To recover from heroin addiction, one must first go through the process of ridding the body of heroin and its toxic metabolites. The process is known as detoxification or, more commonly, “detox.” As the body clears the heroin out, the unpleasant experience of drug withdrawal occurs.

For many people with addictions, the fear of withdrawal is a major barrier to escaping their addiction. For some people, that fear keeps them from even trying addiction treatment. However, millions of people have successfully found health and happiness in long-term recovery.

Fortunately, withdrawal and detox don’t have to be a terrible experience. By participating in an inpatient detox and withdrawal program, people can get through the experience safely and comfortably.

Article at a Glance:  

  • After initially stopping heroin, terrible flu-like symptoms are common, such as runny nose and muscle aches. 
  • The symptoms of withdrawal from heroin typically start within the first four to 24 hours and peak within 36 to 72 hours.  
  • Heroin withdrawal symptoms can last for seven to 10 days. 
  • It is not recommended to quit heroin “cold turkey” or detox at home because many home remedies for heroin detox are unsafe, untested, and unproven.  
  • A medical facility is the safest and most effective place to detox. 

Heroin Withdrawal

Recovery from heroin use is associated with great improvements in health and quality of life. However, the initial cessation of heroin use is associated with a short period of terrible, flu-like withdrawal symptoms as the body rebounds from heroin use. Detoxification involves using medications, counseling and supportive measures to help the individual withdraw safely with minimal symptoms.

Symptoms of heroin withdrawal infographic

  • Common Withdrawal Symptoms:

    Heroin withdrawal symptoms are described as a severe case of the flu, and typically include:

    • Mood changes, like agitation and anxiety
    • Increased body secretions (runny nose, teary eyes, and sweaty skin)
    • Stomach problems (nausea, vomiting, cramping, diarrhea, and loss of appetite)
    • Muscle problems (aches, twitching, shivering)
    • Sneezing
    • Goosebumps
    • Yawning

    Withdrawal symptoms begin between 4 and 24 hours after the last dose of heroin. The severity and duration of withdrawal may depend on how long the individual used heroin, as well as the amount and method of heroin use.

How Long Does Heroin Withdrawal Last?

Different opioid drugs have different timelines for withdrawal, and it depends on how much and for how long the individual used heroin.

Factors that influence heroin withdrawal

For heroin, the withdrawal symptoms start within the first 24 hours (sometimes as soon as four hours) from the last use, peak within 36 to 72 hours, and last seven to 10 days for most people. People who use heroin chronically may experience some withdrawal for up to three or four weeks.

Heroin withdrawal timeline

When Does Heroin Withdrawal Start?

For heroin, the withdrawal symptoms start within the first 24 hours (sometimes as soon as four hours) from the last use, peak within 36 to 72 hours, and last seven to 10 days for most people. The severity and duration of withdrawal may depend on how long the individual used heroin, as well as the amount and method of heroin use. People who use heroin chronically may experience some withdrawal for up to three or four weeks. While withdrawal is a necessary undertaking when addressing heroin addiction, there are options available to detox in a safe and comfortable way.

How Long Does Heroin Stay in Your System?

When heroin enters the body, it is rapidly metabolized. This happens so quickly that most of the drug is out of the system within 30 minutes. The half-life of heroin is about three minutes. For example, if someone injects 20 mg of heroin, then 10 mg is left after three minutes, 5 mg after six minutes, etc. Heroin will be completely clear from the body in about 15 minutes for many people, but some people metabolize heroin more slowly. In this case, heroin can stay in the system for 30 minutes or longer. Drug tests can measure heroin in saliva, blood, urine, and hair for different lengths of time.

How Do You Taper Off of Heroin?

A tapering regimen is all about lessening tolerance and dependence over time. Taking less and less of the drug allows the body and nervous system to self-correct and, ultimately, heal itself. By keeping withdrawal symptoms at bay, it is more likely that an individual will continue the recovery process. This is one of the primary reasons replacement therapy is used as well. A person’s environment will play a vital role in deciding how to taper off heroin.

Is Quitting Heroin Cold Turkey a Good Idea?

Quitting cold-turkey is not recommended as it is the most difficult and dangerous way to attempt to address addiction. Medically-supervised detox with withdrawal medications, counseling support, and symptom management make the experience much easier, safer and more likely to result in a successful recovery.

Quitting heroin cold-turkey infographic

Stopping heroin “cold-turkey” brings about a rapid onset of withdrawal symptoms, which are very difficult to endure. The risk of experiencing a setback during withdrawal is high as the craving to use and stop the symptoms can be overwhelming. When people try to self-taper their heroin use on their own they are seldom successful. A relapse during withdrawal sometimes leads to overdose.

Heroin Withdrawal Medications

Opioid replacement therapy involves a long-acting opioid medication that is used to keep drug cravings and withdrawal symptoms to a minimum without causing a high. Over time, the dose of these drugs can be tapered in a slow and controlled manner until the patient is opioid-free.

Only two opioids are FDA-approved for the treatment of heroin withdrawal: methadone and buprenorphine. Buprenorphine generally has a more favorable side-effect profile than methadone. One type of buprenorphine product used during opioid detox is Suboxone, which also contains naloxone, which blocks opioid receptor sites to prevent any attempts at abuse.

Other medications may also be used during heroin detox to help with specific symptoms. These include sedatives (such as benzodiazepines) and the medication clonidine, which helps reduce some withdrawal symptoms.

About half of people with addictions also suffer from mental health disorders, such as depression or anxiety. Recognizing and treating underlying mental health disorders provides the best success rates for recovery and is an important part of returning the person to good health and functioning.

Heroin Withdrawal Deaths

Withdrawing from heroin is typically safer than withdrawing from alcohol, but it is occasionally fatal. When people die from heroin withdrawal, it’s usually due to excessive vomiting and diarrhea. Untreated, these symptoms can rapidly dehydrate the body and cause dangerously high levels of sodium to accumulate in the blood (hypernatremia) and the heart can fail. Such cases occur when people withdraw from heroin on their own, usually in jail. Such deaths can be prevented by medical supervision in a professional detox facility.

Heroin Withdrawal Tips

The primary tip for heroin withdrawal is not to do it alone. Withdrawal is a difficult experience and willpower alone is seldom adequate to prevent relapse. There is plenty of help out there to make detox and withdrawal safe and less uncomfortable. Utilizing the supports in place is the best way to get on track for long-term recovery. A specialized treatment facility with medically-assisted detox is the safest method for quitting heroin and avoiding relapse.

Heroin Detox

Professional heroin detox is medically-supervised withdrawal from heroin. Detox must be done as part of an overall plan for recovery, which involves much more than simply stopping using the drug. The underlying causes of the addiction and the mental devastation from the addiction itself must be addressed for the best chance of successful recovery and a return to good health and happiness. Detox for a serious addiction like heroin is almost always an inpatient process.

For some people, likely for those whose heroin use was limited, outpatient detox therapy may be an option. Even though their use of heroin was not severe enough to warrant inpatient treatment, they are still psychologically susceptible to using it again. As such, they will be required to attend meetings and counseling sessions.

An inpatient heroin detox program is a natural transition to counseling, which forms a crucial part of the overall treatment plan. A recent study showed that inpatient detox is the most effective way to ensure a successful recovery after discharge.

Detoxing From Heroin at Home

Outpatient detox is for patients who have not been addicted to heroin for very long or who abused it in small amounts. To be eligible, their home environment and living situation must be stable and supportive. Regular visits to the treatment center (for medication replenishment, counseling, observation, and tests) will be required.

Various home remedies are advertised, promising to help with heroin withdrawal and detox, but caution is advised. Many remedies are unproven and untested and do not work as well as medically-supervised withdrawal treatment. It is best to speak with a healthcare professional before taking any such medicines.

Some over-the-counter medications can help with withdrawal symptoms, such as acetaminophen for muscle aches, and antidiarrheals and anti-nauseants to help with stomach symptoms.

Helping Someone Withdrawing or Detoxing From Heroin

It’s best to talk to an addiction specialist team to obtain advice before helping a loved one through the detox and withdrawal process. Addiction specialists are trained in how to work with people in withdrawal. They can offer expert support with the task of helping a loved one through the withdrawal process. To talk to a specialist, call us, or sign up for online counseling services through The Recovery Village Telethealth App.

Heroin detox infographic

Before withdrawal and detox begin, it’s important to clear all drugs and drug paraphernalia out of the house to avoid tempting the individual.

It can be very stressful to watch someone go through heroin withdrawal. Although heroin withdrawal is seldom deadly, stopping heroin can lead to very uncomfortable symptoms within only a few hours. Besides the physical symptoms, the person withdrawing may show psychological symptoms, such as confusion, anxiety, and aggression.

Because recovery is a lifelong process, the individual will require ongoing support. The person in recovery will need a strong support system after detox completes. This support system may include long-term professional counseling sessions. Some counseling sessions may be available to friends and family as well.

Finding a Heroin Withdrawal & Detox Center

The do-it-yourself detox methods are not worth the risks and can lead to far more damaging effects on the body. Undergoing detox at a professional facility is a safe and effective way to rid the body of drugs like heroin.

Medical Disclaimer: The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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