Drug Detox: How It Works in Addiction Recovery

Medical Providers:
Dr. Michael Vines, MD
Alex Spritzer, FNP, CARN-AP, PMHNP
Clinical Providers:
Natalie Foster, LPC-S, MS
Last Updated: August 30, 2024

Drug detox is the primary step in addiction therapy. It includes clearing drugs and alcohol from the body. This stage is vital for anyone trying to defeat drug substance abuse. Detox helps people break their physical reliance on strong drugs. Still, detox alone is not enough for long recovery. Learning the detox process can help people prepare for what to expect.

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Understanding Drug Addiction

Drug dependence is a chronic condition. It impacts the brain and behavior. People facing addiction often struggle to control their drug intake. Addiction alters how the brain functions, especially in parts that manage reward and motivation.

Typical signs include strong urges, lack of control, and ignoring responsibilities. Individuals may also keep using drugs despite harmful outcomes. Physical signs may involve shifts in weight, sleep habits, and energy levels. These changes may seem mild at first but become clearer over time.

The substances misused can differ and may include alcohol, opioids, benzodiazepines, stimulants, and other kinds of drugs. Addiction can affect anyone and may be shaped by several factors such as:

  • Genetics
  • Environment
  • Mental health or other co-occurring medical conditions

What is Drug Detox?

Drug detox, also called detoxification, is the process of clearing harmful substances from the body. Detox is commonly used in addiction recovery, where people are working to stop using drugs or alcohol. The aim of detox is to manage withdrawal symptoms safely. It prepares both the body and mind for continued treatment.

Inpatient detox programs offer the highest level of care and are often advised for people with serious addictions or medical issues. Outpatient programs provide a more flexible setting and are suitable for individuals who can maintain sobriety outside a treatment center.

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Process of Medical Detox

Medical detox uses medications and medical supervision to help control withdrawal symptoms. Healthcare providers carry out detox in treatment settings such as hospitals, rehab programs, or dedicated detox centers. The detox process can differ based on the substance used and the person’s overall health.

The detox process usually includes several stages, such as:

  • Assessment: A medical specialist evaluates the person’s physical and mental health to decide the most suitable treatment plan.
  • Detoxification: Patients are carefully monitored while the body removes the harmful substance. Medications may be given to ease withdrawal symptoms.
  • Stabilization: After withdrawal symptoms lessen, the patient is guided toward physical and emotional stability.
  • Aftercare planning: A recovery plan is created to help patients maintain sobriety and address the root causes of addiction.

As noted earlier, medications can play an important role in drug detox by helping control withdrawal symptoms and lowering cravings. The exact medications used depend on the substance involved and the individual’s personal needs.

For certain drugs, a tapering approach may be applied. This means slowly decreasing the drug dose until the body is fully free of the substance. Common medications used to manage withdrawal during detox include:

  • Methadone
  • Buprenorphine
  • Naltrexone
  • Benzodiazepines
  • Antidepressants
  • Anti-nausea medications
  • Antidiarrheal medications

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Side Effects of Detox

Drug detox can be a difficult process, and it is important to understand the possible side effects. The effects of detox are usually linked to withdrawal symptoms, which may range from mild to severe.

Common symptoms include:

  • Nausea and vomiting
  • Diarrhea
  • Sweating
  • Insomnia
  • Changes in appetite
  • Headaches
  • Muscle aches and pains
  • Anxiety
  • Mood swings
  • Depression
  • Cravings

In more serious cases, symptoms may include hallucinations, seizures, and delirium tremens. Delirium tremens is a severe type of alcohol withdrawal that can become life-threatening if it is not treated properly.

Severe withdrawal, when untreated, may also raise the risk of medical complications such as heart and breathing problems, as well as organ failure involving the kidneys or liver.

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How Long Does It Take To Detox From Drugs?

The length of detox varies depending on several factors, including the type of drug, the amount used, and the individual’s health.

Different substances follow different detox timelines. For example, alcohol detox can begin within hours of the last drink. Opioid withdrawal may start within a few hours to a day after the final dose. Benzodiazepine withdrawal might not appear for several days.

The severity of the addiction and overall health of the person also affect the timeline.

General Timeline for Various Substances:

  • Alcohol: Detox can last from a few days up to a week, with severe cases taking longer.
  • Opioids: Withdrawal symptoms usually continue from a week to a month.
  • Benzodiazepines: Detox may take several weeks to months, especially if tapering is used.
  • Stimulants: Detox often lasts about a week, though some symptoms can persist longer.

Can I Detox at Home?

Detoxing at home might appear to be an option, but it can be very dangerous, especially for certain substances. Quitting cold turkey or detoxing without medical supervision carries serious risks.

Home detox often does not provide the medical support needed to handle severe withdrawal symptoms, which can lead to major health complications or even death. Emergencies can occur during withdrawal, and without immediate care, the person may be in significant danger.

Detoxing at home also lacks the support and structure needed to prevent relapse. Being in a familiar environment may expose individuals to triggers and temptations, increasing the chances of returning to substance use.

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How Much Does Medical Detox Cost?

The cost of medical detox can vary widely depending on several factors, including the type of facility, length of stay, level of care, and location.

Type of Facility

Inpatient detox centers offer 24/7 medical supervision and care, usually costing between $500 and $1,500 per day. A standard 5–7 day program can total $2,500 to $10,500.

Outpatient detox programs are less intensive, allowing patients to live at home while receiving treatment. Costs are typically lower, ranging from $250 to $1,000 per day, depending on the program and level of care.

Some centers provide extra services like counseling, holistic therapies, or luxury accommodations, which can raise the total cost.

Length of Stay

The overall cost is affected by how long a patient stays. Longer stays for severe addiction or withdrawal increase expenses.

Level of Care

Basic detox services with medical supervision and medication typically range from $1,000 to $5,000. High-level care, including specialized detox for substances like alcohol or benzodiazepines, or treatment for co-occurring mental health conditions, may cost $5,000 to $10,000.

Geographical Location

Facility costs vary by location. Urban areas or regions with higher living costs generally have more expensive programs than rural or less populated areas.

Insurance Coverage

Many insurance plans cover part or all of medical detox. Coverage depends on the specific plan, the facility’s network status, and the patient’s deductible and co-pays. Contact your insurance provider to confirm what costs are covered.

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Rapid Detox

Rapid detox is a medical procedure aimed at speeding up detoxification from opiates or opioids, including heroin, oxycodone, and morphine.

Unlike traditional detox, rapid detox seeks to remove the drugs from the body quickly, reducing the discomfort and withdrawal symptoms typically experienced.

How Rapid Detox Works

During rapid detox, the patient is placed under general anesthesia or heavy sedation. Doctors then administer medications such as naloxone or naltrexone to rapidly clear opioids from the system, while minimizing the usual intense withdrawal symptoms.

The procedure usually takes 4 to 6 hours, and patients remain under medical observation for a day or two afterward to monitor recovery and ensure safety.

After rapid detox, patients generally need additional support, including counseling, therapy, and rehabilitation programs. Aftercare is crucial for long-term sobriety and addressing the root causes of addiction.

Risks and Concerns of Rapid Detox

  • Medical Risks: Rapid detox can be dangerous, particularly for individuals with existing health issues. Complications may include heart attack, respiratory problems, infections, or even death.
  • Limited Evidence: Scientific support for rapid detox’s long-term effectiveness is limited. Some studies show relapse rates similar to traditional detox methods.
  • Cost: Rapid detox can be very expensive, often running into thousands of dollars, and is usually not covered by insurance.

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Treatment and Recovery After Detox

Detox alone is not enough for lasting recovery. While it addresses the physical side of addiction, it does not tackle the psychological or behavioral issues. Ongoing treatment helps people understand the underlying causes of their addiction and reduces the risk of relapse.

After detox, several treatment options are available. Inpatient rehab programs provide intensive therapy and support within a structured environment. Outpatient programs let individuals continue therapy while living at home. Both options offer access to individual counseling, group therapy, and support networks.

A strong support system is also essential for recovery. This includes family, friends, and support groups such as Alcoholics Anonymous or Narcotics Anonymous. Support systems offer encouragement and accountability, which are key to maintaining sobriety.

Finding Drug Detox Centers Near Me

If you or a loved one is struggling with substance abuse, our addiction treatment centers in Scottsdale, Arizona are available 24/7 for guidance and care. We provide comprehensive services, from medical detox to rehab and therapy tailored to your needs. Contact our team and begin your journey toward lasting recovery.

If you are outside Arizona, you can locate treatment centers near you using the SAMHSA Treatment Locator.

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