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Addiction detox is worth it

Addiction detox is a hard process, but it has a huge payoff. Once you make it through the physical and psychological obstacles of detox, you will find a new freedom waiting on the other side.

Sign up online

What is detox?

Detox is short for "detoxification." It generally refers to ridding the body of toxins and addictive or harmful substances. The goals of detoxification are to reduce the harm caused both by the substance and by withdrawal symptoms. This puts the individual into a good position to begin long-term recovery.

What is medical detox?

Medical detox, or medical detoxification, refers to going through the initial phase of acute withdrawal under the care of a medical team. For most people, this means going to an inpatient facility where their detox can be supervised. Sometimes this is part of a more extended rehab, but medical detox can also take place at a regular hospital. Telemedicine offers the ability to combine many of the benefits of medical detox (like medication-assisted treatment and expert advice) with the comfort of home detox for opioids. Workit Health affiliated clinicians do not offer an at-home medical detox program for alcohol at this time.

What is opioid detox like?

Opioid detox is extremely uncomfortable. For many people, the combination of physical pain and discomfort plus cravings can make it difficult to stick with their goal of quitting if they don’t have support during this stage. The good news is, support is available. There are medications available to mitigate the symptoms and cravings.

Here is a rough opioid withdrawal timeline: 

72 hours after your final dose of opioids::
  • Chills
  • Fever
  • Body aches
  • Diarrhea
  • Insomnia
  • Muscle pain
  • Nausea
  • Dilated pupils
This is the most intense phase of physical symptoms.
One week after your final dose of opioids:
  • Tiredness
  • Sweating
  • Body aches
  • Anxiety
  • Irritability
  • Nausea
The intensity of physical withdrawal will begin to lessen during this time. Remember that you are still in withdrawal, and take it easy on yourself. Be gentle and kind to your body and mind.
Two weeks after your final dose of opioids:
  • Depression
  • Anxiety
  • Irritability
  • Restlessness
  • Trouble sleeping
  • Cravings
As you move past the worst physical symptoms of withdrawal, you may begin to experience more emotional symptoms. Mental health matters, so it's important to pay attention to these mental and emotional symptoms and, if necessary, talk to your doctor about them.

What is alcohol detox like?

Because alcohol is widely available and often socially acceptable, many are surprised to learn how serious alcohol detox can be. It’s extremely uncomfortable for most, and life-threatening for some. Expect to feel physical and emotional symptoms for several days after your last drink.

Here is a rough alcohol withdrawal timeline

4 to 12 hours after the last drink (Common symptoms):
  • Sweating
  • Tremors (shaking)
  • Vomiting
  • Increase or decrease in blood pressure
  • Quick breathing
  • Irritability
  • Insomnia/trouble sleeping
  • Feelings of anxiety
  • Rapid pulse

These symptoms typically peak within 24 to 48 hours and usually diminish 5 to 14 days after the last drink.
12 to 24 hours after the last drink (Less common/more severe):
  • Hallucinations (seeing, hearing, or feeling things that aren’t there)
Hallucinations can last up to 2 days or longer. 
24 to 48 hours after the last drink (Less common/more severe):
  • Seizures
 
48 to 72 hours after the last drink (Delirium tremens):
  • Hallucinations
  • Mental confusion
  • Rapid mood changes
  • Energy bursts
  • Severe sweating
  • Fever/hyperthermia
  • Seizures, which can cause muscle contractions
  • Loss of consciousness
DTs don't occur for everyone, but can be fatal for 1 in 5 of the people who experience them. That number drops sharply for people who get medical help, so don't hesitate to get emergency assistance if these symptoms arise.

Some people experience more severe and dangerous symptoms. Seek medical attention if you experience symptoms past 12 hours.

Is it safe to detox from home?

At home opioid detox

For most people, it is safe to detox from opioids at home with proper preparation, like the detox kit listed below. Preparing yourself before you get dopesick will help you avoid a crisis when you’re withdrawing. You probably won’t feel up to running to the drugstore, so plan ahead. It can also be incredibly valuable to talk to a healthcare provider ahead of time about medication-assisted treatment that can help ease your withdrawal symptoms, like Suboxone (buprenorphine/naloxone), methadone, clonidine, or Zofran. If detox and withdrawal hit you hard, medication-assisted treatment can be the difference between relapse and entering long-term recovery.

At home alcohol detox

Because there is a danger of serious health concerns and even death, it's important to have other people support you while you detox from alcohol. It might be tempting to hole up by yourself and detox alone, but that's not a wise decision. If you have a history of DTs or if you want to taper off of alcohol over time, you should seek supervised medical detox instead of detoxing at home. If you do choose to detox at home, prepare a detox kit like the one listed below, and plan some time off. It can be very helpful to talk to a healthcare provider about medication-assisted treatment that can help ease your withdrawal symptoms, like gabapentin and topiramate, which are intended for other purposes but have been discovered to be helpful when prescribed off-label for some people with alcohol use disorder. Physicians also prescribe benzodiazepines—diazepam, chlordiazepoxide (Librium), clonazepam (Klonopin), etc.—to those in withdrawal from alcohol use.

At home detox kit

Make yourself a detox kit that includes:


Over-the-counter meds including Pepto Bismol for diarrhea, Tylenol for muscle cramps, and Benadryl or Dramamine for nausea.

Choose a comfy spot to hang out and stock up your toilet paper.

Get hydrating drinks like water, Pedialyte, Gatorade, or popsicles.

Get some Epsom salts for taking baths.

Recruit trustworthy friends or family members to check in on you.

Plan low-stress, comforting activities like shows or podcasts, coloring, gentle walks, and baths to keep your mind from spiraling.

Have a list of crisis and emergency resources on hand, just in case:

SAMHSA National Helpline: 1-800-662-4357 – the Substance Abuse and Mental Health Services Administration provides information services and treatment referrals in English and Spanish. 

Suicide Prevention Lifeline: 988 – The Lifeline will connect you with a trained crisis worker who can provide support and direct you to further resources. 

Crisis Text Line: 741741 – Connect with a trained crisis-support volunteer via text. They offer nonjudgmental support and can refer you to additional resources if necessary.

Make yourself a detox kit that includes:


Over-the-counter meds including Pepto Bismol for diarrhea, Tylenol for muscle cramps, and Benadryl or Dramamine for nausea.

Choose a comfy spot to hang out and stock up your toilet paper. Get hydrating drinks like water, Pedialyte, Gatorade, or popsicles. Get some Epsom salts for taking baths.

Recruit trustworthy friends or family members to check in on you. Plan low-stress, comforting activities like shows or podcasts, coloring, gentle walks, and baths to keep your mind from spiraling.

Have a list of crisis and emergency resources on hand, just in case:

SAMHSA National Helpline: 1-800-662-4357 – the Substance Abuse and Mental Health Services Administration provides information services and treatment referrals in English and Spanish. 

Suicide Prevention Lifeline: 988 – The Lifeline will connect you with a trained crisis worker who can provide support and direct you to further resources. 

Crisis Text Line: 741741 – Connect with a trained crisis-support volunteer via text. They offer nonjudgmental support and can refer you to additional resources if necessary.

Questions about treatment or pricing?

Request more info

The right care when you need it most

Effective addiction care isn’t one-size-fits-all. Workit Health provides personalized treatment tailored to your own goals. The gold standard of addiction care is now available to you in the privacy of home.

Medication for addiction

Like many other conditions, opioid and alcohol addiction can be effectively treated with medication.

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Attend secure video appointments and chat with your care team through the private Workit Health app.

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Join as many support and therapeutic groups as you like, and learn from an interactive library of courses.

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Read more about Suboxone risks and concerns

Suboxone (buprenorphine/naloxone) is indicated for the treatment of opioid dependence in adults. Suboxone should not be taken by individuals who have been shown to be hypersensitive to buprenorphine or naloxone as serious adverse reactions, including anaphylactic shock, have been reported. Taking Suboxone (buprenorphine/naloxone) with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants can cause breathing problems that can lead to coma and death. Other side effects may include headaches, nausea, vomiting, constipation, insomnia, pain, increased sweating, sleepiness, dizziness, coordination problems, physical dependence or abuse, and liver problems. For more information about Suboxone (buprenorphine/naloxone) see Suboxone.com, the full Prescribing Information, and Medication Guide, or talk to your healthcare provider. You are encouraged to report negative side effects of drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

All clinical and medical services are provided by licensed physicians and clinicians who are practicing as employees or contractors of independently owned and operated professional medical practices that are owned by licensed physicians. These medical practices include Workit Health (MI), PLLC; Workit Health (CA), P.C.; Workit Health (NJ), LLC; Workit Health (OH), LLC; Virtual Physician Practice (NY), PLLC; and any other Workit Health professional entity that is established in the future.

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Scottsdale, AZ 85257
fax (HIPAA): (833) 664-5441

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Walnut Creek, CA 94596
fax (HIPAA): (855) 716-4494

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Ste 210, #17
Jupiter, FL 33458
fax (HIPAA): (813) 200-2822

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fax (HIPAA): (855) 716-4494

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Ste 280
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Ste 117
Marlton, NJ 08053
fax (HIPAA): (609) 855-5027

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Albuquerque, NM 87110
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Holland, OH 43528
fax (HIPAA): (513) 823-3247

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Suite 100
Norman, OK 73069
fax (HIPAA): (855) 716-4494

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Houston, TX 77056
fax (HIPAA): (737) 738-5046

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Ste 107 #3, PMB 1963
Lakewood, WA 98499-3148.
fax (HIPAA): (833) 328-1407

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