RAPID HYDROMORPHONE DETOX UNDER SEDATION
Rapid Hydromorphone Detox under sedation is a medical detoxification treatment offered by All Opiates Detox for patients dependent on Hydromorphone. It consists of sedating the patient and removing Hydromorphone from the brain receptor while the patient is sleeping. Acute withdrawals are precipitated with an opiate blocker. These withdrawals will pass during the sedation period. Once the withdrawals are over, and the brain receptors are free of the opiate Hydromorphone, a blocker is placed to prevent any drugs from getting back into the brain receptor.
The blocker of choice used at All Opiates Detox is an implant. Dr. George prefers the Naltrexone implant blocker for several reasons. First, the Naltrexone implant lasts approximately two months, as opposed to Vivitrol (lasts around 28 days) or tablets (have to be taken daily). Another reason our physicians prefer the implant over the injection is for patients that may not be able to tolerate Naltrexone due to side effects, sensitivity or allergies. The implant can be removed from under the skin, whereas the injection stays in the body for about 28 days and therefore cannot be removed once it is administered. It is recommended to remain on Naltrexone maintenance therapy for at least one year to allow the brain to heal from the damage caused by the drug use and abuse.
Our success rate is near 100% for helping patients detox off opiates without the excruciating pain and discomfort of the withdrawals. Aftercare consisting of the Naltrexone opiate blocker, psychotherapy, and 12 step programs are recommended to ensure long-term abstinence and success.
Hydromorphone (Trade Name name Dilaudid) is an opiate used to treat moderate to severe pain. It is an opioid derived from Morphine. Hydromorphone is available in tablets (brand name Dilaudid), oral solution, rectal suppositories, and injection (brand name Dilaudid-HP). Dilaudid oral tablets are dosed as frequent as every 4 hours since it is a short-acting opioid. It starts working 30 minutes after administration, peaks 1/2-1 1/2 hours later and lasts for about 4 hours.
Hydromorphone is a Schedule II drug since it has a high potential for addiction and abuse.
Hydromorphone SIDE EFFECTS
Common side effects of Hydromorphone are constipation, drowsiness, dry mouth, headache, mood swings, nausea, and vomiting.
Symptoms of withdrawal occur within hours of the last dose since Hydromorphone has a short half-life. Anxiety and restlessness are initial withdrawal symptoms and progress to worse symptoms such as abdominal pain, increased heart rate, sweating, high blood pressure and muscle pain, about 12 hours later.
Life-threatening side effects or death can occur when Hydromorphone is combined with alcohol or benzodiazepines.
Using Hydromorphone for an extended period can lead to tolerance where the user needs to increase the dosage to achieve the desired effect of pain control or euphoria. In addition to increasing the dose, Hydromorphone is abused by crushing and then snorting the tablets. Dissolving the pills and then injecting the dissolved solution is another form of abuse.
Improper use and abuse of Hydromorphone can lead to dependence, tolerance, and addiction.
Opiates can be habit forming, causing not only physical, but also psychological dependence. Withdrawals may occur if the dose of the opiates is reduced or discontinued after long term use.
Using opiates for an extended period of time can lead to tolerance, where the user needs to increase the dosage of their opiates to achieve the desired effect, whether the desired effect is pain control or euphoria.
Once the patient develops a tolerance, it becomes even more difficult to stop using due to the withdrawals. Symptoms of withdrawals are an indication of physical dependence and addiction to the opiate Hydromorphone. Most patients describe withdrawals as the worst, most frightening experience one will ever encounter. One can only imagine the excruciating pain when the opiate user says that they’d rather die than go through the withdrawals. Hydromorphone physical dependence symptoms, such as withdrawals, lead to psychological dependence. That is when addiction takes over the mind and life of the Hydromorphone opiate user.
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