If you choose to enter a traditional drug or alcohol treatment center for help with a substance abuse problem, you can expect the process to start with a medical detoxification. A medical detoxification (detox for short) is administered and monitored by health care professionals who understand addiction care.
Detox serves two main purposes. The first is to ensure that addictive and harmful substances and other toxins are safely removed from the body. The second is to ensure that clients’ withdrawal symptoms are also safely managed as the substances are removed.
Why Is Detox Needed?
Many people do not think about the long-term effects that chronic drug and/or alcohol use will take on their bodies, minds, or spirits. Once substance dependence and addiction are underway, it is difficult to stop using. When people do decide to put the drugs/alcohol down, they often find the decision to do so is not without physical or mental consequences.
A medical detox program is strongly recommended for people who are experiencing changes as a result of not using. This is known as withdrawal, and this period, which is uncomfortable for many, will unfold according to the substance or substances that were abused and the length of time they were abused. While withdrawal affects people differently, many people experience changes in mood and flu-like symptoms. Some common withdrawal symptoms are:
- Excessive yawning
- Insomnia (or other sleep disorders)
- Muscle aches
- Runny nose
- Watery eyes
Common Withdrawal Symptoms
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Why Is an Alcohol or Drug Detox Recommended?
People who use drugs and alcohol for a long time have high tolerances to addictive substances that don’t just go away just when a decision has been made to quit using. Quitting any substance cold turkey, or abruptly, after using it for some time is not recommended, even for people who have mild cases of substance dependence or those who may be in the early stages of addiction. A sudden interruption in use can lead to a serious injury, relapse, or an overdose that can turn deadly, especially when withdrawal symptoms are severe. A medical care professional can help best determined what’s severe and what’s not and ensure a client in withdrawal is getting the proper care needed for the person’s particular situation.
Detox is just the initial treatment process. It is the first step rather than the final or only step. Recovering drug and alcohol users are encouraged to enroll in rehab treatment services at a licensed residential facility for long-term recovery. When the body has been cleared of traces of substance use, then the work can begin on treating the psychological effects of addiction. This involves intensive behavioral therapy and counseling.
How Safe Is a Detox at a Rehab Center?
A medical detox at a rehab center or hospital can ensure clients:
- Receive the proper treatment to help ease painful, uncomfortable, or life-threatening withdrawal symptoms.
- Get the proper attention to medical emergencies that come up during the withdrawal process.
- Connect with the right programs, people who can get them the help needed after the detoxification program ends.
Detox at a rehab center is considered much safer than trying to quit drugs or alcohol outside of a medical setting. Some people will try to detox from drugs and alcohol with homemade remedies or drug detox kits that can be used at home. While those options are less expensive and more convenient, any methods or options pursued outside of a medical detox may be ineffective and put the client’s safety and well-being at further risk. Undergoing a medical detox at a licensed facility that is monitored by trained, knowledgeable addiction care and health care professionals is recommended over other options.
During a medically monitored detox, a tapering schedule may be set up to wean clients off addictive substances. Tapering means that fewer doses of the drug will be given during the course of the detox process to help clients come off of it safely. Clients may be given tranquilizers or sedative medications to relax the client or they may be given intravenous, or IV fluids support. Vitals, such as their heart rate and blood pressure, are regularly reviewed as well.
For opioid withdrawal, clients may receive methadone and buprenorphine. The U.S. Food and Drug Administration (FDA) has approved both drugs for opioid addiction treatment. People who are in benzodiazepine withdrawal may receive decreasing amounts of benzos. They also may be given a benzo medication that is different from the one they have been taking or a phenobarbital substitution.
For alcohol withdrawal, clients may also receive benzodiazepine medications to reduce agitation and anxiety to prevent tremors and seizures. Stimulant withdrawal detox for drugs such as methamphetamine and cocaine also may involve benzodiazepine treatment to help calm clients who have taken these drugs. To date, the FDA has not approved medications for stimulant withdrawal.
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How Long Does Detox Take?
There is no set timeline for drug and alcohol detox due to the fact that the effects of these substances impact people differently and complications can be difficult to predict. Other factors include what kinds of substances were abused, the manner in which they were abused, and how much of the substances were abused. Generally, a detox can take three to seven days to complete. They also can take a week or longer. A physician can give a better idea once a client’s personal situation is reviewed.
Drug Detoxification Is a Three-Step Process
According to the Substance Abuse and Mental Health Services Administration, drug detoxification consists of three important steps. They are evaluation, stabilization, and fostering entry into drug treatment. The process ends when the clients are advised to enter a drug or alcohol treatment program that best fits their needs.
This the information-gathering stage. Tests are conducted to:
- Check for substances that are present in the bloodstream and measure the concentration and assess the level of use
- Screen for co-occurring mental and physical conditions
- Evaluate clients’ medical and psychological conditions and their social situation to determine the proper level of treatment after detoxification. The initial substance abuse treatment plan for the client is based on this evaluation
Clients receive assistance with their acute intoxication and withdrawal with the goal being to attain a medically stable, fully supported, and substance-free state. Medications may or may not be administered during this stage. Also, in this step, clients are introduced to what to expect in treatment and what role they play in their treatment and recovery. The involvement of their friends, family, employer, and others might be sought as well.
In this step, clients are prepared to start a substance abuse treatment program. Supportive staff members emphasize the importance of staying the course to complete the substance abuse treatment continuum of care.
The detoxification process is considered successful by whether the substance-dependent client enters, remains in, and completes a treatment/rehabilitation program. It is important to note that any drug or alcohol detoxification process that does not include all three steps listed and explained above is considered incomplete and inadequate by the consensus panel.
Inpatient Detox Programs
Detox programs can be customized to the needs and preferences of clients. Traditional programs are available as well as those that treat clients with nontraditional treatment approaches. If there’s time, do your research to find a program that best suits what you need and what you are looking for.
Detox is usually given in an inpatient setting. If you are experiencing severe withdrawal symptoms, an inpatient program is likely the better arrangement for you. Such a program offers 24-hour medical care and monitoring of vital signs. Inpatient detox can take place at residential rehab treatment centers, hospitals, dual-diagnosis treatment facilities, and medical detox centers. It also can be carried out at treatment centers that offer holistic and alternative treatments. After detox ends, a therapeutic follow-up program may be recommended.
What Is Rapid Detox and Does It Work?
The traditional drug or alcohol detox can take anywhere from days to weeks to complete. However, there is another method some clients use to speed up this process, and it is known as rapid detox. The word “rapid” is key to understanding how rapid detox works. In this process, clients are put under a general anesthetic and given medications intravenously to speed up the withdrawal process.
This fast detox, which usually takes place in a clinical setting, completes the substance elimination process in four to six hours while clients are under medical supervision. Clients then remain for another day or two as they recover. They also may be given naltrexone, a drug that blocks the effects of opiates/opioids and alcohol. They also may continue to receive this drug months after the procedure takes place. Some claim rapid detox effectively treats addiction to alcohol, opiates/opioids, and heroin, an illegal opioid.
There are claims that rapid detox helps clients avoid uncomfortable and life-threatening withdrawal symptoms, which could encourage more people to get addiction help. Clients are able to start their recovery sooner as the process goes quickly. Whether one wishes to undergo rapid detox is a personal decision. However, there appears to be disagreement over whether rapid detox is more effective than traditional detox procedures. There is also debate over whether it is safe.
Some observers say rapid detox can be effective for clients but that it should be followed up with a rehab treatment. Others say the opposite, claiming that this treatment treats only the physical part of addiction and leaves the psychological part of it untreated.
Rapid detox is an expensive process and generally is not covered by insurers. Risks include those that come with being put under anesthesia as well those affecting a person’s health. Heart attacks, infections, choking, nausea, vomiting, and death are also possible. There’s also the possibility of relapse if the treated person believes they can just get a rapid detox to clean them up after a post-treatment return to using.
Before choosing rapid detox, it is strongly advised that clients do their research. At Pathway to Hope, we support traditional detox methods for people wishing to recover from substance addiction.
What Happens After Detox?
After detox is finished, recovery from a substance addiction is just beginning. As mentioned above, it is the first step. If a person decides to enter a reputable rehabilitation center, they have a wide variety of programs and services to choose from. They can enter an inpatient or residential treatment program that offers a safe space to focus on their addiction that is highly structured and monitored by medical professionals 24 hours a day.
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In centers such as these, clients also can participate in individual or group counseling and a variety of therapies that help the client understand the psychological side of their addiction. They also can join a 12-step fellowship program such as Alcoholics Anonymous or Narcotics Anonymous, or an alumni program to help them stay connected to like-minded people who share their sobriety goals and avoid relapse.
Detox from Drug and Alcohol Addiction
If you or someone you know has tried everything to curb problematic drinking or end drug or alcohol addiction but can’t seem to stop, Pathway to Hope, based in Fort Lauderdale, Florida, can help you find the peace of mind that you’re seeking. Call us at 844-557-8575 or contact us online today so we can help you start detox at our sister facility, Arete Recovery and enroll in the right treatment program for you or someone you know. We also can walk you through the process to discuss your insurance needs and what treatment programs you are interested in. Don’t delay. If you need addiction treatment, get it now.