Fentanyl is one of the most dangerous forms of synthetic opioids, often prescribed for acute pain situations. It is 50 times more potent than heroin and 100 times more potent than morphine, as noted by the U.S. Drug Enforcement Administration.

Since fentanyl is a habit-forming drug, a person using it is likely to develop serious withdrawal when trying to stop. For that reason, professional fentanyl detox treatment is often beneficial.

In 2022, 73,838 people died from an overdose of synthetic opioids, most of which were fentanyl, according to the National Institute on Drug Abuse. However, for those who are struggling with dependence on this opioid, there is help.

With effective fentanyl addiction treatment, it may be possible to break that dependency and work toward recovery. However, you’ll need to first complete the fentanyl detox process.

Engage Wellness Acton supports those who are seeking fentanyl addiction treatment. Though we do not provide fentanyl detox treatment at our location, we do partner with community resources to help those who need it to enter the detox process safely.

What Is Fentanyl Detox?

Many people using fentanyl for extended periods or using more than prescribed need to go through the fentanyl detox process. This natural process allows the body to naturally rid itself of the substance while forcing the brain and body to function as they should without the substance.

As a result, users typically experience relatively intense withdrawal symptoms. To understand detox, you must consider how fentanyl works in the brain.

Use of fentanyl, such as for pain relief, can trigger the opioid receptors in the brain, which creates the “feel good high” many people experience. That positive sensation encourages the brain to continue to seek out that substance, creating dependence. When you don’t get the substance, the onset of withdrawal symptoms is common, as the brain wants that good feeling. That’s exactly what has to happen during detox. By detoxing, your body goes through the process of re-learning it doesn’t need fentanyl.

What Happens in Fentanyl Detox?

For many people who wish to overcome fentanyl use disorder, it is critical to work through detox treatment first. There are three significant steps to the fentanyl detox process:

  • Intake: During this initial phase, a licensed medical professional will provide a thorough exam, gather family and personal medical history, and discuss mental health needs. A psychiatric exam may also be necessary.
  • Detoxification: This is the more significant portion of detox involving the body’s natural process of flushing the substance from it. Detox takes time to occur and is when most withdrawal symptoms will take place. Detox can last from 12 to 48 hours at the highest intensity with lingering symptoms that can continue for up to 20 days, according to the National Library of Medicine resources.
  • Post-detoxification: After those first few days, the remaining week or longer is a period of healing and stabilization where physical and mental health needs are met. Symptoms from fentanyl detox typically improve over this period.

The Detox Process

Before you can enter formal fentanyl addiction treatment, your body needs to work through the detox process. It is often beneficial for a person to live within a treatment center that offers specialized fentanyl detox during this period. Here is what you can expect.

First 48 Hours

During the first 24 to 48 hours of not having access to the substance, a person will likely begin to feel some symptoms of withdrawal. Some may experience withdrawal symptoms within just 8 hours.

Symptoms may include:

  • Nausea and vomiting
  • Diarrhea
  • Hot and cold flashes
  • Anxiety
  • Insomnia
  • Painful muscle cramping

After 48 Hours

In the days to come, the fentanyl detox process works towards stabilization. Most people still have intense cravings and need to remain within a treatment center. They may also need some support for pain onset and mental health disorders that develop, including irritability, intense anxiety, and agitation. Many also experience difficulty sleeping during this period.

Potential Intense Symptoms

For some people who have used fentanyl for a long period of time or those who consume large doses of the drug, the risk of more intense and sometimes life-threatening conditions can occur.

This may include:

  • Tachycardia, a fast heart rate
  • Bone and muscle pain
  • Increased body temperature
  • Hypertension, high blood pressure

Those who are using fentanyl as a component of chronic pain management may also see a significant increase in intense pain as a result of not having access. Pain management support is often necessary.

Types of Fentanyl Detox

There are two main types of fentanyl detox treatment. Inpatient treatment, which occurs within a licensed treatment facility, provides care around the clock, offering a safe environment with medical support. The second form of fentanyl detox treatment is outpatient, which enables a person to get care during the day most days of the week and then come home to a drug-free environment at night. Here’s more insight into which type of detox may be best for you.

Who Is Inpatient Detox For?

Most people with a fentanyl substance use disorder should enroll in a formal treatment center to go through the fentanyl detox process. While opioid withdrawal is not typically life-threatening, it can be very uncomfortable. In a treatment center, you receive help for most of your needs as your body goes through this process.

A fentanyl detox treatment center typically offers medical supervision 24 hours a day and a strict schedule that may include mental health support and initial therapy. During this process, you will begin a variety of treatment types, including cognitive-behavioral therapy and mindfulness. Experiential treatment may also come into play here.

Typical inpatient detox can last from 7 to 14 days, depending on severity and overall health and mental well-being needs.

Who Is Outpatient Detox For?

Outpatient detox may be beneficial to those who do not experience serious side effects when they stop using fentanyl and have a drug-free, supportive place to live while they go through the process.

Those with mild withdrawal symptoms may be able to manage this process at home. It requires living at home in a drug-free environment while attending routine appointments at a local drug treatment center. Those appointments may include some counseling and support.

Outpatient detox is not a replacement for fentanyl addiction treatment. Just detoxing does not help you overcome or better manage the substance use withdrawal.

Medication-Assisted Fentanyl Detox

Withdrawal management from opioids may be more likely if a person is given access to medications that can mimic the opioid sensation, tricking the brain into believing the substance is present.

Your doctor may prescribe the use of pharmacological treatments using methadone or buprenorphine. These are less habit-forming drugs that mimic the brain’s response to fentanyl.

Over time, doctors will taper down the amount of these prescriptions until they are no longer used. Medication-assisted detox for fentanyl is often helpful in those who have tried to stop using the substance in the past and failed to do so. This type of detoxification process is not necessary for all people, but for those with long-lasting addiction and dependence, it can be critical.

Note that medication-assisted fentanyl detox can be used alongside either inpatient or outpatient treatment.

Finding the Right Fentanyl Detox Facility for You

For many people who have used fentanyl, the detoxification process is a necessary and beneficial step to ridding the body of the substance. In a formal fentanyl detox treatment program, withdrawal symptoms can be better managed, and a person may be able to start counseling right away, allowing them to move forward with their care sooner.

Engage Wellness Acton does not offer formal fentanyl detox treatment at our location. Instead, we utilize a third-party provider for the fentanyl detox process and then provide the ongoing and necessary addiction treatment programs after this initial phase.

Contact Engage Wellness Acton today for communication and support as you embark on the fentanyl addiction treatment process.