Schuylkill / Drug detox
1Opioids, benzodiazepines, stimulants, medications
Drug detox Pennsylvania
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Drug detox manages acute withdrawal when someone who's addicted to a substance stops using it abruptly.
Drug detox is a method of managing this acute stage and making it as safe and comfortable as possible for the individual in recovery to get through.

What Is Drug Detox?
Drug detox manages acute withdrawal when someone decides to stop using a substance. It may be performed in an inpatient or outpatient setting depending on the severity of withdrawal symptoms. People with severe withdrawal symptoms, such as seizures or hallucinations, should always seek medical supervision for their drug detox.
People who abuse substances can develop a tolerance, which is when they need more and more to get the same effect. A person might also build up a physical dependence on drugs. This means that when someone tries to stop taking drugs after using them for an extended period of time, they may experience withdrawal symptoms, such as nausea or anxiety.
Medical professionals can manage and treat the uncomfortable physical and psychological symptoms of withdrawal during this process. A thorough assessment from a doctor will help determine the best plan of care to meet your needs.
Is Detox the Same as Addiction Treatment?
Detox alone is not the same as addiction treatment. The goal of detox is to help you manage withdrawal symptoms while quitting a drug. But it does not address other issues that lead to addiction, such as underlying mental health concerns and environmental factors.
In most cases, a doctor will recommend that you go into a rehab program after completing a detox process. In rehab, you'll have access to ongoing counseling and medication-assisted treatment (MAT). You can also work on coping skills to avoid relapsing in the future.
The main difference between a detox center and a rehab facility has to do with the focus of each service. A detox center provides medical assistance that aims to help you manage withdrawal symptoms so that you can quit taking drugs or alcohol safely. It's often considered an introduction to the recovery process.
Rehab centers, on the other hand, provide comprehensive treatment programs designed to address all aspects of substance abuse.
Opioid Withdrawal and Detox
Opioid withdrawal symptoms usually start within 12 hours of stopping or cutting back on your opioid use. Symptoms may be mild to severe. The severity depends on how long you have been using opioids and in what doses, how fast you cut back or stop taking the drug, and whether other drugs are involved. The most common symptoms include:
- anxiety
- diarrhea
- abdominal cramping
- goosebumps
- muscle aches
- nausea
- vomiting
- insomnia
- agitation
- sweating
Opioid withdrawal is not usually life threatening. However, some medicines can help make it easier to get through withdrawal symptoms.
Methadone and buprenorphine are both used for detoxification (getting through opioid withdrawal) and for maintenance treatment (taking them long-term). Maintenance treatment can help people with OUD recover, stay on the path of recovery, and avoid relapse.
Benzodiazepine Withdrawal and Why Medical Supervision Matters
Benzodiazepine withdrawal can include seizures if not managed properly in a medical setting. Detox is not intended to be long-term, but rather it is an important first step towards recovery.
Withdrawal from benzodiazepines can be quite intense, especially if you have been taking them for a prolonged period of time or at high doses. You may experience symptoms like headaches, dizziness, insomnia, anxiety, muscle pain and nausea. These are common withdrawal symptoms, but they're not the only ones. Seizures can occur during benzodiazepine withdrawal.
Benzodiazepines are prescription drugs that have a calming effect on the central nervous system. They are often used to treat anxiety, panic attacks and insomnia. Some common examples of benzodiazepines include:
- Alprazolam (Xanax)
- Diazepam (Valium)
- Lorazepam (Ativan)
Stimulant Withdrawal: Cocaine and Methamphetamine
Stimulant withdrawal often brings depression. Other signs include increased appetite, sleepiness, and a slower pace of speech and movement. Symptoms usually peak two or three days after last use.
Some people who try to stop using stimulants on their own develop severe depression as part of their withdrawal. In some cases, this depression is so intense that it can cause suicidal thoughts. If you have any thoughts about hurting yourself or someone else, get help right away.
Cocaine and methamphetamine withdrawal can include increased appetite, fatigue, depression, and irritability. There is no FDA-approved medication for cocaine or methamphetamine use disorders.
Medications Used During Drug Detox
Methadone maintenance is available through specially licensed treatment programs called opioid treatment programs (OTPs). These programs are also sometimes called methadone maintenance programs.
Methadone works by binding to the opioid receptors in the brain. This blocks or reduces withdrawal symptoms without producing a "high". The most important benefit of methadone is that it can stop people from feeling the painful effects of withdrawal.
Buprenorphine, in combination with naloxone, has been approved for use in the treatment of opiate addiction as an office-based treatment. Buprenorphine alone is also effective and may be used in office-based practice as well.
Naltrexone is an oral medication that blocks the effects of opioids. It is only available when patients have been opioid-free for at least 7-10 days. Naltrexone has no abuse potential and thus is safe for use in individuals who are not dependent on opioids. It is available as a pill, and a long-acting injectable form of naltrexone that lasts for one month is also available.
Clonidine is a non-opioid drug prescribed to ease withdrawal symptoms from opioids. It may be prescribed alone or in combination with buprenorphine.
Hospital, Non-Hospital, and Outpatient Detox
Hospital detox and non-hospital detox differ depending upon the withdrawal symptoms that are expected from an individual patient. Hospital detox provides 24/7 nursing and medical staff, including doctors, to help manage acute symptoms. Non-hospital detox provides a minimum of 24-hour observation and medical staff available on call if needed. Both types offer medication-assisted treatments for alcohol, benzodiazepine, and opiate withdrawal. Outpatient detox is usually reserved for people who are medically stable with mild-to-moderate withdrawal symptoms and can tolerate the discomfort of the detoxification process.
There are many options in Pennsylvania to help you get through the difficult period of withdrawal from drugs. You may also be able to receive medication-assisted treatment, which can ease the symptoms of withdrawal.
How Long Does Drug Detox Take?
How long drug detox takes depends on a variety of factors including:
- The type of drug used
- The amount of time the substance has been abused
- The severity of the addiction
- The overall health of the individual
A person who needs to go through detox will experience symptoms during their recovery. These can include intense physical and emotional side effects like sweating, vomiting, and insomnia.
In some cases, a doctor may prescribe medication for drug detox that lessens or eliminates these symptoms and helps them safely recover. Detoxification doesn't cure addiction but is the first step to long-term treatment, recovery, and overall well-being.
Risks of Detoxing at Home
Detoxing at home without medical supervision can be dangerous. You may experience severe symptoms, such as seizures or delirium, that require emergency care. It is possible to go into withdrawal and then resume using the drug you were trying to quit because of the extreme pain you feel during detox. This could cause you to overdose on a smaller amount than you usually use.
Detoxing at home can also increase your chances of relapse if you are not getting the support you need or have cravings for the substance while you are withdrawing from it. If you want to stop using drugs, it's best to seek help from a health care provider who specializes in treating addiction disorders. They will be able to monitor any possible complications and provide support throughout the entire process.
It is especially dangerous if you detox from alcohol or benzodiazepines since these substances have the highest risk for causing serious complications during withdrawal.
Detoxing from opioids at home is dangerous. Do not stop taking an opioid without talking with your doctor first.
Detoxing from benzodiazepines at home is dangerous. Do not stop taking a benzodiazepine without talking with your doctor first.
Signs and symptoms that you are withdrawing from a benzodiazepine include:
- Trembling
- Nausea
- Vomiting
- Seizures
Inpatient or outpatient detoxification programs provide supervision during the withdrawal period. During medically supervised detox, patients receive medications to help with the physical symptoms of opioid withdrawal.
Detoxification is not enough to treat a substance use disorder; it only addresses the physical dependence on opioids and benzodiazepines. Patients must also address any mental health conditions and learn new coping skills to prevent relapse.
Overdose Risk After Detox and Naloxone
After detox, opioid tolerance drops and overdose risk goes up. This is why it's so important to continue with treatment after detox.
The opioid overdose death rate is highest in those who have recently detoxed from opioids.
If you are at risk of an opioid overdose, then the naloxone standing order is for you. This helps keep people alive until emergency help arrives.
Naloxone can be administered by first responders, EMS personnel, and bystanders at risk of an opioid overdose to prevent deaths due to opioid overdoses. It is effective at reversing overdose caused by illicitly obtained opioids such as heroin or illegally produced fentanyl, as well as prescription opioids and opioid medicines. Naloxone does not work for people who are overdosing on stimulants like cocaine or methamphetamine.
Paying for Detox in Pennsylvania: Medical Assistance, Insurance, and County Funding
In Pennsylvania, Medical Assistance can cover detox costs. Medicaid is a joint federal-state program that provides health coverage to low-income Pennsylvanians. In addition to covering healthcare expenses, it also pays for behavioral health care including mental health and substance use disorder treatment.
Detox may be covered through private insurance if you have an insurance plan that includes mental health or substance abuse treatment.
Finally, if you don't have Medical Assistance, Medicaid, or insurance, your county may be able to help with payment depending on your financial situation. Your local County Assistance Office determines eligibility for Medical Assistance.
If you have Medical Assistance, detox may be covered as a medically necessary service. And if you don't qualify for coverage, or your insurance doesn't cover it, you can apply to your county for financial assistance.
How to Get Into Detox in Pennsylvania
To get into detox, start with your local drug & alcohol office (SCA). They should be able to direct you to a detox bed. If not, they can help find you an assessment appointment at one of their provider agencies. In most cases this will be your first step.
A referral from your BH-MCO or SCA can help get you connected to a detox bed. When calling these agencies, the intake counselor will walk you through an assessment process to determine which level of care would best serve your needs. Once you've been assessed as needing inpatient detox, they should be able to find you an available bed.
County SCAs assess and refer people who require detoxification or treatment for a substance use disorder (SUD) based upon their need for services.
What Happens After Detox
After detox, most people need ongoing treatment in outpatient counseling, intensive outpatient treatment, or residential programs. In these settings, you can address the issues that led to your addiction and learn how to cope with cravings, avoid drugs, and improve your life style. You can also work on building your personal strengths so you will be more confident in making positive changes. You may find help for mental disorders such as depression, anxiety, or post-traumatic stress disorder.
Detoxification removes the drug from your system. The physical symptoms that accompany withdrawal are typically uncomfortable and often painful. During this period of detoxification or withdrawal, it's critical to be closely monitored by a doctor or in a medical facility.
Once you have finished detoxification, you will start the actual drug treatment. During this phase of treatment, you will learn how to change your habits and behaviors so that you no longer engage in drug abuse. Drug counseling or behavioral therapy will teach you how to deal with everyday situations without using drugs.
Detox is only a first step in the process of recovery from substance abuse disorders, such as addiction. To be successful, individuals who are abusing drugs must enter into long-term treatment after detoxification, and this can take place on an inpatient or outpatient basis. The type of treatment that will be most beneficial for any individual depends on his or her specific needs and the nature of the drug being abused.
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