Nicholasville, KY
A 34-year-old male asked:

What's the length of physical withdrawal symptoms from heroin, and which is worse-heroin, suboxone, of methadone-in terms of withdrawal duration and intensity?

3 doctor answers3 doctors weighed in
Dr. Anthony Depalma
Emergency Medicine 16 years experience
1 week: Symptoms usually peak around day 3, then subside until sometimes 1 week. In terms of substance, it is difficult to say. Withdrawing from a small amount of heroin is much easier than a huge dose of methadone. I would say the dose is more important than the type of substance.
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Dr. Vythilingam Alagappan
Bariatrics 41 years experience
Heroin: Though people may think they get addicted to suboxone or methadone they are better than heroin . They are purer and mostly strictly prescribed and monitored by qualified addiction specialist doctors. They are very closely supervised. Withdrawals from heroin is the worst
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Alan Wartenberg
A Verified Doctoranswered
Addiction Medicine 51 years experience
There is no 1 answer: because there is enormous variability between people and all of these opioids (and others). However, in general heroin and other short-acting drugs produce a 5-10 day acute withdrawal, usually worst at 24-72 hours and is VERY severe&then improves, but a post-acute withdrawal which is milder but can last months. Buprenorphine is milder than methadone;both peak at 72 hours but can last many weeks.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 23, 2018
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