can you smoke cigarettes while detoxing

Can You Use Tobacco or Take Medications While Undergoing Detox

Now that you have taken the important step to enter a medically supervised detox program, there will be certain policies in place that must be adhered to. Many detox programs understand that individuals going through detox and withdrawal will experience intense stress and anxiety. The thought of not having access to tobacco may only exacerbate feelings of agitation during withdrawal.

For this reason, many rehabs will provide designated smoking areas outdoors where individuals going through detox can continue to smoke if that will enable them to carry on with the detox until its conclusion. However most detox and rehabilitation programs will encourage the individual consider smoking cessation.

A study published in Nicotine and Tobacco Research [Mannelli, M.D. et.al.] analyzed the effect of smoking cessation versus smoking during opioid detoxification and drew some interesting conclusions. It found that inpatient smoking during detox resulted in higher levels of opioid withdrawal discomfort and elevated opioid cravings, compared with the study participants who where not permitted to smoke during detox, making a strong case for prohibiting smoking during detox.

Are You Permitted to Take Medications in Detox

When going through detox it might seem that any and all medications would be prohibited. However, the reality is not so cut and dry. Many individuals who enter into treatment are on prescription medications for a health condition or a mental health issue. All medications will be review by the psychiatrist and physician on staff and a determination is made as to which medications are allowed during detox.

If the individual takes a narcotic, such as for long-term main management, these would not be allowed during the detox process. The policy of detox programs is to permit non-narcotic medications, but narcotic medications will be detoxed. It is best to simply ask the program director at the outset if you can use tobacco or take medications while undergoing detox, for further clarification.

What Drugs are Commonly Used During Detox

Medications do play an important role in the management of withdrawal symptoms. Depending on the type of substance being detoxed and the length of substance abuse history, the following medications may be accessed during detox:

  • Benzodiazepines. This category of drugs is useful for managing anxiety, insomnia, and seizures. These may include Ativan, Valium, or Klonopin
  • Nonsteroidal anti-inflammatory drugs (NSAID). This category includes Aleve and Advil, medications used to reduce muscle and joint pain, headache, and fever.
  • Antidiarrheal. These medications are used to assist with gastric upset and diarrhea. They might include Imodium and Pepto Bismol.
  • Acetaminophen. Under the brand name Tylenol, this medication is used primarily for headache and fever.
  • Opioid antagonists. These drugs, such as naltrexone (ReVia or Depade) can be initiated toward the latter phase of detox, or initiated after detox, and are used to help suppress cravings or desire for the substance.
  • Partial agonists. Buprenorphine (Suboxone or Subutex) can help counteract withdrawal symptoms and block the feelings of euphoria of opioids.

Initiating Smoking Cessation in Rehab

When someone entering detox and rehab is concerned enough to ask if they can use tobacco or take medications while undergoing detox, it is likely they are addicted to nicotine. It is true that 85% of individuals with a substance use disorder happen to also have a smoking addiction. Smoking cessation is encouraged by the treatment staff, as many of the same concepts that are taught in cognitive behavioral therapy (CBT) and Dialectical behavioral therapy (DBT) for changing thought/behavior patterns related to substance use are also relevant for quitting smoking. This, however, is not forced upon the individuals in addiction treatment, as smoking may provide some sense of comfort or relaxation while going through the program.

LifeSync Malibu Offers Exclusive Detox and Rehab Services

LifeSync Malibu Healing Center elevates the recovery process to the highest standard of care. Located in a stunning coastal setting overlooking the famous Malibu Beach in California. This private estate offers the epitome of luxury to ensure your stay is as comfortable as it is healing. The retreat-like setting features spa-like amenities, leading medical and psychological interventions, and also happens to be pet friendly. If you are wondering can you smoke cigarettes while detoxing or take certain medications, please call the team for clarification by calling (866) 491-4426