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Taken bath salts, anxiety, numbness, tight jaw. When can I say that my craving is mental and not physical?

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General & Family Physician
Practicing since : 2009
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i have tried the new drug bath salts. i found the manufacture website and gathered information before i expierimented. only two chemicals are involved with the brand i had a small amout of a numbing agent and a lot of a-pvp. i ingested through my nasal. very small amounts to review the effects. about 100 mg in i have a loss of appitite. tight jaw, ambition to do the tedious things(didnt want to go fast or heavy lifting), slight jitters but in fairness i dont have the sturdiest hands in the world and a compelling mindset to have meanningful conversation with others. evntually the symtoms started to fade and i was ready for bed. 11 oclock a little later than planned. slept late the next day. skipped small thing i thought i might get to that morning since i shortened my amout of time in the day. no compultion to dose. actually could very slightly still feel the anxiousness. didnt try again till about 4 days later when my dog was having symptoms of an alergic reaction. so i stayed up all night and for assistance i use the bathsalt again. just about the same dosage. it was about the same amount of time during use and samee effect almost seemed like a little more. i was worried i was makking unconcious exccuses for reasons to ingest the substance. so i went over my reasoning and my other options. ofcoarse there were other options but that way a sure way to keep me awake and alert incase my dog went into a seizure or even gained worse symptoms that would require me to go to the vet. vet is a block away from me and i live in the back woods so no worry of if i had to drive i would be unstable. the action to me seemed to be not the safest or the smartest but it was reasonable to me. i knew i wouldnt over do it and i knew the effects. 4 days isnt a full recovery of something in yoursystem though that was my only worry. so i waited 10 days before finding another oportunnity. since then just about every 7 to ten days i will ingest an amount that will give me enough to have fun. the weird part is that the dosage hasnt changed and its been about 3 months. ill only do abou100 mg split into 3 or 4 lines andd do one every hour and a half or 2 hours sometimes longer. when i am having fun i usually dont even think about it so i will end up doing less since i always make a note of 4 hour before i plan on going to sleep. works out well. i do notice however an urge to research it and find reviews and laws that are trying to go into effect. i have no problem spacing the days and i decided that im going to take a month or two off to make sure i can walk away if needed but since it has the a-pvp in it im wondering if maybe i dont crave it because the comedown from it wasnt completely through or at its worse point. obv. there are some family members that i would never havve knowledge of my expieriments with such a, questionable at best, substance. and i have never had an issue with any forms of drugs. not a big marijauna guy. never even seen the really big drugs like heroin or pcp. i did try ocaine a few times and had few and walked away without even thinking about my will power. i have been sober for 2 days now with the exception of a cuple beers the past two nights not getting drunk just had one or two each night. with where i stand now if i stop completely to check on my state of neccesity for a cuple months or longer 1) when can i say that if i do crave it, it is mental at this point and not physical
2)what kind, if any, of harm could i do by using the amout i did that i consisder small. as a doctor you may consider any amount too much which i can appreciatee but compared to amounts i read about online and what people can go through in x amount of time. i consider it a small dosage per engagement, what harm can be cause by just stopping without an ease off.
3) i am a logical person if i feel addiction to something i dont ignore it or feed into it. i accept it and wait out the withdrawel. sleeping, going on a vacation somewhere, visit family. things that have my full attention for whateveer amount of time. i had to do this when i was persccibed oxy. like i said i dont do many drugs so the amount he perscribed me was enough to last anyone else 2 weeks and me a year. but i took them as perscribed and was very addicted by the end. that was tough so if i feel cravings andd compultion to justify continuing my alleged version of safe dosing, feelings of addiction that i didnt think i could have i will need to detox and get my mind straight somehow. rehab is out ofthe question. i know it is very contraticting but i will wait till my family is deceased before i go into a rehab for drugs that they will undoubtibly find out about, self rehab is next to impossible. but possible. i completely gave up drinking for 2 years after being on a college binge for almost twice that simply by reading the book the herion diaries. i wanted to prove i didnt need to drink to feel better or have fun or be comfortable. this latest hobby of mine does put some concerns in my head though. ive tried to be very specific on my unique situation and i am very very honest eespecially when it comes to doctors so just ask for more details if needed. please do not be one of those LADC people who believe that more than 2 drinks in one night one more tha one occaision a month makes you an alcohoolic and you need AA and such. i prob drink just a little over that but the point is that i would like someone who is logical andd has a grey area of good for you physically can be bad mentally and visaversa. what should be held as a notable crime is not always illegal. understand? i want the doctor who may or may not have had fun on the pills he percribes oncce or twice growing up because he is human and its human nature to try things. pass this one along if your not. keep the money i just want an answer from someone who will trade a cuple years one earth and acceept a little less perfeecct diet cause its worth the loss to know why burgerking makes so much money
Posted Thu, 3 May 2012 in Drug Abuse
Answered by Dr. Aparna Kohli 34 hours later
Thanks for writing in.
I understand your concern and also appreciate your jest for life. I agree that there is nothing wrong in enjoying life but being a physician, I would definitely say that everything in moderation helps us enjoy it longer and also live a more fulfilling life.
The compound that you are actually using is called α-Pyrrolidinopentiophenone. This is a new designer drug which belongs to the class of compounds called norepinephrine-dopamine reuptake inhibitors. So it is a stimulant drug and the effects you are currently experiencing can definitely be expected.
As this is a new drug, a lot is not known about it's side effects. But generally, the side effects of any class of drugs are similar. Side effects of the other drugs in this class include an increased risk of suicidality and seizures, agitation, anxiety, mood disorders, allergic reactions and increased blood pressure.
I do not think that you would be uncomfortable if you discontinued the drug abruptly. However, to be safe, it would be better if you try and cut the use by half for 2 weeks and then stop using the drug.
Wish you the very best,
I will be available for follow up queries.

Above answer was peer-reviewed by
Follow-up: Taken bath salts, anxiety, numbness, tight jaw. When can I say that my craving is mental and not physical? 10 hours later
thank you so much. especially for consideration of my outlook on curiosity andd expierimenting. i def have jitters andd can feel mood swings start but i havent gave in yet. if i do feel anything remotely close to depression i will seek additional help but i am very logical so i feel more than positive that you can sleep easy and not have to worry about seeing me on the news. i wanted a logical andd professional opinion and you did just that. thank you very much if i have other concerns or issues i will bbe in contact. thank you againand i will follow your advice. personally i have abserved this drug similar to alcohol if you were wondering. effect are small with small amount but effeects were large when not consering time and consumtion. never saw or heard anything that was real. i was always on the phone or with someone so if i did then they missed it too. saying no when the time wasnt appropriot seemed very easy considering i was prepared for a horrible withdrawl. my belief is that this drug is a fun addition to limited situations, but i also knoow that for some reason my mind seems to work differently than others. if this stays a legally sold product the ennd reason for users will more than likely be addiction jail rehab and or death. i hate to admit that the first trial i believed that this was not as bad as the media and protective parents portrayed it to be. i still belive that it isnt as bad as they claim. they seem to exaggerate and fight to hard only to have people who try it fire back with how they are way off of the effects. in turn hurting their arguement. the truth is: its mentally addictive. not so much physical. but like a vacation to the islands, you never want to leave. though a decent percent of people are responsible with drugs like this the people who arent and the people who dont know what they are ddoing will be enough to destroy an incrediblle amount of businesses familys and communities. the upside of it being sold by actual companies is its not beinng mixed with random things to up a profit. this comppanies wont put just anything in. i believe they want customers to come back. not die or have a bd expieriance. that is my conclusion and as far as im concerned i have learn enough. thank you again
Answered by Dr. Aparna Kohli 9 hours later

Thanks for writing back.

I would like to inform you that mental dependence is worse than physical dependence.
Physical dependence is a condition where we can treat on a symptomatic basis but mental dependence is hard to get rid of.

Also, please do not trust the drug companies. Even though we need to be grateful that they did develop many life saving drugs, there are times when clinical data has been suppressed just to make profits. I can also give you an example. Merck, one of the largest companies in the pharmaceutical industry, marketed a pain killer called rofecoxib. This was inspite of knowing that this drug causes heart attacks. By the time, the drug was withdrawn; hundreds of people had died due to heart attacks.
You can read in further detail about this drug at WWW.WWWW.WW
I would suggest that you stop using this drug. Have some coffee or tea if you want to stay awake. I don’t want a lively person like you to needlessly suffer. Instead, enjoy life to the fullest and I am sure, with an intelligent mind like yours, you can devise some healthy ways of enjoying yourself.

I hope I have addressed your concerns.

Above answer was peer-reviewed by
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