Opioid Rehab & Detox
in Mission Viejo, Ca
Opioid Rehab & Detox in Mission Viejo, CA
Opioid Addiction Treatment at Laguna Shores Recovery
At Laguna Shores Recovery our opioid detox and treatment facility is designed to help those who struggle with addiction. Our Mission Viejo rehab center provides an individualized treatment plan that is uniquely created for our patients by trained medical professionals.
By learning healthy coping skills and actively participating in the program, our patients can begin to build a foundation that will lead to long term recovery.
What Makes a Drug an Opioid?
Opioids are a general group of drugs that aim to relieve pain and work with cell receptors found in the body. This type of drug can be manufactured using the poppy plant to create morphine. It can also be engineered in a research facility to produce fentanyl.1 When opioid medication travels across the blood and attaches to the receptor cells in the brain, signals are released that suppress pain and increase feelings of pleasure.
Opioids are frequently utilized as prescription as painkillers because they are synthetic substances that cause relaxation. Remedial opioids are utilized for the most part as a treatment for moderate to severe levels of pain. However, some can be utilized for the treatment of diarrhea and coughing. They can likewise make individuals feel euphoric, which is the reason they are abused. This can prove fatal considering that this drug is exceptionally addictive, and there is a high risk of overdosing and death.
This is why detox is frequently recommended as a first step for the treatment of opioid use disorder. Heroin is one of the world’s most hazardous opioids and is never utilized as a medicinal drug in the USA.
History of Opioids
The opioid crisis has occurred in 3 waves. The main wave started in the early 1990s when deaths began climbing after a steep increase in the number of prescriptions being given for pain management. The increase in prescriptions was influenced by assurances provided to medical communities by pharmaceutical companies who guaranteed that the dependency risk was exceptionally low.
Towards the end of the 20th century, 86 percent of patients that were taking this drug were using them for pain not related to cancer.2 Communities with an increase in accessibility were among the main areas that started to experience increasing addictions. Their availability also increased diversions, or the exchange of opioids from someone who was prescribed the medication and selling it to someone else.
Wave of Heroin
The second wave began somewhere close to 2010 with a quick increase in deaths due to abuse of heroin. With early attempts at reducing opioid prescriptions starting to showcase results and medicinal opioids becoming more difficult to access, the epidemic shifted towards heroin.
Heroin was a widely accessible and cheaper alternative, albeit a more fatal and illegal form of the drug. Heroin abuse expanded across both sexes, every age, and every socioeconomic group. Deaths occurring as a result of overdosing on heroin expanded by 286 percent between 2002 to 2013. Close to 80 percent of people who abused the drug had confessed to misusing medicinal opioids prior to shifting to heroin. Heroin is normally injected, which subjects the person to increased danger diseases like heart or blood infections, skin infections, hepatitis B and C, and HIV/AIDS.
The third epidemic wave came in 2013 with increased deaths linked with engineered opiates such as fentanyl. The steepest ascent in drug-associated deaths took place in 2016 with well over twenty thousand deaths as a result of fentanyl and related medications (Stannard, 2016). The expansion in deaths due to fentanyl intake has been connected to mixing fentanyl within different abusive drugs.
Abuse by the Numbers
As of late 2017, the United States government proclaimed the opioid endemic a general wellbeing crisis. The therapeutic industry, especially doctors prescribing pain medications, have been active members in addressing the current problem.
Doctor-recommended medication management programs have helped to decrease opioid prescriptions by 8 percent and death rates associated with overdosing on medicinal opioid by 12 percent.4
Regardless of these decreases in prescriptions in the United States, opioid-related deaths due to overdose keep on increasing at disturbing rates.
In 2016, 64,000 individuals died from overdose. More than 42,000 of these deaths were a result of opioid intake, which is a twenty percent increase from the 52,000 deaths as a result of drug overdoses that occurred in 2015.
Overdoses with fentanyl are the biggest factor, accounting for 20,000 deaths altogether; with heroin representing 15,000 deaths; and physician-recommended drugs under 15,000.
Opioids can temporarily help with pain relief and induce relaxation. Regardless, they can also bring about significant damage, which includes slowed breathing, euphoric feeling, constipation, nausea, confusion, and drowsiness. Opioid abuse can result in hindered breathing, which may result in hypoxia, a condition where very little oxygen is reaching the brain. Hypoxia can have short and long-term neurological and mental effects such as permanent brain damage, coma, or even death.1 Research analysts are also researching the long-term impacts of addiction to opioids on the brain, and if the harm is reversible or not.
How Opioids Work
Opioids tie to and initiate opioid receptors on cells situated in numerous regions of the spinal cord and brain as well as other organs, particularly feelings associated with pleasure and pain. When opioids connect to these receptors, they block the signals of pain that the brain is sending to the body and increase levels of dopamine that are released throughout the body. This release reinforces the drug abuse, resulting in an increased likelihood the substance abuse will continue.
Misconceptions About Opiates
Opiate Addiction is due to weak morals and poor decisions
Opioids may bring about physical dependence and tolerance when utilized precisely as recommended for the treatment of pain.8 Consequently, opioids are not normally viewed as perfect in treating chronic pain over the long-term. Opioid abuse can start with a real and necessary prescription. Therefore, healthcare providers must closely monitor opioid medication use in patients.
Individuals abusing heroin are from big cities, are poor, and without insurance
Heroin use has expanded across most socioeconomic groups in the United States. An increase in opiate abuse has been shown among the female population, those with higher incomes, and ones with private insurance. Prescription opioid addiction increases the chances of dependency on heroin as well.
Overdosing on an opioid can be reversed
Naloxone or Narcan is an opioid antagonist medication that attempts to reverse the impacts of opioid drugs in the focal sensory system. Narcan can effectively save lives when administered early enough in the overdose.
Close to a hundred deaths occur as a result of overdosing on opioids on a daily basis in the USA. A single dose of Narcan may not be enough to reverse some overdoses due to very high doses, response times of medical supports or due to the combination of drugs taken. Overdosing on opioids and death are genuine risks of abusing opioids.
Every form of opioid carries equal risk
Opioid medications shift in their strength, onset rate, and length of activity. Opioids like oxycodone, for instance, produce results rapidly yet wear off quickly, while opioids such as methadone are considered long-acting. Fentanyl is a highly potent opioid, more than fifty to a hundred times more powerful than morphine.5 Higher strength implies that the medication is more dominant, raising the hazard for overdose and dependency at lower portions than with different opioids. While overdose and dependency could occur from the abuse of any opioid, those that are fast acting and potent can be progressively risky when abused.
Taking Opioids as prescribed will not result in addiction
Ultimately, any use of the medications can prompt opioid dependence and tolerance regardless of whether these medications are taken for alleviation of chronic pain. When the medications wear off, withdrawal can be troublesome both physically and emotionally. This may result in people taking them in between a dosage, or increasing dosage in an effort to avoid withdrawal. They can likewise lead to a euphoric high when abused, which can result in ongoing misuse of this drug. Any nonmedical use of opioid medication can result in dependency quickly.
Not everyone can become addicted
There are a few risk factors that could result in increased vulnerability to addictions, like the presence of other comorbid disorders, environmental conditions, trauma and stress exposure, family history, etc. However, any individual who routinely abuses opioids can experience the ill effects of addiction. One out of four individuals who take medicinal opioids on a long-term period in primary care will struggle with addiction.
Detoxification without professional aid is safe
Due to the changes opioid medications bring about in the brain, withdrawal becomes more significant and troublesome to handle, which is why detoxification is usually recommended with professional help. Therapeutic detox can use medications to handle withdrawal symptoms. During detox, emotional wellness and health hazards can be closely monitored by medical professionals to guarantee the wellbeing and security of the patient. After detox, an individual should proceed to an extensive treatment program for addiction that could prevent relapse and supports healthier recovery.
Opioid withdrawal symptoms throughout detox can be difficult to battle without expert intervention.
Withdrawal side effects can include:
When opioids have been misused over a long period of time, withdrawal symptoms will occur when medication use is reduced or stopped.
While drug withdrawal is typically not threatening to one’s life, they are not easy to navigate and are safer and more manageable with professional assistance.
Treatments for Opioid Use Disorders
Detoxification is the first phase in treatment. This includes clearing the substance from the body and restricting withdrawal responses. In eighty percent of cases, a treatment center will use medication to decrease withdrawal side effects. If an individual is dependent on more than one substance, frequently, prescriptions will be required to decrease withdrawal side effects for every drug individually.
Behavioral Therapy and Counseling
This is the most well-known type of treatment following detoxification. Treatment may happen on an individual, group or family basis depending upon the needs of the person. It is generally full-time at the start of treatment with the number of sessions slowly as side effects are reduced over time.
Cognitive Behavioral Therapy (CBT)
This is the most common type of treatment following detoxification. CBT enables individuals to perceive and change perspectives regarding substance abuse.
This is intended to help family members heal from the effects of substance abuse. Frequently used in families with teenagers with substance abuse issues, however, all families affected from substance use disorders benefit from family therapy.
Motivational interviewing helps expand upon a person’s readiness to make a change and adjust behavior that is negatively impacting their lives.
Long-term treatments for substance abuse can be highly viable and regularly focus on staying medication-free and continuing in family, professional and social obligations. Completely authorized private offices are accessible to structure a 24-hour care program, give sheltered lodging, and provide urgent medical interventions. Some facilities may provide therapeutic services, such as:
Short-term private treatment
This is concentrated on detoxifying and setting up a person for a more drawn-out period inside a remedial community via intense and concentrated counseling.
Housing for Recovery
This serves as a provision for managed, transient lodging to help individuals become engaged with obligations and adjust without substance use. Recuperation lodging incorporates counseling to deal with finding work and managing finances, along with linking an individual during the last phases of recuperation to community support.
These meetings assist in introducing others with equivalent addictive issue for support via regularly providing inspiration and decreasing confinement. They can likewise fill in as a valuable source of information, community, and education. Narcotics Anonymous and Alcoholics Anonymous are examples of such groups.
An individual may take prescriptions for a continued period of time when recuperating from a substance-related addiction and related complications. Individuals most generally use medicinal drugs during detoxification to manage withdrawal side effects. The medicine will shift depending on the substance that the individual is reliant on. Long-term utilization of medication lessens desires and discourages relapsing or going back to using the drug after addiction recovery. Prescriptions do not serve as an independent treatment for addictions and must accompany other methods for managing the addiction, such as psychotherapy.
Research has shown that treatment works most effectively when different meditational strategies are used in combination, both pharmacologically and psychosocially. This includes:
- Medication to handle withdrawal symptoms
- Support groups for recovery
- Community prevention strategies
- Peer and family support
Working on reducing the stigmas associated with drugs and addiction are all essential in achieving progress.
- Chou, R., Turner, J. A., Devine, E. B., Hansen, R. N., Sullivan, S. D., Blazina, I., … & Deyo, R.
A. (2015). The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Annals of Internal Medicine, 162(4), 276-286.
- Dunn, K. E., Barrett, F. S., Fingerhood, M., & Bigelow, G. E. (2016). Opioid overdose history,
risk behaviors, and knowledge in patients taking prescribed opioids for chronic pain. Pain Medicine, 18(8), 1505-1515.
- Harle, C. A., Bauer, S. E., Hoang, H. Q., Cook, R. L., Hurley, R. W., & Fillingim, R. B. (2015).
Decision support for chronic pain care: how do primary care physicians decide when to prescribe opioids? a qualitative study. BMC Family Practice, 16(1), 48.
- Krenzelok, E. P. (2017). Abuse of fentanyl derivatives: History repeating itself. American
Journal of Health-System Pharmacy, 74(8), 556-556.
- Schnoll, S. H. (2018). Misconceptions and realities of the prescription opioid epidemic. Clinical
Pharmacology & Therapeutics, 103(6), 963-965.
- Stannard, C. (2016). Opioids and chronic pain: using what we know to change what we
do. Current Opinion in Supportive and Palliative Care, 10(2), 129-136.
- Stogner, J. M. (2014). The potential threat of acetyl fentanyl: legal issues, contaminated heroin,
and acetyl fentanyl “disguised” as other opioids. Annals of emergency medicine, 64(6), 637-639.
- Volkow, N. D., & McLellan, A. T. (2016). Opioid abuse in chronic pain—misconceptions and
mitigation strategies. New England Journal of Medicine, 374(13), 1253-1263.