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Kadian Withdrawal: Symptoms, Timeline & Treatment
Kadian, a long-acting form of morphine, is often prescribed to manage severe, chronic pain. While it can provide relief when used correctly, it also carries a high risk of dependence and addiction. When dependence takes hold, stopping Kadian can lead to difficult withdrawal symptoms that may feel overwhelming.
This guide outlines what to expect when stopping Kadian, from the most common withdrawal symptoms of Kadian and a typical timeline to how to get effective treatment for opioid addiction.
What is Kadian
Kadian is a prescription medication used to manage severe, long-term pain that other treatments cannot control. It is an extended-release formulation of morphine, meaning the drug is designed to release into the body gradually over time. This allows it to provide continuous relief for chronic pain conditions, making it a common choice for individuals with cancer pain or other debilitating conditions.
As a powerful opioid, Kadian works by binding to opioid receptors in the brain and spinal cord [1]. This reduces the pain sensation while also creating feelings of relaxation and euphoria. While these effects can be beneficial for pain management, they also make Kadian highly addictive. When misused or taken in higher doses than prescribed, Kadian can quickly lead to dependence, associated with withdrawals from Kadian upon discontinuation.
Kadian is typically taken in capsule form and is only prescribed to people who are already opioid-tolerant. Doctors caution against crushing, chewing, or altering the capsule, as doing so can release the full dose of morphine at once, increasing the risk of overdose.
Although it is effective for pain relief, the potential risks associated with Kadian are significant. Regular use—even as prescribed—can result in physical dependence, where the body becomes accustomed to the drug and struggles to function without it.
What Is Kadian Withdrawal Like?
Withdrawal from Kadian can be both physically and emotionally challenging. When someone dependent on Kadian suddenly stops or reduces their intake, the body reacts to the absence of the drug. This reaction is called withdrawal.
Withdrawal symptoms of Kadian can range from mild to severe, depending on factors like how long the drug was used, the dosage, and the individual’s overall health. Common symptoms of Kadian withdrawal include:
- Flu-like symptoms: Chills, sweating, muscle aches, and fatigue are some of the most noticeable side effects of stopping Kadian.
- Gastrointestinal distress: Nausea, vomiting, diarrhea, and abdominal cramps often present as the body adjusts to the absence of opioids
- Psychological symptoms: Intense cravings for Kadian, anxiety, irritability, and depression can occur, making it difficult to resist the urge to use the drug again.
- Sleep disturbances: Insomnia and restless nights often accompany Kadian withdrawal, adding to the discomfort.
- Other physical symptoms: Yawning, runny nose, dilated pupils, and increased heart rate are typical reactions to Kadian withdrawal.
The Kadian withdrawal timeline varies from person to person, but symptoms often peak within 48 to 72 hours after the last dose. For most people, acute symptoms subside within a week, although some psychological effects, like cravings or depression, may persist for weeks or months.
Kadian withdrawal is uncomfortable and can be dangerous without proper medical supervision. Severe symptoms like dehydration, rapid heart rate, or heightened anxiety can lead to complications if not addressed. This is why a medically supervised detox is often recommended for those detoxing from Kadian.
Why Kadian Abuse Causes Withdrawal
Kadian is an opioid, which means it works by stimulating opioid receptors in the brain. These are part of the natural pain control system in the body, but opioids like Kadian amplify their effects, reducing pain and creating feelings of euphoria.
When Kadian is used regularly over time, the brain adapts to the constant presence of the drug. It begins to rely on Kadian to regulate certain functions, such as pain perception and mood. This process, known as physical dependence, means the brain can no longer function normally without the drug [2].
When someone suddenly stops using Kadian, their body is left in a state of imbalance. The brain needs time to readjust to functioning without the drug, and this period of adjustment causes Kadian withdrawals.
Abusing Kadian—taking higher doses than prescribed or using it recreationally—can intensify this process. With larger amounts of the drug in the system, the brain’s dependence on Kadian deepens. This not only makes withdrawal symptoms more severe but also increases the risk of addiction, where the person feels compelled to use the drug despite its harmful effects [3].
Additionally, Kadian’s extended-release nature complicates the withdrawal process. Because the drug stays in the body longer, it can take more time for the brain and body to clear it, prolonging the discomfort of withdrawal.
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What Is Detox for Kadian Like?
Detoxing from Kadian is the first step toward recovery. Detox is the process of clearing the drug from your body while managing withdrawal symptoms in a safe and controlled environment [4]. Since Kadian is a powerful opioid, this step is often best done under medical supervision to ensure safety and comfort.
A medically supervised detox typically begins with a full assessment by a healthcare team. Doctors and specialists evaluate the individual’s medical history, current health, and level of dependence on Kadian. This helps them create a customized detox plan tailored to the person’s needs.
During detox, healthcare professionals often use medications to ease withdrawal symptoms. Common options include:
- Methadone or Buprenorphine: These are opioids that act on the same receptors as Kadian but with less intensity. They can help reduce cravings and alleviate withdrawal symptoms without causing the same high.
- Clonidine: This medication helps manage symptoms like anxiety, rapid heart rate, and sweating.
- Over-the-counter Remedies: Anti-nausea medications, pain relievers, and sleep aids may also address specific discomforts.
These medications allow people to transition off Kadian gradually, reducing the shock to the system and making the detox process more manageable.
Medical staff track vital signs, hydration levels, and overall well-being, intervening if complications arise. This level of care is particularly important for individuals with pre-existing health conditions or a history of severe addiction.
In addition to physical support, emotional care is provided during detox. Withdrawal can bring intense feelings of anxiety, irritability, and depression, so having access to counselors or therapists during this stage is highly beneficial.
How Long Does Detox Last?
The duration of Kadian detox varies depending on factors like the individual’s level of use, their overall health, and whether other substances were being used. For most people, the acute phase of detox lasts 5 to 7 days, during which the most intense withdrawal symptoms occur.
However, some people experience lingering symptoms, known as PAWS (post-acute withdrawal syndrome), which can last for weeks, possibly months. These symptoms, such as mood swings or trouble sleeping, can be addressed with ongoing care and support.
What Happens After Kadian Detox?
Detox is only the beginning of the recovery process. After the body is free from Kadian, the next phase focuses on addressing the psychological and behavioral aspects of addiction. This is where comprehensive treatment programs come into play.
Once detox is complete, most people transition into a formal addiction treatment program. These programs vary in structure and intensity but typically include:
- Inpatient rehab: This option involves living at a treatment center for several weeks or months. Inpatient rehab offers a structured environment with around-the-clock support, making it ideal for those with severe addictions or a history of relapse.
- Outpatient programs: For those who cannot commit to inpatient care, outpatient treatment provides therapy and support on a part-time basis. This allows individuals to continue their daily responsibilities while working on recovery.
- PHPs (partial hospitalization programs): PHPs offer a middle ground between inpatient and outpatient care, providing intensive therapy during the day while allowing individuals to return home at night.
The goal of these programs is to help people build the skills they need to avoid relapse and maintain long-term sobriety.
Therapy is central to effective addiction recovery. It helps individuals understand the root causes of their addiction and develop healthier coping mechanisms. Common types of treatment used after Kadian detox include:
- CBT: CBT (cognitive behavioral therapy) helps individuals isolate and alter negative thought patterns and behaviors driving addiction.
- DBT: DBT (dialectical behavior therapy) focuses on managing intense emotions and improving interpersonal relationships.
- Group therapy: Sharing experiences and receiving support from others in recovery can reduce feelings of isolation and build a sense of community.
- Individual counseling: One-on-one sessions with a therapist deliver personalized guidance and goal setting.
These therapies address the psychological effects of addiction and help people rebuild their self-esteem and confidence.
Recovery doesn’t end after formal treatment. To maintain sobriety, individuals need ongoing support and strategies to deal with life without Kadian. Aftercare plans often include:
- Sober living homes.
- 12-step programs.
- Continued therapy.
One of the biggest challenges after Kadian withdrawal is avoiding relapse. Relapse prevention strategies include:
- Identifying triggers: Recognizing situations or emotions that may lead to cravings helps people stay on track in the face of temptation.
- Developing coping skills: Stress management, mindfulness, and healthy habits can reduce the risk of relapse.
- Building a support network: Supportive friends, family, or peers in recovery can provide encouragement during tough times.
Recovery from Kadian addiction is a lifelong journey. With the right tools, support, and commitment, individuals can overcome the challenges of addiction and build a healthier, more fulfilling life.
Effective treatment for addiction, founded by people in recovery.
Getting off Kadian and Addressing Opioid Addiction at a Premier Rehab
If you need help tackling opioid addiction, reach out to Renaissance Recovery. We can help you find licensed medical detox centers to help you detox from Kadian and prepare you for ongoing treatment at our Florida or California rehab.
When you choose an outpatient treatment at Renaissance, you can continue living at home and meeting your everyday obligations while prioritizing your recovery from opioid addiction.
All opioid use disorders are unique, so all our treatment plans are personalized. Therapies might include:
- Medication-assisted treatment
- Counseling
- Psychotherapy
- Motivational therapy
- Group therapy
- Family therapy
- Holistic treatments
- Aftercare support
When you’re ready to move beyond Kadian addiction, call 866-330-9449.
Sources
[1] https://www.ncbi.nlm.nih.gov/books/NBK546642/
[2] https://pmc.ncbi.nlm.nih.gov/articles/PMC8583742/
[3] https://www.hopkinsmedicine.org/health/conditions-and-diseases/opioid-use-disorder
[4] https://www.ncbi.nlm.nih.gov/books/NBK64119
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