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1 results

  • 9 - Detoxification: How Do We Get Ourselves Off Opioids?

  • from Part III - The Treatment Plan
  • Ethan O. Bryson, Icahn School of Medicine at Mount Sinai, New York, Christine E. Boxhorn, Medical College of Wisconsin, Milwaukee
  • Book:
    The Opioid Epidemic
    Published online:
    07 October 2023
    Print publication:
    12 October 2023, pp 107-122

  • Summary

    When an individual has been consuming opioids for an extended period, a phenomenon known as physical dependence occurs. Because of physical dependence, when the opioids are discontinued abruptly, or the dosage is dropped significantly, the individual experiences withdrawal through the process of detoxification. Historically, people were forced to endure withdrawal symptoms without medical treatment in jail cells, drunk tanks, or compulsory treatment centers. Nowadays, withdrawal management includes education, treatment of withdrawal symptoms, and referrals for further care, which is almost always required for individuals to achieve long-term sobriety. Inpatient and residential treatment are two options for care after detoxification, and various individual factors must be considered when choosing the best type of treatment for that person.