I think I would take Charlie horse/ muscle spasm over akathisia honestly just because akathisia can last days, weeks, months… years… a spasm you’re not dealing with that pain more than half an hour tops usually like five or ten minutes for me (as someone who’s struggled with alcoholism and bulimia in the past am well familiar with that pain). It might come back but if it does you know you really need Gatorade or something. I would rather have a short lived really intense physical pain than a long lasting combo of physical and mental agony that keeps me from sleeping for months.

I’ve heard of people trying to cheat a drug test by ODing on niacin and getting extremely ill. Itching is one of the memories keeping me from relapsing on opiates (side effect I got really badly and looking back I don’t know how it was worth it), so no thank you.