'Rapid
detox' breaks drug habits quickly
By Jennifer Thomas, HealthScoutNews
Errol Dodson's drug addiction began with a
prescription for Vicodin to help treat pain in his
shoulder, knees, ankles and ribs caused by
weightlifting and wrestling injuries.
A few years later, Dodson
realized he was hooked. He was spending $400 a week
buying Vicodin, Lortabs and OxyContin on the black
market. In the morning, he felt like he had the flu
until he popped a pill.
"I hated myself for letting this
happen," says the 33-year-old industrial mechanic from
Greenwood, Ind. "I was so ashamed. I was isolating
myself from friends and family. I knew I had to get
help."
Dodson checked himself into a
two-week drug detoxification center. A few days after
getting out, he gave into his cravings and started
taking the painkillers again.
In February, Dodson decided to
try a new and controversial drug treatment called "rapid
detox," which promises to get you through drug
withdrawal in a mere 48 hours. It also promises far less
pain and discomfort because you're under general
anesthesia during the worst of it.
Rapid detox is touted as a way to
kick opiates, including heroin, morphine and methadone,
as well as opiate prescription painkillers such as
OxyContin, Percocet, Vicodin and Lortabs. Practitioners
estimate there are about a dozen rapid detox centers
around the country.
"I have detoxed attorneys and
doctors on a Friday and they are back at work on a
Monday and seeing patients or clients on Tuesday," says
Dr. Rick Sponaugle, chief of anesthesiology at Helen
Ellis Memorial Hospital in Tarpon Springs, Fla. and
director of Florida Detox, located in the hospital. "We
take them through the detox in a more humane way and
what I believe is a less dangerous way."
While advocates say the procedure
is highly effective, skeptics caution that little
research has been done comparing the effectiveness of
rapid detox versus traditional methods.
Critics also point out the high
costs of the procedure — Dodson paid about $10,000 —
which is not covered by most insurance companies, and
the risk posed by general anesthesia.
"Rapid detox is providing a
service which has some dangers, so it's kind of hard to
justify something that is so expensive," says Dr.
Michael Miller, medical director of the NewStart Program
at Meriter Hospital Program in Madison, Wisc.
Here's how rapid detox works:
At Florida Detox, the patient is
admitted into the hospital, where they undergo
psychological testing and a urine test to determine what
drugs are in their system.
The client is then given general
anesthesia for about three hours, during which time he
or she is given a dose of Naltrexone, a non-addictive
drug.
When a person takes opiates, the
drug attaches to receptors in the brain, leading to the
feeling of being "high." Naltrexone, known as a narcotic
antagonist, blocks the opiates from attaching to
receptors.
Patients are then given a
sedative intravenously to help them sleep through the
night. By the following afternoon, they are usually
ready to go home, though Sponaugle often keeps them in
the hospital for another day.
After the detox, patients
continue to take Naltrexone tablets daily for several
weeks to two years. Sponaugle highly recommends that
patients get involved with a 12-Step program or other
therapy to help them remain drug-free.
"Ongoing psychological treatment
is so important," he says. "Unless they receive that
spiritual healing, they will probably relapse."
During the six years Florida
Detox has been in business, Sponaugle has detoxed about
400 patients. According to company information, about
75% of patients stay drug-free for six months. About 50%
to 60% stay clean for one year or more.
After the rapid detox, Dodson,
like other patients, felt somewhat achy and nauseous,
but the withdrawal symptoms weren't nearly as severe as
in traditional detox.
In traditional detox, a drug
addict often has to endure two to 10 days of abdominal
pain, tremors, vomiting and severe muscle aches that
comes with drug withdrawal.
Dodson recalled two weeks of
sheer agony. "It was a horrible experience," he says.
"It felt like snakes were trying to crawl out of my
body. I had uncontrollable leg movement. I couldn't get
out of bed."
Miller, secretary of the American
Society of Addiction Medicine, says that not every
addict undergoes so much discomfort. There are new drugs
to take the edge off during ordinary detox — drugs that
cost significantly less and are less risky than
Naltrexone.
Naltrexone has been known to
cause side-effects including delirium and confusion in
some people. And there is always some risk when a person
is put under general anesthesia.
But Miller says is the more
important issue is not the detox method, but what kind
of treatment people are able to access afterwards to
help them stay off drugs.
"Detox is only the first step,
and detox in and of itself resolves no cases of
addiction," he says. "The controversies which surround
rapid detoxification methods miss the basic point, that
regardless of the method of detoxification used,
patients with opiate dependence face great challenges,
and they need to have their addiction treated not simply
their withdrawal treated."
After two days in Florida, Dodson
returned home to Indiana feeling more hopeful than ever.
Since he had the procedure done in early February, he
says he's had no desire to take drugs.
Sponaugle says he would like to
eventually wean him off the Naltrexone, because the drug
interferes with the ability to experience a "natural"
high from the body's own endorphins.
"If you have the willingness to
put the drugs behind you and bury it, then rapid detox
will work for you," Dodson says. "Rapid detox saved my
life."
More information
To learn more about drug
addiction, visit the National Institute
on Drug Abuse. Read more about Naltrexone by
clicking here.
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