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Cold turkey

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Cold turkey describes the abrupt cessation of a substance after physical dependence has been established and the resulting unpleasant experience. It is opposed to gradually easing the process through reduction over time 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 harm reduction practice which is less recommended than tapering for those who are physically dependent on psychoactive substances because stopping one's extended usage abruptly (cold turkey) can result in unpleasant withdrawal symptoms, which can sometimes be life-threatening.[1] The sudden discontinuation of alcohol, benzodiazepines, and barbiturates can result in seizures and death.[2]

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.[3] 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.

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. A fatal case of benzodiazepine withdrawal. (PubMed.gov / NCBI) | http://www.ncbi.nlm.nih.gov/pubmed/19465812
  3. Gradual Versus Abrupt Smoking Cessation: A Randomized, Controlled Noninferiority Trial | http://annals.org/article.aspx?articleid=2501853