Heroin Detox and Withdrawal

Heroin Withdrawal Hotline

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Heroin is a hard drug to stop using, but quitting is possible. While detox is never the same for any two people, most heroin detox programs closely reflect the heroin withdrawal timeline. Because it’s a fast-acting drug, heroin dissipates into the bloodstream relatively quickly. Therefore, it typically takes five to seven days for the body to completely filter out any remains of the drug. In cases of heavier heroin abuse, detox can last up to 10 days. Going through heroin withdrawal is tough. While the highs of heroin are extreme, so are the symptoms that follow the cessation of heroin use (withdrawal). To go through heroin detox safely, it’s best to seek out medical assistance at a rehab center.

If you or someone you know is struggling with heroin, and you have concerns about heroin withdrawal symptoms, you can find the answers to many of your questions on this page, including the severity of the symptoms of heroin withdrawal. You may also be wondering about at-home treatment or remedies for heroin addiction. It’s important to keep in mind that heroin withdrawal can be very dangerous without medical supervision, so it might be best to enroll in a rehab center that offers a detox program.

Heroin Abuse & Withdrawal Statistics

Heroin use is a nationwide issue that affects people from all ethnicities, age groups, and income levels. According to the Centers for Disease Control, in the United States alone:  

  • 467,000 people use heroin regularly
  • From 2014–2015, heroin overdose deaths rose by over 20 percent
  • Heroin was responsible for 15,446 overdose deaths in 2016
  • Of those using heroin, 3 in 4 people report having abused prescription opioids prior to heroin

Heroin Rehabilitation & Detox Statistics

For those struggling with heroin addiction, rehabilitation and detox care are available. No one has to become one of these statistics:

  • An estimated 600,000 Americans need treatment for heroin addiction
  • From 2015–2016, heroin-specific inquiries made by teens and young adults to The Recovery Village have risen by 53 percent
  • Heroin withdrawal symptoms start within 6–12 hours of the last use, peak after 2–3 days, and can last 5–10 days for most people.
Heroin withdrawal is a difficult challenge for anyone to endure. There is generally only one cause of heroin withdrawal: stopping heroin use. This can be done abruptly (think cold turkey) or over several days in a detox program. If a person has used heroin only on occasion, they might not experience severe withdrawal symptoms. For those who have recent addictions, or who want to end an occasional-use habit, heroin withdrawal medications can help them overcome the painful side effects of withdrawal. For others with more severe heroin addictions, an inpatient program is beneficial for managing heroin withdrawal safely and effectively.
While undergoing heroin detox and heroin withdrawal can be the toughest stages in beating the disease of addiction, it’s not impossible, and you can lead a sober life. The Recovery Village completely understands the challenges associated with detox and withdrawal. The clinicians and doctors work to mitigate these undesirable effects by making the process as comfortable as possible while keeping each client safe. When an individual completely stops taking heroin or decreases the amount they use, certain physical and psychological effects will occur. Mental and physical symptoms range in severity depending on how much heroin someone has been using. These are generally referred to as heroin withdrawal symptoms.

Cold Turkey Heroin Withdrawal

There are several different ways to detox from heroin. Many people who try to quit heroin on their own stop cold turkey, or all at once. While withdrawal is one of the milestones to heroin addiction recovery, cold turkey withdrawal is not advised. Suddenly quitting heroin can do harm than good in most cases. The main dangers of cold turkey withdrawal include dehydration and risk of relapse, which can easily lead to overdose if the person uses the same amount as before detox. Cold turkey withdrawal is one of the most dangerous and least effective ways to overcome heroin addiction; sudden cessation of heroin use can shock the body and result in dangerous symptoms like convulsions, hallucinations, and seizures.

The costs of do-it-yourself withdrawal methods are not worth the risks and can lead to far more damaging effects on the body in the long run. Undergoing detox at an accredited facility is a safe and effective way to rid the body of drugs and alcohol. When someone detoxes from heroin at The Recovery Village, a team of doctors helps them feel as comfortable as possible during withdrawal. This renowned center helps clients taper off their drug use so withdrawal symptoms are not as severe as quitting cold turkey.

Heroin Detox and Withdrawal

Short-Term Effects of Withdrawal

Withdrawal symptoms can begin as soon as six to 12 hours after the last dose of heroin taken. The short-term effects of heroin withdrawal may range from mild to moderate to severe and are different for each person. Short-term physical and psychological symptoms of heroin withdrawal may include:

  • A runny nose
  • Dehydration
  • Excessive secretion of tears
  • Restlessness
  • Insomnia
  • Uncontrollable yawning
  • Excessive sweating
  • Muscle aches and spasms
  • Aggression
  • Mood swings
  • Irritability
  • Inability to concentrate

As most of the short-term effects of heroin withdrawal are physical, it is important that detox be medically supervised to keep people safe. The initial phases of withdrawal can be made easier with heroin withdrawal medications that help stabilize the body and mind.

After the initial symptoms subside, more intense and longer-lasting symptoms start to manifest. The length of time these symptoms persist varies from person to person, as everyone’s recovery journey is different. These mental and physical effects may include:
  • Depression
  • Anxiety
  • High blood pressure
  • Paranoia
  • Hyperactivity
  • Drug cravings
  • Relapse
While this is the most difficult phase of withdrawal, such symptoms subside over time as the body adjusts back to life without heroin. These more intense and physical symptoms start to improve over the course of three or four days, and within approximately one week, individuals will start to feel well again.
Heroin addiction can very well be described as a malady of the mind and body. Withdrawal has both physical and psychological effects, but each individual experiences them differently. The side effects of withdrawal also vary in severity, depending on the length and intensity of addiction. Some of the most common heroin withdrawal symptoms include:  Physical Heroin Withdrawal Symptoms:
  • A runny nose
  • Nausea
  • Abdominal pain
  • Tremors or shaking
  • Yawning
  • Muscle cramping
  • Rapid heart rate
  • Hypertension
  • Drug cravings
  • Excessive sweating
  • Overproduction of tears
  • Aches and chills   
  • Vomiting
  • Diarrhea
  • Goosebumps  
Psychological Heroin Withdrawal Symptoms:
  • Agitation or irritability
  • Difficulty concentrating
  • Mental illness (like anxiety and depression)
  • Difficulty feeling pleasure
  • Insomnia
  • Fatigue
  • Mood swings
  • Restlessness
  • Changes in personality (like growing more aloof)   
Although withdrawal is one of the toughest phases in beating heroin addiction, it can be done. It is important to understand what to expect during withdrawal to best prepare for the process. A withdrawal timeline can vary from individual to individual, depending on many factors, including the extent of use. Most withdrawal symptoms, however, steer along a similar trajectory.

How Long Does Heroin Withdrawal Last?

For most people, heroin withdrawal lasts at least one week. Those who use heroin chronically may experience withdrawal for up to three or four weeks. Heroin withdrawal symptoms can begin as soon as four hours after someone takes their last dose of the narcotic. For those who have been taking heroin for a long period of time, these symptoms may take longer to manifest because of drug dependence (heroin is built up in the body). 

Phase 1: Days 1–3: Most withdrawal symptoms start within the first 24 hours after a person stops using heroin. Withdrawal symptoms can be uncomfortable, or even painful. It’s important to remember, however, that the discomfort is only temporary. As a result, relapse is very likely to occur during the first two or three days of withdrawal. Symptoms of the initial phase of withdrawal include:

  • Aggression
  • Headaches
  • Irritation
  • Muscle pain
  • Sweating
  • Stomach problems
  • Insomnia
  • Anxiety
  • Loss of appetite
  • Panic attacks

Phase 2: Days 3–5: After the first phase of withdrawal from heroin addiction, most of the intense symptoms have subsided. At this point, someone experiencing heroin withdrawal is likely to feel:

  • Stomach cramping
  • Minor muscle aches
  • Shivers
  • Fatigue

Each person experiences detox and withdrawal differently. For some, withdrawal symptoms may extend past five days. For others, the symptoms subside after one week. It’s not unusual for some mild symptoms to linger. However, focusing on the goal of recovery and using tools like exercise and healthy eating can tremendously help during this challenging time. At The Recovery Village, a team of doctors helps clients feel as comfortable as possible during the grueling process of detox.

heroin with spoon
Detoxing from heroin is best done at a drug rehabilitation facility. This is the safest option, for both one’s mental and physical health. Medically assisted detox also has higher rates of success than other methods; alternatives can be risky at best and even life-threatening at worst.While it’s rare to die from withdrawal or detox, death is a possible side effect. For this reason, it’s recommended to detox at a medical facility. If someone is unable to detox at an accredited facility, and home detox is the only option, it’s important that they have a strong support system to help. It’s also important that they call 911 if they notice extreme withdrawal symptoms. Home detox kits that contain vitamins, herbs and minerals are available at drugstores and online. However, these kits are rarely successful because they don’t address the deep-rooted psychological and behavioral issues that are tied to addiction.It’s highly suggested to seek professional help when undergoing something as serious as detox. The entire process is monitored by medical professionals, including a team of nurses, physicians and other health care providers with specialized training in the drug detox process. If any problems arise, a physician can monitor the conditions and prescribe safe, well-researched medications to minimize pain and manage cravings. While it may seem like a luxury to some, staying at a detox facility helps people start on the road to recovery in the best possible way.

Heroin Addiction Detoxification Process

Detox is only the first step toward recovery. Heroin addiction can be treated successfully in a drug addiction treatment program. The Recovery Village offers several recovery treatment options to best suit each client’s unique needs. Most people who use heroin greatly benefit from inpatient rehab, where they participate in individual therapy and group therapy, receive nutritionally balanced meals, and live in a sober environment. Once rehab is complete, many people recovering from heroin also attend 12-step groups like Narcotics Anonymous or SMART Recovery. For this reason, medically supervised detox is preferential. The following are some of the detox settings that are available:

  • Inpatient Detox: These programs may be offered at a hospital, detox center or rehab facility such as The Recovery Village. Drug rehab centers provide 24-hour supervision, pharmacotherapy, and intensive monitoring.
  • Outpatient Detox: These programs may be offered at a rehab facility, doctor’s office, medical center or free clinic. Clients who choose outpatient detox only receive medical monitoring during business hours, leaving them vulnerable to relapse during the evenings and on weekends.
  • Holistic Detox Programs: These programs may be offered at naturopathic doctor’s offices. They rely on herbal medicines and alternative therapies to detoxify the mind and body. Such programs include spiritual counseling, yoga and acupuncture.

Professionals in the addiction space typically recommend that those who are addicted to heroin detox in a medically supervised setting because it can be a dangerous process. Complications can include aspirating vomit or breathing it into the lungs, leading to lung infection or asphyxiation. Excessive vomiting, sweating and diarrhea can also cause dehydration, leading to chemical and mineral imbalances and possibly causing seizures. Undergoing detox at an accredited facility such as The Recovery Village mitigates all of these risks, however, as our team monitor clients 24/7. Once detox is complete, clients can transition to further treatment.

Withdrawal Medication & Drugs

When someone is detoxing from heroin, they need treatment options to fight their addiction that is both sophisticated and effective. Medically assisted detoxification makes the process less painful by helping to cleanse the body while the person is sedated and under constant supervision. In addition, medications are provided to ease the discomfort that comes from heroin withdrawal. There are several taper medications and drugs that are approved for the treatment of heroin addiction. These include:

  • Methadone: This opioid medication is used to treat severe pain, but it’s also commonly used to treat opiate addictions. It can be administered as a tablet, liquid or injection.
  • Buprenorphine: Also referred to as Suboxone and Subutex, these medications are ideal for treating withdrawal and can be used in future maintenance treatments. Moreover, methadone and buprenorphine act in a way that discourages misuse and abuse.
  • Naltrexone: Naltrexone is an FDA-approved medication ideal for treating heroin addiction as it’s not habit-forming. Naltrexone helps people avoid relapse by decreasing their cravings and preventing them from getting high if they were to take more heroin. After someone who used heroin has undergone detoxification, naltrexone is the next recommended step. This medication can only be used after a person has gone through detox, so one must either successfully stop using heroin for several weeks or opt for medically assisted detoxification if they want to use it in their recovery.
  • Naloxone: Sold under the brand name Narcan, naloxone is not a treatment for heroin addiction, but it can temporarily stop the effects of heroin use. Naloxone has recently been used by first responders and law enforcement officials to someone at the first sign of heroin and opiate abuse. If someone has been given naloxone for overdose, it’s very important to get them to an emergency room as soon as possible before the drug wears off.

Seek Help With Your Heroin Withdrawal

If you’re ready to leave heroin addiction behind for good, enrolling in an inpatient program at a rehab center is a wise choice. Medical professionals can provide constant monitoring throughout the entire process to help ease your withdrawal symptoms and ensure your safety, before and after detox.

To start on the path to healing and overcome heroin withdrawal, call The Recovery Village. An addiction specialist can answer your call and any questions you may have about treatment. They will be able to find a nearby facility and program that suits your needs and goals. You deserve to live free from the painful effects of heroin withdrawal. Call today to get started.

AP. “Dying by Detox: Heroin-related Jail Deaths Raise Alarm with Advocates.” CBS News, 11 July 2016, www.cbsnews.com/news/heroin-withdrawal-jail-deaths-treatment-advocates/. Accessed 24 Mar. 2017. Borrego, Ricardo. “Painkillers to Heroin: the Pros and Cons of Treatments for Opioid Addiction.” U.S. News and World Report Health Care, U.S. News and World Report, 1 Sept. 2015, health.usnews.com/health-news/patient-advice/articles/2015/09/01/painkillers-to-heroin-the-pros-and-cons-of-treatments-for-opioid-addiction. Accessed 24 Mar. 2017. Cherney, Kristeen. “Opiate Withdrawal: What It Is and How to Cope With It.” Healthline, 14 Nov. 2016, www.healthline.com/health/coping-opiate-withdrawal#Symptomsandtimeline3. Accessed 24 Mar. 2017. National Institute on Drug Abuse. “What Are the Treatments for Heroin Addiction?” National Institute on Drug Abuse, National Institutes of Health, Nov. 2014, www.drugabuse.gov/publications/research-reports/heroin/what-are-treatments-heroin-addiction. Accessed 24 Mar. 2017. Sack, David. “What Are the Dangers of Home Detox from Drugs or Alcohol?” Psych Central, blogs.psychcentral.com/addiction-recovery/2014/02/home-detox-dangers/. Accessed 24 Mar. 2017.
Heroin Detox & Withdrawal
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Heroin Detox & Withdrawal was last modified: March 20th, 2018 by The Recovery Village