- Generic Name or Active Ingridient: Oxycodone And Acetaminophen
Doctors prescribe Endocet to relieve a patient’s moderate to severe pain. Each Endocet tablet contains oxycodone and acetaminophen. Oxycodone is a powerful semi-synthetic opioid medication, derived from the opium poppy plant. Oxycodone and other opioids work with the central nervous system to reduce pain, cause sedation, and produce a pleasant euphoric feeling. Oxycodone is widely prescribed across the United States with U.S. pharmacies filling more than 58 million prescriptions for oxycodone products in 2010.
While most people use Endocet as directed to ease real pain, millions of Americans use opioids for non-medical reasons, either to get high or to treat a condition other than the one the doctor intended to treat. A 2009 national survey revealed that about 15 million Americans had used oxycodone for non-medical reasons at least once in their lifetimes.
Widespread opioid use and abuse produces serious health and legal problems for individuals, families and entire communities. The number of emergency department visits caused by oxycodone more than doubled between 2004 and 2008; these cases involved legal and illicit use of oxycodone. The number of legal cases involving has skyrocketed as well; the DEA says oxycodone was “the most frequently encountered pharmaceutical drug by law enforcement” in 2009.
Anyone who uses Endocet or other opioids regularly for more than a few weeks can become physically dependent on these drugs, whether the individual uses Endocet to get high or as directed to treat a real illness. An opioid-dependent person experiences uncomfortable and prolonged withdrawal symptoms when he stops using Endocet. The Institute of Addiction Medicine estimates there are about 2 million Americans currently battling opioid dependence.
The human body adapts to the presence of certain chemicals, including opioids like oxycodone. With continued use, the body begins to depend on a certain level of opioids to feel “normal.” When oxycodone levels drop suddenly, the body struggles to regain chemical stability. Doctors refer to this as detoxification. Patients experience Endocet detoxification through flu-like withdrawal symptoms.
Withdrawal symptoms begin a few hours after the last dose of Endocet and continue for five or more days. Without intervention, these withdrawal symptoms fade and do not return unless the individual again becomes dependent on opioids. After the individual completes Endocet detoxification, he is no longer dependent on opioids.
Detoxification can also refer to the medical process of lowering opioid levels and addressing withdrawal symptoms. This detoxification process is one essential part of a comprehensive treatment plan that also includes rehabilitation and behavior modification. Endocet detoxification brings the patient to a drug-free state and improves his chances of fully participating and completing a treatment plan. Endocet detoxification promotes abstinence and reduces drug and alcohol abuse. Detoxification and rehabilitation decreases the number of relapses and reduces the severity of drug use when relapses do occur.
Opioid dependence adversely affects a person’s physical health, ability to work, emotional state and his capacity to think clearly. Detoxification and rehabilitation restores some of these capabilities, bolstering the patient’s psychological well-being, improving his financial situation and clarifying his thought patterns. Detoxification also reduces the incidence and severity of health hazards associated with drug abuse.
Types of Detox
There is a widespread need for Endocet detoxification and other types of drug and alcohol treatment in the United States. Experts estimate that of the 23 million Americans who needed treatment for alcohol and drug abuse problems in 2010, only about 11 percent received it at a specialty facility staffed with workers who received advanced training in detoxification and rehabilitation procedures. The rest received help from general hospitals and mental health facilities without specially trained staff. Many people attempt Endocet detoxification alone, without any help from medical professionals.
Everyone experiences substance abuse problems a little differently, so no single treatment approach will work for everybody. Some people can overcome Endocet dependence without drugs or medical intervention. A few develop homemade treatment plans that include drugs to ease withdrawal symptoms. A growing number of individuals manage or overcome opioid dependence through outpatient therapy or inpatient detoxification. All of these are viable options, as the treatment choice depends heavily on the patient’s personal needs.
Many people attempt self-detoxification without anti-withdrawal drugs or professional guidance. Some try to wean themselves from Endocet by letting more time pass before taking a smaller dose. This tapering method works well for some but overpowering and persistent withdrawal symptoms prevent many people from quitting Endocet when they no longer need it for pain.
Some people try to quit “cold turkey” by discontinuing Endocet abruptly. Those who quit cold turkey hope for the self-discipline to withstand the protracted and uncomfortable withdrawal symptoms long enough to complete the detoxification process.
Many individuals ease withdrawal symptoms through natural remedies and alternative therapies including acupuncture, yoga, meditation and massage. Some use ginger or peppermint to relieve nausea and chamomile or cayenne to curb diarrhea. Others purge their bodies or bolster their immune systems by consuming only certain herbs, fruits, vegetables, soups and juices.
Some individuals create homemade treatment plans incorporating prescription drugs, over-the-counter medicines and natural remedies to ease Endocet detoxification withdrawal. One such plan is The Thomas Recipe, which calls for a benzodiazepine such as Xanax or Librium to calm anxiety and help with sleep, vitamin B6 and supplements along with hot baths for muscle aches and L-Tyrosine for a burst of energy.
Medical Endocet detoxification offers a safe, effective approach to achieving a drug-free state. Medical Endocet detoxification typically includes proven detoxification and anti-withdrawal drugs that decrease the incidence and severity of complications and stabilize the patient’s condition.
Patients who have struggled with Endocet dependence for longer than one year and who require little supervision respond well to outpatient care. Outpatient clinics do not usually offer Endocet detoxification - outpatient care typically provides drug maintenance programs that allow patients to manage withdrawal symptoms while engaging in rehabilitation.
Many outpatient clinics offer DRT, or drug replacement therapy. DRT drugs, including methadone and buprenorphine, are weak opioids. These drugs mimic the effects of oxycodone, so the patient does not experience withdrawal symptoms, but replacement drugs do not produce euphoria at therapeutic doses.
Outpatient care does not bring the patient to an opioid-free state - he is still dependent on opioids and suffers withdrawal symptoms when he stops taking the replacement drug. He will wean himself from the replacement drug after he participates in rehabilitation to learn how to live a drug-free life.
Medical professionals first used methadone to treat pain; doctors still prescribe methadone as an analgesic today. Medical researchers discovered its capacity as an opioid replacement drug in the 1960s and the FDA approved methadone for this use in 1972.
Today, approximately 100,000 Americans participate in a methadone replacement program. These patients come to an authorized outpatient clinic to drink a beverage containing methadone; its effects last 24 to 36 hours.
Buprenorphine is a relatively new replacement drug that offers patients a little more freedom than do methadone treatments. Since 2002, the FDA has allowed physicians to write prescriptions for a one-week supply of buprenorphine take-home use by patients who had been in treatment for at least a year.
In January of 2013, new rules laid out by the Department of Health and Human Services eased restrictions to allow even new patients to take home enough buprenorphine to last a week or longer. This gives buprenorphine patients more flexibility to travel and engage in other normal activities without worrying about locating an authorized methadone clinic. Buprenorphine treatment is also discrete, in that the buprenorphine patient visits his doctor and local pharmacy rather than appearing in public at a methadone clinic. This flexibility and privacy improves patient participation and treatment completion rates.
These patients take buprenorphine three times a week. He places the buprenorphine tablet beneath his tongue and allows it to dissolve.
Suboxone and Subutex
Some people abuse buprenorphine by dissolving the tablet before injecting into a vein. Drug manufacturers address this issue by adding naloxone to buprenorphine preparations, selling these drugs under the brand names Suboxone and Subutex. When taken as directed under the tongue, naloxone has little effect; when injected, however, naloxone neutralizes the effects of buprenorphine. This action not only prevents the user from getting high, it causes an opioid-dependent person to feel withdrawal symptoms.
Inpatient care usually begins with Endocet detoxification that brings patients to a drug-free state. Specially trained physicians prescribe a variety of effective and safe medications to initiate the detoxification process and ease the assorted withdrawal symptoms. The patient may receive an anti-emetic like Hydroxyzine or Promethazine to calm nausea, Loperamide for diarrhea, and Clonidine for a variety of symptoms including watery eyes, sweating and restlessness. Highly trained healthcare professionals monitor the patient’s condition and respond to any complications as they arise.
Anyone can participate in inpatient Endocet detoxification but inpatient care is most appropriate for those who cannot receive safe and effective treatment in an unsupervised setting. All Endocet overdose patients should undergo inpatient detoxification, as should those who are at increased risk for severe withdrawal symptoms or complications due to pre-existing medical conditions or co-existing substance abuse problems. Inpatient care is mandatory for those patients with severe mood disorders or psychiatric problems, including depression with suicidal tendencies or acute psychosis serious enough to pose a danger to themselves or to others.
Inpatient care works well for someone who needs more structure during Endocet detoxification to help him avoid drug use. It is also appropriate for those who have a documented history of poor performance in less restrictive programs and for individuals who do not respond well to outpatient care.
Rapid Opiate Detox
Rapid detox is a safe and effective procedure that detoxifies the body from the effects of oxycodone, bringing the patient to an opioid-free state. Doctors anesthetize and sedate rapid detox patients prior to administering the standard detoxification and anti-withdrawal drugs. Rapid detox patients rest in a comfortable “twilight sleep” during the detoxification process and awaken refreshed and renewed a few hours later.
Our detox center: Who we are and what we do
We are a full-accredited hospital, staffed by board-certified anesthesiologists and other highly trained professionals who take a humane approach to Endocet detoxification. Our capable and compassionate staff members have helped thousands of patients through the detoxification process since we opened our doors more than a decade ago. We know that dependence on Endocet or other opioids is an intensely personal and complex condition requiring a thoughtful and individualized approach.
We offer complete Endocet detoxification, not merely a replacement drug that prolongs dependence on opioids. We admit patients into our full-service hospital to screen for pre-existing conditions that may cause complications before developing a personalized treatment plan to enhance the patient’s chances for success. After complete detoxification, we invite patients to participate in our aftercare services.
Our staff members treat patients as human being - not as drug addicts - because we understand that opioid-dependence can happen to anyone.
While self-detoxification is the least expensive and most discrete of all the various approaches to detoxification, it is also the least reliable and the most closely associated with complications as compared to outpatient and inpatient services. When successful, self-detoxification does bring the individual to a drug-free state.
DRT is vastly superior to self-detoxification in that it provides medicines to stop withdrawal symptoms along with professional guidance but it does not bring patients to a drug-free state. Most outpatient clinics offer rehabilitation services to help the individual identify situations that could lead to drug use and refuse drugs when offered. Patients must remain in treatment for months or years before attempting detoxification.
Inpatient Endocet care provides complete detoxification and is often a better solution for some patients than is outpatient care because it brings patients to an opioid-free state sooner, allowing these individuals to engage in rehabilitation without the risks associated with replacement drugs.
Most patients would benefit from rapid detox, in that offers complete Endocet detoxification and a drug-free state without the usual uncomfortable and protracted withdrawal symptoms that could derail his success. Rapid detox frees the patient from opioid dependence in a matter of hours rather than days or months.
Detox Possible Complications
Endocet detoxification is not usually a life threatening procedure but pre-existing conditions, co-existing substance abuse problems coupled with severe and prolonged withdrawal symptoms may cause dangerous complications. Pregnant women and those with chronic substance abuse problems are at increased risk for complications.
Self Detox Possible Complications
Self-detoxification poses the highest risk for complications due to uncontrolled withdrawal symptoms and a lack of professional care. Most people who attempt self-detoxification lack the medical knowledge of or legal access to effective detoxification drugs, opening themselves up for dangerous drug interactions and serious complications.
Extreme and prolonged bouts of vomiting and diarrhea can cause dehydration and imbalances of sodium, potassium and other electrolytes. Without intravenous fluids, dehydration and electrolyte imbalances can cause serious health problems. The patient may aspirate, or vomit then inhale the stomach contents. Aspiration may result in fluid in the lungs and lung infections.
Relapse is the chief complication associated with Endocet detoxification. Many people relapse to opioid use just to stop the discomfort of withdrawal. Relapse ends the detoxification process and returns the individual to an opioid-dependent state.
Relapse increases the risk for toxic overdose, as the detoxification process reduces the individual’s tolerance to opioids in a way that makes him more sensitive to its effects. It is possible for someone to overdose on a smaller dose of Endocet than he used to take before experiencing even minor withdrawal symptoms.
Outpatient Care Possible Complications
Outpatient care is safer than self-detoxification but DRT drugs may cause complications. Methadone may slow pulse and breathing rates while other replacement drugs may cause stomach pain or seizures.
Many people have trouble quitting the replacement drug after completing rehabilitation. About 25 percent of participants eventually quit methadone and never return to drug use while another 25 percent remain on methadone forever. About half of all methadone users go on and off this replacement drug for the rest of their lives, never really freeing themselves from opioid-dependence.
Sometimes patients become physically or psychologically dependent on the replacement drug. Some patients use DRT drugs to get high through intravenous injection.
Methadone is not a completely safe drug. Methadone accounts for one-third of all opioid pain reliever deaths. Buprenorphine seems to be a safer alternative, especially when combined with naloxone to discourage abuse.
Inpatient Detox Possible Complications
While inpatient care provides the greatest protection from withdrawal symptoms, complications and drug interactions, an inpatient may still suffer complications while under close supervision. One major complication is simultaneous withdrawal from multiple substances, especially alcohol, benzodiazepines, sedatives and anti-anxiety drugs. It is a rare complication, but a patient may become physically or psychologically dependent on the drugs used during inpatient Endocet detoxification.
As with other forms of Endocet detoxification, relapse is the primary complication of inpatient care. Close patient monitoring and effective aftercare including rehabilitation and behavior modification reduces this risk.
Rapid Detox Possible Complications
Medical professionals always expect complications when performing any procedure, even rapid detox. A rapid detox patient may experience complications associated with the anesthesia, sedatives or other drugs used in the rapid detox procedures. High doses of sedatives, for example, may cause breathing problems, high blood pressure and fast heartbeat in some patients. Anesthesia may cause bruising, swelling or infection at the injection site. We screen patients closely, administer medications carefully and adhere to the highest standards of patient care to reduce these known complications associated with rapid detox.
Medical researchers have spent decades gathering information about opioid dependence and Endocet detoxification. Despite this wealth of knowledge, detoxification myths prevent many people from seeking the medical help they need for successful Endocet detoxification.
Self Detox Myths
Myth: Anyone can kick the habit at home if he just has enough willpower.
Fact: Endocet detoxification is an intense medical procedure that causes drastic physiological changes. Without adequate anti-withdrawal drugs, self-detoxification produces uncontrolled withdrawal symptoms that could cause serious, even life-threatening complications.
Myth: The Thomas Recipe is safe and effective because it uses drugs to ease withdrawal symptoms.
Fact: Using any medication without the guidance of a doctor increases the risk for drug interactions and complications, especially during an intense procedure like Endocet detoxification.
Outpatient Detox Myths
Myth: It would be cheaper to throw drug addicts in jail than to treat them.
Fact: One year of methadone costs about $4,700. One year of prison costs around $24,000.
Myth: Methadone is a short-term solution that brings patients to a drug-free state quickly.
Fact: Methadone is a maintenance program that delays the onset of detoxification. A methadone patient is still opioid-dependent. Most methadone programs require patients to take this drug for a minimum of 12 months before discontinuing therapy.
Inpatient Detox Myths
Myth: Inpatient care is a waste of time because drug addicts always relapse.
Fact: Those who suffer drug addiction and other substance abuse problems experience lower relapse rates than do other people with chronic conditions, including those with asthma or high blood pressure.
Myth: Inpatient drug treatment plans waste more money than they save.
Fact: Every dollar spent on drug treatment returns an estimated $4 to $7 in reduced drug-related crime and criminal justice costs. When experts add in the savings to the healthcare system, the financial yield leaps to $12 gained for every dollar spent.
Rapid Detox Myths
Myth: It is important to suffer during Endocet detoxification. Withdrawal symptoms act as punishment to deter relapse.
Fact: The suffering caused by withdrawal symptoms actually increases the risk for relapse as patients desperately try to reduce their pain and discomfort. Rapid detox is a humane and efficient approach to Endocet detoxification that actually improves the patient’s state of mind before he enters an aftercare program.
Myth: Complete detoxification is a lengthy process takes hours or days to accomplish.
Fact: It takes a reputable expert one to two hours to perform rapid detox.
Detox and Pregnancy
Endocet detoxification is unsafe for pregnant women. At this time, methadone maintenance is the only approved treatment program for pregnant women.
Opioid-dependent women are at increased risk for medical problems, such as anemia, blood infections, hepatitis, pneumonia, heart disease, depression and other mental disorders. Opioid-dependence increases the risk for gestational diabetes, which is uncontrolled blood sugar during pregnancy. Being dependent on opioids puts women at higher risk for contracting and spreading infectious diseases, such as sexually transmitted diseases, HIV/AIDS and tuberculosis.
Dependence on opioids forces many people to life unhealthy lifestyles. Substance abuse disorders impair the individual’s ability to work, causing severe financial hardship. An opioid-dependent pregnant woman may have to choose between buying food and purchasing drugs to stop the dangerous detoxification process from occurring. Lack of money may cause her to live in unhealthy conditions, forego prenatal care or participate in unsafe criminal activities.
An opioid-dependent pregnant woman faces an increased risk for complications during pregnancy, labor and delivery, including hemorrhage and uncontrolled bleeding, slow fetal growth, inflammation of the membranes surrounding the fetus, separation of the tissues between the mother and the baby, and premature labor and delivery. The mother may have a spontaneous abortion and the baby may die. Methadone reduces these complications.
A baby born to a woman who takes Endocet regularly during pregnancy may acquire NAS, or neonatal abstinence syndrome. A baby with NAS may suffer withdrawal symptoms in the first weeks of life. These babies are more irritable, cry excessively, suffer tremors and fever, have feeding trouble and increased stools. A baby with NAS may suffer from low birth weight, seizures, have trouble breathing or eating and faces an increased risk for death.
Self Detox and Pregnancy
A pregnant woman should never attempt Endocet detoxification; self-detoxification is especially unsafe.
Outpatient and Pregnancy
Methadone is currently the only approved treatment for Endocet dependence in pregnant women.
Inpatient and Pregnancy
Even inpatient Endocet detoxification is not safe for a pregnant woman. Inpatient care is especially helpful when initiating methadone treatments in pregnant women.
Opiate detox symptoms
Opioid withdrawal symptoms, like those associated with Endocet detoxification, often appear in two waves. The first set of symptoms start a few hours after the last Endocet dose. The patient may experience agitation, anxiety and insomnia. He might have achy muscles, watery eyes, a runny nose, profuse perspiration and excessive yawning.
Later, he might develop abdominal cramping, diarrhea, nausea and vomiting. He may have dilated pupils and goose bumps.
What is the best method to detox from this drug?
There is no “best” method for Endocet detoxification - successful treatment usually reflects the patient’s personal needs. Each person experiences opioid dependence differently, so no single treatment plan is right for everyone. Furthermore, many people engage in several types of treatment before finding one that helps them lead a drug-free life.
A patient should choose the least restrictive form of treatment that still offers safe and effective care. He should base his decision on his own capacity to participate in and benefit from the type of treatment offered, along with his ability to refrain from drug abuse and other high-risk behaviors.