Drug detoxification, or detox, is an incredibly difficult but critical step in overcoming hydromorphone addiction, where the patient works through their physical dependence on the drug. Medically supervised detox is highly recommended because hydromorphone is a powerful drug that tends to cause intense physical and emotional opioid withdrawal symptoms.
Withdrawal usually begins about 6-12 hours after the last dose and peaks around 24-72 hours. The patient often experiences symptoms such as intense muscle and bone pain, sweating, nausea and vomiting, diarrhea, anxiety, and insomnia.
While these symptoms are rarely life-threatening by themselves, they can be incredibly uncomfortable and even dangerous if the patient suffers from dehydration, has suicidal thoughts, or relapses in the middle of withdrawal and accidentally overdoses.
Medical supervision greatly decreases these risks. Medical professionals commonly administer medications to help patients with withdrawal management.
Medications used during hydromorphone detox include:
- Methadone: A detox drug that relieves symptoms of withdrawal. It’s also often used for long-term maintenance of opioid dependence.
- Buprenorphine (Subutex): A drug that treats opiate withdrawal symptoms and helps reduce how long detox lasts. It can also be used for long-term maintenance.
- Clonidine: Used to ease the effects of common withdrawal symptoms, including anxiety, agitation, sweating, runny nose, cramping, and muscle aches.
- Other medications: Other medications may also be used to treat vomiting and diarrhea or to help the patient sleep.
It’s usually far easier and safer to detox from hydromorphone under the supervision of specialized healthcare providers who can help you manage withdrawal symptoms and cravings, monitor your vitals, and administer any necessary treatments or medications.