Using fentanyl can be dangerous. Whether you started with a prescription for pain or illicit fentanyl, quitting isn’t something you should do alone. Fentanyl withdrawal can be tough, with symptoms hitting harder and faster than other opioids.

But recovery is possible, and it’s worth it. At Spring Grove Recovery in Colorado Springs, Colorado, we’re here to help. We know that everyone’s journey to healing is unique, just like their story. Our medically supervised fentanyl detox programs focus on keeping you safe while treating you with respect, understanding your needs, and offering the care and support you deserve as you take this life-changing step.

Understanding fentanyl addiction and withdrawal

Signs and symptoms of fentanyl addiction

Fentanyl is a powerful synthetic opioid that’s 50–100 times stronger than morphine. It’s often prescribed for severe pain, but is also illegally made and sold on the streets. Because it’s so strong, it’s easy to become addicted quickly. Here are some common signs of fentanyl addiction:

  • Strong cravings for the drug
  • Needing higher doses over time, which increases the risk of overdose
  • Struggling to stop or control use
  • Ignoring responsibilities to get or use fentanyl
  • Feeling withdrawal symptoms when not using it

Common withdrawal symptoms and timeline

Opioid withdrawal isn’t usually life-threatening, but it can feel overwhelming—both physically and emotionally. When someone stops using fentanyl, a powerful painkiller, the pain it was covering often comes rushing back, making cravings even harder to manage.

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Understanding fentanyl addiction and withdrawal

Signs and symptoms of fentanyl addiction

Fentanyl is a powerful synthetic opioid that’s 50–100 times stronger than morphine. It’s often prescribed for severe pain, but is also illegally made and sold on the streets. Because it’s so strong, it’s easy to become addicted quickly. Here are some common signs of fentanyl addiction:

  • Strong cravings for the drug
  • Needing higher doses over time, which increases the risk of overdose
  • Struggling to stop or control use
  • Ignoring responsibilities to get or use fentanyl
  • Feeling withdrawal symptoms when not using it

Common withdrawal symptoms and timeline

Opioid withdrawal isn’t usually life-threatening, but it can feel overwhelming—both physically and emotionally. When someone stops using fentanyl, a powerful painkiller, the pain it was covering often comes rushing back, making cravings even harder to manage.

Physical symptoms

  • Intense muscle, joint, and bone pain
  • Nausea, vomiting, diarrhea, and stomach cramps
  • Heavy sweating, chills, and “goosebumps”
  • Extreme fatigue, yawning, shivering, and headaches
  • Runny nose, watery eyes, and enlarged pupils
  • Racing heart and high blood pressure

Mental and emotional symptoms

  • Overwhelming anxiety and irritability
  • Deep sadness or depression, sometimes with thoughts of self-harm
  • Strong cravings for the drug
  • Feeling restless or unable to relax
  • Difficulty sleeping—sometimes lasting weeks after the physical symptoms fade
  • Mental “fog,” confusion, and trouble focusing

Timeline of symptoms

  • Early withdrawal (8–24 hours): Flu-like symptoms, joint pain, headaches, and cravings appear.
  • Full withdrawal (24–72 hours): Symptoms peak, including increased heart rate, nausea, dehydration, and agitation.
  • First month: Physical symptoms ease, but cravings and lingering discomfort persist for those with severe addiction.
  • Post-acute withdrawal syndrome (PAWS): Lasting for months, symptoms include mood swings, sleep issues, memory problems, and periodic cravings, increasing relapse risk. Support groups and therapy are key to managing recovery.

The urgency of addressing the fentanyl crisis

In 2023, fentanyl and other opioids were linked to about 70% of all overdose deaths in the U.S.. But there’s a small bit of good news: early 2024 data showed a 36% drop in fentanyl-related deaths. Even so, the danger is far from over, especially in areas where street fentanyl is common. Its unpredictable potency makes even a tiny dose incredibly risky.

Medically supervised fentanyl detox programs

Inpatient detox programs:
What to expect

Inpatient detox, also called residential detox, offers a safe and supportive environment for people dealing with moderate to severe fentanyl addiction, a history of relapse or overdose, or other physical or mental health challenges.

What can you expect during inpatient detox?

  • Around-the-clock care: Nurses and doctors are always on-site to monitor your health and manage serious symptoms like dehydration or heart issues.
  • Daily routines: Your day is structured with set times for medications, meals, hydration, health check-ins, and support groups.
  • Therapeutic support: Activities like light exercise and mindfulness help you feel calmer and more balanced.
  • Peer connection: Meeting others on the same journey provides encouragement and motivation.
  • Planning your next steps: As you start to feel better, a counselor will work with you to create a plan, whether that’s rehab, outpatient care, or another treatment option.
  • Medication support: FDA-approved medications like Subutex, methadone, or Suboxone can reduce cravings so you can focus on your recovery.

For many, being in a medical setting brings peace of mind, making the process feel less overwhelming. At Spring Grove Recovery in Colorado Springs, CO, our experienced team helps guide you through fentanyl withdrawal during a 5–7 day stay in our inpatient detox program. We're here to help you take the first step toward healing.

Outpatient detox programs: Benefits and considerations

Outpatient detox may be a good fit for people with mild dependence, strong support at home, and minimal medical or mental health risks.

So, how does outpatient detox work?

  • Clinic visits: Patients visit the clinic daily for medication, check-ups, and health monitoring.
  • On-call support: Access to medical or nursing staff 24/7 in case symptoms worsen or cravings hit hard.
  • Home environment: You get to sleep in your own bed, manage work or family responsibilities, and practice coping skills in your everyday life.
  • Flexible timeline: Detox can take anywhere from a few days to a few weeks, depending on the severity of your symptoms and how withdrawal is progressing.
  • Family involvement: Loved ones often play a key role in providing support and ensuring safety during the process.

While outpatient detox offers convenience and flexibility, it does require strong motivation and support. Having family involvement or attending support groups can lower the risks of relapse, especially during tough moments with cravings.

Medication-assisted treatment for fentanyl detox

Medication-assisted treatment (MAT) is a highly effective for managing fentanyl cravings. Cutting down those cravings helps reduce the chances of relapse during detox. MAT isn’t about swapping one addiction for another—it’s a safe, therapeutic approach designed to gradually ease withdrawal. Medications for opioid use disorder (MOUDs), like methadone, Subutex, or Suboxone, play a key role in this process, helping people stay on track and regain control of their lives.

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Managing withdrawal and preventing relapse

Evidence-based withdrawal symptom management

During detox, we focus on keeping you safe and comfortable every step of the way. Here’s how we help manage your symptoms:

  • Staying hydrated: Our nurses keep an eye on your fluids and provide electrolyte drinks to prevent dehydration, which is common during withdrawal.
  • Eating well: We serve small, easy-to-digest meals packed with protein and vitamins to fight nausea and give your body the energy it needs.
  • Balancing rest and movement: Gentle activities like short walks can ease muscle aches, while plenty of rest helps your body recover fully.
  • Feeling at ease: Warm showers, calming exercises, and breathing techniques help reduce stress and keep you grounded.
  • Getting better sleep: We use non-addictive sleep aids, a peaceful environment, and simple routines to help you get your sleep back on track.
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Relapse prevention strategies and support groups

Preventing relapse starts during detox and stays important well beyond recovery. At Spring Grove Recovery, we create personalized relapse prevention plans that include:

  • Spotting triggers: Work with our team to identify people, places, or feelings that might cause cravings. We’ll help you plan ahead to avoid or handle these situations.
  • Building coping tools: Learn ways to manage stress like deep breathing, mindfulness, journaling, or creative hobbies.
  • Finding support: Joining support groups early and having regular check-ins with counselors can help you stay on track and manage tough moments.
  • Creating an emergency plan: Together, we’ll develop a plan with trusted contacts, hotline numbers, and safe spaces for those times when cravings hit hard.

Dual diagnosis treatment: Addressing mental health and addiction

Many people struggling with fentanyl addiction also deal with mental health challenges like depression, anxiety, trauma, or personality disorders. It’s important to address both the addiction and these underlying issues at the same time.

  • Team approach: Mental health experts and addiction specialists work together to assess, diagnose, and create a treatment plan that covers all needs.
  • Proven treatments: Options include therapies like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-focused care, and medications when necessary.

Our dual diagnosis treatment approach ensures you have the support you need, both for your recovery and mental health.

Get the help you need to quit fentanyl.

Harm reduction and overdose prevention

Fentanyl overdose prevention techniques

Recognizing and acting quickly in an overdose can save a life. Here’s what you need to know about fentanyl overdose signs and how to respond:

Signs of a Fentanyl Overdose:

  • Slow, shallow, or stopped breathing
  • Pinpoint pupils
  • Blue or gray lips, fingertips, or skin
  • Unresponsiveness to loud noises or pain
  • Gurgling or choking sounds (often called a “death rattle”)
  • Limp body or pale, clammy skin

What to Do in an Overdose Situation

Call 911 right away.

Don’t hesitate—most states, like Colorado, have “Good Samaritan” laws to protect you and the victim from legal trouble for seeking help.

Use naloxone (Narcan).

If you have a Narcan kit (usually a nasal spray), follow the instructions on the package to administer it.

Perform rescue breathing if needed.

If the person isn’t breathing or is only gasping, give one breath every 5–6 seconds.

Place them in the recovery position.

Once they start breathing again, roll them onto their side and stay with them until medical help arrives.

Harm reduction strategies in detox and recovery

Not everyone is ready for complete abstinence immediately, and harm reduction can be a life-saving bridge to recovery. For those not ready to enter treatment, Colorado provides harm reduction services like:

Carry Naloxone

Many states require pharmacies to stock it with little or no co-pay, especially under Medicaid.

Don’t Use Alone

Encourage “never use alone” practices; hotlines and check-ins can save lives.

Test Your Supply

Fentanyl test strips can detect contamination and help people who use drugs make safer choices.

Use Clean Needles

Safe syringes reduce the risks of HIV, hepatitis, and soft tissue infections.

Aftercare planning and holistic approaches

Developing effective aftercare plans

Detox is just the first step. Long-term recovery happens with ongoing support, healthy habits, and preparing for life’s challenges.

Life keeps moving after treatment, and obstacles are bound to pop up. Without a solid aftercare plan, it’s easier to face setbacks, especially during tough situations or emotional struggles. Staying connected to a supportive community that gets what you’re going through can make all the difference.

Holistic detox approaches and supportive therapies

We take a whole-person approach because you’re more than your addiction. Addiction doesn’t define you, and our treatment reflects that. Along with medications, we offer counseling, peer support, nutrition plans, and help with planning your next steps after recovery. It’s all part of treating the whole you, not just the addiction.

Substance abuse counseling and long-term recovery support

Clients are guided to engage in a combination of counseling and peer support:

  • One-on-one therapy: Helps set personal goals, build trust, work through past trauma, and create a recovery plan that fits your needs.
  • Group therapy: Connects you with others, reduces feelings of loneliness, and improves communication.
  • Community support groups: Ongoing resources like Narcotics Anonymous (NA), SMART Recovery, or faith-based groups to help you stay on track after treatment.

Our clients engage in counseling during residential treatment, which is a natural next step for many after detox.

Frequently asked questions about fentanyl detox

Physical symptoms often show up around 12 hours after the last dose and tend to peak within 1–3 days. On the other hand, psychological symptoms can stick around for weeks or even months. Getting professional support can make managing withdrawal easier and help prevent relapse.

Detoxing from fentanyl on your own isn’t a good idea. Withdrawal can be risky and even life-threatening because of the chance of relapse and serious physical symptoms.

Fentanyl can show up in urine and blood tests for up to 48-72 hours after use. For long-term users, it might take even longer for the body to fully clear it out.

Helping a loved one through fentanyl detox isn’t easy, but your support can make a big difference. Be patient and compassionate, and focus on being there for them emotionally. Help them find professional treatment, encourage healthy habits like eating well and staying active, and most importantly, avoid actions that might enable their use.

Methadone, buprenorphine, naloxone, and naloxone/buprenorphine are commonly used to manage fentanyl withdrawal. These medications help reduce the physical and emotional challenges of detoxing from fentanyl.

Yes, there are harm reduction resources available in Colorado Springs for people struggling with fentanyl addiction. Syringe exchange programs, Narcan distribution, fentanyl test strips, and support groups are all available.

Reach out to Spring Grove Recovery for immediate help 

We’re here for you or your loved one 24/7 to help stop fentanyl use. We accept Medicaid and many insurance plans to make treatment more affordable and accessible. Have questions? Call us anytime at 719.415.3460 or reach out online—we’re ready to help.