Opioid addiction is a growing public health crisis that affects millions of people worldwide. Opioids, which include prescription painkillers like OxyContin and illicit drugs like heroin, can lead to devastating physical and psychological dependence, making them difficult to quit using.

The first step toward freedom from opioid addiction is detoxification. Opioid detox centers exist to help individuals navigate the difficult process of withdrawal and recovery while under medical supervision.

Medications are frequently used in opioid detox programs to alleviate withdrawal symptoms, reduce cravings, and increase the chances of a successful recovery. If you or a loved one are preparing to check into a detox center near you, you may be wondering what types of medications an opioid detox center may prescribe to treat withdrawal.

Understanding Opioid Dependence and Detox

Opioid addiction is characterized by physical dependence on opioids, leading to withdrawal symptoms when the drug is not present in the body. These symptoms can be extremely uncomfortable and even dangerous, making it difficult for individuals to quit opioids without assistance.

Detoxification, often the first step in opioid addiction treatment, is the process of allowing the body to rid itself of opioids. It aims to manage and minimize withdrawal symptoms, thus making it safer and more bearable for individuals to abstain from drug use. Medications play a crucial role in this process, as they can help mitigate the symptoms of withdrawal and reduce cravings.

Medications that May be Used in an Opioid Detox Program

There are numerous medications that may be used to treat opioid withdrawal and dependence. Although opioid withdrawal is generally not life-threatening, it can be severe and uncomfortable, and medications can significantly reduce the severity of symptoms.

Each medication works differently, but the most commonly used medications during opioid withdrawal are:

Suboxone (Buprenorpohine/Naloxone)

Suboxone is a medication that contains both buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, which means it activates opioid receptors in the brain but to a lesser extent than full opioids, providing relief from withdrawal symptoms without intense euphoria. Naloxone, on the other hand, is an opioid antagonist that blocks the effects of opioids. Suboxone helps individuals manage withdrawal symptoms and cravings, reducing the risk of relapse.

People can begin taking Suboxone 12-24 hours after their last dose of opioids. Suboxone comes in the form of an oral or sublingual film that dissolves under the tongue. Taking Suboxone too early may result in precipitated withdrawal symptoms.

Subutex (Buprenorphine)

Subutex is another medication that contains buprenorphine. It works in a similar way to Suboxone, providing relief from withdrawal symptoms and cravings without the intense high associated with opioids. Subutex is often used in the early stages of detoxification to help individuals transition from full opioids. The main difference between Suboxone and Subutex is that Subutex does not contain naloxone.

Methadone

Methadone is a long-acting opioid agonist. It works by binding to the same receptors as other opioids, providing relief from withdrawal symptoms and cravings. Methadone is typically dispensed in a controlled clinical setting, reducing the risk of misuse. It has been used for many years as a maintenance therapy for opioid addiction, but its use in detoxification is also common.

Over the years, methadone has proven to have a potential for abuse. As a result, alternative medications like Subutex or Suboxone are typically prescribed instead of methadone.

Lucemyra (Lofexidine)

Lucemyra is the brand name for lofexidine, the first non-opioid medication approved by the U.S. Food and Drug Administration (FDA) to help manage the symptoms of opioid withdrawal. Unlike other opioid detox medications, lofexidine does not have opioid properties and it is not habit-forming.

The medication works by affecting receptors in the brain that are related to the body’s response to stress. Lucemyra can help reduce symptoms like anxiety, agitation, and muscle aches, making the detoxification process more comfortable. People typically take Lucemyra for one week.

Clonidine

Clonidine is another non-opioid medication that can be used to alleviate some withdrawal symptoms associated with opioid detoxification. However, it is used off-label, as its primary use is to reduce blood pressure.

When it comes to opioid withdrawal, clonidine can lower blood pressure and reduce anxiety, sweating, and restlessness. It’s often used in combination with other medications to address a broader range of withdrawal symptoms.

Symptom-Specific Medications

Opioid withdrawal is a highly personal experience, and each person’s needs may vary. As a result, symptom-specific medications may be prescribed to target bothersome symptoms. For example, people who are struggling with depression may be prescribed an antidepressant or SSRI. Those who are experiencing insomnia may be prescribed sleep medication. Additionally, vitamins and over-the-counter pain control may be provided to help ease the withdrawal process.

Start Your Recovery With a Medically-Assisted Opioid Detox Program in California

Opioid addiction is a complex and challenging condition, but opioid detox is often the first step toward recovery. Medications such as Suboxone, Subutex, methadone, Lucemyra, and clonidine play vital roles in the detox process, as they help individuals manage opioid withdrawal symptoms and cravings. The choice of medication can depend on various factors, including the individual’s specific needs, the severity of their addiction, and the recommendations of medical professionals.

Medications are just one aspect of opioid addiction treatment. Treatment should also include counseling, therapy, and peer support in order to address the psychological and behavioral aspects of addiction.

At ARISE Treatment Center, our comprehensive treatment program offers residential detox and treatment programs for opioid addiction, providing individuals with the care and guidance they need to begin their recovery journey. To learn more about our opioid detox and treatment programs or to find help, please contact us today.