Detox with Ketamine

[Chemical_Boy]

I was just reading someone's Ketamine post and it crossed my mind that theoretically, if one had a good supply of ketamine, a week or 10 days to just say fuck it (it takes me a week minimum for a good dope kick before I am functional again. I am also a big ass sissy. The last time I did a full, honest to god kick, I took a week off of work, which with the weekends on either end of the five business days was a total of nine days and I stopped my morphine cold turkey), and a place where they could hang out relatively undisturbed, maybe they could do their own version of anesthesia assisted detox.

If you had someone who would monitor you, feed you, and help you do normal human things like poop and what not, it seems like you could anesthatize yourself with ketamine to the point where maybe W/Ds wouldn't be that bad. If you could find a dose that worked for you in that it would remove most of your physical feelings and numb you up emotionally without putting yourself into a full blown Khole, it seems like you could keep yourself pretty comfortably disassociated from reality enough to make w/d bearable.

You would have to ease up for a few hours a day and come back to horrible reality to shower and maintain yourself, but if you spent most of your waking hours administering Ketamine to yourself for a week and a half, it seems like a feasible way to detox relatively comfortably.

I wonder if there is any danger in staying under the influence of K at that level for so long. I know some old ravers that are kind of jacked up. . . .

I don't know. Does this just sound like the dim-witted wishful thinking of someone who is kicking, or does this sound like something you would try? Just curious.... Anyone ever try anything like this?

Fuck it, I will try anything once!

[WarmCyanide]

If you are going to do K for any prolonged amount of time, I highly recommend benzos be at hand. I have no exp with skeletal muscle relaxants like flexeril with Ketamine, but benzos are valuable

[Seedy]

Man i reckon k in combo with benzos, weed, a little booze and a nutritious diet could make for a pretty decent kick. I'd give it a go if I had the resources and time at my disposal.

[Russellmeboy]

id take a K benzo and immodium detox over a methadone or coloindine detox anyday!
ive had to detox in much worse senarios!
i think if u did enough it could be even somewhat pleasurable... i think a norco and k detox would be suprb!

[God_Albino]

again, i dont know how different k is from dxm, but my formerly healthy non-junkie brain would be raped by day 4 or 5 of daily using, much less for weeks or a month, crippling depression and psychosis galore.

tiny amounts used sparingly with whatever other comfort shit you got might help, clonidine id stay away from unless some fancy health mod says otherwise, that shit messes my B/P up big time

[Chemical_Boy]

again, i dont know how different k is from dxm, but my formerly healthy non-junkie brain would be raped by day 4 or 5 of daily using, much less for weeks or a month, crippling depression and psychosis galore.

tiny amounts used sparingly with whatever other comfort shit you got might help, clonidine id stay away from unless some fancy health mod says otherwise, that shit messes my B/P up big time

I gotta point out that even though to drug users DXM and Ketamine are classified together as disassociates or whatever, they are in no other way alike. DXM was never designed to be taken in dosages to be mind altering and was not created with the intention of producing an altered state.

Some really bored kid figured out that if you drink a whole bottle of cough syrup you get fucked up and hallucinate.

Ketamine on the other hand is a medical anesthesia. It is taken in the dosages medically acceptable and acheives an anisthesia effect.

So other than the same classification from druggies, the simularities stop there. If it feels like DXM is frying your brain, it probably is!

[jacky]

for some people, even taking doses of DXM as directed can cause significant inebriation or strange thoughts, euphoria, etc.
I found for myself, that I could take 120 milligrams of DXM over a 4-6 hour period and get a very nice glow going.

about as much DXM as I could tolerate, was around 360 milligrams...and that taken over at least a few hours if not entire days dosing.
at that level, even if extended over time, I was pretty well inebriated, at times delusional, and at times, seemingly experiencing paranormal activity.

a freind of mines 15 year old son, recently got caught taking his DXM syrup to school, because it helped him be smart and witty around his classmates.
and I dont think he was slamming a whole bottle at a time, rather, he was experiencing some sort of psychoactive glow or flow so to speak, from just taking normal doses.

I personally have used ketamine for opiate detox/withdrawl.
when in withdrawl with no other medication to help, ketamine did not help much, even at low doses of 5-20 milligrams.
its the higher doses that ketamine seems to help withdrawl.
but of course, higher doses put you into a rather strange headspace.
I was not able to use ketamine alone, to kick heroin that particular time trying to kick.
I had a decent supply of ketamine...but it just didnt make me feel any more comfortable, taking at doses which allowed me to function.
I was taking 5-20 milligrams.
at that level, the drug actually seemed to make me want to get heroin even MORE.
the tactile sensations were more like experiencing salvia divinorum, crinkly, strange, prickly skin sensations. also, the lower doses of ketamine seemed to be more like a stimulant than a sedative. my heart rate would increase, I would experience a limited about of psychoactive warpage, but no visual changes.

about a year before before this experience I was in a program, outpatient, that medically assisted my opiate detox.
I was taking clonipin, tegretol, and robaxin as a muscle relaxant.
that blend of drugs helped me kick Heroin almost alone....the first few nites I spent surrounded by people using heroin. I did not falter, I wanted out of that hell.
about a week later, I was pretty ill, but still holding strong on not doing heroin.
I did feel a great urge at this point, to get back on the train.
so I called up my ketamine "freind", and arranged for a bottle or two.
this is where ketamine can help I think.
High dose ketamine.
I took the ketamine, observed by a health proffesional, under controlled conditions the first time.
this was before I tried to use ketamine in lower doses to aid kicking.
I had seen information that ketamine might help people with drug addiction when used in tranformational doses.
I experienced the most incredible, and fully involved psychedelic/paranormal like experience of my life.
the only time I have experienced something as transformational in a physical and mental experience was falling asleep on a good solid dose of LSD. I did go out of body, slept/meditated for around an hour on LSD.
on ketamine this time, I physically confronted my addiction in physical form. they were multidimensional plant beings. they had control or our desires and our plane of existance, through plant production of chemicals.
the experience was an awakening. for two or three days, even though I could barely walk 20 feet without needing to rest, my mind was on high.
4 days later I felt incredible urge to give in...took ketamine again at the dose of 200 milligrams, 100 IV, 100 IM. the IM push first, and the IV second to rocket the transformation to be almost painless.
with the large dose ketamine experience, once again, my mind was taken to heights of supranormal existance, and I was able to resist taking heroin again.
with freinds and family behind me, I was able to stay clean for almost 5 months.
I used ketamine a few more times, when I felt the urge to use.
but honestly, the mental awakenings, were becoming less and less urgent.
its almost as if one becomes tolerant to the amazement, and the only thing helping is a bit of nmda antagonist activity..that quickly wears off.
I think its the psychoactive part of ketamines actions that help withdrawl for me...

its possible low dose regimines of ketamine might help lower tolerance to opiates, so that someone might use it for weening...but really, other substances like DXM or memantine etc might help with tolerance reduction more than ketamine.

maybe others have found differently...but I think the addictive nature of ketamine is too much for most/many addicts to responsibly handle when trying to detox.
the urge to escape reality might be a help at times. but other times might fuel addiction to a whole new monster.
the high dose potential of ketamine, ESPECIALLY in those who are not experienced with ketamine yet, I think is strong.....but the amazement, and novelty of the experience is limited the more you go back to using ketamine.

ketamine does not have a similiar effect as ibogaine, in that physical withdrawl is limited/lessened with one high dose application. within hours of coming off of ketamine, or minutes...the physical pain of withdrawal can return.
I do agree that high dose ketamine can cause a spiritual awakening, or help cause, and the psychoactive or spiritual awakening, can be of immense support of the individual going through withdrawl.
but this isnt going to be an instance that is highly common.
many people are not going to want the ketamine transformation, especially when they are at the bottom. for some people, it could bring on delusional behaviour, or possibly increase depression.

and another thing, sometimes re-emergence from a transformation ketamine trip can be painful in and of itself.....a few times, I really needed to jump back into the heroin before I could tolerate my life. ketamine in low doses as an aid for kicking, DID NOT help, but actually led to me seeking dope at all costs, and in one instance, nearly cost me my life. I ended up using cottons at all costs, and gave my self a bloodstream injected sickness, that lasted for a few weeks. and almost killed me.
I am not blaming ketamine...but my own stupid actions for that one. the problem was, that the ketamine I did do, helped create a mental state, where I felt I need to do heroin, to ease my physical and mental distress, that doing ketamine, helped make a bit worse.

be careful folks.
plan carefully, and if its not the right situation. save the ketamine for the right time.

its still a cutting edge and foggy underground treatment for the most part.
there are some clinical applications to using ketamine for addictions...but I think the patients have alot of follow up care, and of course are closely monitered while they are on the ketamine.

[DCBA]

I have detoxed many times with DXM and sometimes with ketamine, i think DXM is best.
I even have used very high doses DXM plus 5 to 10mgs of naltrexone for shrinking the WD time to about 8 to 12 hours..
So you can see...DXM is so powerful in high doses and puts you so dissociated that you even dont feel WD when you take naltrexone for shrinking WD time. Its way better than benzos but best for people you apreciate psychedelics. Buts trust me it can completly dissociate you from the WD.. and if you got the guts add naltrexone like i did and you'll wake up in the last phase of WD only after 8 to 12 hours or so!


I can get all the pharmaceutical ketamine i want and i still prefer DXM to it.. Nowadays, its wasnt allways like this..

[jacky]

DCBA...

sounds interesting.
never had the balls to initiate crunching withdrawals via naltrexone forced withdrawal..
I know that DXM can help alot during withdrawals...

your experience sounds a bit unique, you should submit a longer experience to Erowid sometime.
I havnt heard of anyone actually combining those two substances and having a beneficial outcome, actually I havnt heard of anyone combining those two substances together at all...
so I applaud your research man, that is great, for a certian percentage of the population, your combo treatment will work for others I am sure.
not that I encourage anyone to do so...but if you are an opiophile on the cusp of the cutting edge, I will want to hear more about this possible beneficial combo

I find that DXM worked best for me for augmenting tolerance...taking once a week or every two weeks.

unfortunately the last time I tried DXM for tolerance augmentation....only 120 milligrams made me sick for almost 24 hours...I took that in 3 separate doses of 40 milligrams per shot. within two hours, and I was so sick I could barely do anything. I also didnt notice much tolerance reduction the following days...but that could have been because it took me a few days to recover from the hellish feverish sickness that overtook me.
it was like my ability to tolerate DXM was abolished within a two week period.

I did abuse DXM on a daily basis for over a year before this experience though, and I noticed a good few months were needed for a partial recovery . after the initial weeklong period that I suffered DXM withdrawals from quitting daily use, which didnt even start till after 4-5 days after I quit, it definitely took a few months till my mind was cleared. I had built up some serious delusions during that year, DXM sort of gives you the space to do that...I became an operable schizoid. I performed the daily routine well, but my emotional state was the most effected.

[DCBA]

maybe some day i'll write more on the "experiments" i did.

I did use DXM plus small but effective doses of naltrexone more than 5 times, and all of they worked, it just needed to be a very high dose of DXM, like the 4th plateau or a very very high 3th plateau but the 4th is more convenient.
And i call tell you that i even spend a great time during most of those experiences.. it wasnt like i was in precipitated wd and the dxm just alleviated it, no the DXM took over the experience pretty much like ibogaine takes over opiate wd, but i never took ibogaine..

But hey if you like DXM and want to try this speedy and not so bad detox then start with very low doses of naltrexone until you feel more confortable with them. But for me i usually would take 2mgs followed by 5mgs 1 hour later if everything was ok and then another 5mgs a couple hours later.

I must have used this system for about 7 times, and all the times the result was the same. A very fast detox that would be over (most of it, excluding paws like symptoms) in about 8 to 12 hours. But when you "woke up" (you dont sleep until the end..) the most of the physical symptoms would be over.

I started doing this because i had the trust that it would work and i was in naltrexone maintenace (or so they tought...).
Just remember that it needs to be 4th plateau or some plateau that completly dissociates your body and mind..

[skabbo]

SWIM has found this to work rather well. The ketamine doesn't take away the physical aches and pains too much, but it dissociates you in a way that makes it so you can't exactly imagine what your DOC would "feel like" if you had it. You can logically tell yourself that it would feel good, but it seems to interfere with that "Want-it-so-much-I-can-taste-it" craving that makes the first week or so so difficult. The last couple times stopping his DOC, SWIM has replaced it with repeated moderate doses of K, and both he and his g/f found it much more effective than the standard OTC comfort-drug regime. It does NOT completely eliminate cravings, w/d, or the urge to use again once w/d is over however, so it's no cure-all, just a nice thing to have around.

[i8op8s]

i came across an article once how they were testing ketamine as a possible option to help with benzo and opiate addiction..i found it interesting because at the time i had a farily large k habit on weekends 4-5 Liks..starting friday night through sunday night ritualistically..besides my friday morning Methadone dose..i wouldnt redose my take home mdone & benzos all weekend until sunday late afternnoon/night and never felt the need to... But on a normal day without k..all i can think about is getting to the clinic as soon as i wake up to get medicated and with benzos id take 1 stick in the morning 1 broken up throught the day and 2-2 1/2 at night...i never tried going longer than 2 days without methadone but with k involved it was not an issue in the slightest..another thing i noticed is at the end of my k runs..i would have to wait to dose, if i did some k in the morning..and then after i came out of a hole..if i took my dose and a couple of stix..i would hardly feel anything.it was like the k would block me from getting off on my mdone xanax cocktail..no nods nothing..(normally id wake up in a pool of ice cream and some random food or drink all over me...i should note that usually on the saturday night id go out to a rave/club and would take acid and e in combinaton with k and do some extreme amounts dancing and sweating.......So in conclusion..with a healthy dose of k..i could easily go without benzos and methadone for at least 2 days.with NO discomfort....i never tried going longer than that.

[jacky]

I quit taking poppy extracts almost a year ago.
I had been using pods since around 2003 pretty much all the time except for a few months here and there switching between kratom or buprenorphine to help drop my tolerance.

I had access to a bit of ketamine, and used it for a long drawn out ween off of poppies.

I also used methoxetamine on a daily basis, at around a dose of 1 to 3 milligrams, 2 to 3 times a day.

the ketamine really helped at night, in small doses of 20-60 milligrams insuffilated in a solution of water/ethanol.
the ket helped put down any struggling cravings, and definitely helped the sleep issue.

the relief that ketamine can afford during withdrawals, weens, etc is amazing.

[borohydride]

I think K has some opioid receptor affinity (I don't recall which one(s)). MXE certainly has a lot...

[Benz]

This a fascinating thread subject. I've often given serious thought to doing an ibogaine detox but ketamine seems like it could have potential for a bad trip.

I've never taken ketamine before but I've seen plenty of people on it & that makes me very wary of it. I'd love to hear more ketamine assisted w/ds. The traditional methods haven't worked for me so I'm investigating alternative approaches.



Benz

[borohydride]

A modified MXE would be perfect. deprotect the ether (so it's 3 hydroxy rather than 3 methoxy) and replace the N-ethyl with an morpholine will cut down NMDA activity but keep up opioid activity.

From PCP QSAR

'The 3-hydroxy compound however, has 8 times the affinity of PCP for its receptor but also has profoundly enhanced affinity for the opiate receptor (430 times the affinity of PCP), giving it an analgesic activity 1 order of magnitude lower than morphine'

'Replacement of the piperidine ring with a morpholine ring produces a compound that is 1/10 the potency of PCP'

[Chipper]

*breaking news*

ELEANOR HALL: Australian researchers are trialling a drug originally used as a horse tranquilizer on people with severe depression. The drug is ketamine. Psychiatrists say it seems to provide almost instant relief for their patients.

The full article is here > http://www.abc.net.au/worldtoday/con...2/s3520384.htm

[hydrophile]

id take a K benzo and immodium detox over a methadone or coloindine detox anyday!
ive had to detox in much worse senarios!
i think if u did enough it could be even somewhat pleasurable... i think a norco and k detox would be suprb!

Dont you ever say that again. Ive been on norcos only for 7 days now AND IT IS NOT FICKING FUN! I. Eed morphine BAD!

[Duckfeet]

I mean, same could be said about any drug, I get that, but just be careful, and read up outside of this site, before using this drug to detox. My only personal experience was just with talking with a guy who'd gotten in trouble working down in Mexico as a counselor in a place that did Ketamine detoxes where an american had died. This guy was pretty sketchy to me, and paranoid in a weird way, so who knows...but there is a reason everybody wanting off dope doesn't just jump off on a bit of ketamine. If your mind is made up, it's made up, but if it isn't, then I'd do a lot of studying before I tried this experiment.

All my reading, and this guys dialog, convinced me I wanted no part of ketamine for detox. Verifiable long term success rate is what you look for. On here, often we have so much wishful thinking invested in different drugs that it can pass at times for fact.

[jacky]

yeah, nice quote about wishful thinking.

detox can be a problem period of transition for sure medicated, or unmedicated. I dont know what is worse for some people, but for me, medicated slow ween detox's have 90% of the time for me, gone well.
three of those have been at clinics mostly out of state (Idaho), once though I was "illegally" treated with outpatient drugs at a low income clinic in Boise Idaho BEFORE Idaho had methadone or outpatient buprenorphine treatment (only inpatient 3 day pure buprenorphine treatment, no naloxone).
twice I detoxed on methadone maintenance or detox programs outside the state of Idaho.
I did do also one inpatient two week program, but that was totally drug free, except for the caffeine and nicotine and passion flower I was able to keep taking, and I went into that program still with withdrawal symptoms, but way beyond the point of immediate crisis....I was still not sleeping normally, and stills sweating buckets every 1-2 hours at night,but did not have the immediate withdrawal effects.

other than those 4 times doing the medically evaluated detox's, I detoxed myself dozens of times in the last 15 years.
most times I was able to complete my detox goal, a few times, BEFORE I turned myself into Jail.
most of my withdrawal experience in Jail was late opiate, post withdrawal type of discomfort, and then compounded by being forced to withdrawal from effexor in jail, with active Hep B sickness...so not total full blown cold turkey withdrawal in jail.

Ketamine for detox, might be a person's best choice, or LAST choice for "self assisted" detox...depending on the person, and their experience.
when I used ketamine first, it was for detox, aided by a vet, in the middle of heroin detox, when assisted by the local clinic that was treating me illegally outpatient with meds.
I used the ketamine in larger doses, 150 mgs PLUS, as basically a panic button experience.
it killed cravings after coming out of the experience, and opened my mind up to so many more possibilities than carrying on with the pathetic street junky kick. but that was a glow that only lasted a few days.
the almost immediate anti depressant effects of the kappa opioid stimulation, seems to have LEGS that last at least a few days.

I should say that I have had some NEGATIVE effects from ketamine, using for detox, or trying to, that ended up leading to one of the most nasty injection sickness's that I have ever had.
it was not the ketamine itself that lead to this injection problem,
it was freaking out after doing just a small amount of ketamine, and running to get dope, and getting only dirty moldy cottons to make myself and my ex wife sick on.
various friends thought I was going to die.
half my face was attacked by what I can only call a mass herpes cold sore explosion on exactly one side of my face, which also makes me think it could have been shingles, brought on by nearly killing myself with poison cotton brew injected multiple times.

so like Duckfeet stress's, self treatment with ketamine might not be an option for some people.

my last use of ketamine for detox, was used sparingly, never more than 60-80 mgs at most, over a few hours, in small doses of 10-20 mgs per insuffilation. I also did not use this every night.
the ketamine really did help relax some of the nmda antagonist stimulant side effects of lower doses of methoxetamine.
it was a ween that lasted two months total, and I used the ketamine during the last two weeks of that period.

myself, I have mostly been a maintenance type addict. I was not much into the rush, as I was having a maintenance supply.
some people are different.

I also have never had constant access to ketamine, and I have not had extended periods of abusing ketamine as a recreational. so I have never been ketamine dependent.
part of my "success" with ketamine for detox, is probably only due to the fact that I was not exposed to the compound for much of my drug using experience.
it just seems to be around when I "need" it.

there are plenty of people that would probably be better off, not using ketamine for opiate detox.
I found out the hard way that DXM for opiate tolerance reduction/detox can lead to over a year long DXM habit. my DXM detox started suddenly, and after a week, I started getting anti depressant type of withdrawal symptoms, quite similiar to effexor withdrawal, but not nearly as physically demanding.
the main problem with DXM withdrawal was postural hypotension, and the brain "shocks", and low energy after having the dopaminergic push of DXM in my system all the time.

verifiable long term success is wishful thinking itself in a way though in my opinion,
I am more of the thousand paths to freedom type of path pusher.
after seeing the variability of even "verifiable long term success" proven programs like various inpatient treatments, medicated or not, methadone detox, and buprenorphine detox, I realized that for myself, and probably many others, one, two, or a few hundred medications or herbs might not be even enough for the full spectrum of humanitys lifestyle types and genetic makeups to use as a "kick kit"

it can be a horribly isolating feeling, to be strung out on a substance that 99% of the population hasnt tried.
back in the 90's, I felt that way as a heroin addict.
in different programs, meetings, detox's, jail stays, I met relatively few heroin addicts in my area. even in the bay area, in a halfway house system of over 1000 patient/tennants, I was among 4-10 known heroin addicts.
when kicking effexor, the jail didnt even know what it was, and said it was "too new" of a drug to give me in jail, so, I would have to kick, unless my DR would hand deliver a replacement prescription.
I didnt even know I was kicking effexor in the beginning, I thought it was a kick back post withdrawal reaction to being in jail for the first time that I had to stay for more than a few hours, and the effects of Heb B.
when habituated to DXM, I had no idea that I would face a tough period of withdrawal, even though I was still continuing my opiate use.

yeah, wishful thinking sometimes, is ALL YOU HAVE LEFT. in certian situations, it boils down to what is in the pot, and that is the stink that you have to deal with.

I think Ketamine would be a GREAT choice for experimental programs for treatment like the somewhat recent buprenorphine program that was legalized federally.
I also think that nitrous oxide has a potential, and could even be used aside ketamine treatment perhaps.
medical uses for ketamine seem to be spreading, rather than waning, and it is one of the top 200 drugs outlined as being needed to supply proper medical treatment in UN/who "compliant" countries.

just to be clear as well,
I have NEVER used ketamine as my sole detox aid. its always been used alongside other materials.
and the first run I used it, I was also being medically monitored 6 times a week on a daily basis.
I was also using H/C chronically, a high risk IV user, and technically indigent.

under the conditions that I first used ketamine to detox, its a bit of a wonder that it did turn out well.

the 2nd attempt was a bungle, and ended up with me obtaining sores so painful on my face that kicking heroin was impossible, the ketamine basically helped me make poor, hasty decisions that lead to definite life threatening impact on my immunity. had I not crawled into a basement and had friends feeding me heroin to ease the pain, I would have probably ended up in the hospital and would have been put on some sort of antibiotic/IV drip something.

its hard to say how something like that is going to turn out.

knowing that most of my friends that have died, killed themselves while relapsing after being a few days, or weeks clean, makes the risks I took with ket as a panic button treatment when cravings and lifestyle situations lead to me feeling like I was either going to shoot a shot of H, or get a shot of ketamine instead , seem worth it.

as Duck points out, no person on this website should take anyone else's experience or word as a golden rule, or a golden ladder out of a shit situation.

research is great when it can take place, and when it coincides with making the better decision.

my advice to anyone thinking of using ket for detox is,
if you have had problems with ket before, dont even consider it.
make sure you have good people around you.
administering via IV may not be the best route. its problematic for many, especially given the more dangerous anasthetic portions of ket that some people want to use.

my most recent foray, I was using ket not as a total dissasociative, but as an augmentator for other substances that were supporting detox, such as MXE, mitragyna, and various other herbs and such.
with a slow ween, a stable lifestyle, and also being self employed, it was easy for me.

anyway, I appreciate Duckfeet trying to reign in a bit of skepticism, and definite respect his opinion and choice to avoid self treatment with ket.
its only by going through various medically assisted detox's successfully that I was able to gain the discipline it took to make it through self treatment, aside from the first time I kicked heroin, which was just a few days of feeling tired/nervous.

in all those situations, medically assisted or not, I should also mention that I have never been clean of some sort of habituating substance despite my detox's, for longer than a few months.
at the present time, I kicked poppies, but still continue to rely on mitragyna, and other substances in the stimulating direction, both natural, and synthetic.
so while my detox's eventually did leave me OPIATE free,
I am still an OPIOIDphile

[badmedicine]

(old thread, sorry)

I wish we could use Ketamine for opiate withdrwawl in the ED setting. my co-workers would throw me a puzzled "WTF?" if I ever suggested it. It's generally used for sedating pediatric patients for reduction/relocation/repair of fracture/dislocation/complex laceration, and can be one of a cocktail requested to sedate then intubate a hypotensive patient. Me, personally, I love it.

The problem is, it would place that nurse in the position to have to more closely monitor that patient. Not something any of them is likely to be keen on. I don't know exactly how they treat opiate withdrawal once admitted for detox-- don't work that area of the hospital. I'm sure they do a better job of it than we do in ER.

The preferred pharmacological intervention seems to be to snow the patient with benzo's PRN for agitation -- up to a couple dozen mg's of lorazepam IV. If you're getting that much, it's not really helping, probably just making you more out of it.