How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Michael Your Own Question

Dr. Michael
Dr. Michael, Psychologist
Category: Mental Health
Satisfied Customers: 2177
Experience:  Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
28397935
Type Your Mental Health Question Here...
Dr. Michael is online now
A new question is answered every 9 seconds

I am addicted to codeine. what sort of symptoms can Iexpect

Customer Question

I am addicted to codeine.

what sort of symptoms can Iexpect if I suddenly stop taking codeine?
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr. Michael replied 2 years ago.
Hello. I believe I can be of help to you with this issue.

You will have withdrawal symptoms similar to those associated with many opiates, though unless you have been on quite large doses of codeine, it shouldn't be that bad. You can expect a generally 'oppositional' reaction during withdrawal. That is, just about every effect you experienced while on codeine will be the opposite during withdrawl. Rather than muscle relaxation, you will experience muscle tension. Your legs may cramp up and you'll experience restless legs perhaps. You may also have trouble sleeping; experience weakness, yawning, runny nose, sweating, headaches, muscle pain and twitches, irregular heartbeat, nausea, vomiting, fever and insomnia. You might want to talk to your physician about your plans and ask if you could be prescribed two medications to take and then taper from across the 4-7 days. These are clonidine and klonopin. They will ease withdrawal symptoms but you will need to have someone help you manage the dosing across these withdrawal days because your really cannot count on yourself to take the drugs safely. If you have no one to help monitor the dosing of these meds, then the cold turkey method is often followed by many people. The medications I mentioned lower your blood pressure and the second one primarily serves as muscle relaxant, and it can help you sleep. Tell you doctor you will certainly stop in a time or two to have your blood pressure assessed if he thinks the clonidine is a reasonable idea. He/she may or may not be up to speed on the different methods of helping patients taper from opitates such as codeine. I'll pause here and solicit your reaction to this post. I may not respond again until the morning as it near midnight here and I need to get to bed. Will respond to your post in the morning
Customer: replied 2 years ago.

Thanks for that.

I have gone without a dose of codeine for some hours without a great deal of discomfort. I usually take it at night and occasionally I have gone without codiene but have taken some Phenergan to help with sleep.

 

How long after a dose could i expect the symptoms of withdrawl to set in?

 

By the way. pretty good info so far.....Ta

Expert:  Dr. Michael replied 2 years ago.
Six to 8 hours after taking your last dose of codeine, you should start to feel significant withdrawal effects with full effects hitting you at around 12 hours. It takes about 3-4 hours for 50% of codeine to get metabolized so it leaves your body; and after 6-8 hours, 75% is gone; most all is completely gone after 12-14 hours. Codeine is significantly less addicting than morphine or other strong opiates so I don't think you are going to have a terrible 'go' of it. Actually, I think your real battle will be the psychological dependency issue of feeling cravings or strong urges to continue to use it at night. The physiological stuff you'll be over quite well after 4-7 days; the drug will be completely gone from one's system after around 1-2 days but it does take time for a person's opiate receptors and dopamine receptors in their brain to start to get normalized. This can take several weeks or even months, depending on how long one has been using codeine. Just keep in mind that the real 'battle' with codeine will be the urges to use it, and that situational cues in the environment (time of day, sights, sounds, physical settings) are strongly conditioned or connected to using codeine. As you encounter these situational cues, you'll struggle quite a bit with urges, cravings and even, pseudo-withdrawal symptoms. Just about everyone experiences these and it is important to understand that it is learning and conditioning---psychological stuff, that is the cause, not residual drug in your body etc.

I hope this information is helpful to you. Please let me know if I have overlooked any aspect of your original question. Please click on the green Accept button at the bottom of the screen. Thanks.
Dr. Michael, Psychologist
Category: Mental Health
Satisfied Customers: 2177
Experience: Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
Dr. Michael and other Mental Health Specialists are ready to help you
Customer: replied 2 years ago.

Thats pretty specific and o the point. just what i wanted.

 

Will let you know if I need any further info.

 

Regs

 

Bruce

Expert:  Dr. Michael replied 2 years ago.
Best of luck to you and keep me posted if anything else comes up for you.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Dr. Michael
Dr. Michael
Professor
2177 Satisfied Customers
Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.