No matter your drug of choice, detox starts with an intake interview to go over everything from your home life and substance use history to screening you for medical and mental health issues. The amount of time detox takes will then vary depending on various factors, such as the substances abused and the severity of the abuse.
Around 7 days.
Cocaine and amphetamine users will suffer from withdrawal side effects such as mood swings, trouble sleeping, and food cravings in the days and weeks following drug cessation. These symptoms will vary in intensity, getting stronger before they eventually subside. Stimulant users can expect to feel a wave of depression within the first 72 hours of detox, followed by the infamous crash that will leave them feeling depleted of all energy.
Over the course of the first week of detox, cravings for the drug subside but return later in the first month for many patients. Mood swings are common during the first month, as is severe physical and emotional discomfort. Among methamphetamine users specifically, the Foundation for a Drug-Free World notes a 93 percent relapse rate, so a strong aftercare plan is vital.
Heroin and Opiates
Approximately 7 days.
With opioids, withdrawal sets in six to 12 hours after the last exposure to the substance, and it is at its worst around day three of detox. Symptoms include salivation, cramping, trouble breathing, trembling, and nausea. Fortunately, withdrawal doesn’t tend to last much longer than five to seven days for the opiate detox addict. Medicated treatment programs are sometimes started from day one so the patient is slowly weaned off the substance via drugs like methadone and buprenorphine. Some heroin and opioid users remain on maintenance medication for months or even years.
A few days to several months.
Irritability, anxiety, and nausea accompanied by dry heaving are all common side effects of benzo detox, which is sometimes medicated with barbiturates or other long-acting benzos in an effort to taper addicts off the drug. Typically, withdrawal is completed within a few weeks’ time, but some patients do suffer from symptoms for months off and on. This is more common in patients addicted to long-acting benzos like Valium.
Approximately 1 week.
Alcohol users will experience symptoms like anxiety, sweating, and depression within the first eight hours of not having a drink. By the time you reach the 24-hour mark, you may experience hallucinations, which can persist for days on end. While alcohol abuse may be one of the most common reasons cited for treatment — NIDA notes they make up 41.4 percent of 2008 admissions — detox from alcohol is one of the riskiest types of detox, posing the threat of seizures and delirium tremens. The entire process takes about a week, with the most intense symptoms peaking around day four.
Around 2 weeks.
Detoxing from marijuana is somewhat easier than from other substances. Symptoms of withdrawal may include restlessness, chills, loss of appetite, headache, and more. While most symptoms develop within one to three days of last use and end by two weeks out, some people may struggle with insomnia and fatigue for up to a month.