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Epigenetics and Withdrawal

Drug and alcohol addiction is a serious problem that affects families, communities, and society as a whole. Certain genetic, social, and environmental factors make some individuals more likely to develop addictions than others. Specifically, how genetics and environmental factors interact indicates the importance of epigenetics.

Epigenetics can be defined as studying how behaviors and environmental factors impact how your genes function. Unlike genetic changes, epigenetic alterations are reversible and have been found to occur in reaction to substance abuse.  In other words, research indicates there is a link between epigenetics and substance abuse and withdrawal. Specifically, the study seeks to understand whether epigenetics is an influencing factor, or rather a response, an individual developing a substance addiction. Here’s what you need to know about the connection between epigenetics and drug withdrawal.

What Is Epigenetics?

Genes are the building blocks of life that can be defined as operational units of DNA that comprise the human genome. Genes supply vital information to your body that informs your body’s primary activities. Alterations in genes referred to as mutations can cause many issues in people, including diseases and other health concerns. Gene sequencing has become an important activity in the medical research community in recent years, as it can help find connections between specific genes and health problems.

In large part, your health is influenced by your genes and the type of environment in which you live. Studying the interactions between genes and environmental factors is an essential area of research, mainly through epigenetics research. Epigenetics seeks to explore ways in which your behavior and environment can produce alterations that impact how your genes function. Researchers have found that epigenetic factors can affect health, and certain traits can be passed from parents to children.

For instance, if you use an illegal drug, it can permanently mark your DNA. In response, proteins common in addiction are produced in the body. More proteins in the body can cause a substance user to display more drug-seeking behaviors, many of which are very harmful. Identifying the relationship between these proteins and drug-seeking behaviors has proven helpful in informing new addiction prevention and treatment options.

 

What Is Addiction Withdrawal?

Withdrawal is the physical and mental symptoms an individual experiences after they stop taking or reduce their intake of a substance after a period of prolonged use. Withdrawal can happen after a person stops intaking alcohol or a prescription or recreational drug.

If you have been taking a large amount of a controlled substance and suddenly stop your use, you will likely experience various withdrawal symptoms. You may experience severe symptoms if you have become severely dependent on the substance. Due to the potential severity of substance withdrawal symptoms, you should consult with a physician before you stop using a substance.

 

Drug Withdrawal Symptoms

Withdrawal symptoms vary significantly depending on the type of substance you have been using and how long you were using the drug. Some drugs like cocaine typically come with psychological withdrawal symptoms such as irritability and paranoia. Other substances, like alcohol, heroin, and many prescription drugs, can cause many physical and psychological effects. Symptoms you may experience during withdrawal include:

  • Nausea
  • Irritability
  • Shaking
  • Sleeping problems
  • Sweating
  • Vomiting
  • Tremors
  • Changes in mood
  • Changes in appetite
  • Paranoia
  • Muscle pain

More severe psychological effects, including hysteria, delirium, seizures, and hallucinations, can occur in some cases. Consult a doctor immediately if you experience any of the above-referenced symptoms.

 

Drug Withdrawal Timelines

While withdrawal timelines vary widely, here is an overview of what you can expect after stopping using drugs or alcohol.

Most Addictive Drugs Methadone

Heroin and other short-acting opioids

You will likely start experiencing withdrawal symptoms 10 hours after last use. Symptoms can last for up to 10 days.

Methadone

Methadone and other long-acting opioids

Generally, you will experience your first withdrawal symptoms two days after last use. Symptoms may last for up to 10 days.

Barbiturates

Benzodiazepines

Withdrawal symptoms from drugs typically begin 24 hours after last use. Symptoms can last for up to three weeks, with the worst symptoms in the first two weeks. Symptoms can last for up to several weeks in the most severe cases.

DEPRESSANTS

Alcohol

You will likely experience the first signs of withdrawal 24 hours after your last drink. The most severe symptoms, such as delirium tremens, can occur within the first three days. Delirium Tremens is the most severe drug withdrawal symptom, characterized by altered mental state, confusion, nausea and cardiac arrest.

How To Prevent Drug Withdrawal

The symptoms associated with drug withdrawal can be scary and exceedingly painful. Luckily, there are methods to help alleviate the pain and potential complications related to withdrawal. First, people who are addicted to short-acting opioids, including heroin, can be prescribed certain medications to relieve symptoms and help alleviate drug cravings. Methadone is a medication commonly prescribed by physicians as part of a drug detox problem to help wean users off drugs.

Those who are dependent on certain prescription drugs like benzodiazepines can be slowly tapered off the substance to help eliminate withdrawal symptoms. Tapering occurs when you gradually stop using a particular mediation under the supervision of a doctor. Tapering can be a helpful tool to avoid severe withdrawal symptoms but may not be the best way to address your addiction. Always consult with a physician regarding your specific situation.

 

How Epigenetics and Addiction are Linked

As previously mentioned, both environmental and genetic elements play a factor in the development of specific addictions. Recent medical studies suggest that substance exposure can lead to changes in genes. Specifically, epigenetic mechanisms such as protein modifications have been linked to associated phenotypes of drug and alcohol addictions.

For example, researchers have found that abusing drugs or alcohol can permanently mark your genes. This mark triggers the production of specific harmful proteins within the body. These proteins can cause individuals to display drug-seeking behaviors, leading them to crave even more drugs. Identifying the relationship between these genes and addictive behaviors can be used to discover new effective interventions for addiction treatment. Further research is being conducted to find out more about this relationship and how it can develop new addiction treatment options.

 

 Epigenetics and Addiction Interventions

Through recent research, doctors have found extensive variability in how drug users respond to treatment and interventions. Those different responses can be partially attributed to genetics. Genes have a massive impact on how many receptors the average person has in their brain, how quickly they metabolize drugs and how they respond to various medications. Learning more about the connection between addiction and genetics can do a lot to help advance science and treatment medications.

As research continues to expand, the medical community will develop new addiction treatments directed at specific targets in the brain. Essentially, medications can be tailored to each patient and how their genes and medical condition are connected. This tailoring process may eventually indicate better medical outcomes for those with addiction issues. By having information on a person’s genetics, doctors can better match users with the best treatments and medications while avoiding potentially dangerous drug interactions.

 

Work With an Addiction and Withdrawal Expert

Are you or a family member struggling with drug or alcohol addiction? You do not have to suffer in silence any longer. Don’t fight withdrawal symptoms alone. Clean Recovery Centers can help. Located in central Florida, we provide many treatment options for alcohol and drug addiction. We offer services including medical detox, residential treatment, mental health services, overnight supervision, intensive outpatient support, and community housing options. We offer medical and psychiatric care at any stage of the alcohol or drug withdrawal process. Don’t wait any longer to get the help you need. Contact Clean Recovery Centers right now to learn more about our treatment options.

Sources:

  • https://www.drugabuse.gov/publications/drugfacts/genetics-epigenetics-addiction
  • https://www.verywellmind.com/what-is-withdrawal-how-long-does-it-last-63036
  • https://www.quantamagazine.org/the-epigenetic-secrets-behind-dopamine-drug-addiction-and-depression-20201027/
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