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Author: Justin Mckibben
When it comes to overcoming a serious drug addiction it is crucial to start your recovery strong and with a healthy and stable foundation. Long lasting and sustainable sobriety often means consistent work on not just healing physically, but also psychologically. After-all, drugs and alcohol are not the only symptom to addiction; it is often far deeper than the surface.
So when it comes to the question many people may ask- how to detox from drugs at home- the best answer we can think of is pretty straight forward… just don’t.
You may wonder why, especially if you think it is all just a matter of white-knuckled will-power to get through the initial shock to the system that comes without the substance. Maybe you are a parent or family member who just wants to help your loved one any way you can.
However, the truth is that trying to detox at home isn’t just an unnecessary risk, it can also be incredibly dangerous or even life threatening.
How to Detox from Drugs at Home: Withdrawals
Due to the withdrawals, which can go from modern to overwhelming, many people want to find a way to detox comfortably. Therefore, many people trying to figure out how to detox from drugs at home do so because they want to avoid the physical discomfort while still working towards getting clean.
Then depending on pre-existing conditions or adverse health effects of drug abuse, there can be other medical complications during the detox process that most cannot diagnose or treat at home.
There are also drugs that are so potent and damaging that if someone tries to detox at home “cold turkey” they may do far greater harm to the body and vital organs. Some drug withdrawals can actually kill. If you are to ask how to detox from drugs at home with a primary concern about withdrawals, it is probably not a good idea in the first place.
How to Detox from Drugs at Home: Maintenance Drugs
The physical dependence on the substance that develops from extended use and increased tolerance can be a nightmare. The detox process can be incredibly difficult for most people. Some people have used medication maintenance programs like methadone or Suboxone to try and get off illicit drugs, but often times these methods are also unsustainable in the long-term. Usually, these medications also have side-effects of their own.
Suboxone, for example, is often used as a maintenance drug for opioid addiction. The problem is, there is a lot about Suboxone that most people don’t know.
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With methadone people find themselves visiting a clinic to receive doses of a maintenance drug that has become infamous for its own horrible withdrawal symptoms.
In the end, recovery experts consistently insist that these drugs are only really useful when accompanied by cognitive behavioral therapy or comprehensive addiction treatment.
How to Detox from Drugs at Home: Relapse Prevention
Another crucial part of drug detox that a lot of people forget about is the importance of relapse prevention. While most people think of detox as just the first stages of trying to get clean, the reality is that there is still an incredibly high chance for someone trying to detox at home of relapsing. Not just because they aren’t removed from the environment in a secure facility, but also because they are struggling with withdrawal while also not getting the strong support and treatment.
Truthfully, most addiction treatment professionals and experts agree that detox should always be done with the supervision and support of medical professionals. Behavioral therapy and other forms of treatment are also critical components of shaping the foundation for recovery from drugs and alcohol. Beyond medication or even natural remedies to combat withdrawal, people also need to develop coping skills to prevent relapse.
Instead, Choose Safe Medical Detox
It is true there are cases of some detox attempts done from home, but at the end of the day it is still an unnecessary level of discomfort and risk. Because people do also die from trying to detox from dangerous drugs at home. There is no need to kick and scream on the couch when there are so many resources that provide safe medical detox.
Ultimately, the specific substance, the length of use and the severity/frequency of use will determine how difficult the detox process will be. A combination of volatile substances can also create a whole new danger.
So instead of giving you a list of supplies, which will be incomplete or insufficient, or giving you a few cliff notes on how to detox from drugs at home, we thought it was important to stress why event though it may be ‘possible’ it can also be harmful, and in the end can even be counterproductive.
The Palm Partners detox facility has a 24-hour medical and addiction professional staff to continuously evaluate individual progress, administer the appropriate levels of medications and provide unlimited support during this process. Our highly qualified specialists genuinely strive to make recovery possible for everyone who needs help. If your or someone you love is struggling with substance abuse or addiction, please call toll-free.
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Author: Justin Mckibben
Suboxone is a medication meant to treat opiate and opioid withdrawal. It is one of two forms of the medication buprenorphine, which is an opiate agonist originally developed to treat pain problems. Suboxone works by binding to opiate receptors in the brain, which are the same receptors that morphine, heroin and other opiates bind to.
Is Suboxone Safe: How Suboxone Works
In order to better understand the risks of Suboxone use, it is important to understand how this medication works. Let us be clear, Suboxone is a narcotic. It is a semi-synthetic opioid made from a combination of two drugs:
This compound is intended for the treatment of pain, as well as for combating opioid addiction. However, what many people don’t realize it that buprenorphine is itself an opioid.
DEA reports show that the substance can be 20-30 times more potent than morphine as an analgesic; like morphine buprenorphine can create a dose-related euphoria. Like other opioids commonly abuse, buprenorphine is capable of producing a significant “high” and thus has been abused in various ways.
Now, all products containing buprenorphine are controlled substances. Given the nature of this powerful opioid, the other primary compound of Suboxone is added.
Naloxone is a pure opioid antagonist medication used to block the effects of opioids. It works by reversing the depression of the central nervous system and respiratory system. Narcan is a brand name for the medication that is commonly utilized as an overdose antidote.
But beyond being used to reverse overdoses, the addition of naloxone to products like Suboxone is with the intention of blocking the euphoric high resulting from the abuse of opioids by injection, like buprenorphine.
So when a drug like Suboxone is taken orally, just the opioid has affect. Naloxone blocks the impact of the opioid when it is injected. The primary purpose of naloxone in Suboxone is to deter intravenous abuse.
Is Suboxone Safe: How is it used?
Suboxone acts as a partial opioid agonist and diminishes cravings as well as prevents other opioids from reacting to the brain’s receptors. The drug has become a frequently utilized substance for trying to combat opioid addiction. Suboxone can come in tablet form, or in the form of a film taken sublingually, meaning dissolved under the tongue.
When taken orally or sublingually as directed, the naloxone is not absorbed and the buprenorphine acts uninhibited. However, the formulation still has potential for abuse. Published data has shown that the opioid receptor’s binding affinity to buprenorphine is higher, so the opioid typically overrides the antagonist, causing many reports to argue that naloxone is an insufficient deterrent for the injection of Suboxone for recreational abuse.
Serious dangers of Suboxone
While Suboxone may have become a mainstream tactic for combating opioid addiction, the question has become if it is as safe and effective as producers would have us believe. So when presented with the question of ‘is Suboxone safe?’ must look at a few factors.
Is Suboxone Safe: Adverse side-effects
The fact remains that Suboxone is an opioid narcotic. Therefore, the side-effects of Suboxone are essentially the same as other opioids.
Most common minor side-effects include:
- Mild dizziness
- Stomach pain
- Redness, pain or numbness in the mouth
- Trouble concentrating
Most common major side-effects include:
- Cough or hoarseness
- Feeling faint or lightheaded
- Feeling of warmth or heat
- Fever or chills
- Lower back or side pain
- Painful or difficult urination
Major side-effects suggest the individual should check with their doctor immediately.
Is Suboxone Safe: Withdrawal symptoms
The irony is that Suboxone is typically used because people are trying to stop abusing other illicit or prescription opioids but want to have something to curb the withdrawal symptoms. Yet, Suboxone is known to have its own withdrawals, and for some they are even worse.
Symptoms of Suboxone withdrawal can include:
- Body and muscle aches
- Difficulty concentrating
- Drug cravings
- Digestive distress
The physical withdrawals can peak in the first 72 hours after the last dose, and some of the more psychological symptoms can last much longer.
Is Suboxone Safe: Interactions with other drugs
Taking other drugs while on Suboxone, especially other opioids or sedatives, can actually be fatal. Combining Suboxone with other drugs can cause a very dangerous reactions that many also ignore. Drugs that are particularly dangerous with Suboxone are:
- Benzodiazepines (Benzos) such as Xanax
- Older Antihistamines
- Antipsychotics such as Zyprexa
Cocaine is also an extremely hazardous drug to combine with Suboxone because they are opposites on the spectrum of stimulant vs depressant. When you combine cocaine with Suboxone, it actually reduces the amount of buprenorphine that is in your bloodstream. With less buprenorphine in the body the effects of opioid withdrawal symptoms can be felt.
Combining cocaine with Suboxone also increases the risk of overdosing on cocaine.
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Is Suboxone safe?
Suboxone may be a legal and popular alternative to some other opioids, but that doesn’t necessarily make it all that ‘safe’ to rely on. It is of course possible to overdose on Suboxone. As we said before, Suboxone combined with other drugs can also be incredibly dangerous. And at the end of the day, you can still become psychically and psychologically dependent on the drug.
In truth, Suboxone has been useful to some who have tried to get off of drugs like heroin and other dangerous opioids by providing a buffer and some method of harm reduction. But the often overlooked aspect is that Suboxone is only intended for short-term use and not long-term maintenance. When individuals use the substance for long periods of time, they become dependent on it just like any other potent narcotic. Experts insist that Suboxone and similar drugs are only effective in combination with comprehensive treatment or cognitive behavioral therapy.
For more information, read our
A safer and far more healthy and sustainable approach to recovery from opioid addiction is with holistic treatment that offers much more than an opioid substitute with its own adverse effects. If you or someone you love is struggling, please call toll-free now. We want to help.
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Author: Justin Mckibben
The new Trumpcare plan, formally known as the American Health Care Act or AHCA was announced this Monday March 6th. This Trumpcare bill is the Republican Party’s long awaited plan to repeal and replace the Affordable Care Act, also known as Obamacare.
Since day one of the announcement we have seen quite a few varying opinions as to what this means for the people who were previously covered, and what it means for how healthcare altogether might change. Needless to say, not that much of the talk has been optimistic. As details emerge about Trumpcare some have become increasingly worried about the impact it will have on access to treatment for substance use disorder, especially for low-income Americans.
So what some are officials and experts saying about Trumpcare, and what it might mean for Americans struggling with addiction?
Early Predictions on Trumpcare
According to some early reports, 6-10 million Americans will lose health insurance. Not only that, millions of people in desperate need of help could be cut off from access to addiction treatment as a result of the bill.
In fact, according to one analysis, approximately 2.8 million people living with substance use disorder will lose some or all of their health insurance coverage if Obamacare is repealed. This conclusion comes from:
- Harvard health economist Richard Frank
- Sherry Glied, Dean of the Wagner School of Public Service at NYU
The publication The Hill reported in January that Frank and Glied predict that the federal government’s 21st Century Cures Act creates a recent investment of $1 billion to tackle opioid abuse. However, they state this provision would be- “squandered if the new Congress rolls back recent gains in the quality and level of substance use and mental health insurance coverage generated by the Affordable Care Act (ACA) of 2010.”
Surely this is all “fake news” and “alternative facts” right?
Not so much. According to reports from the Washington Post Thursday, House Republicans admitted, after questioning by Massachusetts Democratic Representative Joe Kennedy III, that their the Trumpcare plan to repeal-and-replace would- “remove a requirement to offer substance abuse and mental-health coverage that’s now used by at least 1.3 million Americans.”
How does this happen? By attacking the expansion of Medicaid and the ‘essential benefits’ states are required to provide for.
Trumpcare Impact on Medicaid
Trumpcare’s plan to roll back Medicaid and health insurance tax credits are pretty distressing aspect of this reform. For all the Americans who rely on government assistance for addiction treatment this is a pretty huge deal.
Addiction treatment in the past is notably impacted by Medicaid. According to Truven Health Analytics, Medicaid was the second largest payer for addiction treatment, after state and local programs, in 2014.
Starting in 2020, Trumpcare is set to:
- Freeze Medicaid enrollment
- No longer require Medicaid to cover essential health benefits like addiction treatment
What is the point? To make it so the federal government pays less for Medicaid over time by shrinking coverage.
So if this is all the case, it is a terrifying reality. In a time when more Americans than ever desperately need addiction treatment, in the midst of an opioid epidemic that is tearing families and communities apart, the government’s Trumpcare plan stands to save money by stripping addiction resources from those relying on Medicaid?
Representative Kelly and Peter Welch, Democratic Representative from Vermont, attempted to amend the bill to restore the federal mandate for those ‘essential benefits’ but were voted down. Kenny is popularly quoted in the news recently for his statement,
“There is no mercy in a country that turns their back on those most in need of protection: the elderly, the poor, the sick, and the suffering. There is no mercy in a cold shoulder to the mentally ill… This is not an act of mercy — it is an act of malice.”
While Trump’s comments say he wants to give states “flexibility” with Medicaid to make sure no one is left out, many believe this is just adding the idea of paying more for less.
Senate Minority Leader Chuck Schumer vows to lead efforts to defeat Trumpcare, stating he believes it will “Make America Sick Again” and believes that it will create more drug addicts. In a report from The Hill Schumer attacks the bill saying,
“To make matters worse, this sham of a replacement would rip treatment away from hundreds of thousands of Americans dealing with opioid addiction, breaking the President’s word that he would expand treatment, not cut it.”
This is continuously troubling. When it comes to the fight against addiction, President Trump’s administration seems to be more focused on borders and “law and order” than providing resources. Trump did promise to work on creating more coverage options, but all the action taking place almost points the opposite direction.
Trumpcare Impact on Treatment Providers
This chain reaction wouldn’t just hurt those who need insurance by denying them coverage. Experts say Trumpcare also has the capacity to do damage to the treatment providers themselves.
Keith Humphreys, a drug policy expert at Stanford University, points out this issue directly. Humphreys notes that treatment providers, which tend to be small businesses in many parts of the country, may find it difficult to stay in business if clients lose coverage for addiction treatment. If less people are able to get coverage, less people will be able to get treatment. At the same time even bigger treatment providers could have trouble because it still has the capacity to reduce reimbursement rates for treatment services.
Thus, Trumpcare could affect both the supply and quality of treatment. In one interview Humphreys states,
“Most providers are small, mono-business entities that can’t absorb costs elsewhere in their care systems,”
“While hospitals will not go broke if poor people get less oncology care coverage, many [substance use disorder] treatment agencies will.”
But it isn’t just Democrats or University Professors or addiction experts speaking out. The AARP, the American Hospital Association, and the American Medical Association voice opinions against the overhaul of the ACA and the potential harm Trumpcare could do.
Even Republicans are speaking out against the danger that Trumpcare poses to addiction. Ohio Governor John Kasich is vocal with his own opposition to the bill saying,
“[Trumpcare] unnecessarily puts at risk our ability to treat the drug-addicted mentally ill and working poor who now have access to a stable source of care.”
Not to say that healthcare was ever perfect. It is noted by many doctors in the addiction field, as well as politicians and other experts, that there is already a treatment deficit. Approximately 10% of America’s population has what could be considered a substance use disorder, and only 13% of those people ever get treatment.
However, the miles of red tape Trumpcare might wrap around them could cut that number drastically. So even if these are unintended consequences, they are very real consequences just the same.
Obamacare was far, far from perfect. This is absolutely true. But is Trumpcare the best answer we can come up with?
As it now stands, Trumpcare may take so much away from those struggling with addiction and mental health that some experts are calling it dangerous. Having safe, effective and comprehensive treatment resources for these issues is extremely important to the preservation of life and the future of America. This is a matter of life and death. It is not the time for an ‘anything but Obamacare’ mentality… if the government expects a better plan, they need to make it happen. How about we put a hold on spending billions on border walls and expanding the nuclear program, and instead focus on healing Americans who need it most.
If you or someone you love is struggling with substance abuse or addiction, think about who you want to be working with to find a real solution. Please call toll-free now.
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Author: Justin Mckibben
Addiction is not an easy problem to address. It is a complex issue with many variables, so of course there is no simple answer to fix it. There is no one-size-fits-all solution; no monopoly on the right kind of treatment. It is understandable that there is a degree of effectiveness with utilizing any medical means available to try and address addiction, but are maintenance drugs really the answer?
Surely medication assisted treatment is useful, and it helps a lot of people. Most inpatient treatment programs utilize some form of medication to ease withdrawal symptoms and other side-effects of long-term drug use. The detox period of treatment usually focuses on medically assisting someone struggling with drugs in this transition.
However, is getting people off of one drug by making them dependent on another really the best case scenario? It seems now insurance companies are putting more effort into using maintenance drugs to treat addiction. Is this really a better strategy?
Firstly, let us make a clear definition of what maintenance drugs are. Typically, the definition of maintenance drugs is along the lines of prescriptions commonly used to treat conditions that are considered chronic or long-term. These conditions usually require regular, daily use of medicines.
Examples of common maintenance drugs are medications such as:
- Fluticasone and salmeterol (Advair Diskus) which is used to treat asthma
- Insulin glargine (Lantus) used to treat diabetes
If you consider these examples the point is that people use these medications to “manage” their illness, not to overcome or remedy it. So looking at the issue of addiction, there are some well-known maintenance drugs, specifically concerning opioid addiction.
These medications can be effective, but they also present a level of danger themselves. Even though doctors prescribe them to combat withdrawals, they actually can create their own devastating withdrawals, especially with long term use.
Aetna Aims for Maintenance Drugs
Aetna is one of the nation’s largest insurance companies. In a recent Aetna report, the company is prepared to remove a major restriction for patients seeking maintenance drugs for opioid addiction. The change is set to begin this coming March. Aetna is the third major health insurer to announce such a shift in policy in recent months, now in league with Anthem and Cigna insurers.
To be more specific, this insurance company will stop requiring doctors to seek approval before they prescribe particular medications that are used to combat withdrawal symptoms. One of these medications is suboxone, a well-known medication that many people use to fight opiate addiction.
The common insurance practice is known as “prior authorization”. The reason they are seeking to eliminate this policy is because it sometimes results in delays of hours to days before a patient can get the medications.
This new approach to regulation of maintenance drugs impacts all its private insurance plans, an Aetna spokeswoman confirmed.
Advocates of Maintenance Drugs
Addiction treatment advocates to support having expanded access to maintenance drugs. Dr. Corey Waller, an emergency physician who chairs the American Society of Addiction Medicine’s legislative advocacy committee, states:
“It’s a first-line, Food and Drug Administration-approved therapy for a disease with a known mortality. [For] every other disease with a known mortality, the first-line drugs are available right away.”
Essentially, the idea that parity laws require insurers to cover addiction treatments at the same level as other kinds of healthcare means these kinds of medication should be available for immediate access. This should be the same for all forms of addiction treatment.
Opinion: Treatment over Maintenance
While many would argue that maintenance drugs are a form of treatment, it is still a relevant argument that maintenance drugs are also imperfect and could actually be harmful if they become the cookie-cutter answer implemented by most insurers.
While harm reduction is understandable, and maintenance drugs can help people struggling with heroin or other dangerous opioids avoid other serious risks, the fact is many maintenance drugs include their own side-effects. Some often become subject to abuse themselves.
For instance, suboxone can be useful as a harm reduction tactic, but it can also be abused. Many people who have used suboxone as a long-term solution have found themselves battling suboxone withdrawal symptoms. The dangers of suboxone are very relevant.
The same, if not worse, has often been said about methadone maintenance drugs. While they may keep someone alive to get treatment, there should still be a strong emphasis on treatment itself. Maintenance drugs are most effective when part of a program. They are not a substitute for a treatment program.
Treatment should focus on finding solutions, not prolonging the suffering. Drug and alcohol addiction treatment should come from a holistic approach that addresses more than just physical ailments. Holistic treatment focuses on providing extensive and personalized therapy, combined with physical and emotional heal. If insurance companies want to focus on combining rational medical resources with comprehensive treatment, then this could be a great thing. However, if the focus becomes a quick-fix drug option opposing a full recovery through treatment, it only adds to the danger.
Maintenance drugs have support from the recovery community, but typically they must be accompanied by therapy and other means of treatment. Maintenance drugs are just that- drugs. They are often powerful narcotics, and are true to their title- “maintenance,” not a permanent solution.
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Author: Shernide Delva
Recently, we wrote about how the Drug Enforcement Administration (DEA) made the controversial decision to ban kratom by making it a Schedule I drug. While the ban is set to go into effect by the end of this week, advocates of the herbal supplement refuse to go down without a fight. A bipartisan group of 51 House lawmakers recently joined the chorus of opposition to the DEA’s upcoming ban.
To give a quick overview: Back in late August, the DEA announced it would prohibit kratom due to various reports of health implications associated with the use of the drug. The ban would temporarily add Kratom to the schedule 1 category of narcotics along with substances like Marijuana, heroin, and LSD.
The DEA made it clear the decision was due to kratom’s high potential for abuse and the lack of medical benefit of the drug. However, advocates passionately argue that kratom is useful for drug withdrawal and mental health issues like anxiety and depression.
Therefore, placing kratom in the schedule 1 category would effectively ban it from those who regularly use the drug. Many users find the drug useful in treating, pain, depression, high blood pressure among other ailments.
The ban sparked a broad range of controversy. Now, members of Congress have joined the chorus of opposition. A bipartisan group of 51 House Representatives just signed a letter urging DEA Administrator Chuck Rosenberg to delay the ban.
“As our nation continues to combat the public health crisis of opioid abuse, the federal government has invested significant resources to develop alternative pain management strategies,” reads the letter.
The letter urged the delay to continue the federally funded study of kratom as a possible treatment option for opioid withdrawal. By placing kratom on the Schedule I category, the letter states it will “put a halt on federally funded research and innovation surrounding the treatment of individuals suffering from opioid and other addictions.”
While kratom is not for everyone, many find it a compelling alternative to prescription drugs. Earlier this month, Susan Ash, founder of the American Kratom Association, revealed that her organization has been receiving thousands of calls from people across the United States concerned about losing kratom and resorting to prescription drugs instead.
“I am completely swamped,” Ash told The Fix. “I have thousands of people afraid of relapse. People are explicitly telling us they are terrified of losing their quality of life or even their lives.”
51 House Representatives Urges Delay On Ban
The House representatives’ letter to the DEA urges them to delay the ban and allow more time to consult with “consumers, researcher, and other stakeholders.” When the ban was initially passed, the DEA did not allow any opposition in regards to their decision to ban kratom.
Instead, the DEA argued their decision was valid by citing a report by the Centers for Disease Control and Prevention which stated that kratom poisoning was the cause for 660 calls to poison centers across the country between 2010 and 2015. The DEA argued that these numbers clearly indicated the need for the ban. They also pointed to 16 reported kratom-related deaths between 2014 and 2016 to further justify their decision.
Still, these numbers are far overshadowed by other drugs, both legal and illegal. Those in opposition point to the numbers of calls the poison control center receives over laundry pod poisonings. These calls far surpass the number of calls they receive in regards to kratom. Both the House lawmakers and kratom advocates think it is not a good idea to restrict access to Kratom when so many people are searching for safer pain relief alternatives rather than prescription pills.
“This hasty decision could have serious effects on consumer access and choice of an internationally recognized herbal supplement,” the lawmakers wrote in their letter.
Kratom does have the potential for abuse. However, it does have potential medical benefits. While the use of any drug is not ideal, the reality is harm reduction remains a crucial topic of discussion. Further research is needed before a ban on kratom is made. Do you agree with the ban?
Overall, if you are struggling with any substance abuse, legal or illegal, you need to research out for treatment. We have the tools to help in your recovery. Do not wait. Call today.
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