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SpinDistribute.com Article Directory

The following article was published in our article directory on May 26, 2018.
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Not Much Evidence for Rapid Drug Detox

Article Category: Medicines and Remedies

Author Name: Matt Nilsen

Medical literature searches for terms related to rapid drug detox is a rather uninspiring experience for both proponents and opponents of anesthesia-assisted rapid drug detox. There have been a few trials to measure the treatment's safety and efficacy. And, those studies have failed to distinguish it as a sound treatment or dismiss it as a poor one. The effectiveness of sedating or anesthetizing patients to detox from a substance of abuse is about the same as allowing patients to go through detox in a residential treatment facility.

On the risk front, some doctors assert that rapid drug detox is less safe. But, you can look beyond literature to a common-sense observation. If rapid detox is so safe, why does a huge chunk of the experience usually take place in an intensive care unit setting? The answer: Because things can go south quickly. Because when someone is sedated or anesthetized the nurse cannot ask, "How are you doing?" The doctors can not interact with the patient and ask questions that may pick up on problems. They are left with monitors, vital sign checks and other indicators.

Yet, there is a demand for a service that allows a patient to avoid many of the most unpleasant moments of drug detoxification. Everyone wants to avoid pain. Opting out of anesthesia during surgery would be ridiculous. And, there are medical situations where a drug detox patient should be sedated or anesthetized in the highly monitored environment of an intensive care unit. But for most patients, the benefits do not outweigh the risks and costs.

A 2005 Columbia University study of 106 patients detoxifying from heroin found anesthesia-assisted Patients who detoxified under anesthesia reported similar withdrawal severity scores to those who went through detox without anesthesia. The two groups also had similar heroin relapse rates. Consider an often-cited quote from one of the authors. "Patients should consider the many risks associated with this approach, including fluid accumulation in the lungs, metabolic complications of diabetes, and a worsening of underlying bipolar illness, as well as other potentially serious adverse events."

Of course, avoiding pain and discomfort during detox is appealing. But looking beyond the science and studies, there are anecdotal experiences of patients who have been through the rapid detox experience. Most of them report suffering significant withdrawal symptoms. When patients awaken from the anesthesia, they run into a brick wall of withdrawal symptoms.

To be fair, all drug rehabilitation has risks. There are patients of traditional drug detox and rehabilitation who experience serious complications. There are rapid detox patients who gladly issue glowing recommendations and rave about the pain and suffering they avoided because they were anesthetized or sedated. And, if a person living with a substance abuse disorder wants to take the extra risk and shell out a few thousand additional bucks, there are rehab centers and physicians willing to provide the service. But, any semblance of convincing evidence is not there.

It would be amazing if there were an effective treatment for defraying the misery of detox and withdrawal. But, the grand idea of rapid detox never quite realized its hoped-for potential.

Keywords: drug detox

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