Under the right medical guidance, withdrawal from narcotics does not have to be a life-threatening ordeal. In Addiction Treatment Centers, addicts are withdrawn from opioid narcotics gradually, although rapid detoxification can be just as effective. Unfortunately, most patients undergoing detoxification fail to complete the program. Freeing one’s body of drugs does not remove the person’s desire to take drugs.
To help addicts in withdrawal, they receive drugs such as clonidine, buprenorphine, naltrexone, naloxone, and the best known, methadone.
Clonidine was used to treat hypertension initially, and it was also found to eliminate some drug withdrawal symptoms.
Naloxone reduces the amount of time addicts require to complete withdrawal, but it triggers withdrawal more suddenly. Typically, detoxification is completed in 10 to 14 days if it is conducted on an inpatient basis. Federal guidelines allow methadone to be administered for up to 30 days on an outpatient basis, although the time can be extended to 180 days if 30 days is found to be insufficient or if the addict is likely to relapse.
Drugs that block narcotics from producing their reinforcing effects are called antagonists. Examples are naltrexone, buprenorphine, nalorphine, naloxone, and cyclazocine. Antagonists remove the physical need for opiates, but not the psychological need. Antagonists complement psychotherapy or group therapy.
There are many effective behavioral treatments available for Tramadol addiction. Approaches such as contingency management and cognitive-behavioral therapy are the most commonly used among physicians. It is very important to be mentioned that behavioral therapies work best when they are applied at the same time with pharmacological approaches.
The most important task of the physicians is to match the best treatment approach to meet the particular needs of the patient.