- Generic Name or Active Ingridient: Oxycodone Hydrochloride
Roxicodone detoxification brings a drug-dependent person to a drug-free state, and cleanses the body of the toxic effects of long-term Roxicodone abuse. Roxicodone is a brand name pain reliever that contains oxycodone, a potent semi-synthetic opioid that drug makers create from derivatives of the opium poppy plant. With regular use, Roxicodone may cause drug dependence requiring detoxification.
The oxycodone in Roxicodone works like other opioids to reduce pain; these drugs act directly on the nervous system to change the way the brain interprets pain messages. Opioids cause other neurological and physical effects, most notably sedation, relaxation, and a pleasant feeling of euphoria that make Roxicodone a target for recreational drug abusers. Opioids also act on the digestive tract, cardiovascular system, skin and eyes to cause certain predictable physical effects, such as constipation and increased blood pressure.
In time, some of the neurological and physical changes become more permanent. These alterations can affect how the individual thinks, feels, and behaves in a way that interferes with his ability to work, attend school, take care of children, and interact with others. Opioid dependence can lead to financial disaster, homelessness, divorce or loss of child custody, and emotional separation from friends and family.
Doctors normally prescribe Roxicodone to relieve moderate to severe pain. Oxycodone is one of the most commonly prescribed drugs in the United States today: in 2010, pharmacists filled 58.2 million prescriptions for Roxicodone and other drugs containing oxycodone. Most of these prescriptions relieved short-term pain resulting from illness, injury, and invasive surgical or dental procedures, but a small portion of these prescriptions relieved pain associated with chronic conditions. Approximately three percent of Americans receive long-term opioid therapy for the treatment of chronic non-cancer pain. Most people use Roxicodone as prescribed and dispose of any remaining medication when they no longer need it to relieve pain. Some individuals, however, use Roxicodone and other opioids for non-medical reasons either to get high or to treat a different condition than the doctor had intended when she wrote the prescription for Roxicodone. Each year, about 5 million Americans use painkillers like Roxicodone for non-medical purposes.
Anyone who uses Roxicodone regularly for longer than a few weeks can become physically dependent on opioids, whether he uses Roxicodone for therapeutic purposes or for non-medical reasons. The human body adapts to the presence of some toxic substances, including the oxycodone in Roxicodone. In time, the body starts to depend on a certain level of oxycodone to feel normal - the body becomes opioid-dependent. When opioid levels fall, the body struggles to adapt to the change in chemistry and detoxify itself from the effects of Roxicodone. Doctors refer to this physical reaction to lowered opioid levels as detoxification.
According to statistics cited by the Institute of Addiction Medicine, almost 2 million Americans are opioid-dependent. Each of these individuals must eventually participate in some form of detoxification to reach a drug-free state.
Roxicodone withdrawal symptoms
The opioid-dependent body experiences Roxicodone detoxification through uncomfortable and demoralizing flu-like symptoms. These symptoms sometimes appear in two waves, with the first set of symptoms beginning a few hours after the final dose of Roxicodone. Initially, the patient might feel restless and experience watery eyes and a runny nose, chills, muscle aches, and dilated pupils. He may sweat or yawn excessively.
Later, the individual may become irritable or anxious and have trouble sleeping. He may develop abdominal cramps, nausea and vomiting, diarrhea, and loss of appetite. He might suffer backache, joint pain, weakness, and increases in blood pressure, heart rate, and breathing rate.
Left uninterrupted, these withdrawal symptoms will persist for five or more days before disappearing completely as the body completes the Roxicodone detoxification process. Withdrawal symptoms do not return unless the individual relapses to an opioid-dependent state.
Someone can control the onset of detoxification and reduce the severity of withdrawal symptoms using opioid and non-opioid drugs. She could take Imodium, for example, to ease diarrhea without disrupting the detoxification process. She might also take another dose of Roxicodone to stop withdrawal symptoms completely, but relapse halts the detoxification process and returns her to an opioid-dependent state.
Detoxification also refers to the medical procedure of lowering opioid levels and addressing withdrawal symptoms. Roxicodone detoxification can occur at home, with the help of an outpatient clinic, or at a hospital or inpatient detoxification center.
Detoxification is one part of the recovery process and, by itself, does little to change the behaviors associated with drug abuse. Most opioid-dependent people benefit from rehabilitation to learn how to lead a drug-free life. Rehabilitation often includes counseling and behavior modification that gives the participant the tools he needs to recognize situations that could potentially lead to drug abuse, and how to refuse Roxicodone when offered. The individual must gain control over withdrawal symptoms before entering rehabilitation to gain the most out of the therapeutic experience.
Benefits of Roxicodone Detoxification Roxicodone detoxification brings the individual to an opioid-free state, ends withdrawal symptoms, and cleanses his body from the toxic effects of chronic oxycodone use. These positive effects facilitate the patient’s entry into rehabilitation and help him remain in treatment long enough to reverse some of the neurological and physical effects of drug abuse that had changed his thoughts, emotions, and behaviors. Roxicodone detoxification helps restore the individual’s ability to work, take care of family, and relate to others in a healthy manner.
Detoxification promotes abstinence by returning the individual to a healthy state - patients enjoy feeling good again. Roxicodone detoxification reduces the risk for relapse, and decreases the frequency and severity of drug use episodes when they do occur.
Types of Roxicodone Detoxification
More than 21 million people in the United States needed treatment in 2011. Only about 10 percent of those who needed it got it in a specialty facility, such as an inpatient hospital, inpatient or outpatient rehabilitation facility or mental health centers. Other individuals engaged in self-help, worked with a private physician, sought treatment in an emergency room or while incarcerated in a prison or local jail.
Admission rates for opioids other than heroin rose 414 percent in one decade. In 1997, only seven people in every 100,000 needed treatment for non-heroin opioid abuse; in 2007, this number had grown to 36 people per 100,000. These are all viable choices. Treatment choice depends heavily on individual needs. The National Institute on Drug Abuse, or NIDA, states there were 1.8 million admissions to treatment centers in the United States for help with drug and alcohol abuse during 2008. While alcohol abuse made up for most admissions, opiates accounted for about 20 percent of drug-related admissions.
Self-detoxification occurs at home and usually without prescription drugs to alleviate withdrawal symptoms. Self-detoxification is appropriate for those who become dependent after therapeutic use or as the result of drug abuse.
When a patient takes Roxicodone regularly for more than a few weeks, his doctor will typically recommend that the patient wean himself from this drug by taking a smaller dose each day in a process known as tapering. A patient should reduce his total daily dosages by 25 to 50 percent each day until he reaches an opioid-free state. If the patient experiences withdrawal symptoms, he should taper dosages more slowly.
The tapering process works well for many people, especially for those who have not been opioid dependent for a long time, but lingering withdrawal symptoms prevent some individuals from discontinuing Roxicodone at the appropriate time. These people may be tempted to quit cold turkey by stopping Roxicodone abruptly. Anyone who quits cold turkey will experience significant withdrawal symptoms for several days.
Some people use natural remedies to reduce the severity of withdrawal symptoms. Many consume certain vegetables and herbs to strengthen the immune system, use cayenne or chamomile to ease diarrhea, or eat ginger or peppermint to relieve nausea.
Others use a scientific approach, developing homemade treatment plans that include prescription and non-prescription drugs. One well-known remedy is The Thomas Recipe, which calls for a benzodiazepine such as Librium or Ativan to ease anxiety and insomnia, vitamin B6 for muscle aches, and Imodium to slow diarrhea.
Medical detoxification, sometimes called medication-assisted detoxification, is a professional approach to Roxicodone detoxification that includes medical grade drugs that control the onset of detoxification and the severity of withdrawal symptoms. Medical detoxification occurs through an outpatient clinic, or at an inpatient hospital or special detoxification facility.
Outpatient Outpatient clinics typically offer opioid replacement drugs, such as methadone and buprenorphine, which control the onset of Roxicodone detoxification and manage withdrawal symptoms. Methadone and buprenorphine are opioids, so they stop detoxification and withdrawal symptoms from occurring, but therapeutic doses are usually too weak to cause euphoria.
Methadone and buprenorphine are usually offered as part of drug maintenance programs, used to delay the detoxification process while the patient participates in rehabilitation. Once the individual learns how to live drug free, he weans himself from these replacement drugs by tapering dosages. Patients may remain on methadone or buprenorphine for months or years; some patients take methadone for the rest of their lives.
Methadone and buprenorphine can also act as aids during the tapering process by reducing the severity of withdrawal symptoms. Patients start out on a high induction dose of methadone or buprenorphine - just enough to stop withdrawal symptoms - then take smaller doses each day during the tapering phase.
German scientists first synthesized methadone in 1939 in a search for a safe, effective pain reliever. Doctors worldwide still prescribe methadone as an analgesic, but U.S. doctors usually recommend methadone as a treatment for opioid dependence. About 100,000 Americans use a methadone maintenance program but many more are beginning to use methadone as an aide to tapering.
Doctors normally start opioid-dependent patients on 10 to 15 mg of methadone then increase dosages by 10 mg each day until the patient no longer experiences withdrawal symptoms. Once the physician determines a safe and effective induction dose, he decreases subsequent doses by 10 mg each day until the patient is no longer dependent on opioids.
Like methadone, physicians may prescribe buprenorphine as part of a maintenance program or as an aid to tapering. Patients typically spend the first one to three days in the induction phase; many complete detoxification in as little as one week.
Buprenorphine is available under the brand name, Subutex. The patient places the buprenorphine or Subutex tablet under his tongue, where it dissolves before entering the bloodstream.
It is possible to abuse buprenorphine for recreational purposes by dissolving the tablet before injecting the drug into a vein. Pharmaceutical companies discourage this intravenous use by adding naloxone to the brand name buprenorphine preparation, Suboxone. When taken under the tongue as directed, naloxone has little effect. If the consumer should inject Suboxone, however, the naloxone will neutralize buprenorphine to prevent the user from getting high. Additionally, intravenous naloxone abuse will cause withdrawal symptoms in an opioid-dependent consumer.
Inpatient Many hospitals or special detoxification facilities now offer inpatient Roxicodone detoxification services. Inpatient care usually includes screening for underlying conditions that may cause complications, potent drugs to lower oxycodone levels, strong anti-withdrawal medications, and close patient supervision to address potential complications and reduce the risk for relapse.
Inpatient Roxicodone detoxification is appropriate for anyone whose withdrawal symptoms have prevented him from achieving an opioid-free state in the past, or who has responded poorly to other, less restrictive approaches to treatment. Doctors recommend inpatient detoxification for any individual with co-existing substance abuse problems, has other medical conditions, or is at risk for severe withdrawal symptoms or complications.
Inpatient care is necessary for anyone recovering from an overdose or who cannot otherwise receive treatment safely as an outpatient. Those with severe psychiatric problems, such as acute psychosis or depression with suicidal thoughts, should attempt Roxicodone detoxification only in an inpatient setting.
Rapid Opiate Detox
Rapid detox is a safe and effective procedure that cleanses the body of oxycodone while the patient rests. Rapid detox doctors anesthetize and sedate the patient so he rests in a comfortable “twilight sleep” during Roxicodone detoxification, unaware of the grueling and demoralizing withdrawal symptoms.
Our detox center: Who we are and what we do
We are a group of board-certified anesthesiologists and other medical professionals dedicated to freeing people from dependence on Roxicodone and other opioids. We have helped thousands of patients complete the detoxification process since opening the doors of our fully accredited hospital more than a decade ago.
We prescreen patients in our advanced facility then develop a personalized treatment plan that may include rapid detox. After completing Roxicodone detoxification, patients may continue recovery in our qualified aftercare facility.
Comparisons of the various Roxicodone treatment approaches
Any treatment plan that safely brings the person to an opioid-free state is suitable, but not all treatment plans are appropriate for all patients. Choosing a treatment plan is confusing and somewhat intimidating. It can be difficult to spot the subtle differences between the various approaches to Roxicodone detoxification, so it is sometimes helpful to compare treatment plans to highlight the benefits and disadvantages of each.
Without costly anti-withdrawal drugs or professional guidance, self-detoxification is the least expensive approach to Roxicodone detoxification but it also the most likely to result in severe withdrawal symptoms and complications. Self-detoxification brings the individual to an opioid-free state relatively quickly, especially if he quits cold turkey.
Outpatient detoxification includes replacement drugs to ease tapering but because these replacement drugs are usually opioids, the patient remains opioid-dependent longer than if he were to quit cold turkey. Patients may become dependent on the replacement drugs and remain in treatment for months or years.
Inpatient care affords the greatest protection from withdrawal symptoms and complications through medical grade drugs, screening equipment, and close patient supervision. Inpatient detoxification is fast by comparison, with an average length of stay of 4 days, compared with 197 days for medication-assisted therapy.
Rapid detox brings patients to an opioid-free state in the shortest time possible - sometimes in as little as one to two hours. Rapid detox is also the most humane approach, as it spares patients the uncomfortable and demoralizing withdrawal experience.
Possible Roxicodone Detoxification Complications
While Roxicodone detoxification is not usually a life-threatening procedure, severe withdrawal symptoms, co-existing alcoholism or other substance abuse issues, underlying medical conditions, and severe or chronic Roxicodone abuse can cause dangerous complications. Each approach to Roxicodone detoxification is associated with complications.
Relapse is the primary complication associated with all forms of Roxicodone detoxification. Overpowering and persistent withdrawal symptoms force some people into taking more Roxicodone, while others relapse after completing the detoxification process.
Relapse increases the risk for overdose. The detoxification process reduces the body’s tolerance of opioids, making the individual more sensitive to the effects of oxycodone. This decreased tolerance and increased sensitivity makes it possible for someone to overdose on a smaller amount than she took even the day before. Any amount of Roxicodone detoxification increases the risk for overdose upon relapse.
In 2008, approximately 14,800 Americans died after taking an overdose of Roxicodone or another opioid pain reliever, claiming more lives than overdose from cocaine and heroin combined.
Without safe, effective anti-withdrawal drugs, prescreening and close patient supervision, self-detoxification poses a high risk for complications. Severe and prolonged vomiting or diarrhea may result in dehydration and imbalances in potassium and other electrolytes. Withdrawal symptoms associated with Roxicodone withdrawal, especially increased blood pressure and pulse, can aggravate some heart conditions. Roxicodone detoxification causes pain to return in patients who take this drug to alleviate discomfort associated with a chronic condition, such as arthritis or cancer.
Possible complications during outpatient Roxicodone detoxification
Outpatient detoxification poses fewer complications than self-detoxification but underlying conditions and co-existing substance abuse issues may complicate medication-assisted detoxification. Furthermore, it is possible for someone to become dependent on the replacement drugs and have trouble quitting methadone or buprenorphine at the appropriate time. Harvard Medical School Publications estimates that about a quarter of methadone users eventually abstain from opioid abuse while another 25 percent remain on methadone forever; the other 50 percent go on and off methadone for the rest of their lives.
Methadone and buprenorphine are not entirely safe. The number of methadone overdoses rose dramatically in the last decade - in 2009, there were 5.5 times as many deaths associated with methadone as there were in 1999. Most of these deaths were caused by abuse and improper administration, and frequently after consuming methadone with alcohol or other substances.
Abuse of buprenorphine may cause death, especially when combining buprenorphine with benzodiazepines like those used in The Thomas Recipe.
Possible complications to inpatient Roxicodone detoxification
Prescreening, professional treatment plans and close patient supervision included in inpatient care reduces the risk for complications but withdrawal from multiple substances, especially alcohol, benzodiazepines, sedatives and anti-anxiety drugs may cause complications in some patients.
Complications of rapid detox
Rarely, someone will suffer an allergic reaction to the drugs used in rapid detox. Strong sedatives may complicate breathing, blood pressure and heart rate. A patient might experience swelling, bruising, or infection at the anesthesia injection site.
Myths about Roxicodone detoxification
Despite decades of research and the clinical experience gathered from detoxification specialists and actual patients, myths shrouding Roxicodone detoxification prevent many people from getting the help they need to complete the detoxification process. Patient education makes withdrawal easier to endure and increases the likelihood the individual will reach an opioid-free state.
Myths about self-detoxification
Myth: Self-detoxification is simply mind over matter - anyone can do it with enough willpower. Fact: While self-control is important when refraining from drug use, Roxicodone detoxification is an intense physiological process that causes profoundly uncomfortable withdrawal symptoms regardless of the patient’s state of mind or his level of determination.
Myth: Combining prescription and non-prescription drugs make homemade treatment plans like The Thomas Recipe safe and effective. Fact: Combining prescription and over-the-counter remedies can cause dangerous drug interactions. Only a trained detoxification specialist has the educational background and legal power to prescribe the potent drugs required for effective and safe medication-assisted detoxification.
Outpatient Detox Myths
Myth: Tossing drug addicts in prison is more cost effective than treating patients. Fact: Treatment costs less than imprisonment. A year of methadone costs about $4,700 per patient while that same year of incarceration runs approximately $24,000 per inmate. Opioid-dependent people face a heavy social penalty for a criminal drug record, whereas treatment does not cost the individual his job or his reputation.
Myth: Methadone causes bone rot. Fact: Inadequate doses may cause methadone withdrawal symptoms, which include bone ache. Patients can resolve bone ache by asking the prescribing clinician to increase dosage slightly.
Myths about inpatient Roxicodone detoxification
Myth: It is a waste of a hospital bed to treat opioid-dependent people at inpatient facilities - all drug addicts always relapse. Fact: The relapse rates for drug addiction are similar to other chronic diseases, such as such as high blood pressure, diabetes or asthma. Even with treatment, relapse rates for drug addiction are 40 to 60 percent. Relapse does not mean treatment has failed, but it does mean the patient must take a more aggressive approach to treatment.
Myth: Treatment is a waste of money. Fact: Drug treatment programs save money. For every dollar spent on treatment programs, such as Roxicodone detoxification, experts estimate a community saves between $4 and $7 in reduced drug-related crime rates and criminal justice costs. Factor in savings to the healthcare system and the ratio rises to $12 gained for every dollar spent.
Rapid Detox Myths
Myth: Pain and humiliation are important features of Roxicodone detoxification as they teach the patient a lesson about abusing drugs. Fact: Punishment and suffering are never appropriate parts of any humane treatment plan; in fact, the disabling and demoralizing aspects of Roxicodone detoxification prevent many people from completing the process. Rapid detox offers the most humane approach to Roxicodone detoxification in that it spares the patient from the difficult withdrawal symptoms that may have otherwise prevented him from reaching an opioid-free state.
Myth: Complete detoxification takes a week or longer. Fact: A reputable expert can safely perform rapid detox in one to two hours.
Detox and Pregnancy Opioid-dependent women are at increased risk for anemia, blood infections, heart disease, pneumonia, mood disorders, hepatitis, and infectious diseases. These conditions can cause dangerous complications during pregnancy, labor and delivery, putting both the mother and the unborn baby at risk. Complications during pregnancy include hemorrhage and uncontrolled bleeding, separation or inflammation of the tissues shared by the mother and fetus, slowed fetal growth, premature labor and delivery, spontaneous abortion, and fetal death.
These complications can make Roxicodone detoxification unsafe for pregnant women. Currently, methadone is the only approved treatment plan for opioid-dependent pregnant women but a recent study published in New England Journal of Medicine calls buprenorphine “an acceptable treatment for opioid dependence in pregnant women.”
A baby born to a woman who takes methadone, buprenorphine, Roxicodone, or other opioids may be born with neonatal abstinence syndrome, or NAS. These newborns suffer withdrawal symptoms during the first weeks of life. Babies with NAS are at risk for low birth weight, seizures, respiratory problems, feeding difficulties, and death.
Self Detox and Pregnancy
Self-detoxification can be unsafe for a pregnant woman and her unborn baby. An expectant woman should consult with a doctor before attempting self-detoxification, even slow tapering.
Inpatient Roxicodone Detoxification and Pregnancy
A doctor will likely admit a pregnant woman to a hospital to initiate methadone maintenance treatments so that the physician can closely evaluate the patient’s response to treatment and adjust dosage accordingly. Doctors will typically start a pregnant woman on 10 to 20 mg of methadone then increase dosages by 5 to 10 mg based on her response to treatment. Physicians will use fetal movement monitors to assess how well the fetus tolerates methadone.
This inpatient stay typically lasts three days. Once the doctor establishes a safe and effective dose, the woman continues treatment through an outpatient clinic. Some women require larger doses of methadone to control breakthrough withdrawal symptoms towards the end of pregnancy - outpatient clinicians will adjust dosages accordingly.
After delivery, the woman may continue methadone maintenance treatments or participate in detoxification. Babies born to women taking methadone during pregnancy will remain under close observation in the hospital for at least 72 hours after delivery.
Outpatient Roxicodone Detoxification and Pregnancy
A pregnant woman may choose to start methadone maintenance as an outpatient. She will come to the clinic twice daily, once to receive a morning dose and again for evaluation. These twice-daily visits continue until the clinician establishes a safe and effective dose. The woman then visits the clinic only for her daily dose of methadone.
What is the best method to detoxify from Roxicodone? Opioid dependence affects each person differently and every individual has different needs when it comes to Roxicodone detoxification. A newly dependent person with mild withdrawal symptoms, for example, may be able to taper Roxicodone at home while overpowering withdrawal symptoms might require someone else to participate in inpatient care.
The best method of Roxicodone detoxification depends largely on personal needs. The individual should assess her withdrawal symptoms and her own ability to refrain from drug abuse then choose the least restrictive approach that is still likely to provide safe and effective treatment.
Please contact us for more information on which Roxicodone detoxification may be right for you or for your loved one.
- Roxicodone Detox