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To my understanding, if you experience perfect contrition (emphasis on perfect) then you are forgiven without the sacrament. The question is, can you even judge what perfect contrition is?
If you, at that moment, feel that you are perfectly sorry then I suppose you could receive communion in good faith and, if you are wrong, it would not be counted so heavily against you. If you feel any doubt at all, I think it would be best to wait. (Perhaps I need a disclaimer. Disclaimer: The previous are the words of an armchair theologian.)