Ramon’s substance use disorder began neck and back surgery followed by several years of pain medication. A move to a rural community meant the nearest pain management doctor was over an hour’s drive. Eventually, Ramon resigned to drive 45 minutes a day to a methadone clinic.
A Difficult Medication Regimen
While Ramon got along well with the staff at the clinic, it was difficult for them to personalize his medication regimen. He has a highly active job that involves a lot of traveling. This meant he needed to leave his home by 4:00 am to be first at the clinic so he could then travel to his working destination.
Finding the right dose was challenging. For the majority of his time at the methadone clinic, Ramon was on 80 mg a day. But at one point, frustrated with his situation, he weaned himself down as low as 20 mg daily. But it was not sustainable. Ramon was in a perpetual state of painful withdrawal symptoms including, chills and muscle aches.
Detoxing During Coronavirus
When the coronavirus pandemic began sweeping across the United States, all the patients at the methadone clinic were given take-home doses of their medications, amounting to a week or several week’s worth. The clinic staff checked in with them regularly by phone and all patients were instructed to be readily available for these calls. When he learned he was expected to come to the clinic for random urine screening, Ramon’s frustration peaked.
“I don’t have the kind of life that I can stop everything at any time and drive 45 minutes away at the drop of a hat…and I was terrified to go near that clinic with the hundreds of patients they serve.”
Not every client at the methadone clinic was as mindful of social distancing and hygiene as Ramon was.
Ramon had tried to stop methadone himself in the past and knew he couldn’t do it on his own. His wife searched “Rapid Methadone Detox” online and found the Coleman Network for Addiction Medicine. He gave us a call.
A Personalized Detox Experience . . . Even During COVID-19
The Coleman Addiction Network specializes — and has for over 25 years — in helping people off the whole spectrum of opioid medications including:
- Oxycodone and hydrocodone products
- Hydromorphone and oxymorphone
We even help patients detox off poppy seed tea. Detoxes are completed with the use of a long-acting, non-addictive opioid blocker called Naltrexone. This medication reduces cravings and helps prevent relapse.
Ramon had a good detox experience. By day 8, he was free from methadone. He felt like a man who was released from prison. But a few days after his detox, he called the office and told me he had no energy and he couldn’t sleep.
A lack of energy after an opioid detox and insomnia are common. In Ramon’s case, his age and the duration of opioid use, combined with the methadone itself, made it even more difficult.
Real Tips to Replenish Energy After Detox
While there is no magic pill available to restore energy after an opioid detox, but there are several strategies that can help replenish energy levels:
- Set yourself up for successful sleep. Avoid caffeinated products. Get rid of anything in your bedroom that lights up — even your little green charging light can make the brain think it’s time to wake up. In Ramon’s case, I prescribed some strong (non-addictive) sleeping medication.
- Treat yourself well. Drink lots of water. Eat well. Get outside and walk — slowly and mindfully — letting yourself be captivated by nature. (I detest sounding like Pollyanna, but being in nature is scientifically proven to make you healthier and happier.)
- Practice journaling. Keeping a journal of your daily thoughts, feelings, physical sensations, aspirations, bits of learned wisdom is not only helpful while you are doing it, but will be so powerful to look back on as you progress through sobriety.
- Recovery communities are online. I am so impressed by the realm of available meetings offered around the world at all times of day or night. AA, NA, SMART Recovery, Refuge Recovery—just to name a few. Even if you aren’t a ‘meeting kind of person’, hearing how others are reaching out for help or to share solutions, can cultivate a mindset of gratitude and hope.
Joan R. Shepherd, FNP