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Opioid Withdrawal Symptoms & Treatment: What to Expect

woman wondering what she should expect from opioid withdrawal

According to the Keller Family Foundation, more than half a million people have died since 2017 because of opioids. Thankfully, the opioid crisis has started to turn around. In 2024, opioid overdose deaths fell by more than 25,000.1

One of the reasons experts think there’s been such a sharp decline is that more people know about the risks of opioids, but also their treatment options. Opioid withdrawal symptoms can be tough to manage alone and cause many people to relapse, which is a risk for overdose. Recognizing the signs early and knowing how to get help can save lives. To learn more about our opioid addiction treatment options, contact The Arbor Behavioral Health today.

Opioid withdrawal symptoms

The initial onset of withdrawal symptoms depends on what opioids you’ve taken and how you took them. Withdrawal from short-acting opioids like heroin may begin in as little as six to 12 hours after your last use, whereas long-acting opioids like OxyContin stay in your system longer, and you may not begin withdrawing for as long as 30 hours. It also matters how you take them. When you smoke, snort, or inject a drug, you feel the effects more quickly, and they also wear off more quickly. So if you’ve been injecting heroin, expect the withdrawal symptoms to start sooner than if you’ve been taking Vicodin orally.

Early signs of opioid withdrawal

Early withdrawal symptoms are often flu-like and can begin within hours of stopping opioid use. These symptoms include:

  • Agitation and irritability
  • Muscle aches
  • Insomnia
  • Teary eyes
  • Runny nose
  • Yawning
  • Anxiety
  • Sweating
  • Rapid heart rate
  • Elevated blood pressure
  • Fever

Severe opioid withdrawal symptoms

As withdrawal progresses, symptoms can become more intense and difficult to manage without support. These may include:

  • Nausea and vomiting
  • Diarrhea
  • Severe cravings
  • Depression
  • Goosebumps
  • Rapid heart rate
  • Dehydration risks

Symptoms typically peak within two to three days and may last for a week or longer. This phase is often when people are most vulnerable to relapse.

Opioid withdrawal treatment options

While withdrawal can be physically and emotionally demanding, you don’t have to go through it alone. Supportive care can help you stay comfortable and avoid relapse.

Professional treatment does focus on managing symptoms, but it also helps you build a strong foundation for long-term recovery.

Medications used for opioid withdrawal

Certain medications can help ease withdrawal symptoms and stabilize the body during early recovery. These may include:

  • Medications for opioid use disorder (MOUDs), like buprenorphine or methadone
  • Clonidine
  • Supportive medications for sleep, nausea, and hydration

Residential treatment for opioid addiction

Withdrawal symptoms are typically treated during medical detox, but recovery support continues. A full continuum of care provides the structure needed for lasting change. Treatment may include:

  • Stabilization support
  • Residential treatment programs
  • Outpatient care
  • Sober living environments

At The Arbor, care is tailored to each person we help and may include gender-specific programming, dual diagnosis support, and a whole-person approach that addresses both physical and emotional health.

How to get help for opioid withdrawal

If you’re experiencing opioid withdrawal symptoms, reaching out for help early can make a significant difference. Professional support offers:

  • Safer symptom management
  • Medical oversight
  • Therapy and emotional support
  • Relapse prevention strategies

Speaking with a treatment provider can help you understand your options and take the next step with confidence.

Professional opioid addiction treatment at The Arbor

At The Arbor Behavioral Healthcare, clients receive compassionate, individualized care that supports every stage of recovery.

We offer residential, intensive outpatient, and sober living in the Austin, TX, area. If you or a loved one needs help with opioid detox, we can help you find a trusted resource close to home. Our approach is about healing the mind, body, and spirit. That’s why every level of care is complemented by trauma therapy and dual diagnosis counseling, so our clients can build strong, sustainable paths forward.

Opioid withdrawal FAQs

What does opioid withdrawal feel like?

Opioid withdrawal can feel like a combination of flu-like symptoms and emotional distress. Individuals may experience body aches, nausea, anxiety, and strong cravings. Everyone will have a different experience, depending on the substance used, how long it was used, and individual health factors.

If you believe you are experiencing withdrawal symptoms, it’s important to seek guidance from a medical professional.

Can you manage opioid withdrawal at home?

While some people attempt to manage withdrawal at home, doing so can be risky, especially without medical support. Trying to self-medicate with alcohol or other drugs can be dangerous.

Take your symptoms seriously. Even if they feel mild at first, they can quickly escalate, often peaking around day three. Without proper care, complications like dehydration or relapse can occur. Professional support provides a safer and more structured environment.

Can you die from opioid withdrawal?

Opioid withdrawal itself is not typically life-threatening, but complications can arise. Risks include: Dehydration Electrolyte imbalances Increased risk of relapse and overdose Because of these risks, medical supervision is strongly recommended during withdrawal.

What is opioid withdrawal?

Opioid withdrawal occurs when the body, which has adapted to opioids, must readjust after use stops. Over time, the brain becomes dependent on opioids to function. When opioids are removed, the body reacts, leading to withdrawal symptoms.

Sources:

  1. Keller Family Foundation, Opioid Overdose Deaths: National Trends and Variation by Demographics and States, Accessed 2026