Bupe Opiat Detox

[CodeDevelopr]

I always read pretty much that once you try to detox, every day or at the end of drug of choices half-life, you are knocking X ammount out of your system until the day arrives that it is all out of you.

My question is, once you detox, that magically makes the W/D stop as soon as everything is flushed out? Or do you have to Detox EVERY bit of it out, and then there is a further period of time before the W/D's stop? I think everyone assumes you detox and once clear it is gone no more W/D but am I am not sure, this just seems weird, because once your body is used to X ammount of X drug a day, you give it too little a day and can start W/D's if you keep at that dose, your body seems to get used to it and W/D's go away, so why the sudden Stop as soon as your body is clear of it all?

I hope I made some sense

Also this question would apply to any kind of Opiate

 

[Ohayou]

The brain has to readjust itself to being without the substance, that is what causes WD.

It is the lack of the substance, not the substance itself, that causes the suffering.

 

[Tommyboy]

You feel minor-moderate withdrawal as the drug is leaving your body, and then the withdrawal usually peaks when the drug is completely out. From there, withdrawal will last however long it takes for your body to adjust to operating without the drug in you.

 

[Sepher]

I think everyone assumes you detox and once clear it is gone no more W/D but am I am not sure, this just seems weird, because once your body is used to X ammount of X drug a day, you give it too little a day and can start W/D's if you keep at that dose, your body seems to get used to it and W/D's go away, so why the sudden Stop as soon as your body is clear of it all?

No, it doesn't work quite like that. Withdrawal peaks as the last of the opiate is metabolised out, so depending on substance used and half-life you'll have withdrawal get worse over the course of a few days to peak withdrawal, and then you're into recovery mode waiting for endorphin levels to rise and receptor sensitivity to adjust to a point where they're in some kinda balance putting an end to the symptoms. With Heroin for example withdrawal will build to a peak on day three typically and subside over the next 3 or 4 days. You're normally good by about day 6 though your sleeping will be messed up a good while past that. Maybe a couple of weeks before you're properly sleeping again. The severity of the symptoms tend to depend on how hard the substance hits with a given ROA, immediate hard hits like IV being one of the most intense, but by the same token they'd tend to be of shorter duration because your body's metabolising faster.

 

[Tchort]

You will feel full on withdrawal symptoms while the DOC is still detectable in your bodily fluids. A person must test positive for opioids before entering an MMT program, even if they are visibly suffering from opioid withdrawal (sweating, twitching, anxious, running eyes/nose, etc).

If your DOC is IV Heroin, the PDR and AMA say that a 21 day (3 week) tapering dose of Methadone is the standard treatment. Being addicted to a shorter acting opioid means that substituting a long acting opioid in tapering doses in a relatively short period of time will keep the most acute and unbearable aspects of withdrawal syndrome at bay and reasonable until you finally get off the Methadone taper; which, as its characteristics suggest, over those 3 weeks of declining dosage the Methadone 'builds up' or stays in your body much longer than a dose of IV Heroin; so even as you drop your daily Methadone dosage, the previous days Methadone dosage still hasn't been fully metabolized and expelled from the body- thus making for a 'soft landing' into withdrawal rather than experiencing a fast head-on-collision acute withdrawal syndrome.

It takes the body awhile to re-adjust to life without opioids once active addiction has happened. Now every conceivable circumstance will determine what this means for you personally (length of habit, frequency of use, ROA, DOC, your own personal physiology and genetics, etc). Then the wonderful world of PAWS (Post - Abstinence Withdrawal Syndrome) where you can be clean for a very long time (months or years) and randomly experience opioid withdrawal type symptoms.