Opiate Detox at Home
Experience medically guided detox in the privacy of your own residence-where comfort, discretion, and clinical oversight are seamlessly integrated. Detox Concierge provides opiate detox at home with a physician-led plan and continuous nursing support designed to stabilize withdrawal safely and elegantly.
Care begins with a confidential intake call and a tailored medical strategy. A dedicated nurse remains with you 24/7, monitoring breathing status, pulse, sleep disruption, nausea, hydration, and overall comfort. When clinically appropriate, medication support is used to ease cramping, chills, autonomic symptoms, and cravings. You rest at home while your team reassesses symptoms frequently-often hourly during the early phase-and refines care as needed.
Privacy and Discretion During At-Home Opiate Detox
Detox Concierge maintains strict confidentiality and follows HIPAA-aligned privacy practices throughout your care. We verify identity before sharing clinical information, and we use secure, encrypted phone and messaging channels for scheduling and medical updates. Your nurse speaks with you in a private space and keeps conversations quiet and composed.
You decide:
- Who joins the intake call
- Who receives progress updates
- How communication is handled (direct to you or via an approved support person)
Clinical notes and medication logs remain within the medical team. After detox, we review next-step options with you first-then share recommendations only with the individuals you authorize.
Medical Supervision During Opiate Withdrawal
Opiate withdrawal can be physically demanding and clinically variable. During detox, our medical team continuously observes for risk signs and adjusts support based on your physiology-not a preset template.
Your physician reviews opioid history and evaluates cardiopulmonary status, neurologic stability, and mood. Your nurse documents:
- Blood pressure, temperature, oxygen saturation, and hydration status
- Respiratory quality and sedation risk
- Withdrawal severity using a COWS score to track changes over time
Medication dosing is matched to symptom intensity and vital sign trends. When vomiting, diarrhea, agitation, or insomnia escalates, your physician updates the plan promptly. If red-flag symptoms appear-such as chest pain, fainting, confusion, or low oxygen-we coordinate immediate transfer to emergency care. Detox concludes with a structured handoff plan for ongoing medical care, therapy, and follow-up.
Testimonials
What Is Opiate Detox?
Opiate detox is the first phase of stopping opioid drugs, supporting your body as it adjusts to declining opioid levels. Symptoms may include gastrointestinal upset, sweating, chills, body aches, sleep disruption, and strong cravings.
Detox focuses on:- Safety and physiologic stability
- Symptom control and hydration protection
- Sleep and comfort support
- Continuous monitoring and trend-based decision-making
Medication may be used to reduce nausea, diarrhea, muscle cramps, anxiety, and autonomic symptoms. Because withdrawal can fluctuate over several days, ongoing tracking is essential. Detox is complete when your body remains stable without clinically concerning withdrawal signs. From there, the focus shifts to longer-term treatment that supports relapse prevention.
Who Needs At-Home Opiate Detox?
At-home opiate detox is often chosen by individuals who want privacy and one-to-one clinical care in a controlled environment-especially when symptoms make daily functioning difficult or relapse risk feels high.
This option may be appropriate when:- Daily opioid use leads to pronounced withdrawal when stopping
- Prior detox attempts resulted in return to use
- Medical conditions (asthma, COPD, heart disease, hypertension) increase risk
- Other prescriptions require careful timing and interaction review
- Severe GI symptoms threaten hydration (nausea, diarrhea, poor intake)
- Sleep loss, panic, and mood shifts escalate during withdrawal
- Privacy matters for professional or personal reasons
- Parenting or caregiving limits time away from home
Common Opiate Withdrawal Symptoms
- Muscle and bone pain: Widespread aches, often worse at night, disrupting sleep
- Stomach cramping: Tightening of the gut with appetite suppression and fluid loss
- Nausea and vomiting: Can prevent intake and accelerate dehydration
- Diarrhea: Frequent stools with significant electrolyte loss potential
- Anxiety: Heightened arousal, pacing, tension, sudden worry
- Sleep disruption: Frequent waking and difficulty returning to sleep
Types of Opiates We Treat During At-Home Detox
At-home detox can address both prescription opioids and street opioids. We review opioid type, formulation, route, dose pattern, and frequency so monitoring and medication support match your clinical profile.
- Codeine: Often associated with cough syrups and pain tablets; may cause GI upset and sleep disruption when stopped
- Morphine: Includes immediate and extended-release forms; withdrawal can involve strong cravings and prolonged fatigue
- Heroin: Variable potency raises risk; symptoms can rise quickly after last use
- Oxycodone: Includes extended-release forms; misuse patterns affect risk and symptom intensity
- Hydrocodone: Stopping can trigger body aches, anxiety, runny nose, and GI cramping
- Hydromorphone: Potent opioid; small dose shifts can affect tolerance and symptom severity
- Oxymorphone: High potency; withdrawal may include fatigue, sweating, and intense cravings
- Fentanyl: May appear in pills or powders; variable strength can intensify withdrawal patterns
Our At-Home Opiate Detox Process
- Complete intake and review opioid use patterns
- Review prescriptions, allergies, and prior reactions
- Record baseline vitals, hydration status, and withdrawal severity
- Initiate physician-advised medication and comfort support
- Adjust dosing when nausea, cramping, restlessness, or insomnia escalates
- Reassess symptoms throughout the day and document trend changes
- Monitor for warning signs requiring ER-level care
- Conclude with next-step referrals and follow-up options
Comfort Care We Provide During Opiate Detox
Comfort care supports stability while your body recalibrates. We prioritize fluids, light nutrition, temperature regulation, and rest-while monitoring for nausea, sweating, tremors, and craving spikes.
Fluids and light food
Scheduled small sips; electrolytes to replace losses; bland options (broth, toast, rice, bananas) when appetite dropsSleep environment
A dark, quiet room with safe bathroom access; comfort steps aligned with your care plan if sleep breaksHeat and sweat management
Clothing and bedding changes as needed; skin care support to reduce irritationCraving check-ins
Close monitoring of breathing and pulse during urges; grounding techniques, paced breathing, and short distraction routines until intensity declinesAt-Home Opiate Detox Timelines
Timing depends on opioid type, duration of use, dose pattern, and health factors. Medical monitoring helps you move through each phase safely.
- Initial onset: Short-acting opioids may trigger symptoms within ~12 hours of last dose
- Peak symptoms: Often most intense around days 1–2
- Typical acute phase: Many clients improve over roughly one week with medical support
- Lingering adjustments: Mild sleep disruption, appetite changes, and low energy can persist beyond the first week and benefit from follow-up care
Safety Screening for Opiate Detox in Your Home
Substance Use Review
Opioid name, route, dose range, last use time, and any alcohol/benzodiazepine/stimulant use that changes risk and medication choices.
Medication List Review
Prescriptions, OTC products, supplements, allergies, and past side effects-then medication selection tailored to your profile.
Health History Check
Cardiac rhythm issues, lung disease, sleep apnea, renal/hepatic disease, pregnancy risk, prior overdose events, and severe withdrawal episodes.
Vital Signs Baseline
Pulse, blood pressure, temperature, oxygen saturation, respiratory status, and dehydration indicators (dry mouth, low urine output, dizziness).
Withdrawal Risk Check
Trend-based monitoring for red flags: repeated vomiting, confusion, fainting, chest pain, or low oxygen.
Emergency Plan
Nearest ER, fastest route, escalation thresholds, and physician updates during any sudden clinical change.
Benefits of At-Home Opiate Detox
At-home detox allows you to stop opioids in a familiar setting while medical professionals safeguard stability and comfort.
- Rest in your own bed and recovery space
- Avoid clinic visits during symptom peaks
- Maintain strict privacy and control of updates
- Receive continuous monitoring of vitals and symptom shifts
- Medication support for nausea, cramping, and sleep disruption
- Lower relapse risk with close support during cravings
- Maintain essential family duties with planned help
- Leave detox with a clear next-step plan for ongoing care
Medications We Use to Ease Opiate Withdrawal Symptoms
Medication is selected by your physician based on symptoms, vital signs, and interaction screening. Doses are adjusted as your clinical picture changes. The objective is symptom control, hydration support, and safer rest.
Medication support may include:- Clonidine for sweating, chills, and rapid pulse
- Buprenorphine for withdrawal control and craving reduction (when appropriate)
- Methadone in select medical cases with close oversight
- Ondansetron for nausea and vomiting control
- Loperamide for diarrhea and fluid-loss support
- Acetaminophen for aches and pain relief
- Muscle relaxants for cramping and tension
- Sleep-support medications to improve nighttime rest
- Anti-anxiety medications when agitation or panic escalates
Relapse Prevention Planning After Detox
Detox is stabilization; recovery requires continuity. After detox, we help you transition into a structured plan aligned with your lifestyle, triggers, and clinical needs.
Follow-up options often include:- Medication-based treatment when appropriate
- Therapy to build coping skills for stress, triggers, and social pressure
- Support groups and peer accountability
- Practical routines that support sleep, nutrition, and emotional regulation
A clear plan reduces the likelihood of relapse and supports safer, steadier progress.
Our Team
Dr. Jonathan Reitman
Consulting Physician
Detox Concierge in home detox staff starts with Dr. Jonathan Reitman. Jonathan Reitman, M.D. is board-certified in Internal Medicine and Addiction Medicine.
Alana Evette
Director of Nursing and Healthcare Services
Detox Concierge In home detox is the vision of Alana Evette. Alana has been specializing in addiction treatment for over 15 years and has worked in a variety of well-established Behavioral Health and Addiction Treatment Centers.
Why Choose Detox Concierge for Opiate Detox at Home
- Physician-directed care with a customized detox plan
- 24/7 nurse support at your residence
- Telehealth access for physician reviews and updates
- Personalized monitoring of vitals and withdrawal severity
- Privacy and confidentiality throughout care
- No facility stay-care remains in your own space
- Hydration, symptom, and comfort support to reduce medical strain
Areas We Serve
Detox Concierge provides in-home medical detox services nationwide. Coverage depends on clinical review and nurse availability in your region. Intake confirms service area, timing, and care details. Call (310) 706-2849 to confirm availability.- Atherton
- Bel Air
- Beverly Hills
- Brentwood
- Calabasas
- Carlsbad
- Carmel-by-the-Sea
- Corona Del Mar
- Dana Point
- Encino
- Hidden Hills
- Hillsborough
- Huntington Beach
- Irvine
- Laguna Beach
- La Jolla
- La Quinta
- Los Altos Hills
- Los Angeles
- Malibu
- Montecito
- Newport Beach
- Orange County
- Pacific Palisades
- Palm Springs
- Palo Alto
- Piedmont
- Portola Valley
- Redondo Beach
- Rolling Hills
- San Diego
- San Francisco
- San Luis Obispo
- Santa Barbara
- Surfside
- Westlake Village
- West Palm Beach, FL
