Offering Stepped Rapid Detox. Detoxification without anesthesia is safer.
MOMMS fills opiate receptors gradually by using Naloxone. We can communicate with our patients rather than dumping antagonist on their receptors under anesthesia.
We use rescue medications; (drugs that modify the restlessness, twitching, runny nose, tears, chills, muscle cramps, nausea, vomiting, abdominal cramps, diarrhea, restless legs, etc.) When the patient is awake we can address the withdrawal problems that appear. If the subject has less symptoms we can speed up the process and complete it in less than eight hours.
Upon completion of this process we suggest giving the patient naltrexone I.M. to protect them against relapse for 30 days. Oral naltrexone can be used, but it is fraught with a higher rate of relapse because the patient cannot be trusted to take the naltrexone if they are feeling badly.
It is common for the patient to feel withdrawal effects beyond the detox day. This is true even if you are detoxed under anesthesia. The withdrawal syndrome is prolonged past the rapid detox day if you are taking a long acting opioid (i.e. Oxycontin, MS Contin, Fentynl patches, Methadone, and Suboxone).
MOMMS prefers to accept patients that are on short acting opiates (i.e. heroin, oxycodone, hydrocodone), and we will assist patients who are on Suboxone 2 mg or less. Patients will be urine drug screened two weeks before detox and on the day of detox. Those who load up on their drug of choice will have a difficult detox. If the observed drug screen has a long acting opiate on board (Suboxone excepted), they will be put off until their screen is acceptable.
Dr. David Jones has done this procedure on patients only in his addiction practice since 2000. Now that the web is used more these days he chooses to make it available to more patients.
Fatigue seems to be the prominent longer term residual symptom for our patients; insomnia is the second. We will assist you with some temporary medicine other than benzodiazepines.
Cost: $5,000. This covers one day at the office.
- Physical exam and interview will be done at our office two weeks prior to the detox day. This will incur an additional charge.
- Lab work will be ordered two weeks before the procedure, when the patient pre-registers. This will incur an additional charge.
- This is an office procedure. A portion of our office suites will be used for the day. If the patient requires nursing observation after the procedure, we will be using a nursing home nearby for an overnight stay. The patient may use their insurance for this or be prepared to pay for any additional expenses.