Why is it so hard to detox off fentanyl?
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- čas přidán 30. 07. 2024
- Dr. Peter Coleman, who is Board-certified in Addiction Medicine and has been in recovery from opioid use himself since 1984, discusses why it's so difficult to detox off fentanyl and how we have adapted our process as a result.
-Safe, Comfortable Outpatient Detox
The Coleman Institute for Addiction Medicine has been a leading outpatient addiction treatment center since 1998. Our innovative withdrawal management programs, often referred to as The Coleman Method, have helped thousands of people free themselves from addiction to Alcohol, Opioids, and Benzodiazepines. Originally founded in Richmond, Virginia, our network has expanded to cover 142cities across the US.
-3 - 8 Day Opioid Detoxification Process
For short-acting opiates like oxycodone, most patients complete their detox and begin Naltrexone therapy within 5 days. Longer-acting opiates like Suboxone and Methadone typically take 8 days. Our standard opioid treatment package in Richmond, VA includes the detox and 6 months of case management and Naltrexone therapy. As a non-addictive opioid blocker, Naltrexone dramatically reduces cravings so that patients can focus on their recovery. We have a 98% success rate for completing detoxification and starting Naltrexone therapy. During the detox, we work with patients and their families to develop an appropriate aftercare plan. We also offer a convenient, 3-day outpatient alcohol detox and a Benzodiazepine Detox.
-Caring, Empathetic Environment
Our founder Dr. Peter Coleman understands first-hand the challenges our patients are facing due to his own personal struggle with the disease of addiction. He has been in long term recovery since 1984. Dr. Coleman has dedicated his career to treating addiction patients and creating a team and an environment conducive to long term recovery for his patients.
-For more information, please call us at 888-788-5474 or visit us at www.thecolemaninstitute.com
I kicked a really really long fentanyl use and i was tested day 21 and still was testing positive! I kicked cold turkey on an out patient only taking medicine that were not addictive substances and had to go to the ER thats how bad i was... it was tough! 1 year later and i still dont sleep well but super proud! I thought I'd never be able to stop...for those who are scared just keep pushing, it only gets better ❤
Good for you Kimberly you are a very strong person. Most people have no clue how hard it is to get off these synthetic opioids especially long term. If you are strong enough to get off fentanyl and stay off it it sounds like you are strong enough to continue your recovery and do what you need to do to continue to be successful. Keep sharing your story specially with those around you, you may never know who you might inspire to do the same. Good for you!!!
How much was you doing and for how long
I went to detox and didn’t even start detoxing till day seven, which was the last day of the detox so fucked
@@CatrinaMulqueen what was you using and for how long and how much I'm trying to taper myself down do you think that would work
@@CatrinaMulqueen very sorry to hear that. I had a very similar thing happened to me but it was on day 4 and I had no insurance the time and I only had the money for 5 days. Long story short I had so much hell with the fentanyl and trying to get on Suboxone from it had so much precipitated withdrawals that I had to get on methadone. I am fortunate to have a methadone clinic in my town. I've been on methadone now 8 months and I'm down to 25 mg a day. If you can it's always better to get into a long-term rehab if you are all possible and able to do so. I know that it's hard takes a lot of work and it's easier said than done. I don't need to know how long you been using for but if you have been using for a long time and at a methadone clinic within 20 to 30 miles of your house it can be worthwhile. I have heard of a bunch of new ways that doctors are learning to induce somebody on Suboxone so if you can do that that's always your best option if you still need to use something. Either way I wish the best for you it is a horrible position to be in to be dependent on opioids especially fentanyl in this country. You can buy as many cigarettes alcohol and caffeine products that you have the money for your fill up a whole truck if you want from a single store but you can't buy a single opiate product at all legally. It is one of the few things I really hate about America. I really wish we treated people that drink alcohol smoke cigarettes and drink caffeine the same way we treat people that use opiates used cocaine or use methamphetamine or any other quote illegal drug. Either way I wish you peace.
Recently got clean off heavy fent use. The first 3 days was nothing but stomach cramps, nausea, mood swings, hot cold sweats, anxiety, etc.. After 5 days i started to feel a little better and I thought I was through the worst but on day 7 it started all over again and but way worse. I couldn’t understand why I was still going through it all over again a week into detox. Turns out opiates like Fentanyl stay in your fatty tissues and slowly release over a few weeks. It’s absolute hell incarnate and I wouldn’t wish it on my worst enemy. Only way to get through it for me was to tapper on a full agonist opiate like methadone since the Subutex will send you into precipitated withdrawal even after waiting a couple weeks to dose since like I said, it stays in your fatty tissues in your body. Comfort meds helped a little and I understand everyone is different but going cold turkey off fentanyl will only set you up for a relapse.
I quit cold turkey when I went to prison I was sick for almost a month straight
Did that make you not want to use ever again after you made it through?
Yes,a month for 75% out...2-3 weeks for Heroin...fentanyl su*ks
I did it cold turkey as well. Worst 4 days of my life till I started feeling like I could somewhat function normally. I can't imagine doing it in prison. You're one bad mfr lol congratulations tho
I tested for weeks with fentanyl after my last use. I lost count how many times I went into precip. When I went to detox, I was coming off of subs and fentanyl. I was supposed to do 7 days in the detox then move to the rehab. I didn’t leave the detox for 18 days. Even when I moved I was still very sick. It wasn’t until my last week there that I could eat at least half a meal. I was jacked up for the entire 28 days there and pretty much another month when I got home. Coming off suboxone and fentanyl was the hardest thing I ever did in my entire life. I am trying to open my mind to the fact that a higher force carried me through that bc it was absolutely extraordinary that I was able to survive that experience.
Words can't explain where it takes your mind...Worst shit I ever went through and it changed me in ways I can't explain Good and Bad. Glad you're ok and still here.
@@westidewally5552
Yes it was traumatic. The thoughts I would have whenever I was trying to make it 3 days to get to a sub were endless. It’s very hard to describe like you said. Fentanyl no matter how long I waited a sub would make it worse.
Look up micro induction with Suboxone. This was the easiest way for me personally ( everyone is different and I know) basically you take very smallest amount Suboxone while still using and as the days go on, you cut back the fetty and raise the amount of Suboxone in ur system. After 4 relapses because I couldn't wait the 3 days they asked for, they tried micro induction and it saved my life
Methadone is painful enough.
Approaching 72hrs. Here we go again
I hope you're doing ok sweetie. I know it's a hard battle. I relapsed 3 times before I was done done. Micro induction with Suboxone was the easiest way to get sober for me because I was still allowed to use and cut down at my own pace but it has to happen within a week or 2 then by then end you should be taking more Suboxone and no fetty.
Congratulations God bless each and one of every keep the faith God is real❤❤
Massage therapy and lots of family support has helped my son. It's been 30 days so far
@drones r us 🙄 don't be lazy you absolutely know how to give a back or leg massage. It absolutely cost nothing but your time
@drones r us that's what the support system is for. They need to be there round the clock for at least 10 days. Rubbing encouraging and easing any need that needs to be taken care of. That's what we did for my son. He's doing great, it was hard but he fought thru it.
Hope hes still doing well.
Ibogaine therapy and NAD therapy is the answer to completely kill withdrawal and the addiction to opioids
I was on fentanyl for 20 years abusing the patches, The biggest thing that helped me was having a naltrexone implant, they supply reduced muscle relaxants over a few months and I recommend hot salt bath and tonic water drinks everyday to relieve muscle spasms. Leg weakness is an inevitable side effect of coming off fentanyl! Stay strong 👍🙏❣️
Do any of these people actually realize that detoxing off of drug means not taking it anymore ?!
it doesn't mean switching to a different one!!
I'm so sick of these doctors trying to fill their pockets full of Kickbacks instead of actually trying to help people detox off of this shit!
That doesn't always work
Addiction is crazy
@@dauntae24 yes, it is!!
l Recovery is sometimes crazier!
. It just leaves a bad taste in my mouth how BP has managed a way to capitalize on the so-called treatment for substance abuse disorder that they, in many cases, including mine, were the direct cause of in the first place.
I can't even stomach the thought of replacing the street drugs i was ultimately forced to take with OAT provided by the selfsame crooked pharmaceutical companies, and in so doing returning to them the losses they rightfully suffered when they were forced to change the oxycontin formulation, rendering it impossible to administer intrvenously.
They've landed on their feet again, for now, but I'm heartened and hopeful listening to Poillievre's promise to change the opioid crisis protocol to detox, treatment and real recovery, rather than keeping people addicted and lining BP's pockets at the same time.
BRING IT HOME PIERRE!!!
Have you ever been addicted to an opioid? If not, you can begin to understand and know just how hard it is. Just take one step at a time. If you get on Suboxone, go ahead. Deal with that after, very closely detoxing down day to day.
With micro induction with Suboxone you can still use fentanyl. Over the course of a week tho you should be taking more Suboxone and less fentanyl and won't feel withdrawals.
I suggest you take it for month or two doctor and then Detox
I got off it in 19 days - it was hell.
So hard but im working with methadone thank god
If you're functional, stable and happy dont let anyone make you feel bad about it. Some people just dont understand, and maybe good for them. We need differing opinions and views to find a middle ground.
I was on methadone (200 mg every day for two years.) I detoxed cold turkey in jail. It was the most magnificent and brilliant nightmare I have ever felt. My withdrawals lasted literally six months. My heart beat sounded like cannon fire in my ears. I could feel every beat push against my eyelids with remarkable force. I did not sleep more than three hours a night for probably 5 months. I would have rather had surgery without anaesthesia than go through that detox again because at least surgery ends. My blood pressure was 220 over 120. After sending out endless medical kites, the nurse that finally looked at me, said like it was a surprise "oh, you're going to stroke out." They at least gave me blood pressure meds at that point, but the agony didn't stop. I was yearning for death for a year. I had no energy for the next.
Taper now. Methadone is a monster. Get off that shit. It was the most painful thing I can imagine going through. I would absolutely take my own life before going through it again (ABSOLUTELY). Methadone is a monster.
@@derrickforealno. Get off methadone. It is the definition of a nightmare. I don't think you know what you're talking about.
That was a ride. A year til I felt normal again. Mthadone is hell and I was only on 30 mg. Prepare for a very long yourney
9 weeks clean
i was still pissing hot for it 2.5 months after i quit
Detoxing fentanyl is EASY as 123
Explain
Get gabapentin and you won’t feel much withdraw from fetty, I did 40 blues a day and stopped with gapapentin and a little coke and I feel pretty good because the gapentin takes away 80-90 percent of the withdraws. Way better than subs
Not only does it take away the chills and cold sweats but you don’t feel that anxiety either because it does something to your brain that calms you down last time the anxiety lead to my relapse, and this time I had nearly none.
CZcams it if you want the science behind why it works
Can you do a video on why opiate addicts can get methadone or buprenorphine which are really strong drugs but they cant get percocet or lortab which is no where near as strong 60 milligrams of methadone is 120 milligrams of oxycodone thats 12 10 milligram oxycodone a day why cant we be on low dose opiods instead of methadone ive never understood that coming from someone whos on methadone matinence
Damn I have never thought about that you are so right like I am fine on like 3-4 percs a day I never wanted or like being on the methadone or subs
It's two reasons in my opinion. First, biggest reason imo, we live in a society that is based off of puritan beliefs. If something you ingest gives you undeserved pleasure or euphoria then it's considered not good. Look at nicotine. Nicotine by itself isn't really that bad. But lots of people are against it because it gives you pleasure/relief and you didn't do anything to deserve it, so you shouldn't have it. It's basically this moral outrage that our society is enshrined in that keeps these things the way they are. Our society isn't against us doing lots of other dangerous/risky things since you don't get pleasure from them. But driving a car on a highway is risky, riding a bike is risky, extreme sports, cosmetic procedures etc. But you're not ingesting any of those things to achieve pleasure so our puritanical society tolerates them.
Second, oxycodone is short acting so you get euphoria and then need more. Methadone and bupe are long acting. They can give someone who is opiate naive pleasure but usually don't for someone who is tolerant. And since methadone and bupe are long acting you only have to dose once a day, which I'm guessing is the big part to why they're approved (aside from being relatively safe). They give structure and routine to someone's day instead of having to keep redosing throughout the day like oxycodone normally would.
@@erictres, I appreciate YOUR thoughts as they make sense. I never thought about the puritans thought process on pleasure, so thank YOU for the new knowledge I've learned.