I want to make this clear that this is not my post, but a golden nugget of information from another forum! This is by Angle on the codeinefree forum.
Just wanted to share so here it is........
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Preparing for Cold Turkey
Posted: Mon Dec 08, 2008 9:44 pm
I chose to take the cold turkey route to coming off codeine but it may not be right for you in which case you will find loads of help and support with the taper method right here on the forums. The benefits of C/T were, for me, the knowledge that I could be codeine free and well on the way to feeling whole again within a matter of days.
I have now been free of very strong doses of prescription codeine for 8 days and the strangest thing has happened...I look great! Seriously, I still feel as though I'm coming to the tail end of a hellish dose of flu but I look 5 years younger, and so much less bloated in my face and tummy! And...I am feeling more hope and joy than I have felt in three years - nobody can believe the difference, especially as most people really do think I have 'only' had flu. If only they knew the life-changing experience I have been through like so many on these forums who came here for support when they were at their lowest ebb and found the encouragement and strength to carry on right here on the boards...
So this is how I did it.
Shopping List
Sundries
Ibuprofen tablets
Rehydration electrolyte powders*
Antacids for heartburn
Multi-vitamins
Lavender oil and lavender bubble bath
Bottle of spray disinfectant
Vaseline
Lots of super-soft toilet rolls (infused with aloe vera if possible)
Wet-wipes/baby-wipes
Packet/box of tissues
(Nicotine patches)**
Food & Drink
Bottles of water - still, sparkling, flavoured; whichever you prefer, but tap is best!
Fresh juice
Chamomile teabags
Tonic water***
Sugar or honey to mix with chamomile tea (some strange people actually enjoy chamomile tea 'straight' but for me it truely epitomised horses wee without sugar )
Fruit ice lollies
Porridge oats
Prepared fruit salad in bite-sized chunks
Small pre-prepared meals that can be heated quickly - read through http://www.foodandmood.org/ to get some ideas.
*Rehydration electrolyte powders (2-3 boxes from any chemist) - these are rehydration powders which, when mixed with EXACTLY the correct amount of water, replace essential body waters and salts after acute diarrhoea.
**Nicotine patches (or similar) - if you are a smoker you may well feel too unwell to smoke for a couple of days so, to prevent you having withdrawal symptoms from both the codeine and the nicotine, slap on a patch in the morning and you can forget about it for 24 hours. My symptoms were reduced by a third when I finally made the connection and foraged for a nicotine patch during night two.
***Tonic water - some say the quinine flavouring helps them with RLS (restless leg syndrome - see here for more info and advice.)
Other things you will need
Hot water bottle
Several pairs of warm, soft socks
Several pairs of clean, warm pyjamas - you will be changing at least once or twice per day in the first 2-3 days.
Magazines, books, CDs, DVDs, puzzle books - try not to choose things that will get your adrenalin pumping. Your concentration levels are likely to be low for a couple of days so choose things you can dip into for brief periods.
Bedding:
Several clean sheets
Several light blankets/duvets
Lots of pillows and clean pillowcases
You will sweat a lot!
Book at least a week off work, longer if you can! Even though you will start to feel gradually better after day 3 you will still feel as though you're recovering from a strong dose of flu so you'll be weak and emotional, and you may suffer insomnia as your body comes to terms with all it has been through. If you have a carer who plans to help get you through they will also need to try to take days 1-4 off work. If you're unable to take this time as 'holiday' you should feel not one iota of guilt about phoning work on day 1 and saying you have flu and cannot as yet give any clear idea about when you'll be fit to return but that it could be up to 10 days. They will have a much better employee when this is all over.
Try to make yourself as self-contained as possible on days 2 and 3 (when it peaks) so move everything you'll need into one room.
I spent the time on my sofa which was covered in pillows and light blankets as I was hot one minute, cold the next, so I could take off or add a blanket as needed. There was a table next to me that held my drinks, book, magazine, telephone, TV remote control, wet-wipes for wiping my face and neck when I felt sweaty, tissues for the random sneezing that came from nowhere (!).
Sleep as much as you can during those first couple of days. You will probably not want to do much else anyway because, for two days, you will feel like you've been struck down by really unpleasant flu (HOLD THIS THOUGHT! Flu can last 2-3 weeks; this only lasts - at its worst - 3-4 days!!!). So sleep, sleep, run to the toilet, sleep, shower and sleep some more.
I was lucky enough to have my sister-in-law here who cared for me and my two children...and her one year old, and her unborn baby! (I'm not able to say here all that she has done for me because it is still too emotional to talk about and I need to stay strong. Suffice to say, I feel as though she has literally 'saved me'). On days 2 and 3 she had to do practically everything for me. Now, on day 8, those two days have quite a blurry, 'distant' feeling for me because you start to improve quite rapidly after that and it seems like a fading nightmare, but my point is that it helps a LOT having somebody there with you all day, all night, for those first few days. However, it can be done 'solo' too, so don't be afraid, just prepare yourself as much as possible beforehand for every eventuality
You will almost certainly get diarrhoea within 24-48 hours of cutting out codeine. It's not nice but it's really important because it is a sign that your body is clearing out all those dreadful toxins. So get prepared!
DRINK LOTS OF WATER! You will recover faster if you manage to keep your body and mind well hydrated and nourished, and this doesn't just apply to the diarrhoea; all your symptoms of codeine withdrawal will be eased if you keep your body's fuel topped up. You can take rehydration (electrolyte) powders during this period to help with this but please remember that each sachet has to be mixed with exactly the correct amount of water so don't guess.
You need to make sure there is a bottle of spray disinfectant next to the toilet along with a tub of vaseline and plenty of soft toilet paper. Each time you flush the toilet spray around the inside of the bowl with the disinfectant; it kills any germs and it helps prevent smells. After a while you will notice the dreaded sting so wrap a double sheet of toilet paper around your finger, dig into the vaseline and gently apply just inside your bottom. Gross, but really soothing.
One other thing I wanted to mention is that I am a horribly weak-willed person who has tried and failed to quit smoking for the last 20 years. I have an addictive personality, OCDs, depression and bi-polar. And yet even I found the strength to quit codeine because it was ruling my life and slowly disconnecting me from the world and my loved ones. Even just 8 days after quitting, my appalling constipation has vanished, my apathy and constant exhaustion are no more, my dizzy spells have gone, I can actually wake up to an alarm clock now and I'm eating regularly again because I'm actually hungry - in recent months I have lived on codeine, tea, cigarettes, the odd packet of biscuits and an occasional meal. My poor body thinks it is Christmas! Oh...wait... Most important of all for me, I am actually picking up the telephone when someone calls because I'm no longer feeling disconnected from everything and hiding myself away from the world.
That's everything I can think of for now but I'll add more stuff as it occurs to me and I'd be really grateful if the amazing users of these boards can think of anything I might have missed, or if any advice I've given is contradictory to safe practice. (You don't know me because I've felt unable to post anything much, but I know all of you. You have got me through some of the darkest hours I've ever known on nights 2 and 3 and I will never sufficiently be able to thank you all enough.)
Lastly...keep www.codeinefree.me.uk saved to your Favourites! Over the coming days you will find yourself coming here often for support, advice, suggestions and hugs
Thank you all from the bottom of my heart for the part this community has played in helping me quit codeine.
You CAN do this!
[edit] Things I've subsequently remembered and wished to add:
1. Short of Breath/Panting.
You may notice you are panting rather than just breathing. This is perfectly normal and is just a reaction to what you're going through, so just go with it. My 'panting' lasted for 2.5 days! Wierd...
2. Weak Moments Later On.
"Break Glass Incase of Emergency!" - this coping strategy was given to a dear friend who was helping her partner off a terrible heroin dependency 25 years ago. Before he went cold turkey he was given drug counselling where they told him about the "Emergency!" strategy. It basically means that even when you've been clean for 2 weeks/a month/6 months you may still have sudden moments when you feel close to the edge - panicked, frightened, weak, tempted. You arrange a group of people you can immediately contact for support when this happens - I arranged mine three days ago because I know I might be feeling great now, but I'm also aware I could have a crisis in the future that makes me wobble.
3. The Shivers.
Fruitloop has just reminded me about the 'shivers' so I wanted to add this info here (take heart from the fact that I had already forgotten about this aspect of early-ish withdrawal after only 6 days). You can probably expect to feel very shivery at times so just be prepared to add more layers and top up your hot water bottle. This is also a good time for the horse wee....sorry, chamomile tea! It really does soothe you despite the fact your head is telling you it's Hell's own brew!
4. Insomnia.
Insomnia can be a problem when you start to feel better after day 3, which is why I think it is so important to allow yourself more than one week off work to recover. My insomnia started on night 4, just as I was starting to feel better in myself, which seemed really unfair! For the next three nights I paced the house as my restless leg syndrome went into overdrive (twitching, aching, frustrating muscle spasms which only worsened when I was horizontal). I would eventually keel over between 4-7am only to wake up again a couple of hours later.
By the third night I was so frustrated and so 'scared' to go to bed incase it happened again, but I just gave myself a talking to. I said "you're exhausted but you're still alive, you're still functioning, your brain will eventually just conk out, even if it takes until tomorrow afternoon, so just go with the flow." Accept you're probably not going to sleep, plan how you're going to fill those hours, follow all the basic rules for insomnia sufferers (there is good advice here ) and try to remember that bed is for sleep so if you're fighting a losing battle, get up. Don't let your brain start associating your bed with stress and frustration.
I finally fell asleep at around 7am sitting upright on the sofa and without even being aware that I was starting to drift; I just remember waking up again a few hours later with a stiff neck. Anyway, last night, which I expected to be my 4th without sleep, I actually drifted off beautifully at around 1am while watching TV wrapped in a duvet. I can't tell you how great I have felt all day because of it.
If your insomnia persists despite trying all the advice found in the above link, see your GP. Ask for only enough sleeping pills to get you through the next couple of nights so your body can rest and your mind can strengthen itself, and hopefully re-establish your normal sleeping patterns. Do not despair during those long, dark hours! You're not going to die from lack of sleep, and you will come through it, with or without your GP's help.
5. Mood swings.
Mood swings are something we all have to deal with as we rid our bodies of codeine, or, indeed, any drug. You will probably find yourself crying more than usual, and at the sillyest things! I cried a LOT when reading this site during days 2-3, but it was 'good' crying because it came from a feeling of solidarity because, knowing these people were going through the same as me, at the same time, gave me such a lift - I was too emotional to actually post anything on here until I was nearing the end of the first week...but I read everyone's posts constantly. Nobody else really understood what I was going through.
I also got angrier than usual. Angry at me for allowing myself to get into this situation. Angry at the children for bickering. Angry at my wonderful sister-in-law for making me eat to keep my strength up. Angry at my beloved mum for being away on holiday when I needed her most. Angry at my ex-husband for making me miserable enough to need to 'mask' my true feelings with codeine (six months after he left, and with me appearing to cope brilliantly, I had a breakdown at work. A colleague helped me upstairs and I remember lying on the floor in a ball, sobbing, when she handed me a glass and said "drink this, it will help"...and it did, for a small snapshot of time, until I had to take more to replicate the false feelings of wellbeing...2-3 years later I was taking large doses of prescription codeine daily and using every trick in the book to get my hands on my next repeat prescription sooner).
Loneliness is another factor which may come and go, especially when you are feeling at your worst. Even if you have the best family and friends in the world they cannot truely understand what you are going through. It was finding this site on the morning of day 2 that alleviated that for me and I kept it open 24 hours a day for 3 days so it was there when I needed it most.
All of this is such a natural and normal response to what we are going through. The codeine may have been successfully masking your true feelings for some time and they need to come out, but also, your body is going through so much in those first few days - of course you're feeling dreadful, sorry for yourself, lonely, tired, achy, tearful! The important thing here is to recognise it's completely normal and to let it all out.
This is where your family and friends come in. Even if just one person is aware of what you are going through, and supports you, you will have a built-in support network. I coped with the two worst days (2 and 3) by sleeping as much as I could, but when you start to get better on day 4, and need less sleep, you may find that this is when your emotions start to become hightened (it's also when you'll start smiling again though!) so make sure your support network is aware of this so they can step in and reassure you how wonderfully you are doing...and remind you that this is a temporary state! I'm on day 10 now (day 10!!) and I'm pretty much back to normal, apart from a general feeling of weakness typical of someone who has had the flu, say. I started to feel like 'me' again late on day 4, so since then has been all about getting my strength back and dealing with mood swings as they arise.
The best advice I can give if you're feeling down is to get out and get some fresh air, even if it's just for 10 minutes. When you get back, make a hot drink, top up your hot water bottle (for comfort), put on some soothing music...and come on here to vent!
(Thanks, again, to Fruitloop for reminding me about the mood swings.)
Edited by Mark: Post made sticky.



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