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This is a work in progress...something I've been working on off and on for the last couple of weeks. It's not considered complete, but has lots of info from lots of sources. If any of the "old timers" have anything to add, let me know and I'll add it to the document. I hope to use this to post a general "how to" every couple of days or so.
Listed below are suggestions for detoxing and quitting an opiate addiction. They are just suggestions compiled from the detox plans of people that have gone through cold turkey detox before. They are just that, suggestions, and any detox plan is best when done under a doctor's care. Consult your doctor before trying any of the suggestions below.
This is prewritten for anyone who is beginning or planning on beginning a colt turkey withdrawal to opiates. This includes drugs such as tramadol (Ultracet and Ultram) codeine (Tylenol #3, #4), Darvocet, Hydrocodone (Vicodin, Norco, Lortab and derivatives), Oxycodone (Endocet, Percocet, Oxycontin), Morphine, Demerol. Fentanyl, and Dilaudud. There are many other opiates not listed, so if you don’t see it listed, you can still use these suggestions if it’s an opiate based addiction. None of these apply to benzodiazepine based addictions. These addictions should never be dealt with by going cold turkey. Always consult a doctor for a detox plan for benzos.
First of all, opiate withdrawals are uncomfortable, but rarely life threatening. You may think you’re going to die, but most of the withdrawal symptoms are just very uncomfortable. Opiate withdrawal symptoms usually start 12-24 hours after your last dose. But, the timing of withdrawal symptoms depends upon the drug taken, length of time you’ve been taking it, and how you react to medications. The physical withdrawals usually last 3-7 days, with days 3 and 4 being the worst. Once again, this is all dependent on the person. You can expect these symptoms. Dilated pupils, diarrhea, runny nose, goose bumps, abdominal pain, stomach cramps, sweating, agitation, anxiety, nausea, vomiting, leg cramps, general aches and pains, and sleeplessness. This list is not absolute. You may experience all of these symptoms, only some of them, or other symptoms. Again, we are all different. Below is the famous Thomas Recipe. It gives some general information along with supplements that help with the withdrawal symptoms. The only thing I would add to this list is a blood pressure drug named clonidine. It effectively lowers the blood pressure and lessens many of the withdrawal symptoms. Most any doctor will prescribe it if you’re honest as to why you need it. Discuss dosages and frequency with your doctor.
Thomas Recipe:
1. Valium (or another benzodiazepine such as Klonopin, Librium, Ativan or Xanax). Of these, Valium and Klonopin are best suited for tapering since they come in tablet form. Librium is also an excellent detox benzo, but comes in capsules, making it hard to taper the dose. Ativan or Xanax should only be used if you can't get one of the others.
2. Imodium (immodium) (over the counter, any drug or grocery store).
3. L-Tyrosine (500 mg caps) from the health food store.
4. Strong wide-spectrum mineral supplement with at least 100% RDA of Zinc, Phosphorus, Copper and Magnesium.
5. Vitamin B6 caps.
6. Access to hot baths or a Jacuzzi (or hot showers if that's all that's available).
How to use the recipe:
Begin your detox with regular doses of Valium (or alternate benzo). Start with a dose high enough to produce sleep. Before you use any benzo, make sure you're aware of how often it can be safely taken. Different benzos have different dosing schedules. Taper your Valium dosage down after each day. The goal is to get through day 4, after which the worst WD symptoms will subside. You shouldn't need the Valium after day 4 or 5. During detox, hit the hot bath or Jacuzzi as often as you need to for muscle aches. Don't underestimate the effectiveness of hot soaks. Spend the entire time, if necessary, in a hot bath. This simple method will alleviate what is for many the worst opiate WD symptom.
Use the Imodium (immodium) aggressively to stop the runs. Take as much as you need, as often as you need it. Don't take it, however, if you don't need it. At the end of the fourth day, you should be waking up from the Valium and experiencing the beginnings of the opiate WD malaise. Upon rising (empty stomach), take the L-Tyrosine. Try 2000 mgs, and scale up or down, depending on how you feel. You can take up to 4,000 mgs. Take the L-Tyrosine with B6 to help absorption. Wait about one hour before eating breakfast. The L-Tyrosine will give you a surge of physical and mental energy that will help counteract the malaise. You may continue to take it each morning for as long as it helps. If you find it gives you the "coffee jitters," consider lowering the dosage or discontinuing it altogether. Occasionally, L-Tyrosine can cause the runs. Unlike the runs from opiate WD, however, this effect of L-Tyrosine is mild and normally does not return after the first hour. Lowering the dosage may help. With breakfast, take the mineral supplement. As soon as you can force yourself to, get some mild exercise such as walking, cycling, swimming, etc. This will be hard at first, but will make you feel considerably better.
I am also noticing that I am not sleeping as much now as when I was on Lortab which is great! I have been going to bed at a "normal" time and getting up mid morning and not at noon or after.
I have also started the 5htp stuff (I think that is what it is called). I was hesitant in taking that due to my being prescribed prozac, but after research, I have found that I can take the 5 htp stuff as long as it has been at least 6 hrs since my dose of prozac. So, I take prozac in the mornings along with my vitamins and aminos, then the 5 htp stuff at night with tylenol and melatonin. Hoping to get off the melatonin tonight.
I know it is hard, but hang in there. This forum is a wonderful place. Even if you, like me, choose to "lurk" and take what you need and leave the rest. There are some fabulous people here.
I have followed Fladdict's story for a long long time and she has been an AWESOME inspiration to me. I pray for her everyday and pray that God will give just a small piece of the strength and courage that this young lady has as well as others who have overcome their addiction. There are many inspirational and wise people here. To all I thank you. Good Luck KelLeigh.
You have made a great first step in recovery. Warning though: It has been my experience that overcoming the physical symptoms is a breeze compared to the mental symptoms. It is like a work in progress for me. I had to come to terms with the underlying reasons why I chose to "abuse" my meds. Originally, I took them for legit pain, which I still suffer from. I started abusing to cover up many underlying reasons which I am learning to face every second of every minute of every hour of every day.
Hang in there. Like I said before, there are great people here.
Recovery is a Journey, not a Destination...
Until Then,
LL
I took my last dose on Sunday 7/22/07 while out at Fire Island on a family weekend. I probably took 30 or so within those 2 1/2 days and then just looked in the mirror and said--"I can't do this anymore!"
Today is Friday 7/27/07. My symptoms have run the gamut all week--muscle aches, insomnia, the runs, but the worst is the deep depression and non-stop crying jags. I'm not suicidal, but find myself wishing the world would end.
I'm so ashamed of all of this that I never even considered asking my doctor for help...I plan on doing so now, even if its just to get something to calm me down and get some sleep.
I know my faith in God is what is getting me through this. Today is my fifth day being drug-free. I believe He will get me through this.
Thanks for listening
tessyann-Good for you, for looking in the mirror, and having the sense to realize you cannot do it anymore. I am so sorry for the depression/non-stop crying. That is exactly what happened to me in November. I really thought I would never feel better...but I did. Day 5, you should be coming around pretty soon. Surround yourself with loved ones, and people who you can talk to. That always made me feel much better. Being alone was the worst. I wish luck for you as well, and know we are here for you if needed.