjoying the temporary high from delta 8 may simply not be worth the risk.

How Long Does Delta 8 Stay in Your System?

The THC in delta 8 may remain in your saliva for a short period of time, but it may remain in hair follicles for more than three months in some cases. However, most drug tests use urine samples. With this in mind, how long does delta 8 show up on a drug test using urine? Each person’s body responds to THC differently, which means that some people will require more time to entirely rid their body of the THC in delta 8. In fact, this range can span from two days to several months.

Remember that the type of drug test used is only one of the factors that will impact your test results. For example, a one-time user will usually be able to rid his or her body of THC more efficiently and effectively than a long-term, frequent user. Heavy users have failed drug tests for up to 60 days after ingesting delta 8. Factors like your body’s rate of metabolism as well as your age, your weight, and even how hydrated you are also play roles.

You understandably may not like the answer when you ask how long delta 8 shows up on a drug test. The best way to ensure you pass a drug test is by avoiding delta 8 and all other drugs. However, what can you do if you have already used delta 8 and have a pending drug test? You may consider increasing your water intake if you do not have the luxury of waiting a few weeks for the THC to naturally leave your system. Remember that you can also purchase a drug test kit for home use. These tests are presumptive, immunoassay urine tests. While they may not always be accurate, they can help you to determine if you are more or less likely to pass your upcoming drug test.

Do You Have an Issue with Addiction?

Drug addiction can impact all aspects of your life. From impairing your ability to maintain employment to damaging personal relationships, and exposing you to legal issues, addiction is a serious matter. It can be difficult to break an addiction and maintain freedom from substance abuse without treatment. Contact Long Island Interventions today to make a positive impact on your life!

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Published on: 2022-04-15
Updated on: 2024-08-15

Methamphetamine is a stimulant that makes the body’s systems work much faster than normal. In fact, it is near the top of the list of dangerous drugs. It brings the potential for abuse, which leads to dependence.

Although methamphetamines are used recreationally, certain people do receive prescriptions to treat ADHD and other disorders. Oftentimes, individuals are drug tested for jobs or similar reasons. Therefore, it is important to learn the most common testing methods. How long does meth stay in your system? By taking a closer look at the drug’s effects and lasting symptoms, it may be possible to receive a solid answer.

How Long Does it Take to Experience Effects of Meth?

This drug will take effect at different rates. To be sure, it depends on how it was administered. The amount being used makes a difference as well. In fact, smoking and orally ingesting meth are two of the fastest delivery methods. With these acts, the brain feels effects in seconds. A person’s “rush” is felt within a few minutes of oral use. It is important to recognize the effects of the drug.

• Lowered Appetite
• Heightened Attention
• Lowered Inhibitions
• Hyperthermia

Methamphetamines provide energy to a person in a short period of time. However, a crash occurs after a few hours that leaves him or her with feelings of tiredness and depression. Also, it is crucial to note that mixing meth with alcohol enhances impairment. In fact, it may raise the likelihood of developing alcohol poisoning.

How Long Does Meth Last?

To explain, the half-life of meth averages at 10 hours. In other words, it takes approximately 10 hours for half of the dosage to be metabolized and eliminated from a person’s blood. When ingested, meth levels peak after three hours and are eliminated after 12 hours. On the other hand, it takes a bit longer to leave the bloodstream when taken by injection.

When comparing meth to other drugs, its effects are longer-lasting. The euphoric effect is felt for up to 12 hours. There are certain stages of intoxication that occur.

• Rush. Immediately after ingesting the drug, the adrenaline high lasts up to 30 minutes.
• High. The rush is followed by a feeling of euphoria. This “shoulder” lasts up to 16 hours.
• Binge. Throughout the binge stage, a willing person does anything possible to maintain the high feeling by taking more of the drug. This may last for weeks. During this time, it may be difficult to eat or sleep.
• Tweaking. After an individual uses this drug for a long period of time, it stops producing the same high feelings. Therefore, an individual begins “tweaking” the amounts being taken. This may lead to paranoia. This phase can last for a few weeks.

To be sure, methamphetamines remain in a person’s system long after the effects go away. Even though a person may feel safe to drive or to operate heavy machinery, an impairment may still exist and cause distraction, fatigue, and cognitive issues.

Detection Time

Even though a methamphetamine high usually lasts less than one day, the drug remains in a person’s system for longer. Therefore, it is important to pinpoint how long the drug is detectable within an individual’s body. Of course, large amounts of meth will take longer to eliminate.

Common Types of Tests Used

The kind of test used to detect meth influences how long the drug will bring a positive result.

• Urine. A urine test is often used to detect drug use. With meth, it may be detected in urine for approximately five hours after use. Also, it may be detected for seven days after the last dosage.
• Blood. Blood tests are more sensitive. Meth may be detected within a few hours of use. It is detectable up to three days after the last dosage.
• Saliva. A saliva test may detect meth within minutes. Also, it may detect consumption for up to four days of the last dose.
• Hair. A hair follicle may be used to detect meth usage within the past three months.

False Positives

By far, urine tests are the most useful way of testing for drugs like meth. This type of test is quite accurate. However, it is possible to elicit a false-positive result. A urine test detects items with similar characteristics to meth. Certain medications share the same components of meth and may deliver a false positive. For instance, certain antibiotics, antipsychotics, decongestants, diabetes pills, blood pressure medicines, and antidepressants may lead to incorrect results.

Factors that Influence Detection Time

A person’s overall health, age, metabolism, and frequency of usage will alter the timetable for detecting meth in the body.

• Health. A person’s liver and kidney function influence the time that it takes a person to process meth and to eliminate it from the body.
• Frequency. To be sure, individuals who use meth on a frequent basis will have a prolonged detection period.
• Metabolism. A person with a quick metabolism will process and eliminate meth at a fast pace. To be sure, a person’s age and level of activity may affect metabolic rate.
• Method of Use. To repeat, the way that a person uses meth will influence detection time. In detail, oral ingestion means that elimination is slightly quicker than with injection.

Drug Testing at Home

Most people are familiar with the protocol and drug policies in many work environments. It is quite common for a potential employee to undergo a drug test before being hired. Likewise, present employees are often subject to spot testing while on the job. This ensures a safe workspace and upholds the health of all workers.

Besides adults, teens often fall victim to peer pressure to use methamphetamines. When parents suspect a problem, they are likely to want a way to uncover whether or not an issue is occurring. Home tests are valuable tools. There are a number of reasons why parents choose to test their children.

• Prevent Long-Term Abuse. Many parents feel that uncovering a problem early will prevent long-term usage. Although there is no proof of this, parents still choose to self-test to help curb use in their children.
• Prevent Future Use. If parents suspect a drug problem in their teen, it is typical to use an at-home test to confirm suspicions. Also, tests may be used on a regular basis to make sure drug use does not occur in the future or to make sure it has ceased.
• Determine Present Drug Usage. Many parents use at-home tests to uncover a teen’s drug use. Although these kits are not fool-proof, it is a solid way to detect a problem. If a positive test is discovered, it is a smart time to monitor the situation more carefully and to have serious discussions with the child.

What is a Good Drug Test Option?

If you are interested in drug testing and want to have something at your home or at your business for your employees, it is smart to have a reliable way to verify usage. Also, if you have recently taken drugs, it may be wise to have an at-home test to make sure everything has completely left your system.

The “12 Panel Advanced Urine and Drug Test Kit” (available for purchase on our site) is an inexpensive and accurate test that is simple to use. Also, it detects 12 different drugs, including meth. It is easy to understand and brings results in minutes. For peace of mind, it may be wise to keep a few on hand.

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Published on: 2022-01-31
Updated on: 2024-06-21