Drug and Alcohol Detoxification
Opiate drugs such as heroin and methadone, and prescription medications including Hydrocodone, Oxycontin, Xanax, Vicodin and Lortab, require medical detox supervision. There are however, other illegal drugs such as marijuana, crystal methamphetamine, and cocaine that do not require medical detox. Since there is psychological dependence associated with these drugs, it would be wise to complete a period of stabilization.
The process of drug detox requires the
patient to be closely monitored by keeping vital signs, giving
support and administering medications if needed. There are
numerous withdrawal symptoms or side effects when a patient
stops or dramatically reduces drugs after heavy or prolonged
use. Those side effects include: sweating, shaking, headaches,
drug cravings, nausea, vomiting, abdominal cramps, diarrhea,
sleeplessness, confusion, agitation, depression, anxiety, and
other behavioral changes.
There are two commonly used drugs to enable the patient to feel
relief from these symptoms. First, Klonepin, which reduces
physical symptoms, and Buprenophex, which is an anticonvulsant.
These drugs must also be monitored as cessation produces
withdrawal symptoms. Generally, the time period for drug detox
is three to seven days under medically monitored supervision.
Alcohol detox, like drug detox, is usually accomplished in an
inpatient medical facility. Duncan Raistrick identifies the key
to a successful, planned detoxification is preparation.
Raistrick goes further to detail that the first job of therapy
is to bring the patient to a point of readiness to change their
drinking behavior. Second, patients need to be given accurate
information about what to expect during detoxification.2
There are two withdrawal categories: minor, meaning early
withdrawal and major, meaning late. The severity of withdrawal
depends greatly on the duration of alcohol used.3 Alcohol
Withdrawal Syndrome (AWS) falls into three main categories:
central nervous system (CNS) excitation, excessive function of
the autonomic nervous system (ANS), and cognitive dysfunction.5
Richard Saitz, M.D., M.P.H., states, since alcohol enhances
gamma-aminobutyric acid's (GABA) inhibitory effects on
signal-receiving neurons, neuronal activity is lowered. This
lowering leads to an increase in excitatory glutamate receptors.
Tolerance occurs as GABA receptors become less responsive to
neurotransmitters, which in turn requires more alcohol to
produce the same inhibitory effect. During detox, the GABA is
ineffective and unable to suppress the excitatory glutamate
receptors.6 Detox is intended to relieve physical symptoms such
as: shaking or tremors, headaches, vomiting, sweating,
restlessness, loss of appetite, sleeplessness, Delirium Tremens
(DT’s), hyperactivity, and convulsions. Alcohol detox
medications are similar to drug detox medications: Buprenophex,
certain benzodiazepines and anticonvulsant medications. Alcohol
detox completion can take from three to fourteen days.
Norman S. Miller notes that medical management of alcohol and
drug withdrawal during detoxification often is not sufficient to
produce sustained abstinence from recurrent use. Therefore,
further addiction treatments are needed to prevent relapse to
alcohol and drug use following treatment of withdrawal.
In conclusion, drug and alcohol detoxification can effectively
prepare the addicted abuser for rehabilitation and treatment.
Some physicians believe the withdrawal phase is related closely
to the drug addiction - the worse the withdrawal, the more
likely the continued use of the chemical to prevent withdrawal.
Several factors are key to successful detoxification.
1. Acknowledge that there is a problem and decide to do
something about it.
2. Get rid of all the drugs and paraphernalia.
3. Drop friends and associates that are tied to our drug
problem.
4. Seek and accept spousal support, or support from friends, or
relatives.
5. Prepare for symptoms with the support of a professional.
6. If tranquilizer drugs are needed for a few days or longer,
they must be handled sensitively, as one addiction can easily
replace another.
If you or a loved one need help immediately, please do call us as soon as possible. We are always on call and willing to help if given the opportunity. Please call The Awakening at 1-877-888-9858 .
