Cravings are typically most acute during the first few weeks of recovery. While they may never entirely go away, their severity may lessen in time. And you'll learn to control them too.
Medication for Addiction Treatment (MAT) can ease your opioid cravings and help you develop good habits that reduce your relapse risk.
Drug cravings are subjective, and everyone describes them differently. But typically, people with opioid use disorders (OUD) describe them as an overwhelming urge to misuse the drug.
Cravings are an essential part of an addiction diagnosis.[1] If you have an OUD, cravings are part of your condition.
Opioids alter brain chemistry, and patients develop dependence on the drug such that, when the drug is discontinued, the patient experiences strong cravings and withdrawal symptoms.
A number of factors including emotional states, stress, illness, and pain, can all acutely worsen cravings [2] But some people say their urge to take drugs is always with them, just lurking in the background. The goal is to keep cravings at a manageable level to prevent relapse to opioid misuse.
In studies, people often say their cravings come in the form of "interfering thoughts." [3] They'd like to focus on something useful, like work. But they end up thinking about drugs instead, and their cravings are either physical or psychological.
Even people taking opioids as prescribed can become physically dependent.[4] Physical cravings for opioids are most common during withdrawal. Flu-like symptoms, insomnia, and shaking could all be considered physical drug cravings. These feelings make you want to use drugs to get relief.
As you maintain abstinence for a period of time, the physical cravings tend to subside, and the cravings become more psychological. People with addictions describe a psychological need to use their substance of choice. Psychological cravings, while often subtler and less intense than physical cravings, can last longer, even months or years after abstinence is achieved.
Everyone with an OUD deals with cravings. Treatments are available, namely:
Suboxone and Methadone are the two most commonly prescribed treatments for OUD and associated cravings. They are both opioid (or partial opioid) medications that provide your body with enough opioid to control cravings but little enough that you are able to function normally without getting high or being at risk for overdose.
Various forms of therapy including support groups or individual one on one counseling have been proven to help patients cope with cravings in a healthy way and to prevent relapse to drug use.
Feeling tired, hungry, angry, or dehydrated could all cause your cravings to intensify. Taking care of your physical and mental health can help you stay strong enough to avoid acting on your cravings.
Often, simply avoiding the people, places, and things that worsen your triggers is the best relapse prevention strategy.[5]
The more of these resources you employ all at once, the more likely you are to be successful in controlling opioid cravings and preventing a relapse to drug use.
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