Rapid detox is tempting for many people who are struggling with opioid addiction. The idea that you could expedite the withdrawal process and get through the discomfort more quickly is undoubtedly attractive. But quick cures rarely work, and the risks associated with this form of detox are just too high.
Most often, people who go through rapid detox end up quickly relapsing. While rapid detox can technically “work,” it is not recommended by experts in the field due to its ultimate lack of success.
What Is Rapid Detox?
Rapid detox is generally used to treat opioid addiction, particularly the detox process. During rapid detox, an individual is given anesthesia or another form of sedation. Once sedated, the patient is given opioid antagonists (such as naltrexone) to speed up opioid detoxification.
Patients who choose rapid detox often complete the protocol in a day or two. Rapid detox is often pursued as a way to avoid lengthy withdrawal from opioids, but most treatment experts do not recommend it.
Why Do People Choose Rapid Detox?
People who are afraid of withdrawal and do not wish to experience withdrawal symptoms often consider rapid drug detox.
In traditional detox, withdrawal symptoms can last days or even weeks, depending on the severity of the addiction. Rapid detox seems like an easy way to shorten the entire process.
Common opioids of abuse, like morphine, codeine, and heroin, are highly addictive and can cause intense physical dependence. Because of this, withdrawal symptoms can be strong when use is stopped.
The same is true for opioids like oxycodone, methadone, and hydrocodone. These are powerful drugs that quickly lead to addiction with continued abuse.
Withdrawal symptoms from opioids often include the following:
- Intense sickness
- Body aches
- Dizziness or delirium
Rapid detox promises to get people through this process quickly, while they are asleep, so they won’t experience this discomfort.
Is the Experience of Withdrawal Beneficial in Some Way?
Some medical professionals are skeptical about the intentions behind rapid detox as well as whether or not it is as effective as more traditional detox methods. Perhaps it can be argued that the discomfort from experiencing withdrawal may serve as motivation for the individual to avoid relapse.
In addition, rapid detox comes along with more than a few risks that should be considered during an individual’s treatment decision-making process.
Pros & Cons of Rapid Detox
Rapid detox does have some benefits and potential advantages during the drug detoxification process. And certainly, the idea of sidestepping the discomfort of withdrawal is appealing.
Potential pros of rapid detox include the following:
- Detox treatment with medical supervision
- Avoidance of withdrawal symptoms
- Faster detox time
Cost and rate of insurance coverage might be considered drawbacks when it comes to rapid detox. Rapid detox can often cost anywhere from $10,000 to $15,000 and treatment is generally not covered by insurance providers. The cost of treatment is much more expensive than traditional detox, and individuals are often expected to pay upfront.
Beyond risks associated with rapid detox (described below), rapid detox might also be considered a way of “cutting corners” and not experiencing the full weight of consequences associated with substance misuse.
Rapid detox might be the quickest avenue to get rid of withdrawal symptoms, but it also leaves a person more susceptible to relapse. Completing a normal length and more intensive detoxification treatment program, followed by a comprehensive addiction treatment program, is the optimum solution for recovery. With rapid detox treatment, there is often no follow-up care that is provided.
Dangers of Rapid Detox
There are certain risks and dangers that come along with rapid detox that go far beyond being considered cons. Risks associated with rapid detox include the following:
- Respiratory issues and complications
- Delirium or psychosis
- Pulmonary distress, which can result in pulmonary failure
- Thyroid hormone suppression
- Fluid buildup in the lungs
- Amplified co-occurring disorders, such as bipolar disorder
The Centers for Disease Control and Prevention reported severe adverse events and even deaths resulting from rapid detox treatment. Individuals with pre-existing medical conditions are at greater risk of experiencing an adverse event during rapid detox.
Even if an individual completes rapid detox treatment successfully, it does not mean they aren’t still susceptible to withdrawal symptoms. Individuals can still experience common withdrawal symptoms like nausea, body aches, vomiting, and other symptoms. There are no studies or evidence that support rapid detox having a 100 percent rate of success.
A study published in the Journal of Addictive Diseases asserts that around 25 percent of patients studied who underwent rapid detox experienced relapses.
Rapid Detox Alternatives
Since rapid detox has so many risks and downsides, it’s important to consider all of your treatment options.
At the end of the day, rapid detox only represents the initial step in treatment and recovery. Even if you undergo rapid detox treatment, rehabilitation and psychiatric treatment are still needed for anyone struggling with an addiction.
Going the more traditional treatment route will not only increase the chances of successful recovery, but it will also help you avoid any of the pitfalls and risks associated with rapid detox. The disadvantages of rapid detox greatly outweigh any positives associated with getting through detox quickly and with less discomfort.
Inpatient Detox Treatment
When going through the detoxification process, being in a medically assisted environment is tremendously beneficial and will help you avoid any complications. Inpatient detox programs provide round-the-clock supervision.
Constant monitoring ensures withdrawal symptoms can be addressed in real time. Generally, withdrawal symptoms tend to subside at the five-day mark.
In a supervised environment, you’ll also have psychological and emotional support as you go through the detox process. This greatly increases your chances of success.
Outpatient Detox Treatment
Outpatient detox programs offer a little more flexibility than inpatient programs. Generally, outpatient detox treatment centers allow individuals to receive the care they need from a facility during the day while heading home in the evening time.
Essentially, those who seek outpatient treatment can still work and keep up responsibilities. Outpatient detox is a cheaper option and alternative when compared to inpatient detox treatment.
Treatment With Medication
Medication-assisted treatment (MAT) is also available for the detox process. This is most common in instances of opioid use disorder and alcohol use disorder.
There are a variety of medications prescribed for reducing cravings and withdrawal symptoms. Common medications for detox include the following:
What Happens After Detoxification?
Again, detox only represents the first stage of the recovery process. Detox will not in and of itself treat an addiction. It is highly likely that people who have gone through detox will relapse if they don’t seek further addiction treatment, such as traditional therapy.
After detoxification, it is recommended that individuals with addiction issues attend a rehabilitation program that can last anywhere from 30 to 90 days. Traditional talk therapy will be the backbone of treatment along with support group attendance and alternative therapies.
- Six-Month Follow-Up Study of Ultrarapid Opiate Detoxification With Naltrexone. (June 2014). International Journal of High Risk Behaviors and Addiction.
- Strategies for Transfer From Methadone to Buprenorphine for Treatment of Opioid Use Disorders and Associated Outcomes: A Systematic Review. (March 2022). Journal of Addiction Medicine.
- Deaths and Severe Adverse Events Associated With Anesthesia-Assisted Rapid Opioid Detoxification. (September 2013). Centers for Disease Control and Prevention.
- Long-Term Relapse of Ultra-Rapid Opioid Detoxification. (January 2014). Journal of Addictive Diseases.
- Outcomes From the Medication Assisted Treatment Pilot Program for Adults With Opioid Use Disorders in Rural Colorado. (January 2022). Substance Abuse Treatment, Prevention, and Policy.