- Generic Name or Active Ingridient: Hydrocodone
Co-Gesic contains hydrocodone, a powerful opioid pain reliever. Hydrocodone is the most widely prescribed drug in the United States, with pharmacists filling more than 139 million prescriptions for products containing hydrocodone in 2010. While most people use Co-Gesic and other hydrocodone products as directed, nearly 10 percent of Americans use hydrocodone to get high or to treat a condition other than the one for which it was prescribed.
Anyone who uses Co-Gesic for therapeutic or recreational reasons may become physically dependent upon hydrocodone. According to the Institute of Addiction Medicine, almost 2 million Americans are dependent on opioids like the hydrocodone in Co-Gesic. An opioid-dependent person feels uncomfortable withdrawal symptoms when he stops using Co-Gesic. Doctors refer to this experience as detoxification.
Detoxification also refers to the medical process of helping someone endure withdrawal symptoms. These detoxification procedures include medications to ease diarrhea, muscle aches and other common withdrawal symptoms.
Detoxification facilitates the patient’s entry into a rehabilitation program and helps him remain there long enough to learn how to identify situations that may lead to drug abuse and how refuse drugs when the opportunity presents itself. Co-Gesic detoxification promotes abstinence and reduces relapse to drug use; it also reduces the frequency and severity of drug use episodes.
Co-Gesic detoxification improves the patient’s cognitive functioning along with his social and psychological well-being. Detoxification helps patients return to their former lives.
Types of Detox
More than 23 Americans needed treatment for drug and alcohol problems including Co-Gesic dependence in 2010. Of those who needed it, only about 11 percent of those received treatment in a specialty facility staffed with trained professionals; the rest went to a general hospital or psychiatric unit without trained staff.
Opioid dependence is a highly personal experience; choosing a Co-Gesic detoxification treatment plan requires an individualized approach. An opioid-dependent person has many treatment options including self-detoxification, outpatient detox or inpatient care. This treatment choice depends heavily on the length of the patient’s dependence on Co-Gesic, his medical condition, his ability to manage his own care and the amount of time he is able to invest in his own recovery.
Countless individuals try self-detoxification, or overcoming Co-Gesic withdrawal symptoms without medicine or professional guidance. Patients who attempt self-detoxification face five or more days of intense flu-like withdrawal symptoms.
Many people quit “cold turkey,” discontinuing Co-Gesic abruptly in hopes of withstanding the onslaught of withdrawal symptoms through sheer determination. Cold turkey refers to the skin’s appearance during self-detoxification: pale, cold and clammy with goose bumps, resembling a frozen turkey.
Many people try natural remedies to ease withdrawal symptoms, including acupuncture, meditation, yoga and massage. Others try a nutritional approach, using ginger and peppermint to relieve nausea, for example, or chamomile and cayenne to curb diarrhea.
One homemade treatment plan is The Thomas Recipe, which calls for Valium, Librium or Xanax to calm anxiety and promote sleep along with Imodium to curb diarrhea and L-Tyrosine for a burst of energy. Vitamin B6 and supplements along with hot baths soothe muscle aches and restless leg syndrome.
There is a growing need for detoxification services across the United States. Many local healthcare institutions address this need by offering various inpatient and outpatient programs to fit almost every need.
Medical detoxification includes medications to initiate detoxification, ease withdrawal symptoms, and reduce complications. Medical Co-Gesic detoxification also provides professional guidance and monitoring to improve the chances of success.
Outpatient Co-Gesic Care
Patients who have been dependent on Co-Gesic for more than one year and who require little supervision may choose outpatient care. Outpatient care providers take a comprehensive medical approach to Co-Gesic detoxification, prescribing medications and offering rehabilitation.
Outpatient clinics usually provide opioid-dependence maintenance programs through drug replacement therapy, or DRT, rather than detoxification services. DRT drugs are weak opioids that mimic the effects of Co-Gesic but do not produce the same level of euphoria. Methadone is the most well known DRT drug, but other maintenance drugs include buprenorphine, Suboxone and Subutex.
DRT does not detoxify the body or resolve dependence on opioids; DRT merely delays the detoxification process until the patient learns how to live without Co-Gesic. Once the patient has participated in a certain amount of behavior modification and counseling, he weans himself from the replacement drug by taking successively smaller doses further apart.
About 100,000 Americans use a methadone maintenance program as part of treatment for dependence on opioids such as Co-Gesic. Methadone patients come to approved methadone clinics to consume a beverage containing methadone. This dose of methadone will last 24 to 36 hours. Many outpatient methadone clinics offer vocational and educational services, recommend referrals to other services or provide support for family members.
A 2002 change in regulations allows doctors to prescribe buprenorphine for home use. Buprenorphine patients simply place the tablet under their tongues and allow it to dissolve. Patients take buprenorphine three times each week.
Suboxone and Subutex
Some recreational users abused buprenorphine by dissolving and injecting it. Drug makers responded by producing Suboxone and Subutex, brand name preparations of buprenorphine that also contain naloxone, sometimes referred to as Narcan. When injected, naloxone counteracts the effects of buprenorphine in a way that initiates detoxification and causes the individual to feel withdrawal symptoms. When taken as directed, naloxone has little to no effect.
Some patients respond to inpatient Co-Gesic detoxification more favorably than to outpatient care or self-detoxification. Inpatient treatment is appropriate for patients who have suffered an overdose and cannot therefore receive treatment safely in unmonitored care settings. Patients who are at high risk for severe withdrawal symptoms or complications can benefit from inpatient care, as can those whose co-existing medical conditions that make outpatient care unsafe. Those who have not engaged with or benefited from less restrictive programs may respond more favorably to inpatient care. Patients with psychiatric problems that impair their ability to participate in treatment, including those suffering depression with suicidal thoughts or acute psychosis, should seek inpatient Co-Gesic detoxification. Patients who exhibit behaviors that may pose a threat to themselves or to others should participated in inpatient therapy.
Inpatient programs treat the variety of withdrawal symptoms with multiple non-opioid medications. Doctors administer one drug for anxiety, another for diarrhea, a third for nausea and so on. This approach is superior to self-detoxification in that the withdrawal symptoms are less uncomfortable than quitting cold turkey and better than DRT because it does not prolong opioid-dependence.
Rapid Opiate Detox
Rapid opiate detox is a safe and effective procedure that rids the body of Co-Gesic while the patient rests in a comfortable “twilight sleep,” blissfully unaware of the grueling detoxification process. The rapid detox patient receives anesthesia and sedatives before doctors administer the standard detoxification and anti-withdrawal drugs. Rapid detox reduces both the discomfort and duration of the detoxification experience.
Our detox center: Who we are and what we do
We are a full-accredited hospital, staffed by board-certified anesthesiologists and staff workers who have received advanced training in rapid detox procedures. We take a humane approach to detoxification. We understand Co-Gesic dependence is a complex medical condition that requires an equally complex approach to treatment. Our physicians and staff members are compassionate - we do not condone patient suffering and do not believe in punishing an opioid-dependent person for their illness.
Our treatment plans are comprehensive and caring, from pre-admission screening to our after-care center. Doctors and nurses screen patients for pre-existing conditions and other factors that may cause complications. Specially trained and board-certified anesthesiologists administer medications and closely monitor the patient’s progress during Co-Gesic detoxification. Once stabilized, the patient may participated in after-care to improve his chances of success.
We have helped thousands of patients free themselves from the grips of opioid dependence since opening our doors more than a decade ago. Rapid detox is safe, effective and humane.
Co-Gesic Detox Comparisons
Our treatment center provides outstanding support for Co-Gesic detoxification and other therapies for opioid-dependence. We offer complete detoxification, not just drug replacement. We help patients stop using drugs altogether and do not merely trade one drug problem for another, as in some DRT programs.
We treat patients as people, not as drug addicts. Co-Gesic detoxification requires a thoughtful and compassionate approach that helps people regain control over their lives. We do our best to match the treatment to the patient’s physical, emotional and social needs to give him the best chance at success possible.
Possible Complications from Co-Gesic Detox
Detoxification from Co-Gesic may cause complications, especially in individuals with pre-existing medical conditions and in those who have used high doses of Co-Gesic for a long time. Prolonged and severe withdrawal symptoms may complicate Co-Gesic detoxification.
Complications from Self Detoxification
Patients who attempt self-detoxification lack the professional knowledge necessary to develop a safe and effective treatment plan. As the result, the patient may experience uncontrolled and prolonged bouts of vomiting and diarrhea severe enough to result in dangerous dehydration and imbalances of electrolytes such as sodium and potassium. The individual suffer aspiration, which is vomiting then inhaling the stomach contents. Aspiration may result in fluid in the lungs and lung infections.
Relapse is the greatest complication associated with Co-Gesic detoxification, especially for those who attempt self-detoxification. Without anti-withdrawal medications, many individuals relapse to Co-Gesic to halt the uncomfortable withdrawal symptoms.
Relapse increases the risk for serious or even fatal Co-Gesic overdose. Any amount of detoxification lowers the individual’s tolerance to opioid drugs, making him more sensitive to their effects and more vulnerable to overdose. It is possible for someone to overdose on a smaller amount of Co-Gesic than he used to take before experiencing even mild withdrawal symptoms.
Withdrawal symptoms could worsen pre-existing conditions. Without professional oversight, the interaction between withdrawal symptoms and pre-existing conditions could complicate and compromise the patient’s attempts at Co-Gesic detoxification.
Outpatient Therapy Possible Complications
Patients who participate in outpatient Co-Gesic care risk different complications; relapse rates are still high for DRT participants. Even with medications and professional guidance, relapse rate estimates for drug addiction range from 40 to 60 percent.
Many people have trouble weaning themselves from methadone or other replacement drugs. Harvard Medical School Publications estimate 25 percent of methadone users eventually abstain from drug abuse, another 25 percent continue to take the drug while 50 percent go on and off methadone forever.
Methadone is not 100 percent safe either. While prescription painkiller overdose kill more than 15,500 people every year in the United States, one-third of those overdoses included methadone.
Inpatient Detox Possible Complications
Inpatient care provides the most protection from dangerous complications but some risks remain. Patients who are dependent on Co-Gesic and another substance, such as alcohol or sedatives, may suffer complications from a wider variety and more intense withdrawal symptoms. Although it is a less likely complication, patients may become dependent on the drugs they receive for Co-Gesic detoxification.
Inpatients can still suffer aspiration and dehydration but close professional monitoring prevents these problems from turning into dangerous complications. Inpatient care reduces the immediate threat of relapse and overdose.
Rapid Detox Possible Complications
Rapid detox is a safe and efficient approach to Co-Gesic detoxification but, like other treatment programs, the rapid detox patient may experience complications. Rarely, the patient suffers an allergic reaction to the drugs used during the rapid detox procedure. Patients may experience complications caused by anesthesia or sedation. High doses of sedatives can cause problems with breathing, heart rate, and blood pressure. Anesthesia complications include infection, bruising or swelling at the injection site.
Careful administration and close professional monitoring reduces the chances these complications will be serious. A highly trained staff and high standards of professional care reduce the risk for and severity of complications of Co-Gesic detoxification.
Co-Gesic Detox Myths
Despite the wealth of scientific information available through the internet and doctor’s offices, there are still many myths about Co-Gesic detoxification. These myths prevent some people from seeking out professional Co-Gesic detoxification.
Self Detox Myths
Myth: Anyone can quit Co-Gesic at home if they have enough willpower.
Fact: Self-detoxification produces uncontrolled withdrawal symptoms that may result in dangerous or life threatening complications.
Myth: The Thomas Recipe makes self-detoxification safe and effective because it includes drugs.
Fact: Only a doctor has the medical knowledge and the legal power to prescribe safe and effective medications used specifically in the treatment of Co-Gesic dependence.
Outpatient Detox Myths
Myth: Methadone programs are more expensive than a prison sentence.
Fact: One year of methadone costs an average of $4,700 per patient. One year of imprisonment costs about $24,000 per person.
Myth: Methadone is the fast track to kicking the habit.
Fact: Methadone is a long-term solution to Co-Gesic dependence. Most physicians keep patients in methadone maintenance programs for a minimum of 12 months before discontinuing therapy.
Myth: Methadone and other replacement drugs cure drug problems.
Fact: DRT drugs do not cure Co-Gesic dependence. Patients must eventually quit taking the replacement drug and participate in some form of detoxification.
Myth: Outpatient Co-Gesic detoxification is as safe and effective as inpatient care.
Fact: Inpatient care providers monitor the patient more closely, treating complications as soon as they arise and reducing the risk for relapse.
Inpatient Detox Myths
Myth: Co-Gesic detoxification is pointless because drug abusers face higher relapse rates than people with other chronic conditions.
Fact: Relapse rates for drug addiction are similar to those of other chronic diseases, such as high blood pressure, diabetes or asthma.
Myth: The investment in Co-Gesic treatment is just not worth the cost.
Fact: Every dollar spent on drug treatment programs saved $4 - $7 in reduced drug-related crime rates, criminal justice costs and theft. Add in healthcare costs associated with drug dependence and this savings leaps to $12 for every dollar spent.
Rapid Detox Myths
Myth: Opioid-dependent patients should suffer during Co-Gesic detoxification as a form of punishment to deter relapse.
Fact: Patients do not have to suffer - dependence on opioids is a medical condition and not a crime. Patients benefit from humane procedures such as rapid detox, where they enjoy a pleasant twilight sleep instead of enduring endless days of detoxification.
Myth: Medical detoxification takes eight or more hours.
Fact: A team of highly trained and skilled anesthesiologists and nurses can perform rapid detox in only one to two hours.
Co-Gesic Detox and Pregnancy
Co-Gesic dependence puts pregnant women and their unborn babies at risk for developing complications during pregnancy and after delivery. Chronic Co-Gesic use affects a woman’s health, making her more susceptible to complications during pregnancy. Dependence on Co-Gesic and other opioids often force the dependent person to live an unhealthy lifestyle; these lifestyle choices can have a negative impact on a pregnant woman and her unborn baby.
As compared to women who are not dependent on Co-Gesic, opioid-dependent women suffer a higher incidence of anemia, infections in the bloodstream, swelling, heart problems and mental disorders, including depression. Opioid-dependent women may develop gestational diabetes, where a pregnant woman has trouble controlling her blood sugar. Opioid-dependent women have a higher incidence of hepatitis, high blood pressure, fast pulse, pneumonia, poor dental hygiene and urinary problems. Chronic drug abuse increases the risk for contracting and spreading infectious diseases, including sexually transmitted diseases, herpes, HIV/AIDS, and tuberculosis.
Opioid dependence increases the risk for complications during pregnancy, including inflammation of the membrane surrounding the baby, hemorrhage and separation of the tissue between the placenta and uterine wall. Other complications may develop, including slow growth of the fetus, premature labor and delivery, spontaneous abortion and death of the fetus. Methadone reduces these complications.
A baby born to a woman who uses Co-Gesic regularly during pregnancy will be born opioid-dependent and suffer neonatal abstinence syndrome, or NAS, after delivery. A baby with NAS suffers withdrawal symptoms in the first days or weeks of life. These babies tend to have low birth weight and experience seizures, breathing problems and feeding difficulties. Death may occur.
Self Detox and Pregnancy
Self-detoxification is unsafe for pregnant women. Detoxification can worsen the complications associated with opioid-dependence in a way that can cause dangerous or fatal consequences to the mother or baby. Pregnant women should never attempt Co-Gesic self-detoxification.
Outpatient and Pregnancy
Methadone maintenance is currently the only approved treatment plan for opioid-dependent pregnant women. If a woman is not already taking methadone when she becomes pregnant, she should initiate methadone treatments as an inpatient, where hospital staff can properly evaluate and monitor her condition. Inpatient care providers will routinely monitor fetal movement to ensure the baby is tolerating methadone treatments. This initiation to methadone treatments usually lasts three days; the pregnant woman then continues methadone maintenance as an outpatient.
A woman may choose to start methadone treatments as an outpatient. Her physician will likely start her out on 10 mg to 20 mg of methadone each morning and ask her to return each evening for evaluation. The physician may increase the dosage by 5 to 10 mg, depending on the patient’s needs and response to treatment. The doctor will continue to raise the dosage until he has stabilized the patient’s condition, usually within 48 to 72 hours of the first dose. Pregnant women who start methadone treatment as outpatients should seek outside testing for fetal movement to make sure the baby is tolerating methadone treatments.
During the later stages of pregnancy, a woman’s body deals with methadone differently. She may experience withdrawal symptoms and require higher doses of methadone. Physicians will guide patients through dosage increases safely and effectively, providing complete coverage for withdrawal symptoms while avoiding toxic doses.
Inpatient Care and Pregnancy
Detoxification is not safe for pregnant women or their unborn babies. Pregnant women should participate in methadone maintenance programs. Inpatient programs play a vital role in initiating methadone treatments and monitoring fetal movement to ensure the safety of pregnant women and their babies.
Co-Gesic Detox Symptoms
An opioid-dependent person suffers withdrawal symptoms a few hours after his last dose of Co-Gesic. These uncomfortable symptoms persist for five or more days before fading. Co-Gesic withdrawal symptoms do not reappear unless the individual again becomes opioid-dependent.
Co-Gesic detoxification causes withdrawal symptoms to appear in two phases. In the early stages of Co-Gesic detoxification, patients may be agitated, anxious and have trouble sleeping. Other early withdrawal symptoms include muscle aches, watery eyes, runny nose, sweating and yawning.
Later, the patient may suffer stomach cramps, nausea and vomiting. Other late Co-Gesic withdrawal symptoms include wide pupils and goose bumps.
What is the best method to detox from Co-Gesic?
Everyone experiences dependence on Co-Gesic differently so no single treatment is right for everyone. Patients should choose the least restrictive setting that still delivers safe and effective treatment. Treatment should reflect the patient’s ability to cooperate and benefit from the treatment plan offered, his ability to refrain from substance abuse and his need for structure and support. Consumers should inform themselves about the different options available to them - please contact us for more information.