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'''Cold turkey''' describes the abrupt cessation of a [[psychoactive substances|substance]] after [[physical dependence]] has been established and the resulting unpleasant (and sometimes life-threatening) experience. It is opposed to gradually easing the process through [[tapering|reduction over time]] (tapering) or by using [[replacement medication]]; however, there are some cases in which going cold turkey may be preferred since tapering can take more self-discipline. It is a practice which is less recommended than [[tapering]] because stopping one's extended usage abruptly can result in unpleasant [[withdrawal|withdrawal symptoms]], which can sometimes be life-threatening.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref>  
'''Cold turkey''' describes the abrupt cessation of a [[psychoactive substances|substance]] after [[physical dependence]] has been established and the resulting unpleasant (and sometimes life-threatening) experience. It is opposed to gradually easing the process through [[tapering|reduction over time]] (tapering) or by using [[replacement medication]]; however, there are some cases in which going cold turkey may be preferred since tapering can take more self-discipline. It is a practice which is less recommended than [[tapering]] for those who are physically dependent on substances because stopping one's extended usage abruptly ([[cold turkey method|cold turkey]]) can result in unpleasant [[withdrawal|withdrawal symptoms]], which can sometimes be life-threatening.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref> The sudden discontinuation of [[alcohol]], [[benzodiazepines]], and [[barbiturates]] can result in fatal seizures and death.<ref>A fatal case of benzodiazepine withdrawal. (PubMed.gov / NCBI) | http://www.ncbi.nlm.nih.gov/pubmed/19465812</ref> Additionally, long-term [[alcoholics]] may experience life-threatening delirium tremens.


In some cases, however, the cold turkey method can be preferred by individuals or even more effective than tapering for some substances. For example, studies show that the cold turkey method of [[tobacco]] cessation is more likely to be effective for individuals looking to quit smoking.<ref>Gradual Versus Abrupt Smoking Cessation: A Randomized, Controlled Noninferiority Trial | http://annals.org/article.aspx?articleid=2501853</ref> In other cases, cold turkey can be a result of lack of access or a sense of personal trial, which may also motivate someone to deal with [[withdrawal]] rather than tapering or seeking alternatives. Cold turkey may also offer a quicker solution to ending symptoms over a shorter but more acute period of time.
For example, the sudden discontinuation of [[alcohol]], [[benzodiazepines]], and [[barbiturates]] can result in fatal seizures, [[delirium tremens]], and death.<ref>{{cite journal | vauthors=((Lann, M. A.)), ((Molina, D. K.)) | journal=The American Journal of Forensic Medicine and Pathology | title=A fatal case of benzodiazepine withdrawal | volume=30 | issue=2 | pages=177–179 | date= June 2009 | issn=1533-404X | doi=10.1097/PAF.0b013e3181875aa0}}</ref> In the case of dependence upon certain drugs, including opiates such as heroin, going cold turkey may be extremely unpleasant but less dangerous (unless one has a pre-existing condition).<ref name="nih">{{Citation | title=Opiate and opioid withdrawal: MedlinePlus Medical Encyclopedia | url=https://medlineplus.gov/ency/article/000949.htm}}</ref>


In the case of dependence upon certain drugs, including opiates such as heroin, going cold turkey may be extremely unpleasant but less dangerous.<ref name="nih">[http://www.nlm.nih.gov/medlineplus/ency/article/000949.htm Opiate withdrawal]. Medline Plus&nbsp;— NIH.</ref> Life-threatening issues are unlikely unless one has a pre-existing medical condition.
In some cases the cold turkey method can be preferred by individuals or even more effective than tapering for some substances. For example, studies show that the cold turkey method of [[tobacco]] cessation is more likely to be effective for individuals looking to quit smoking.<ref>{{cite journal | vauthors=((Lindson-Hawley, N.)), ((Banting, M.)), ((West, R.)), ((Michie, S.)), ((Shinkins, B.)), ((Aveyard, P.)) | journal=Annals of Internal Medicine | title=Gradual Versus Abrupt Smoking Cessation | volume=164 | issue=9 | pages=585–592 | date=3 May 2016 | url=https://www.acpjournals.org/doi/10.7326/M14-2805 | issn=0003-4819 | doi=10.7326/M14-2805}}</ref> In other cases, cold turkey can be a result of lack of access or a sense of personal trial, which may also motivate someone to deal with [[withdrawal]] rather than tapering or seeking alternatives.
==See also==l
==See also==
*[[Responsible use]]
*[[Responsible use]]
*[[Drug withdrawal]]
*[[Drug withdrawal]]
*[[Tapering]]
*[[Tapering]]
==External links==
* [https://en.wikipedia.org/wiki/Cold_turkey Cold turkey (Wikipedia)]
==References==
==References==
<references/>
<references/>
{{Template:Responsible use2}}
{{Template:Responsible use2}}
[[Category:Responsible drug use]]
[[Category:Responsible drug use]]
{{#set:Featured=true}}

Latest revision as of 21:43, 16 March 2025

Cold turkey describes the abrupt cessation of a substance after physical dependence has been established and the resulting unpleasant (and sometimes life-threatening) experience. It is opposed to gradually easing the process through reduction over time (tapering) or by using replacement medication; however, there are some cases in which going cold turkey may be preferred since tapering can take more self-discipline. It is a practice which is less recommended than tapering because stopping one's extended usage abruptly can result in unpleasant withdrawal symptoms, which can sometimes be life-threatening.[1]

For example, the sudden discontinuation of alcohol, benzodiazepines, and barbiturates can result in fatal seizures, delirium tremens, and death.[2] In the case of dependence upon certain drugs, including opiates such as heroin, going cold turkey may be extremely unpleasant but less dangerous (unless one has a pre-existing condition).[3]

In some cases the cold turkey method can be preferred by individuals or even more effective than tapering for some substances. For example, studies show that the cold turkey method of tobacco cessation is more likely to be effective for individuals looking to quit smoking.[4] In other cases, cold turkey can be a result of lack of access or a sense of personal trial, which may also motivate someone to deal with withdrawal rather than tapering or seeking alternatives.

See also

References

  1. Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html
  2. Lann, M. A., Molina, D. K. (June 2009). "A fatal case of benzodiazepine withdrawal". The American Journal of Forensic Medicine and Pathology. 30 (2): 177–179. doi:10.1097/PAF.0b013e3181875aa0. ISSN 1533-404X. 
  3. Opiate and opioid withdrawal: MedlinePlus Medical Encyclopedia 
  4. Lindson-Hawley, N., Banting, M., West, R., Michie, S., Shinkins, B., Aveyard, P. (3 May 2016). "Gradual Versus Abrupt Smoking Cessation". Annals of Internal Medicine. 164 (9): 585–592. doi:10.7326/M14-2805. ISSN 0003-4819.