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Certain illegal drugs, such as heroin, are also opioids. Methadone is an opioid that is often prescribed to treat pain, but may also be used to treat withdrawal symptoms in people who have become addicted to opioids.
Many systems in your body are altered when you take large amounts of opioids for a long time. Withdrawal effects occur because it takes time for your body to adjust to no longer having opioids in your system.
Opioid withdrawal can be categorized as mild, moderate, moderately severe, and severe. Your primary care provider can determine this by evaluating your opioid use history and symptoms, and by using diagnostic tools like the Clinical Opiate Withdrawal Scale.
Opioids attach themselves to opioid receptors in the brain, spinal cord, and gastrointestinal tract. Whenever opioids attach to these receptors, they exert their effects.
The brain actually manufactures its own opioids, which are responsible for a whole host of effects, including decreasing pain, lowering the respiratory rate, and even helping to prevent depression and anxiety.
However, the body does not produce opioids in large quantities — that is, enough to treat the pain associated with a broken leg.
Also, the body never produces opioids in large enough quantities to cause an overdose. Opioid medications and illegal drugs mimic these naturally occurring opioids.
When you take opioid medication for a long time, your body becomes desensitized to the effects. Over time, your body needs more and more of the drug to achieve the same effect.
This can be very dangerous and increases your risk of accidental overdose. Prolonged use of these drugs changes the way nerve receptors work in your brain, and these receptors become dependent upon the drug to function.
Many people become dependent on these drugs in order to avoid pain or withdrawal symptoms. They may mistake withdrawal for symptoms of the flu or another condition.
The symptoms you experience will depend on the level of withdrawal you are experiencing. Also, multiple factors dictate how long a person will experience the symptoms of withdrawal.
Because of this, everyone experiences opioid withdrawal differently. Early symptoms typically begin in the first 24 hours after you stop using the drug, and they include:.
Although very unpleasant and painful, symptoms usually begin to improve within 72 hours, and within a week you should notice a significant decrease in the acute symptoms of opiate withdrawal.
Babies born to mothers who are addicted to or have used opioids while pregnant often experience withdrawal symptoms as well.
The amount of time your symptoms last depends on the frequency of use and severity of the addiction, as well as individual factors like your overall health.
For example, heroin is typically eliminated from your system faster, and symptoms will start within 12 hours of last use. Some specialists point out that recovery requires a period of at least six months of total abstinence, during which the person may still experience symptoms of withdrawal.
To diagnose opioid withdrawal, your primary care provider will perform a physical examination and ask questions about your symptoms.
They may also order urine and blood tests to check for the presence of opioids in your system. You may be asked questions about past drug use and your medical history.
Answer openly and honestly to get the best treatment and support. Opioid withdrawal can be very uncomfortable, and many people continue taking these drugs to avoid unpleasant symptoms, or they try to manage these symptoms on their own.
However, medical treatment in a controlled environment can make you more comfortable and lead to a greater chance of success. Mild withdrawal can be treated with acetaminophen Tylenol , aspirin, or nonsteroidal anti-inflammatory drugs NSAIDs such as ibuprofen.
Plenty of fluids and rest are important. Medications such as loperamide Imodium can help with diarrhea and hydroxyzine Vistaril, Atarax may ease nausea.
More intense withdrawal symptoms may require hospitalization and other medications. One medication used primarily in the inpatient setting is clonidine.
Clonidine can help reduce the intensity of withdrawal symptoms by 50 to 75 percent. Clonidine is especially effective at reducing:. Suboxone is a combination of a milder opioid buprenorphine and an opioid blocker naloxone that does not produce many of the addictive effects of other opioids.
The opioid blocker works mostly in the stomach to prevent constipation. If injected it will cause immediate withdrawal, so the combination is less likely to be abused than other formulations.
When taken by mouth, this combination can be used to treat symptoms of withdrawal and can shorten the intensity and length of detoxification from other, more dangerous, opioids.
Methadone can be used for long-term maintenance therapy. Rapid detoxification is rarely done. It is done under anesthesia with opioid-blocking drugs, such as naloxone or naltrexone.
Additionally, vomiting often occurs during withdrawal, and the potential of vomiting under anesthesia greatly increases the risk of death.
Because of this, most doctors hesitate to use this method, as the risks outweigh the potential benefits. The first list is the emotional withdrawal symptoms produced by all drugs.
You can experience them whether you have physical withdrawal symptoms or not. The second list is the physical withdrawal symptoms that usually occur with alcohol, opiates, and tranquilizers.
Alcohol and tranquilizers produce the most dangerous physical withdrawal. Suddenly stopping alcohol or tranquilizers can lead to seizures, strokes, or heart attacks in high risk patients.
A medically supervised detox can minimize your withdrawal symptoms and reduce the risk of dangerous complications. Some of the dangerous symptoms of alcohol and tranquillizer withdrawal are:.
Withdrawal from opiates like heroin and oxycontin is extremely uncomfortable, but not dangerous unless they are mixed with other drugs.
Heroin withdrawal on its own does not produce seizures, heart attacks, strokes, or delirium tremens. The first stage of withdrawal is the acute stage, which usually lasts for a few weeks.
The second stage of withdrawal is the post-acute stage. Learn more about that on the next page. If you are going through drug or alcohol withdrawal there is treatment and hope.
Many people have sought addiction treatment and have changed their lives. There are many medical and non-medical withdrawal units and detox programs.
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