Ambulatory Detox / Withdrawal Management in Ohio

Ambulatory Detoxification (AD) is a program that assists our patients as they transition from street drugs onto buprenorphine and naltrexone containing medications. These medications have been proven to help patients avoid the symptoms of withdrawal, decrease cravings, and protect against fatal overdose.

Benefits Of Ambulatory Detox In Ohio

1. 1 on 1 nursing care when starting any new medications.
2. In-house comfort medications are immediately available for any withdrawal symptoms.• The nurse will teach you how to correctly use and store your medications.
3. You will receive more direct individualized care early in your recovery.
4. Individualized care helps providers find the dose that’s right for you.
5. 1 on 1 individual counseling sessions each day to address any questions or issues.
6. Daily provider visits to assist with any mental health or general medical needs.
7. Individualized psychiatric diagnostic testing for patients with mental health concerns.

Purpose Of Ambulatory Detox

Ambulatory Detox / Withdrawal Management

Withdrawal Management – Withdrawal Management (Ambulatory Detox) is a program that assists our patients as they transition from street drugs onto buprenorphine and naltrexone containing medications. These medications have been proven to help patients avoid the symptoms of withdrawal and decrease cravings.

What patients qualify for this program?

-Patients that are currently dependent on drugs that contain opiates such as prescription pain pills, heroin or fentanyl. Dependence on these medications means that the patient will experience uncomfortable withdrawal symptoms if they abruptly stop using them.

-Patients that are transitioning onto Naltrexone Tablets or Naltrexone Injection (Vivitrol)

How are patients selected?

All patients at Dove Recovery have a Comprehensive Assessment and New Patient Health Examination on their first day of contact with our program. Once these evaluations have been completed, the doctor or nurse practitioner will recommend the program to patients that they feel will benefit from the program.

Is the program mandatory?

No. The program is optional, but we want to make it available for those patients who may feel uncomfortable starting a new medication on their own.

What are the benefits?

1. 1 on 1 nursing care when starting any new medications
2. In house comfort medications immediately available for any withdrawal symptoms -The nurse will teach you how to correctly use and store your medications
3. You will receive more direct individualized care early in your recovery
4. Individualized care helps providers find the dose that’s right for you
5. 1 on 1 individual counseling sessions each day to address any questions or issues -Daily provider visits to assist with any mental health or general medical needs -Individualized psychiatric diagnostic testing for patients with mental health concerns - A counselor will be assigned to guide you through the first few days of your recovery.

What staff are involved?

Patients will initially complete their comprehensive assessment with a counselor that has training specific to alcoholism and drug addiction. Patients that elect to participate in the ambulatory detox program will work directly with a registered nurse and a prescriber (Doctor or Nurse Practitioner) that is licensed to practice medicine in the State of Ohio and holds a valid DATA 2000 Waiver.

What medications are used?

At the conclusion of the initial contact day, patients will be prescribed comfortmedications. These are medications that specifically treat the symptoms of acute opiate withdrawal. Examples of these medications include:

*Opiate Withdrawal‍

-Clonidine 0.1-0.4mg BID

-Zofran ODT 4-12mg q8hrs prn Nausea-Ibuprofen 600mg q8hrs prn pain-Gabapentin 300mg TID

*Insomnia-Trazodone (1-2) 50mg Tabs PO qhs-Remeron (1-2) 15mg Tabs PO qhs-Seroquel (1-2) 25mg PO qhs-Melatonin 3-5mg PO qhs

*Restless Legs Syndrome-Requip 0.5-4.0mg qhs

*Nicotine Withdrawal Patches-14-21mg daily

*Generalized Anxiety-Prozac 20-60mg daily

-Buspar 15mg BID-Propranolol 20-60 mg daily

What tests are required?

All patients at Dove Recovery will initially have:

1. A urine drug screen with confirmation s A hepatic function panel
2. A hepatitis panel
3. HIV screening
4. TB screening
5. Females will be tested for pregnancy