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SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated

Last Updated: 08/30/2022

Alcohol, Tobacco, and Other Drugs

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Misusing alcohol, tobacco, and other drugs can have both immediate and long-term health effects.

The misuse and abuse of alcohol, tobacco, illicit drugs, and prescription medications affect the health and well-being of millions of Americans. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present estimates from the 2021 National Survey on Drug Use and Health (NSDUH).

Alcohol

Data:

  • Among the 133.1 million current alcohol users aged 12 or older in 2021, 60.0 million people (or 45.1%) were past month binge drinkers. The percentage of people who were past month binge drinkers was highest among young adults aged 18 to 25 (29.2% or 9.8 million people), followed by adults aged 26 or older (22.4% or 49.3 million people), then by adolescents aged 12 to 17 (3.8% or 995,000 people). (2021 NSDUH)
  • Among people aged 12 to 20 in 2021, 15.1% (or 5.9 million people) were past month alcohol users. Estimates of binge alcohol use and heavy alcohol use in the past month among underage people were 8.3% (or 3.2 million people) and 1.6% (or 613,000 people), respectively. (2021 NSDUH)
  • In 2020, 50.0% of people aged 12 or older (or 138.5 million people) used alcohol in the past month (i.e., current alcohol users) (2020 NSDUH)
  • Among the 138.5 million people who were current alcohol users, 61.6 million people (or 44. 4%) were classified as binge drinkers and 17.7 million people (28.8% of current binge drinkers and 12.8% of current alcohol users) were classified as heavy drinkers (2020 NSDUH)
  • The percentage of people who were past month binge alcohol users was highest among young adults aged 18 to 25 (31.4%) compared with 22.9% of adults aged 26 or older and 4.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Excessive alcohol use can increase a person’s risk of stroke, liver cirrhosis, alcoholic hepatitis, cancer, and other serious health conditions
  • Excessive alcohol use can also lead to risk-taking behavior, including driving while impaired. The Centers for Disease Control and Prevention reports that 29 people in the United States die in motor vehicle crashes that involve an alcohol-impaired driver daily

Programs/Initiatives:

  • STOP Underage Drinking interagency portal - Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Talk. They Hear You.
  • Underage Drinking: Myths vs. Facts
  • Talking with your College-Bound Young Adult About Alcohol

Relevant links:

  • National Association of State Alcohol and Drug Abuse Directors
  • Department of Transportation Office of Drug & Alcohol Policy & Compliance
  • Alcohol Policy Information Systems Database (APIS)
  • National Institute on Alcohol Abuse and Alcoholism

Tobacco

Data:

  • In 2020, 20.7% of people aged 12 or older (or 57.3 million people) used nicotine products (i.e., used tobacco products or vaped nicotine) in the past month (2020 NSDUH)
  • Among past month users of nicotine products, nearly two thirds of adolescents aged 12 to 17 (63.1%) vaped nicotine but did not use tobacco products. In contrast, 88.9% of past month nicotine product users aged 26 or older used only tobacco products (2020 NSDUH)
  • Tobacco use is the leading cause of preventable death, often leading to lung cancer, respiratory disorders, heart disease, stroke, and other serious illnesses. The CDC reports that cigarette smoking causes more than 480,000 deaths each year in the United States
  • The CDC’s Office on Smoking and Health reports that more than 16 million Americans are living with a disease caused by smoking cigarettes

Electronic cigarette (e-cigarette) use data:

  • In 2021, 13.2 million people aged 12 or older (or 4.7%) used an e-cigarette or other vaping device to vape nicotine in the past month. The percentage of people who vaped nicotine was highest among young adults aged 18 to 25 (14.1% or 4.7 million people), followed by adolescents aged 12 to 17 (5.2% or 1.4 million people), then by adults aged 26 or older (3.2% or 7.1 million people).
  • Among people aged 12 to 20 in 2021, 11.0% (or 4.3 million people) used tobacco products or used an e-cigarette or other vaping device to vape nicotine in the past month. Among people in this age group, 8.1% (or 3.1 million people) vaped nicotine, 5.4% (or 2.1 million people) used tobacco products, and 3. 4% (or 1.3 million people) smoked cigarettes in the past month. (2021 NSDUH)
  • Data from the Centers for Disease Control and Prevention’s 2020 National Youth Tobacco Survey. Among both middle and high school students, current use of e-cigarettes declined from 2019 to 2020, reversing previous trends and returning current e-cigarette use to levels similar to those observed in 2018
  • E-cigarettes are not safe for youth, young adults, or pregnant women, especially because they contain nicotine and other chemicals

Resources:

  • Tips for Teens: Tobacco
  • Tips for Teens: E-cigarettes
  • Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings
  • Synar Amendment Program

Links:

  • Truth Initiative
  • FDA Center for Tobacco Products
  • CDC Office on Smoking and Health
  • National Institute on Drug Abuse: Tobacco, Nicotine, and E-Cigarettes
  • National Institute on Drug Abuse: E-Cigarettes

Opioids

Data:

  • Among people aged 12 or older in 2021, 3. 3% (or 9.2 million people) misused opioids (heroin or prescription pain relievers) in the past year. Among the 9.2 million people who misused opioids in the past year, 8.7 million people misused prescription pain relievers compared with 1.1 million people who used heroin. These numbers include 574,000 people who both misused prescription pain relievers and used heroin in the past year. (2021 NSDUH)
  • Among people aged 12 or older in 2020, 3.4% (or 9.5 million people) misused opioids in the past year. Among the 9.5 million people who misused opioids in the past year, 9.3 million people misused prescription pain relievers and 902,000 people used heroin (2020 NSDUH)
  • According to the Centers for Disease Control and Prevention’s Understanding the Epidemic, an average of 128 Americans die every day from an opioid overdose

Resources:

  • Medications for Substance Use Disorders
  • Opioid Overdose Prevention Toolkit
  • TIP 63: Medications for Opioid Use Disorder
  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
  • Opioid Use Disorder and Pregnancy
  • Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants
  • The Facts about Buprenorphine for Treatment of Opioid Addiction
  • Pregnancy Planning for Women Being Treated for Opioid Use Disorder
  • Tips for Teens: Opioids
  • Rural Opioid Technical Assistance Grants
  • Tribal Opioid Response Grants
  • Provider’s Clinical Support System - Medication Assisted Treatment Grant Program

Links:

  • National Institute on Drug Abuse: Opioids
  • National Institute on Drug Abuse: Heroin
  • HHS Prevent Opioid Abuse
  • Community Anti-Drug Coalitions of America
  • Addiction Technology Transfer Center (ATTC) Network
  • Prevention Technology Transfer Center (PTTC) Network

Marijuana

Data:

  • In 2021, marijuana was the most commonly used illicit drug, with 18. 7% of people aged 12 or older (or 52.5 million people) using it in the past year. The percentage was highest among young adults aged 18 to 25 (35.4% or 11.8 million people), followed by adults aged 26 or older (17.2% or 37.9 million people), then by adolescents aged 12 to 17 (10.5% or 2.7 million people).
  • The percentage of people who used marijuana in the past year was highest among young adults aged 18 to 25 (34.5%) compared with 16.3% of adults aged 26 or older and 10.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Marijuana can impair judgment and distort perception in the short term and can lead to memory impairment in the long term
  • Marijuana can have significant health effects on youth and pregnant women.

Resources:

  • Know the Risks of Marijuana
  • Marijuana and Pregnancy
  • Tips for Teens: Marijuana

Relevant links:

  • National Institute on Drug Abuse: Marijuana
  • Addiction Technology Transfer Centers on Marijuana
  • CDC Marijuana and Public Health

Emerging Trends in Substance Misuse:

  • Methamphetamine—In 2019, NSDUH data show that approximately 2 million people used methamphetamine in the past year. Approximately 1 million people had a methamphetamine use disorder, which was higher than the percentage in 2016, but similar to the percentages in 2015 and 2018. The National Institute on Drug Abuse Data shows that overdose death rates involving methamphetamine have quadrupled from 2011 to 2017. Frequent meth use is associated with mood disturbances, hallucinations, and paranoia.
  • Cocaine—In 2019, NSDUH data show an estimated 5.5 million people aged 12 or older were past users of cocaine, including about 778,000 users of crack. The CDC reports that overdose deaths involving have increased by one-third from 2016 to 2017. In the short term, cocaine use can result in increased blood pressure, restlessness, and irritability. In the long term, severe medical complications of cocaine use include heart attacks, seizures, and abdominal pain.
  • Kratom—In 2019, NSDUH data show that about 825,000 people had used Kratom in the past month. Kratom is a tropical plant that grows naturally in Southeast Asia with leaves that can have psychotropic effects by affecting opioid brain receptors. It is currently unregulated and has risk of abuse and dependence. The National Institute on Drug Abuse reports that health effects of Kratom can include nausea, itching, seizures, and hallucinations.

Resources:

  • Tips for Teens: Methamphetamine
  • Tips for Teens: Cocaine
  • National Institute on Drug Abuse

More SAMHSA publications on substance use prevention and treatment.

Last Updated

Last Updated: 03/22/2023

How to lose weight while taking antidepressants?

#1

#2

Guest

pressants.

#3

#5

#6

Good for depression

#7

Olga

Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

#8

Diana

The author, I'm sorry for the question. What is the name of the drug?

#9

#10

Amitiline

Guest 9000 005

# 11

#12

Guest

You need to switch to another drug. Some drugs promote weight gain such as remeron, amitriptyline, paxil.
And some for weight loss such as Fluoxetine, Ixel, Cymbalta.
Talk to your doctor about switching to another antidepressant.

#13

Guest .
True, it costs somewhere around 3900 for a month of admission.

#14

Guest

What is your dosage of amitriptyline? How much per day do you take? November 16, 2020 He (the doctor) really does not like amateur performances terribly. His opinion is the only correct one) 0 mg tablet morning and evening.

#18

#19 doctor sees serious weight gain on amitriptyline and does nothing. If you take it, you will definitely earn type 2 diabetes for yourself. Then you will take metformin all your life and go on a diet. November 16, 2020 Are they not accepted by the course?

#21

Guest

We have the only psychiatrist on campus. I must go to Nizhny Novgorod. My mom is diabetic and it's scary.

#22

Guest

This is a very small dose of amitriptyline. Its full antidepressant effect starts from 150 mg.
At these dosages, it has a very weak effect.
If it helps you in such ultra-low dosages, then you have mild depression.
Normal doctors prescribe amitriptyline only for severe depression. The dosages there are appropriate.
In your case, you need to change this drug, any antidepressant in therapeutic dosages will be stronger than 50 mg of amitriptyline.
But I would change the same doctor, because 50 mg of amitriptyline and without first trying drugs of the SSRI class could only be prescribed by a not very competent doctor

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#23

#24

Guest

In general, when taking amitriptyline, a patient prone to weight gain should adhere to a strict diet.
You need to count calories and not exceed your daily requirement. And it is better to have a small deficit (200-400 kilo calories). It is necessary to completely eliminate foods with a high glycemic index and limit foods with an average.
Preference should be given to lean meat, fish - you need more protein less carbohydrates. From carbohydrates - buckwheat, cabbage, brown rice (normal should be severely limited).
No sweets, bread, potatoes, sweet fruits, sugar, sweet drinks, honey, etc.

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    • #27

    Olga

    Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

    #29

    Guest

    Amitriptyline

    0005

    Guest

    I have been taking antidepressants intermittently for more than 10 years and I can say for sure that they are recovering from them and all of my friends have encountered this. It's just that everyone has their own set of weights. Personally, I have 7 kg for all these years. Gradually.

    #31

    #32

    weight gain from tricycle Interesting

    why is it coming? because the appetite, if not in yourself? or some other reason, don't you think?

    #33

    Julia

    The therapist told me that the weight gain is not from the drugs themselves, but from food, and when taking certain antidepressants, appetite increases. It seems to me that in addition to appetite, the metabolism also slows down and it is more difficult to lose weight, so it is important to monitor nutrition. And regular physical loads never interfere, they also help to cope with depression, if it is not too strong.

    #34

    Olga

    Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

    #35

    Olga

    Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

    #36

    Guest

    Hello. This is an excerpt from the annotation - "On the part of the digestive system: nausea, heartburn, vomiting, gastralgia, increased or decreased appetite (increase or decrease in body weight), stomatitis, change in taste, diarrhea, darkening of the tongue; rarely - impaired liver function, cholestatic jaundice, hepatitis. " You just got lucky apparently)

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      5 answers0006 Olga

      Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

      #38

      Olga

      Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

      #39

      Olga

      Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

      #40

      Guest

      What is your dosage of amitriptyline? How much per day do you take?

      #41

      Olga

      Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

      #42

      Guest

      Amitriptyline

      005

      Guest

      Also inflated by 20 kg on amitriptyline

      #44

      Olga

      Good afternoon. I have been taking antidepressants for three years now. On the contrary, I lost 20 kg. Antidepressants do not have the side effect of weight gain. I asked my psychotherapist.

      #45

      Guest

      Also on amitriptyline inflated by 20kg

      005

      Guest

      Amitriptyline

      Attention

      #47

      Guest

      Amitriptyline

      Slimming drugs - drugs for the treatment of obesity

      June 24, 2022

      and exercise. But if such a technique is not effective, then they resort to drugs for weight loss

      Unbalanced diet, improper lifestyle are the main factors that lead to obesity of varying degrees. It is worth noting that fat is both subcutaneous and visceral. If the first can be burned with physical exercises, then the second will not always be able to say goodbye quickly.

      Therefore, in the treatment of obesity, both physical exercises and weight loss drugs, which can be bought at the pharmacy, are often used. These drugs promote weight loss by regulating appetite, metabolism, and calorie absorption.

      Due to the possibility of online booking of medicines, you can get good discounts on medicines, free delivery. Thanks to the online platform, you can order weight loss drugs at the pharmacy at the most affordable prices. You can pay for the purchase either through a bank card when ordering, or in cash or by card when receiving the goods.

      Our online pharmacy has a wide range of medicines for therapy and health support. Contact us right now and you will be able to book any medicines for weight loss at the lowest cost.

      How weight loss drugs work

      Fighting obesity requires a holistic approach that includes diet and exercise. But if this technique is not effective, then they resort to drug therapy.

      This class of pharmacological agents has a complex effect on the body. Slimming preparations:

      • suppress appetite if there is a habit of overeating;
      • some medications block cannabinoid receptors, thus controlling appetite;
      • enhance metabolism;
      • help improve nutrient absorption.

      Which drugs for weight loss can be bought at the pharmacy

      The attending physician prescribes a drug course for the treatment of obesity. It is highly not recommended to draw up a therapy program on your own, as weight loss drugs can have a negative effect.

      Slimming preparations in the pharmacy:

      • orlistat - helps to reduce the absorption of fat in the intestines. The effect is provided by suppressing the work of lipase - a pancreatic enzyme;
      • sibutramine - has an antidepressant effect, i. e. removes the desire to eat when stressed;
      • Rimonabant belongs to the class of cannabinoid receptor antagonists. In simple terms, it suppresses appetite. The drug is also used as a means to combat insulin resistance;
      • Metformin - used in the treatment of obesity in people with type 2 diabetes.
      • pramlintide - causes a feeling of satiety, contributes to a significant weight loss, if the drug is used immediately in the complex;
      • semaglutide - enhances insulin secretion, lowers blood glucose levels. It is used not only for the treatment of diabetes, but also in the fight against obesity of varying degrees.

      Belvik is a drug used for the medical treatment of obesity. The active substance in it is lurcaserin, which acts as a blocker of serotonin receptors. The principle of work is to satisfy the feeling of hunger, i.e. taking the drug allows you to get enough of a much smaller amount of food.

      L-carnitine. Available in the form of a dietary supplement that allows you to actively lose weight. This supplement enhances anabolism, i.e. protein synthesis. Slows down the process of splitting proteins and carbohydrates. Carnitine also enhances the action of enzymes of the gastrointestinal tract - contributes to the effective absorption of food. Accelerates lipid and carbohydrate metabolism, and this in turn increases glycogen stores in the muscles.

      Other drugs for weight loss in the pharmacy

      GoldLine Plus. It has a principle of action similar to the above drugs. The tool reduces appetite, allows you to get a feeling of fullness with smaller portions of food. Affects lipid metabolism, increases blood levels of good cholesterol.

      “MCC Ankir-B”. This drug is used as a dietary supplement to the main meals. The main active ingredient is microcrystalline cellulose. The latter is dietary fiber, which contributes to the normalization of the activity of the gastrointestinal tract. The tool reduces weight according to a slightly different principle - dietary fibers swell in the stomach and intestines, creating a feeling of fullness, remove toxins from the body.

      Alpha Lipoic Acid - alpha lipoic acid. The drug is similar to B-group vitamins, acts as a natural antioxidant and protects the liver from the effects of toxins. This medication is often used as part of drugs for the treatment of obesity. But alpha lipoic acid can also be taken alone.

      "Trimex" - appetite regulator. The main principle of action is aimed at controlling the excitability of the food center. Due to this, appetite decreases, and you can get enough of a much smaller amount of food.

      Senna and Garcinia Cambogia extract. The drug prevents the formation of fatty deposits. The drug is used both in therapy and for the prevention of malfunctions of the gastrointestinal tract.

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