Fentanyl Detox
Misusing fentanyl carries serious risks. Whether you first received a prescription for pain or began using illicit fentanyl, quitting takes strong support. Fentanyl detox often brings on symptoms that are more intense and onset faster than other opioids.
But recovery is possible. At Oak Grove Recovery in Westerville, Ohio, we believe healing begins with respect and continues with compassionate care. Our medically supervised detox programs are designed to keep you safe while honoring your dignity, listening to your needs, and guiding you with empathy as you begin this life-changing journey.
Understanding fentanyl and its risks
Fentanyl has become widely known in recent years because of its devastating impact on communities.
What is fentanyl?
Fentanyl is a highly potent synthetic opioid. It may be prescribed for severe pain—often after surgery or in cancer treatment—but it is also addictive.
Illicit fentanyl can be up to 50 times stronger than heroin and 100 times more potent than morphine. It is often mixed into other substances, such as counterfeit pills, heroin, or methamphetamine. Because of its potency, even a small dose can lead to overdose.
Just how dangerous is fentanyl?
In 2023, fentanyl and other opioids were involved in about 70% of all U.S. overdose deaths. Early 2024 reports showed a 36% decrease in fentanyl-related deaths. Even with these improvements, fentanyl continues to be one of the greatest public health concerns because of its strength and unpredictability.
Why is fentanyl detox important?
Fentanyl creates dependence quickly. Attempting to quit “cold turkey” often brings on severe withdrawal symptoms. Without professional support, these symptoms—both physical and emotional—can feel overwhelming. Cravings, in particular, pose a high risk for relapse and potential overdose.
24/7 care to help you take the first safe step forward.
Fentanyl withdrawal symptoms and timeline
Once someone stops using fentanyl, withdrawal symptoms usually appear quickly. Severity depends on factors like duration of use and tolerance levels.
Common withdrawal symptoms
Opioid withdrawal is rarely life-threatening but can be extremely uncomfortable. Because fentanyl masks pain, stopping use can cause discomfort to return rapidly—making cravings worse.
Physical symptoms
- Severe muscle, joint, and bone pain
- Nausea, vomiting, diarrhea, and stomach cramps
- Sweating, chills, and “goose bumps”
- Fatigue, yawning, and headaches
- Runny nose, watery eyes, dilated pupils
- High blood pressure, rapid heartbeat
Psychological symptoms
- Anxiety, agitation, or panic
- Depression or hopelessness, sometimes with suicidal thoughts
- Intense cravings for fentanyl
- Restlessness and difficulty staying still
- Insomnia, sometimes lasting weeks
- Confusion, memory problems, or “brain fog”
Fentanyl withdrawal tends to begin quickly and with more intensity than other opioids. Without 24/7 care, relapse can happen easily.
The detox timeline: What to expect
Short-acting opioids like fentanyl typically clear from the body in about a week to 10 days. Symptoms often come in phases.
Early withdrawal (8–24 hours)
Flu-like symptoms begin: runny nose, watery eyes, yawning, sweating, restlessness, and sleep difficulty. Cravings also start early.
Full withdrawal (24–72 hours)
Symptoms peak in the first three days: increased blood pressure, nausea, diarrhea, vomiting, fever, and dehydration. Many also experience agitation and intense cravings.
The first month
For those with a strong dependence, discomfort may linger for weeks. Symptoms become less intense over time.
Post-acute withdrawal syndrome (PAWS)
Some experience PAWS, which can last for months and include:
- Mood swings
- Trouble sleeping
- Difficulty concentrating
- Periodic cravings
- Heightened stress response
Medically supervised fentanyl detox methods
Inpatient detox programs
Inpatient (residential) detox is the safest environment for those with severe dependence, history of relapse, or co-occurring health issues.
What inpatient detox includes:
- 24/7 medical oversight
- Structured daily routines with meals, health checks, and therapy
- Gentle activities to reduce stress and stabilize mood
- Peer support through shared experience
- Transition planning to next levels of care
- Medications for opioid use disorder (MOUDs), including methadone
At Oak Grove Recovery, inpatient detox typically lasts four to ten days. Our care team provides peace of mind and a safe space to focus on healing.
Outpatient detox options
Outpatient detox may be appropriate for those with milder dependence and strong support systems.
Outpatient features:
- Daily clinic visits for medication and monitoring
- 24/7 on-call nursing support
- Flexibility to remain at home and with family
- Program lengths from days to weeks
- Involvement of loved ones in care
While more flexible, outpatient detox requires commitment and strong accountability. We do not offer outpatient detox at Oak Grove Recovery.
Rapid detox risks
Rapid detox uses high doses of medications under sedation to quickly “flush” opioids.
- Health risks: Higher chance of complications, including cardiac issues.
- Relapse risk: Physical detox alone doesn’t address psychological needs.
- Guidelines: Most experts do not recommend rapid detox due to safety concerns.
At Oak Grove Recovery, we prioritize gradual, evidence-based detox methods to support both body and mind. We do not use rapid detox methods.
Medication-assisted treatment for fentanyl addiction
Medication-assisted treatment (MAT) can reduce cravings and withdrawal symptoms. When paired with counseling and community support, it offers a whole-person path to recovery.
Common MAT options
- Methadone: Safely tapers opioid use under clinical supervision. Can be used before full detox.
- Buprenorphine (Subutex): Reduces withdrawal symptoms and blocks the opioid "high." Can be used before full detox.
- Buprenorphine/naloxone (Suboxone): Eases symptoms while blocking opioid effects. Can be used before full detox.
- Naltrexone (Vivitrol): Blocks opioid effects and reduces cravings. Cannot be used before full detox.
Benefits of MAT
- Improves treatment retention
- Reduces cravings and risk of relapse
- Supports long-term recovery when combined with therapy and life skills
At Oak Grove, MAT plans are individualized, carefully monitored, and adjusted with your goals in mind.
Managing withdrawal and preventing relapse
Healing takes more than medication. At Oak Grove, we use a holistic approach to support mind, body, and spirit.
Inpatient detox programs
- Hydration and electrolyte support
- Nourishing meals tailored for healing
- Light movement and rest balance
- Comfort measures like warm showers and grounding techniques
- Sleep support with non-habit-forming aids
Relapse prevention techniques
- Identifying personal triggers
- Practicing coping skills like mindfulness and journaling
- Building peer support and accountability
- Crisis planning for high-risk moments
You don’t have to face this alone. We’re here 24/7.
Comprehensive fentanyl addiction treatment
Detox is just the first step. Full recovery includes long-term support and whole-person care.
Harm reduction options
Some people are not ready to enter treatment. Reducing the stigma around getting help starts with reducing harm. These Ohio resources can help:
Dual diagnosis treatment
Many struggling with addiction also have a mental health condition. We offer evidence-based dual diagnosis support during residential treatment for:
- ADHD
- Anxiety
- Bipolar disorder
- Personality disorders
- Depression
- Psychosis
- PTSD
- Schizoaffective disorder
- Sleep disorders
Comprehensive fentanyl addiction treatment
After detox, the real healing begins. Our team at Oak Grove provides:
- One-on-one therapy for personal growth
- Group therapy for connection and accountability
- Community-based support like NA, SMART Recovery, and faith-based groups
Aftercare planning and long-term recovery
Recovery is ongoing. Structured aftercare helps you stay connected, prepared, and resilient.
Aftercare includes:
- Continued counseling or telehealth sessions
- Life skills training and employment support
- Help accessing housing, education, and health services
- Ongoing peer and community group connections
Understanding fentanyl overdose and emergency response
Using fentanyl, even once, can lead to overdose. Quick action saves lives.
Signs of overdose
- Slowed or stopped breathing
- Pinpoint pupils
- Blue or gray lips, fingers, or skin
- Unresponsiveness
- Gurgling or choking sounds
- Limp body
How to Respond
- Call 911 immediately.
- Administer naloxone (Narcan) if available.
- Perform rescue breathing if needed.
- Place the person on their side once they begin breathing.
Reach out to Oak Grove Recovery today
Our admissions team is available 24/7 to help you or a loved one start recovery. We accept Medicaid and many commercial insurance plans, ensuring treatment is accessible. Have questions? Call us at 614.324.8137 or reach out online.
Frequently asked questions
Most people complete our detox program in four to 10 days. The length of fentanyl detox varies for each person, depending on factors such as frequency and amount of use, overall health, and any co-occurring health conditions.
Fentanyl withdrawal can be uncomfortable and, in some cases, it can even be life-threatening. It is important to seek professional medical assistance when going through fentanyl detox to ensure safety and a successful recovery. Our team of experts will closely monitor your progress and provide support throughout the entire process.
The use of Suboxone or Methadone during detox is a personal decision that should be discussed with your healthcare provider. Our team can provide information on these medications and their potential benefits, but ultimately the choice is up to you and your healthcare team. We are here to support your recovery journey in whatever way works best for you.
