© 2016 American Society of Addiction Medicine. All rights reserved. ASAM.org
6
WITHDRAWAL
• Opioid withdrawal refers to the wide range of symptoms
that occur after stopping the use of opioid drugs. Withdrawal
can last up to 10 days, but is most often between 3-5 days.
• Although it can cause very troubling symptoms (such as
vomiting, cramps, and sweating), withdrawal is rarely life-
threatening.
• Using medications to control withdrawal (also called
withdrawal management) is almost always recommended
over trying to quit "cold turkey." When patients do try
to quit "cold turkey," it can lead to stronger cravings and
continued use.
• Withdrawal management on its own or with counseling is not
treating opioid addiction and may increase the risk of relapse.
When treating someone for opioid addiction, maintenance
medication in combination with counseling and other support
is recommended. Maintenance medication is defined as
medication (see page 7) on a consistent schedule for persons
with addiction.
• In addition to counseling, patients are also encouraged to
join support groups that include other patients who are also
in recovery.
• Counseling is not limited to the patient - there are also many
support groups for family and friends of those dealing with
addiction. Remember, addiction affects friends and family
as well.
Support from Family and Friends
• Families and friends play a key role, and should try to learn
as much as possible about addiction to improve the chances
of a long-lasting recovery.
• Places, persons and events associated with addiction may
contribute to a relapse. It is very important that a patient
avoids persons, places and other reminders of his/her drug
use or learn how to respond to those reminders in ways
that do not involve alcohol or drug use. This requires the
continued support and encouragement of friends and family
who are outside of that environment.