The Terrifying Truth About Nodding Off

Added: 2026-05-27

[00:00:00]The knouts, the knoffs, the fentanyl fold. What are they? Why are they so common for people in addiction? Why are we seeing people on street corners folded in half? Let's go.

[00:00:16]Kate Rugs, the sober dog coming at you.

[00:00:19]Anyone new here? Uh, I'm in recovery myself. Heroin, fentanyl, coke, alcohol, you name it. Recovery coach. Share about addiction, recovery, prison. did time in prison. Share about all that stuff. All right, the knouts. The knoffs. Let's get right into it. So, we talk about the knout outs, the knoffs. I'm sure if you've seen somebody in addiction or even videos online, you've seen people that are just they go they just knot off, knot out, or somebody completely folded in half. What are they? So these chemicals and this typically happens with opioids. They're very powerful substances, incredibly powerful. And you know what fits in that opioid category?

[00:01:02]Vicodin, Percoet, morphine, oxy, fentanyl, heroin, many more. What they're doing when you take enough opioids is they are depressants. These shut your system down. They're telling your heart, your breathing, your pulse, everything, slow down. fall, you know, shut down, basically completely go out.

[00:01:27]You, you know, take somebody's pulse or breathing when they're in this state, it is incredibly slow and shallow and everything is just basically shutting down on a slower scale. Now, while this is happening, the body is fighting back.

[00:01:43]The body is saying, "Whoa, whoa, whoa.

[00:01:45]We normally breathe this way. our heart rate is normal at this, you know, this stage when we're doing just nothing, walking or whatever. Stop shutting.

[00:01:54]You're going to shut down too much. It's going too far. Stop. It's getting too slow. That's where the knoffs come in and out. It's basically this fight back and forth where the the chemicals, the drugs are telling the body, "Shut down."

[00:02:08]The body's saying, "No, you try to stay awake. It's the breathing is getting too shallow. It's going to completely shut me down. The heart's getting too slow.

[00:02:16]would pop up and it's this back and forth just battle um that goes on. True knoffs come from the opioids. It's I mean you you might see people on other substances like benzo is the only other substances I've really seen people you know have real nod offs. Alcohol it's either like somebody's you know so drunk they they can't you know they're all floppy and goofy but they're not like nodding out and then they pass out.

[00:02:43]Usually comes from that uppers. The only time I've really ever seen uppers uh cause a knout out is like when people are on a 3 4 day binge and then they shut down after their body just shuts down. You they can go into a little bit of a knout out for like you know a little period of time and then they just fall asleep. They just their body goes out for you know 24 hours and then withdrawal. I I have personally knotted out many times in withdrawal, both opioid withdrawal and other substances.

[00:03:13]But again, I wouldn't call it like it's not a true opioid knot out because it's more like my body's just so screwed up in every way that it's like and you're super sick and you just you're you're basically falling asleep, but you do end up sometimes falling asleep where the not out you're not really sleeping. It's not sleep at all. And I'll get to that in a minute. So, how long do these knouts last? Completely different for everybody. Sometimes it's every, you know, 10 seconds, you know, sometimes it's a minute.

[00:03:48]Sometimes it's 20 minutes. It's completely different based on the person, what substances they took in and their environment. I've had times where I was at a dinner table trying not to knot out in front of, you know, family and so I kept just fighting it and fighting it and those would be every second or two. When I went over on the couch and kind of let my body go that same event, then the knout outs were more like 3 4 minutes cuz I wasn't sitting there trying to keep fighting it and fighting it and fighting it. Now, like I said, some people will say, and if you've had them, let me know in the comments. They've gotten these from other substances, benzo, and usually benzo mixed with stuff will cause these um mixed with opioids. Uh and that's that drug synergy. 1 + 1 equals three.

[00:04:35]When you mix benzo and opioids, I I'll put a card up to to the other video talking about that. True knouts come from opioids. And this is the scariest part. Us addicts want that. When we're in active addiction, getting to that knot out point for an opioid addict is primo is peak. That's the one of the parts we are chasing is that right there. Some of the most pleasurable highs I ever had was sitting in a room, maybe with a buddy, maybe with the girlfriend at the time, and we would not out. We wouldn't say a word for 4 hours just and again maybe they were every 30 second knouts, maybe they were every 5 minutes, whatever. And usually like you know one or the other after a half hour would you know when you popped up would just hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey hey make sure the other person's okay and then go right back to your knout. But we love that state. We wanted to get more of being in that state. You know, again, if I wasn't at a family dinner, there were many times where you can't control the knot out in an environment you don't want it. You know, I'd get high and go to work and it was like, I'm nodding out at work. I'm like, [ __ ] this isn't good. But when we were in an environment where we didn't have to control it, so to speak, or I could like let go, getting to that knot out is like, yes, that's that's, you know, pleasurable for us, which is very scary.

[00:06:09]Really appreciate the love and support.

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[00:06:19]You guys know, thank you very much. Now, in the last few years, this has gone even basically a step further. I've seen people have the fold just from, you know, heroin, just from opioids, but it's gotten more pronounced with the fentanyl and then the other stuff being mixed in, the xylazine, tran dope, multiple different tranquilizers, things like that. These are even stronger than the traditional opioids, heroin, oxycottton. So, they're having a bigger impact in the body, shutting down some of the motor skills, plus slowing the breathing and the heart rate and everything and putting the body into a complete, you know, maybe full fold, you know, that you see people on the street like bent in half standing up. It's very dangerous. When we're in that state, it is razor thin between life and death. We are a, you know, seconds a grain away from our body shutting down. It could shut down at any time when people are in that not out state. The heart is already going so slow and the breathing so slow that it just stops. But again, addicts are searching for that that part of the high that makes it so dangerous because someone can just go like that. It's very weird. the people I've talked to, the research I've done in my own experience during the knout out, we're not thinking much. We're not dreaming. We're not having like big thoughts. Your body's not going into a sleep mode. You're not in REM or deep sleep or anything. So, you're just in this shutdown kind of phase that obviously the brain's still working, but it's not, you know, it's not like you you're in your sleep cycle and you're going to go through, you know, dreams and stuff like that. At least for me and some of the people I talk to. Of course, there's thoughts, the brain's going on, but it's more like nothingness and then you pop up and then you have a lot of pleasure in that little like you're about to go out phase. We love that, right? you know, a little bit of consciousness, a little bit, it feels good and then you just and it's just kind of nothingness during that and then and it's this back and forth cycle. Um, but you know, during the actual fold, most people are not, you know, popping up like, oh, I just had a crazy dream.

[00:08:44]And if they were, they may not have been in a true knout out cuz maybe they were just so over, you know, uh, uh, running around on a binge, they actually did go into a sleep for a little while. How come the people don't completely fall over in the fold, too, is an interesting scenario. The body's fighting back. It's not like sleep where you you you tell your body like, "Okay, go ahead, relax."

[00:09:06]You know, I'm in a bed. I'm in wherever.

[00:09:08]It's also not like alcohol where it kind of just shuts down like you know when somebody's just so drunk they have no control of their motor skills and they're just they just flop and fall and that's it. It's this weird state where you're starting to lose control of some of your motor skills uh not completely and your brain and everything is slowing down but again your body is fighting back saying don't completely slow down or we will die. So, it gives people a tiny bit more control where you probably wouldn't see a drunk person stand sitting there standing, you know, folded over for 20 minutes. They'd probably fall within the first couple minutes or first couple seconds. But with opioids, they'll sit there in that semi state where it's not a complete sleep. It it's just this quasi nothingness state of the not out. And the body's fighting back saying, "Don't completely go out. Don't completely go out." and then they, you know, come too for a second and then go back out. But the drugs are so powerful, they're shutting down part of their system where they can't even, you know, walk the other six steps to make it to the curb. Compared to like alcohol, if somebody's super drunk and you're like, get up and walk, it's not going to work.

[00:10:25]If they're so drunk they can't walk, you're not really going to be able to shake them into walking. Now, if somebody's in that knout out state and they're like completely nothingness and you wake them up, then they for a minute like the body kicks back up and they could like walk and even look somewhat normal for a minute or two and then they'll probably go back into the knout out. It's a very unusual and weird state, but that's why people kn out and are seeking the knot out. And if you live in any major city in the country, you have probably seen people folded over on your street corner. I think that's unacceptable. I'm not saying that people should be charged and thrown in jail or prison, but it shouldn't just be acceptable that people are knotted out all over on our streets.

[00:11:10]It's a very dangerous state. It's razor thin between life and death in that not out state, right where your body can be on the edge of shutdown. That's knotting out. That's all you need to know about knoffs and knouts. Let me know if what you were experiencing if you ever knotted out or you seen a loved one not out. Now you know a little bit about it.

[00:11:33]K Rugs the sober dog and I'm out. See you Cosmo.

[00:11:40]Yep, there's the new sober dog. Cosmo.