Withdrawal: Opioids

Opioid withdrawal is extremely uncomfortable but rarely fatal. Symptoms from short-acting opioids like heroin or oxycodone typically begin within 8-24 hours, peak at 36-72 hours, and resolve in 5-10 days. Medication-assisted treatment (MAT) with Suboxone or methadone can eliminate withdrawal entirely.

How Long Does Opioid Withdrawal Last?

Short-acting (heroin, oxycodone):

8-24 hours: symptoms begin
36-72 hours: peak
5-10 days: acute symptoms resolve

Long-acting (methadone):

36 hours: symptoms begin
4-6 days: peak
14-21 days: acute symptoms resolve

What Does Opioid Withdrawal Feel Like?

Early:

Anxiety
Muscle aches
Tearing eyes
Runny nose
Sweating
Yawning

Peak:

Diarrhea
Nausea/vomiting
Goosebumps
Abdominal cramps
Dilated pupils
Rapid heartbeat

What Helps With Opioid Withdrawal at Home?

OTC medications (Imodium, ibuprofen)
Hydration (crucial)
Hot baths
Rest
Blankets

When Should You Get Medical Help?

MAT (Suboxone, methadone) can eliminate withdrawal. It's the most effective option.

Clonidine helps some symptoms
Medical detox is available at most treatment centers
Telehealth MAT is available 24/7 through some providers

Why Is Relapse After Withdrawal So Dangerous?

Your tolerance is gone.

If you relapse after withdrawal, your old dose can kill you. This is the single biggest risk of opioid withdrawal.

What Should You Do Right Now?

Consider MAT. It eliminates withdrawal.
Look into medical detox. More comfortable than going it alone.
Hydrate. Not optional.
Use OTC meds. Imodium, ibuprofen. For comfort.
Plan your treatment. Detox isn't recovery. Don't stop there.

Withdrawal is temporary. Recovery is permanent.

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