Licensed detox · Sylmar, CAMedical Detox in Sylmar for alcohol, opioids, benzos & more

Biggest risk: Seizures, mostly in the first 48 hours. Then DTs, a severe confusion that tends to start on day 2 to 4.

1. Last use

   The first hours can feel normal. That's why people think they can handle it.

   Here: We take your history and set a plan with the medical director right away.

2. Day 1

   Tremors, sweating, an upset stomach and anxiety can begin as soon as 8 hours in.

   Here: The nurse watches your pulse and blood pressure, and staff look in every 30 minutes.

3. Days 2–3

   This is usually the hardest stretch. Seizure risk is highest early on.

   Here: Rounds stay every 30 minutes, overnight too. Medicine is used when the doctor orders it.

4. Days 4–7

   Symptoms start to fade, but DTs can still show up, most often by day 4.

   Here: Staff know the early signs of DTs. If they appear, we call 911 without waiting.

5. Weeks 2–4

   Sleep and mood may stay off for a while after the shakes stop.

   Here: You begin groups and one-on-one sessions in the same house.

6. After detox

   The body has cleared, but the habit and the reasons for it are still there.

   Here: Before you leave, your case manager lines up the next step with you.

Typical pattern, not a prediction. Sources: WHO withdrawal guidelines · MedlinePlus: alcohol withdrawal · MedlinePlus: delirium tremens

Biggest risk: Rarely dangerous by itself, but the period right after detox is. A lower tolerance makes an old dose risky.

1. Last use

   You may feel okay at first. With fentanyl, the timing is harder to predict.

   Here: Tell us exactly what you've been using, including pills and patches.

2. Day 1

   Heroin withdrawal tends to begin within 12 hours. Methadone can take up to 30.

   Here: As yawning, sweats, aches and cravings build, comfort care begins.

3. Days 2–3

   Stomach cramps, chills, goosebumps and diarrhea. Many people say this is the worst part.

   Here: We keep you hydrated and rested, and staff look in every 30 minutes.

4. Days 4–7

   The physical symptoms ease over about a week.

   Here: Your care team starts planning the next stage with you.

5. Weeks 2–4

   Trouble sleeping and cravings can linger for weeks.

   Here: Residential treatment continues under the same roof.

6. After detox

   A dose you used to handle can now cause an overdose.

   Here: Ask us about overdose risk and naloxone before you go.

Typical pattern, not a prediction. Sources: WHO withdrawal guidelines · MedlinePlus: opioid withdrawal · CDC: fentanyl

Biggest risk: Stopping all at once can cause seizures. That's why benzos are lowered slowly.

1. Last use

   Xanax and other short-acting pills wear off fast. Valium-type pills take days.

   Here: The medical director plans a slow step-down instead of a sudden stop.

2. Day 1

   Restless, tense and unable to sleep.

   Here: Staff check your symptoms and vital signs often.

3. Days 2–3

   You may feel shaky and sweaty, and light or sound may bother you.

   Here: Each next step depends on how you're handling the last one.

4. Days 4–7

   Seizures are the main risk, mostly when a benzo is stopped suddenly.

   Here: Going slowly lowers that risk, and rounds run every 30 minutes.

5. Weeks 2–4

   Withdrawal commonly lasts 10 to 14 days, and some people take longer.

   Here: Therapy can start while the step-down continues.

6. After detox

   Anxiety and poor sleep may take months to fully settle.

   Here: We help set up follow-up care before discharge.

Typical pattern, not a prediction. Sources: WHO withdrawal guidelines · FDA: benzodiazepine boxed warning · Pétursson 1994, Addiction

Biggest risk: Low mood can turn into thoughts of self-harm. Anyone thinking about suicide should call or text 988.

1. Last use

   A heavy crash can start within hours of the last use.

   Here: After intake, the first need is usually sleep in a quiet room.

2. Day 1

   Very tired, very hungry and very low. The first day is often the most intense.

   Here: Staff look in on you while you sleep it off.

3. Days 2–3

   Irritable, down and craving.

   Here: Staff check on mood and safety on every round.

4. Days 4–7

   The sharpest symptoms usually settle within 7 to 10 days.

   Here: As energy returns, therapy begins.

5. Weeks 2–4

   Focus may stay weak, with low mood and cravings for a while.

   Here: Therapy and groups help you get ahead of them.

6. After detox

   Under stress, paranoia or a dark mood can come back.

   Here: Your discharge plan says who to call, and when.

Typical pattern, not a prediction. Sources: WHO withdrawal guidelines · McGregor 2005, Addiction · NIDA: methamphetamine

Biggest risk: It can look mild, with no shaking or vomiting. But depression and suicidal thoughts are real risks.

1. Last use

   Within hours: worn out, hungry and down.

   Here: Intake, then rest, with staff close by.

2. Day 1

   Exhaustion, slowed movement and vivid, unpleasant dreams.

   Here: Regular meals, sleep and check-ins.

3. Days 2–3

   Cravings and a heavy mood. Some people think about hurting themselves.

   Here: Safety is part of every round.

4. Days 4–7

   Energy comes back little by little.

   Here: Therapy turns to what drove the use.

5. Weeks 2–4

   Cravings rise and fall.

   Here: You learn and practice ways to wait one out.

6. After detox

   Months later, cravings and low mood can still surface.

   Here: Your plan names your triggers and your supports.

Typical pattern, not a prediction. Sources: WHO withdrawal guidelines · MedlinePlus: cocaine withdrawal · NIDA: cocaine