Can You Die from Heroin Withdrawal
Useful article! – Taylor Brown, B.A.Com., MAADC II
There have been many documented cases of individuals dying from heroin withdrawal. This is especially true for addicts recently incarcerated, or others undergoing non-medically supervised detoxification. For those going through a detox program supervised by medical personnel, withdrawal may be very uncomfortable but is unlikely to be fatal.
Heroin delivers a quick, intense high, is cheaper and easier to get than prescription opioids, and is now so pure it can be snorted rather than injected. For these reasons, it is no longer just a “street” drug but is used by all segments of society.
The National Survey on Drug Use and Health (NSDUH), found that in 2016 about 948,000 Americans reported using heroin in the past year, a number that has been steadily increasing since 2007. Statistics released by the Centers for Disease Control agree that heroin use has increased across most demographics.
Heroin Effects and Tolerance
Because its effects on the brain are felt so quickly, heroin is highly addictive, both psychologically and physically. The drug delivers a euphoric rush of pleasure, often accompanied by a dreamy state of alternating consciousness and semi-consciousness. Because heroin intensely affects the pleasure and reward center of the brain, it reinforces the desire for users to want to repeat the experience.
Users quickly build up a tolerance, meaning as the brain adapts to certain levels of the drug, it needs increasingly greater doses to deliver the desired effect. Dependence can occur after just a few uses. If drug use is stopped, the body will begin to experience withdrawal symptoms within a few hours of the last dose.
Heroin Withdrawal Symptoms
Withdrawal from heroin can produce severe symptoms, some of which can be life-threatening. The National Institute on Drug Abuse (NIDA) lists the most common withdrawal symptoms as:
- Restlessness
- Severe muscle and bone pain
- Sleep problems
- Diarrhea and vomiting
- Cold flashes with goosebumps
- Uncontrollable leg movements
- severe heroin cravings
Most deaths from heroin withdrawal are linked to seizures and respiratory failure, which can be caused by excess fluid loss – dehydration. Vomiting and diarrhea may lead to dehydration, including loss of electrolytes, which are minerals essential to life. Dehydration can result in dangerously high blood sodium levels, low blood level shock, cardiac arrhythmia, heart or kidney failure, or seizures.
Low blood level shock can happen when very low blood pressure causes a low blood volume. This results in an insufficient level of oxygen delivery to the organs, which can lead to organ damage and death.
The greatest number of documented deaths from heroin or other opioid withdrawal has been linked to incarcerated individuals. Northwest Public Broadcasting quotes Peter Koutoujian, vice president of the Major County Sheriffs of America, as saying, “…the question as to how best to treat opioid-addicted inmates is among the most pressing issues facing jails today.”
The National Sheriffs’ Association (NSA) and the National Commission on Correctional Health Care (NCCHC) recently announced their new Jail-Based Medication-Assisted Treatment: Promising Practices, Guidelines, and Resources for the Field, to assist corrections staff in the development of Medication-Assisted Treatment (MAT) programs. This program is designed to save lives during incarceration, and also to reduce relapse and recidivism after release.
As an extended care treatment facility, Midwest Recovery Centers serves to provide intensive recovery treatment for heroin addiction as well as other life problems. Contact us today to see how we can help you or your loved one begin recovery.
Reviewed and Assessed by
Taylor Brown, B.A.Com., MAADC II
Tim Coleman, M. of Ed.
Staffed 24 hours a day, 7 days a week.
Medical
Midwest Recovery Centers believes strongly in a client-centered approach. Substance Use Disorder is not what it was 5 or even 2 years ago. The substances on the street are constantly changing and so are the number of contraindications and fatal threats that substance use imposes on the person suffering. Our Medical team continues to stay up to speed with new advances of evidence-based approaches in treating those with both substance use disorder as well as their co-occurring mental health diagnosis. There are many varying pieces to each client’s situation when it comes to tackling the puzzle of a medical detox, and each step in the treatment planning is carefully selected, reviewed, and communicated for the best possible outcome of each client. We understand that consideration of the medical history, family history, past trauma, past and current substance use are all key indicators to most effectively give each client the best chance at developing a recovery process. Each client may present with a different scope of medical needs whether it’s their blood work or the most effective medications for them. Midwest Recovery Centers is proud to have the finest medical team to meet these individual and specific needs of each client that walks through our doors.
Clinical
When it comes to the therapeutic treatment of patients with substance use disorder, Midwest Recovery Centers believes in a client-centered approach guided by evidence-based practices. Substance use disorder has been identified by the American Medical Association as a disease, but because addiction is a disease that impacts behavior, treatment of this disease is often heavily focused on modifying behaviors and thoughts as well as establishing a new way of life. We place a strong emphasis on educating patients about this chronic illness and empowering them to practice treating it as such. Our clinical team is composed of leading experts in the field. We believe in having a staff as diverse as the clients we serve; from Licensed Professional Counselors to Licensed Clinical Social Workers, our staff is highly trained and educated in not only addiction but the mental health issues and life circumstances that often accompany it. Many of our clinicians have their own personal experience in long term recovery which lends them to an even better understanding of what our patients are experiencing. Our staff is highly skilled in choosing the most effective therapeutic modality for each client’s needs, to give them the best chance of securing the recovery process that will change their lives. Our clinical team understands that this is a family disease. This is why clinicians will offer weekly updates to families as well as concrete tools for families to utilize as they journey through this illness with their loved one. Those tools will be offered by the patient’s individual clinician as well as at our free Family Night on the first Wednesday of each month, offered to anyone in the community.
Our Origin Story
I began Midwest Recovery in honor of my mother, Betty Lou Wallace, who taught me responsibility in life and sobriety.
Mom was born, raised, and lived most of her life in Missouri, a state I'm still proud to call home. She had five children. The youngest were my older brother Don and me.
We knew that the disease of addiction ran in the family, but it wasn't until Don and I grew older that we realized we were falling into addictive patterns. Through it all, Mom was supportive of her children but firm about one principle: whether the disease was inherited or developed through your environment, you were responsible for your recovery from addiction.
"I will be supportive of your recovery but I will not enable your addiction," she was fond of saying.
Ultimately, I stayed sober from 1990 to 1997, when I relapsed. With Mom's support, I was able to get sober again in 2002. Tragically, Don was not so lucky. He passed away in 2005 from complications of an injury and continued addiction.
Mom wanted no parent to suffer from the sorrow and anguish of losing a child, so in 2002, she helped me establish my first treatment center business.
As Mom grew older, she shared with me some lessons she had learned through her affiliation with Al-Anon, a support group for family members of loved ones struggling with addiction. She asked me to stay clean and sober one day at a time and to use the lessons I learned in my own recovery to help others who were suffering.
In 2008, Mom passed away from throat cancer, one day after my six year sober anniversary. I still remember that one of the last times we spoke, she told me she was proud of my recovery.
Mom would be so happy to know that myself, our partners, and our team are carrying on her legacy in her home state. I don't know if my own recovery process would be intact without her and the lessons she shared. So much of what we share with our clients at Midwest began with Betty Lou.
Above all, Mom imparted several teachings that I carry with me every day: that people are inherently good, and if they fall into addiction, this makes them sick, not bad. She taught me to be patient, tolerant, loving, and kind to myself and to others.
Most of all, she taught me that recovery works if we are able to be honest with ourselves about our own behavior. That’s what she helped me accomplish and that’s what we strive to accomplish with every Midwest client.
On behalf of Betty Lou, I thank you for your interest in Midwest Recovery.
Jeff Howard