About Addiction

  1. Methamphetamine Withdrawal and Detox

    A brief introduction to the stages of methamphetamine detoxification and what to expect.
  2. Understanding the concepts of dependence, addiction, and substance use disorders

    An article that seeks to clarify the meaning of these terms and offer practical suggestions as to how that understanding may be applied to detoxification and recovery.
  3. Spirituality, religion and addiction

    Does spirituality have a place in the treatment of addiction? A brief look at the evidence behind faith based approaches and their relevance for individuals considering them.
  4. Smoking Cessation Products

    Smoking Cessation Products: There are a vast array of smoking cessation products available, however, availability differs from country to country. These products include: Transdermal patches (16 and 24-hour in varying strengths.)...
  5. Smoking Quitlines

    Quitlines Quitlines are a phone support service which can help in the process of quitting nicotine addiction: Country Organization Website Telephone Australia Australian National Preventative Health Agency quitnow 131 848 137 848...
  6. Addiction - the scientific approach

    I would like to share with you with the results of a very viral survey that I found in the internet. It is no scientific study but still, I think it is worth discussing. The question of this survey was simple: Is addiction a mental...
  7. Adjunct medications and supplements.

    a) Benzodiazepines. These are very often used to assist with the anxiety and sleeplessness of withdrawal. I have not seen conclusive evidence to sway me either way as to their efficacy. They will not help you sleep in serious...
  8. Should I drink or smoke marijuana or take other drugs when I detox?

    My own view is no; ideally not. Stimulant use is utterly contraindicated, as although it might temporarily relieve the stress and boredom, the comedown and/or anxiety will seek a natural resolution in opiate use. Alcohol is for the...
  9. Why 5 days in the slow taper?

    Because 5 days is enough, by my reckoning, to adjust to a 5mg drop in dose. Ideally a slow taper should contain good days (i.e. the 5th day after a drop) but no "stagnation days"; hence I haven't said drop 5mg and stay on that for two...
  10. Clonidine caveat

    Although lofexidine is approved for home detox, clonidine is not. The main reason is that clonidine is a hypotensive (it lowers blood pressure). It is a very good idea to invest in a blood-pressure monitor and to miss a dose of...
  11. Fairly Quick Taper, Rapid Taper and Cold Turkey

    Fairly quick taper. From a stable dose of methadone, reduce by 5mg a day until you stop. From 20mg down use alpha-2-adrenergics (preferably lofexidine, if available, otherwise clonidine). On the 20mg methadone day take 2 0.2mg pills...
  12. Taper with a switch to buprenorphine.

    If you wish to switch to buprenorphine, reduce as above (if necessary) until you hit 20 mg, then after 5 days of methadone 20mg, wait between 36 and 72 hours (the longer the better) until you are experiencing as severe a withdrawal as...
  13. Long taper.

    From a stable dose of methadone, reduce by 5 mg every 5 days until you hit 20mg. Then reduce by 2.5mg every 5 days and then stop. Although adding an alpha-2-adrenergic agonist to a slow taper is not shown to significantly increase...
  14. More conventional Detoxes for Home Use

    Chances are you're going to resort to more conventional means. The fact that there are so many tapering strategies rather than one definitive method lends credence to the idea that no one way is universally better. To get some idea of...
  15. Rapid/Ultra-Rapid Opiate Detox

    The final minority detox is the rapid/ultra-rapid opiate detox; known as the Asturian method, UROD, Detox 5 or the Waissmann Method. This is in theory another "magic detox", but frankly it scares the hell out of me. Essentially you are...
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