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How Long Does Opiate Withdrawal Last

Methadone Withdrawal Timeline: How Long Does Detox Take?

Congratulations for trying to get off methadone. We wish we could tell you it’s going to be easy, but it’s not. Addictions are a hard cycle to break – but it’s possible.

One of the most common reasons people don’t break the addiction cycle is because they don’t understand what getting sober is really like. They don’t consider the physical withdrawal symptoms.

We’re here to walk you through the methadone withdrawal timeline and give suggestions on how to make it better. We’ll give you tips on each step – but here are some general detox success tips, first.

Detox Success Tips

You’re going to need help when you’re detoxing, in some way. Here’s what we recommend.

1. Tell Someone You’re Detoxing

It’s unlike no one noticed that you were using drugs. Especially if you were on them for a long period of time. Your loved ones or even just one trusted friend will be happy to hear you’re working towards sobriety.

Pick someone (or multiple people) and let them know you’re detoxing. Ask them to come stay with you or check in with you throughout the process so they can provide support.

2. Try to Function as Normal

The first week of detox is the hardest on your body, but also on your mind. Your symptoms are going to make you want to lay on the couch – but you can’t.

If you lay on the couch in discomfort, all you’ll be able to think about is relapsing. Try to go about your daily activities as planned. You can use over-the-counter medication to treat some of your symptoms.

It may not feel great, but it’ll keep you from obsessing over finding more pills.

3. Seek Out Counseling

If there’s an addiction center in your area, it’s a good idea to meet with a counselor there. Many of them have outpatient programs so you can continue to live your life as normal.

Having someone who knows what drug withdrawal is like will help you stay on track.

If there’s not or you have a therapist, make sure they know you’re trying to get sober. They’re there to support you in all your darkest moments.

The Methadone Withdrawal Timeline

Let’s get specific – what happens when that last pill you took wears off and you’re out or you’ve thrown all of them away? Here’s what to expect.

The First Day

Methadone withdrawal isn’t a straight downhill battle. Your first day won’t be quite as hard as the second or third. That’s where the hill peaks when it comes to symptoms.

Your first day you may feel anxious and hazy. It’s normal to experience light flu-like symptoms.

You’ll probably find your heart beating faster than normal, as your body speeds up processes to figure out what’s missing.

If you have chills, a fever, or muscle aches – these are all normal. If your heart or chest starts to hurt – please go to the hospital.

The Second and Third Day (Symptoms Peak)

You’ll probably feel straight-up sick on these days. Whatever happened the first day is about twice as bad on day two or three. This is where most people fall out of the detox process and give in to their cravings.

Don’t be one of them! Use our general tips for success above.

During this stage, not only will you feel feverish, but the psychological issues will kick in. You can expect very strong cravings for the drug and the thought that “it would make all this go away”.

Hallucinations and paranoia are possible, so please make sure you call a trusted companion if this starts to happen. They can keep you from acting on anything if you’re experiencing a lapse in reality.

You may not be able to sleep, either, even though all the mental symptoms will exhaust you. Please don’t take anything strong like Ambien or Nyquil – your body is already trying to process enough.

Finally. you’ll have anxiety and you’ll probably be pretty grumpy. Warn the people you interact with to expect changes in mood. You can always apologize for being snappy later.

While most people peak on day three, it takes others longer. It depends on how long you’ve been addicted and the dosage you’re used to.

Addicts who’ve been on the drug longer or take more milligrams than others have a longer withdrawal period.

Day 4-10

Like we said, you could experience intense withdrawal symptoms for up to 10 days or a week, depending on your usage. But by the end of the first week, you should start to see symptoms subside.

While the physical discomfort goes away, you may find your mental state gets worse. Depression is common among opiate addicts, especially.

You’ve been supplying your brain with an outside-source of dopamine, the happiness chemical. It’s not used to having to make its own.

It’ll take a while for it to kick back into production, and you’ll feel depressed until it does.

Day 10+

We don’t want to scare you, but your depression and cravings can last for months after your last dose. That’s why it’s so important to seek out support.

Family members, people at church or professional counselors are all good people to turn to.

Treating Your Symptoms

Your methadone withdrawal timeline will be different than anyone else. It’s a unique process and you only have to do it once – if you do it right!

Are you about to start detox or are you already uncomfortable? You can make yourself feel a little better with these herbal remedies.

Remember that this is suffering you’re doing for a better future – for you and the people that love you!

Sources

[1] Biology of Addiction. (2017, September 8). Retrieved from https://newsinhealth.nih.gov/2015/10/biology-addiction

[2] Heart failure due to ‘stress cardiomyopathy?: a severe manifestation of the opioid withdrawal syndrome. (n.d.). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3760581/

methadone taper

7 Things You Need to Know About Tapering Off Methadone

Over 2 million people in the U.S. abuse opioids. Methadone is used as a prescription drug to fight opioid addiction.

Methadone relieves pain and prevents opioid withdrawal symptoms. Most methadone treatment programs keep patients on the drug longterm. This is because research shows that patients on methadone are less likely to relapse.

But what if you’re ready for complete recovery?

Here are 7 things you need to know about tapering off methadone.

Process of Addiction

Pharmaceutical companies convinced doctors that addiction to opioid pain relievers was uncommon. This occurred in the 1990s. This led doctors to prescribe pain medication at greater rates than before.

This caused an uptick in the number of people using opioid medications. Unfortunately, patients with pain often become tolerant to normal doses of medication. They need higher doses of medication to stop the pain.

When their prescription runs out, many patients turn to illegal opioids for self-medication.

Opioids bind to receptors in the brain blocking pain and causing a dopamine rush. The dopamine rush is addictive because it causes pleasure and relaxation. Over time, brain chemistry alters and becomes damaged.

When it comes to weaning from the opioids, methadone is the drug of choice. It prevents withdrawal symptoms because its effects are slower than other painkillers. Weaning from methadone isn’t easy since it’s also an opioid.

Freedom of Choice

Many treatment programs never mention methadone weaning. They prefer indefinite treatment with methadone so patients avoid relapse. This means patients have no choice when it comes to their treatment plans.

That’s unfortunate since long-term methadone use has potential unhealthy side effects. Methadone is also sometimes fatal with thousands of deaths each year from an overdose.

In studies, methadone side effects show that it can affect both memory and learning. In rats, there were brain cell changes even after the methadone was no longer in the body. Attention spans were also shortened.

Tapering Off Methadone

If you’re ready to taper off methadone, what’s the best way?

Never stop methadone treatment cold turkey. Always taper under the supervision of a doctor.

Although methadone eases withdrawal symptoms from other opiates, it also has withdrawal symptoms.

Methadone withdrawal symptoms include:

  • Depression
  • Difficulty sleeping and insomnia
  • Agitation
  • Anxiety
  • Profuse sweating
  • Nausea and vomiting
  • Diarrhea
  • Stomach cramps
  • Shivering
  • Rhinorrhea (a runny nose)

Methadone withdrawal symptoms sometimes last longer than opioid withdrawal symptoms.

1. Find a Counselor

You’ll need a counselor or therapist. Many therapists specialize in addiction treatment. Meet with the counselor on a regular basis. If you don’t have the means for a counselor, get into an appropriate 12-step program.

You’ll need a good support system. Sometimes family members aren’t the best support and can even undermine your attempts at detox. Surround yourself with people who won’t sabotage your efforts.

2. Address Life Issues First

Reduce your stress before tapering.

Focus on life basics such as a job, a place to live, and marriage issues first. Work on healthy habits. Work through emotional triggers such as losses caused by opioid use.

Many drug abusers lose everything before getting off drugs and onto methadone maintenance. If these issues aren’t addressed first, opioid relapse is more likely after tapering.

Address the spiritual and emotional problems caused by drug addiction. Get your finances in order.

3. Healthy Lifestyle Changes

Make healthy lifestyle changes. Increase your exercise. Adopt a healthy eating plan with lots of fruits, vegetables, whole grains, and protein.

Stay hydrated by drinking at least half your body weight in water daily. If you weight 150 pounds, drink 75 ounces of water per day.

Take a multivitamin.

4. Be Patient

It could take a year or more when implementing healthy lifestyle changes. Be patient. Don’t begin tapering off methadone until you’re ready. Don’t rush the tapering process itself either.

Tapering off methadone takes about three months. To taper means cutting the dose down every week or every other week.

Overall, tapering from methadone has a success rate between 25-50%. The more prepared you are the more likely you’ll succeed.

If you’re taking 10 mg of methadone once per day, your dose is lowered to 8 mg at the end of week two of tapering. At the end of week four, the dosage is lowered to 6 mg.

The dose is lowered to 4 mg, then 2 mg, and then stopped. Most methadone tapers reduce the drug by about 20% every two weeks.

Research shows that slow tapering is more successful than tapering too fast. Remember that methadone stays in the body for as much as two weeks after the last dose.

The process of tapering may take a few months. But the process of being drug-free lasts a lifetime. Be patient with yourself.

5. Use an Experienced Doctor

Use a doctor with experience in addiction and drug withdrawal. You need a doctor who understands the treatment of withdrawal symptoms.

The doctor can prescribe other medications that help ease withdrawal symptoms. Your doctor may prescribe anti-anxiety medications.

If you’re having nausea and vomiting, the doctor can prescribe anti-emetics. These drugs relieve nausea.

6. Decide Where You’ll Detox

You can detox at home or in a treatment center. There are benefits and risks with both options. The familiarity of home is nice.

But quick access to experienced doctors and nurses in a treatment center is a plus.

Talk to your counselor and doctor about what the best option is for you and your situation.

7. Consider Alternative Adjunct Treatments

Some withdrawal symptoms cause problems of their own. Some patients have trouble sleeping during or after methadone withdrawal.

Sleep deprivation causes its own set of problems. It also sets you up for a drug relapse.

If you’re having trouble with symptoms such as sleeplessness, consider alternatives to drugs. Meditation, prayers, and acupuncture are non-drug alternatives that work well for many patients.

In The End, You Must Persevere!

Detoxing from drugs is difficult. There are no easy solutions or magic pills. Coming off methadone is a process. Set yourself up for success before you start tapering.

Get a good addiction counselor. Address your most difficult life issues and triggers and adopt healthy lifestyle changes. Consider alternative treatments for issues that present during the tapering process.

Now that you’re drug-free, enjoy your life’s journey! Looking for more information about drug addiction and detox? Find more information about opioid addiction here.

Sources


[1] American Psychiatric Association. (2017, January). What Is Addiction? Retrieved from American Psychiatric Association: https://www.psychiatry.org/patients-families/addiction/what-is-addiction

[2] Medical News Today. (2011, March 24). Possible Harmful Effects From Prolonged Use of Methadone. Retrieved from Medical News Today: https://www.medicalnewstoday.com/releases/220086.php

[3] U.S. Department of Health & Human Services. (2019, January 22). What Is The U.S. Opioid Epidemic? Retrieved from U.S. Department of Health & Human Services: https://www.hhs.gov/opioids/about-the-epidemic/index.html