- Generic Name or Active Ingridient: Propoxyphene
Darvocet contains the powerful opioid pain reliever, propoxyphene. Doctors prescribe Darvocet to treat mild to moderate pain. While most people use Darvocet and other opioids as directed, about 5 million Americans use painkillers like Darvocet to get high or to treat a condition other than the one the prescribing physician had intended to treat.
Anyone who uses Darvocet regularly to get high or relieve pain can become physically dependent on opioids. There are currently about 2 million opioid-dependent Americans.
An opioid-dependent person suffers withdrawal symptoms when he stops using Darvocet. With continued opioid use, his body starts to rely on a certain level of propoxyphene to feel “normal.” When propoxyphene levels drop drastically, the opioid-dependent body struggles to adjust. Doctors refer to this as detoxification. Darvocet detoxification causes withdrawal symptoms.
Detoxification also refers to the medical process of lowering opioid levels and easing withdrawal symptoms. Most Darvocet detoxification procedures include medications to curb diarrhea, soothe muscle aches and promote relaxation.
Detoxification helps the patient achieve a drug-free state. Detoxification also facilitates her entry into a rehabilitation program and helps her stay there long enough to gain the tools she needs to live a drug-free life. Rehabilitation helps patients identify situations that lead to drug abuse and empowers them to refuse drugs when given the opportunity. Darvocet detoxification promotes abstinence, reduces the risk for relapse and decreases the frequency and severity of drug episodes when relapses do occur.
Darvocet detoxification clarifies the patient’s thought processes and improves his occupational, social and psychological well-being. Darvocet detoxification helps patients restore their former lives.
Types of Detox
There is a widespread need for detoxification services. In 2010, more than 23 Americans needed help overcoming drug and alcohol problems such as dependence on Darvocet. Of the people who needed treatment, only about 11 percent received help from a specialty facility staffed with trained professionals; everyone else went to a local hospital or mental health facility that do not employ a staff trained in detoxification procedures.
Patients can choose from a variety of approaches to Darvocet detoxification, including self-detoxification, outpatient and inpatient care. Her ultimate choice will depend largely on her personal needs, including her ability to manage her own care and the amount of time she is able to invest in her own recovery. Her decision may reflect her pre-existing medical conditions, family responsibilities and work schedules. Self-detoxification, outpatient maintenance programs and inpatient Darvocet detoxification procedures are all viable choices for the opioid-dependent patient.
It is tempting to think Darvocet detoxification is only a matter of self-discipline. Many people believe they can overcome Darvocet withdrawal symptoms alone, without the help of medicine or professional guidance. Doctors refer to this as self-detoxification.
Some people quit “cold turkey,” discontinuing Darvocet suddenly in hopes of enduring withdrawal symptoms long enough to achieve a drug-free state. The phrase cold turkey refers to the way an opioid-dependent person skin resembles a plucked bird during Darvocet detoxification: pale, cold and clammy with goose bumps.
Some opioid-dependent people take a natural approach to Darvocet detoxification by participating in acupuncture, meditation, yoga or massage. Others take a nutritional approach and use ginger or peppermint to relieve nausea, for example or chamomile and cayenne to ease diarrhea.
Many people take a medical approach and devise homemade treatment plans that include medications to reduce withdrawal symptoms. One such treatment plan is The Thomas Recipe, which calls for Valium, Librium, Xanax, or another drug to calm anxiety and promote sleep along with Imodium to slow diarrhea and L-Tyrosine for a burst of energy. The Thomas Recipe recommends Vitamin B6 and supplements along with hot baths to soothe muscle aches and restless leg syndrome.
Many patients benefit from a professional medical approach to Darvocet detoxification. Medically assisted Darvocet detoxification procedures use drugs that stabilize the patient’s condition or initiate detoxification, ease withdrawal symptoms and reduce complications. Patients may choose from medically assisted Darvocet detoxification and maintenance programs offered by local outpatient and inpatient facilities.
Outpatient Darvocet Care
Individuals who have been dependent on Darvocet for more than a year and who require little supervision may opt for outpatient treatment. Outpatient care works best for those who are able to work and take care of personal responsibilities while engaging in meaningful rehabilitation for opioid-dependence.
Outpatient clinics typically offer drug maintenance programs rather than detoxification services. Approved outpatient clinics offer drug replacement therapy, or DRT, that allow the patient to delay the detoxification process while they learn how to live without Darvocet. DRT drugs are opioids and, as such, mimic the effects of Darvocet enough to prevent withdrawal symptoms. DRT drugs do not produce the same degree of euphoria that makes Darvocet attractive to recreational users, making DRT drugs a suitable replacement for Darvocet. Methadone, buprenorphine, Suboxone and Subutex are approved for use as DRT drugs in the United States.
DRT does not detoxify the body to put the patient in a drug-free state - DRT merely delays the detoxification process. The patient must eventually quit the replacement drug and face withdrawal symptoms associated with detoxification. Doctors recommend patients wean themselves from opioids and DRT drugs by taking successively smaller doses further apart.
The FDA approved methadone for use in the treatment of opioid dependence in 1972. These days, about 100,000 Americans participate in a methadone maintenance program. These patients come to a methadone clinic every two to three days to drink a beverage containing methadone. The effects of methadone last for 24 to 36 hours. Outpatient methadone clinics typically offer vocational and educational services, recommend referrals to other services or provide support for family members to further improve the patient’s chances for success.
Doctors have been prescribing buprenorphine for home use since 2002. Patients place the buprenorphine tablet under their tongues and wait for it to dissolve. Patients use buprenorphine three times each week. While buprenorphine is generally safer than other opioids, some recreational users abused this drug by dissolving and injecting it to get high.
Suboxone and Subutex
Drug makers responded to buprenorphine abuse by producing Suboxone and Subutex, which are brand name preparations of buprenorphine that also contain naloxone, sometimes referred to as Narcan. When dissolved under the tongue as directed, naloxone has little to no effect but when injected, naloxone counteracts the effects of buprenorphine in a way that initiates detoxification and causes the individual to feel withdrawal symptoms.
Inpatient care gives patients a medical advantage through medicines and close professional observation. Inpatient Darvocet detoxification is appropriate for those who wish to improve their chances for success and for those who are at high risk for severe withdrawal symptoms or complications. Inpatient care is suitable for patients who have not responded to less restrictive programs.
Darvocet detoxification is unsafe outside of inpatient settings in some cases. For example, physicians will always admit overdose patients for advanced inpatient care. Inpatient Darvocet detoxification is safer for patients with severe psychiatric issues that prevent them from fully participating in outpatient treatment, including those suffering from acute psychosis or depression with suicidal thoughts. Patients exhibiting behaviors that may pose a threat to the patient himself or to others require the professional oversight only an inpatient facility provides.
Inpatient care plans usually involve multiple non-opioid medications that ease the severity of the variety of Darvocet detoxification. Detoxification physicians administer one drug to stop diarrhea, for example, and a second medication to calm anxiety, something else for nausea and so one. Inpatient detoxification makes withdrawal symptoms more bearable, giving the inpatient participant a better chance for completing detoxification than someone who tries self-detoxification. Inpatient care is superior to DRT for some individuals because it does not prolong dependence on opioids.
Rapid Opiate Detox
Rapid detox is the most humane and efficient approach to Darvocet detoxification. Rapid detox allows the patient to rest in a comfortable “twilight sleep” during Darvocet detoxification, oblivious of uncomfortable and unnecessary withdrawal symptoms. Rapid detox spares the patient the physically punishing and psychologically demoralizing aspects of Darvocet detoxification, reducing both the discomfort and the duration of the detoxification process.
Our detox center: Who we are and what we do
We are a full-accredited hospital, staffed by board-certified anesthesiologists and other professionals who receive advanced training in rapid detox procedures. We have helped thousands of patients through detoxification since we opened our doors more than a decade ago. We understand that opioid dependence is a complex medical condition that deserves a thoughtful and scientifically advanced treatment plan. Our staff takes a compassionate approach to Darvocet detoxification - we do not believe patients should suffer as punishment for their condition.
Our treatment plans are comprehensive and compassion, from pre-admission screening to aftercare. Before we perform rapid detox on any patient, we carefully screen them for pre-existing conditions that may cause complications. Our anesthesiologists and surgical staff closely monitor the patient’s progress through the Darvocet detoxification process, quickly responding to any complications that may arise. Patients typically stay in our inpatient facility for two or three days after rapid detox before participating in aftercare to improve their chances for success.
Darvocet Detox Comparisons
Self-detoxification is the most inexpensive and discrete form of Darvocet detoxification as compared to other methods.
Outpatient care is superior to self-detoxification in that it offers medicine to alleviate withdrawal symptoms and professional guidance, sometimes including rehabilitation and behavior modification that improves the patient’s chances for success. Outpatient care reduces the risks for complications including dehydration, aspiration and relapse. Patients must remain in outpatient care for months or years before eventually quitting the replacement drug.
Inpatient treatment centers offer complete detoxification, not just drug replacement. Once the patient completes Darvocet detoxification, he should engage in rehabilitation to learn how to live without drugs but he does not need to remain in maintenance drugs. Inpatient detoxification offers the greatest degree of medical management as compared to self-detoxification and outpatient therapy.
Rapid detox offers the most humane and efficient Darvocet detoxification as compared to self-detoxification, outpatient programs and standard inpatient care. Rapid detox patients receive the highest level of care in a short amount of time.
Possible Complications from Darvocet Detox
Darvocet detoxification may cause complications in some individuals, especially in those with pre-existing medical conditions, pregnant women and in people who use high doses of Darvocet for a long time. While Darvocet detoxification is not usually fatal, it is not a completely harmless procedure.
Complications from Self Detoxification
Self-detoxification places the patient at the highest risk for complications as compared to other forms of Darvocet detoxification. Most people who attempt self-detoxification lack the professional knowledge and access to medications to reduce withdrawal symptoms and protect themselves from dangerous complications.
Severe and prolonged bouts of vomiting and diarrhea can cause dehydration and imbalances of electrolytes, such as potassium and sodium. Self-detoxification can result in aspiration, where the patient vomits then inhales stomach contents. Aspiration may cause fluid in the lungs and lung infections.
Relapse is the primary complication of Darvocet detoxification, especially for those enduring the uncontrolled withdrawal symptoms associated with self-detoxification. Without anti-withdrawal drugs and professional guidance to ease suffering, many who try self-detoxification resort to taking more Darvocet just to stop the pain of withdrawal.
Relapse increases the patient’s risk for very serious complications, especially overdose. The detoxification process decreases the person’s tolerance to Darvocet, making him more sensitive to its effects. Because of this reduced tolerance, it is possible for someone to overdose on a smaller dose of Darvocet than he used to take before experiencing even minor withdrawal symptoms.
Patients with some types of known pre-existing medical conditions should not attempt self-detoxification. Withdrawal could worsen known or unknown pre-existing conditions. Without professional care, these pre-existing conditions could worsen withdrawal symptoms in unexpected or dangerous ways.
Outpatient Care Possible Complications
While safer than self-detoxification, outpatient care is associated with its own complications. Methadone may cause slowed breathing and reduced heart rate. Replacement drugs may cause side effects, such as seizures and stomach pain.
Many DRT patients have trouble quitting the replacement drug. About one-quarter of all methadone users quit the replacement drug and eventually abstain from drug use completely, another 25 percent continue to take the replacement drug for the rest of their lives while 50 percent go on and off methadone forever.
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. Methadone overdoses account for about one-third of the 15,500 overdose deaths each year in the United States.
Inpatient Detox Possible Complications
Inpatient Darvocet detoxification provides the most protection from dangerous complications but some risks do remain. Those who are dependent on multiple substances, including alcohol or other drugs, are at higher risk for complications resulting from a wider variety and more intense withdrawal symptoms. Very rarely, patients become dependent on drugs used during inpatient Darvocet detoxification. Patients may also relapse after Darvocet detoxification. Close inpatient monitoring reduces the risk for and severity of these complications before they become dangerous or life threatening.
Rapid Detox Possible Complications
As with any medical procedure, certain complications can interfere with rapid detox. Rarely a patient can suffer an allergic reaction to one of the drugs used in the rapid detox procedure. Anesthesia and sedatives may cause complications. High doses of sedatives may cause breathing, pulse and blood pressure problems. Anesthesia patients may experience infection, swelling or bruising at the needle insertion site.
Careful administration, a professionally trained staff and high standards of care reduce the occurrence of rapid detox complications.
Darvocet Detox Myths
Despite the benefits of decades of medical research into treatments for opioid dependence, there are still many myths shrouding Darvocet detoxification. These myths prevent some people from participating in effective medical treatment programs for their dependence on Darvocet.
Self Detox Myths
Myth: It is safe to perform Darvocet detoxification at home.
Fact: Self-detoxification from Darvocet might produce uncontrolled withdrawal symptoms resulting in dangerous or life threatening complications.
Myth: Homemade treatment plans like The Thomas Recipe are safe and effective because they include drugs.
Fact: Pre-existing medical conditions and dangerous drug interactions make any treatment plan including medications risky, especially those plans created by people who are not trained medical professionals.
Outpatient Detox Myths
Myth: It would be cheaper to send opioid-dependent people to jail than to treat them.
Fact: One year of imprisonment costs about $24,000 per person, as compared to $4,700 for a one-year supply of methadone for one patient.
Myth: Methadone and other DRT drugs bring patients to a drug-free state quickly.
Fact: DRT is a long-term maintenance program that controls symptoms using weak opioids including methadone and buprenorphine. Most physicians keep patients in methadone maintenance programs for at least 12 months before discontinuing DRT therapy. DRT patients must eventually quit the replacement drug and experience the detoxification process.
Myth: Outpatient care and drug replacement therapy is as safe and effective as inpatient care.
Fact: Outpatient care is less restrictive than inpatient care; this allows the patient to enjoy more freedom but increases the risks for complications and relapse.
Inpatient Detox Myths
Myth: Opioid-dependence is different in other chronic diseases because patients suffer a very high rate for relapse.
Fact: Relapse rates for drug addiction are similar to those of other chronic diseases, such as high blood pressure, diabetes or asthma.
Myth: Investing in treatment for Darvocet dependence is a waste of money.
Fact: For every dollar spent on drug treatment programs, a local community can see a savings of $4 - $7 by decreasing drug-related crimes, criminal justice costs and theft. After factoring in healthcare costs, the rate leaps to $12 saved for every dollar spent.
Rapid Detox Myths
Myth: Punishment and moral degradation deter relapse and are therefore an important part of treatment for Darvocet dependence.
Fact: Patients do not have to suffer - Darvocet dependence is a medical condition, not a crime. In fact, the physical discomfort and emotional strain of protracted withdrawal symptoms increase the risk for relapse. Rapid detox spares patients from the additional pain and demoralization associated with other forms of Darvocet detoxification.
Myth: Medical detoxification must last for days to be effective.
Fact: A team of highly trained and skilled anesthesiologists and nurses can perform a safe and effective rapid detox procedure in only one to two hours.
Darvocet Detox and Pregnancy
It is dangerous to attempt Darvocet detoxification while pregnant. Pregnant women face dramatically higher risks for complications during Darvocet detoxification than do those who are not pregnant. Pregnant women should consult a physician about participating in a methadone maintenance program as Darvocet detoxification is simply too risky during pregnancy.
Dependence on Darvocet imperils a pregnant woman and her unborn baby, increasing the risk to both for complications during pregnancy, labor and delivery and after birth. Long-term Darvocet use affects a woman’s health, making her more vulnerable to these complications. As compared to women without drug problems, opioid-dependent women are more likely to suffer anemia, blood infections, heart problems and mental disorders such as depression. Opioid-dependent women have a higher incidence of gestational diabetes, or wide swings in blood sugar levels during pregnancy. They also suffer hepatitis, high blood pressure, rapid pulse, pneumonia and urinary problems more frequently that women not dependent on Darvocet. Furthermore, chronic drug abuse increases the likelihood of contracting and spreading infectious diseases, such as herpes, HIV/AIDS, tuberculosis and sexually transmitted diseases.
Additionally, opioid-dependence often forces the individual to live an unhealthy lifestyle. For example, dependence on drugs frequently renders the individual unable to work and causes extreme financial hardships. An opioid-dependent mother may have to choose between purchasing nutritious foods and buying drugs to stop the dangerous detoxification process. These unhealthy lifestyle choices increase the risk for complications during pregnancy, labor and post-delivery.
Opioid-dependence increases the risk for complications during pregnancy, such as hemorrhage, inflammation of the membranes surrounding the baby and separation of the tissues between the mother and baby. Other serious complications may develop, including slowed fetal growth, premature labor and delivery, spontaneous abortion, and death of the fetus. Methadone reduces these complications.
A baby born to a woman who uses Darvocet regularly throughout pregnancy will be born dependent on opioids and suffer NAS, or neonatal abstinence syndrome. A baby with NAS suffers withdrawal symptoms in the first weeks of life, including irritability, vomiting, tremors, hyperactive reflexes and excessive crying. NAS babies tend to have lower birth weight than other babies and experience seizures, breathing difficulties and feeding problems frequently. Death may occur.
Self Detox and Pregnancy
Pregnant women should never attempt self-detoxification. Detoxification and its associated withdrawal symptoms can worsen complications for pregnant women in a way that can cause dangerous consequences to the mother or baby.
Outpatient and Pregnancy
Methadone maintenance is currently the only approved plan women dependent on opioids such as Darvocet. If the woman is not already taking methadone when she becomes pregnant, her physician may suggest initiating methadone in an inpatient facility where staff members can properly evaluate and monitor her condition. Inpatient facilities also have fetal movement monitoring equipment that helps doctors determine how the baby is tolerating the methadone treatment. This inpatient initiation to methadone treatments usually lasts three days; the pregnant woman then continues methadone maintenance as an outpatient.
A pregnant woman who cannot spend three days away from work or personal responsibilities may choose to initiate methadone maintenance as an outpatient. She will go to the outpatient clinic each morning to drink a beverage containing 10 to 20 mg of methadone and return each evening for evaluation. Based on her response, her physician may increase the next morning’s dosage by 5 to 10 mg. The woman will return each morning and evenings until her doctors establish a safe and effective dose, usually within 48 to 72 hours of the first dose. Pregnant women who choose to initiate methadone as outpatients must seek outside fetal movement monitoring as most methadone clinics are not equipped for such testing.
A woman’s body deals with methadone differently as she progresses through pregnancy; many women experience withdrawal symptoms and require higher doses of methadone in the later months of pregnancy. A trained healthcare provider should guide dosage increases to ensure the safety to the mother and baby.
Inpatient Care and Pregnancy
Pregnant women should not attempt detoxification. While inpatient care plays a significant role in initiating methadone treatments and monitoring the health of the mother and unborn baby, methadone maintenance is currently the only approved treatment for Darvocet dependence in pregnant women.
Darvocet Detox Symptoms
Darvocet detoxification causes uncomfortable withdrawal symptoms. These symptoms usually occur on two waves, with the first set of symptoms beginning a few hours after the last dose of Darvocet. Early symptoms include muscle aches, watery eyes, sweating, runny nose and yawning. The patient may feel agitated or anxious, and have trouble sleeping.
Later symptoms include dilated pupils, goose bumps, stomach cramps, nausea and vomiting. Symptoms fade after five or more days and do not return unless the patient returns to an opioid-dependent state.
What is the best method to detox from Darvocet?
Dependence on Darvocet is a highly personal experience so no single treatment is right for everyone. Patients should choose the least restrictive setting that still offers safe and effective treatment. The treatment plan should reflect the individual’s proven ability to participate in and benefit from previous treatment plans, his ability to abstain and his need for support and structure.
- Darvocet Detox