Post Acute Withdrawal Syndrome (PAWS) Detox and Treatment

"Post Acute Withdrawal Syndrome "

Post Acute Withdrawal Syndrome (PAWS) is an extremely common and very disruptive condition seen in the treatment of addiction.  Dependence on any substance that requires a chemical detoxification can predispose an individual to developing Post Acute Withdrawal Syndrome (PAWS). Post Acute Withdrawal Syndrome (PAWS) is a state of low grade yet still present withdrawal symptoms that are uncomfortable and typically trigger severe cravings and relapse.  

This state is a common, if not fully predictable, consequence of a short or poorly managed detox.  This can be seen with alcohol, benzodiazepines, barbiturates, tranquilizers, and opiates.  The Post Acute Withdrawal Syndrome (PAWS) state seen with alcohol, benzodiazepines and barbiturates can result in late onset seizures.  PAWS is most commonly seen for longer periods of time with opiates.  Detox off of methadone is notorious for a very prolonged Post Acute Withdrawal Syndrome (PAWS) state lasting up to a year.  Many other opiates can have a Post Acute Withdrawal Syndrome (PAWS) that lasts a few months.  These conditions are all very treatable on an outpatient basis.  The patient’s comfort can be fully restored and the risk of relapse reduced.  Even the PAWS from methadone can be treated and resolved.  Attempting to ignore or neglecting to treat a Post Acute Withdrawal Syndrome (PAWS) creates unnecessary discomfort and greatly increases the risk of relapse.

Post Acute Withdrawal Syndrome (PAWS) detox is frequently performed for patients coming off of combinations of benzodiazepines such as alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), clonazepam (Klonopin), temazepam (Restoril), chlordiazepoxide (Librium), flurazepam (Dalmane), zolpidem (Ambien), butalbitol (Fioricet, Fiorinal, Esgic plus), phenobarbitol, pentobarbital, carisoprodol (Soma), GHB (Gamma Hydroxy Butyrate), Rohypnol, and cyclobenzaprine (Flexeril) and opiates such as oxycodone (Oxycontin, Roxicodone), oxymorphone (Dilaudid), methadone,  heroin, morphine, hydrocodone (Lorcet, Lortab, Norco), fentanyl (Duragesic, Actiq), meperidine (Demerol ), nalbuphine (Nubain), tramadol (Ultram, Ultracet), buprenorphine (Buprenex, Subutex, Suboxone) and codeine.  Appointments for the many treatment providers are available at convenient times both before and after common working hours, so patients can undergo outpatient detox without missing work.  The downtown Delray Beach location is convenient and very easily accessed by patients living in Delray Beach, Boca Raton, Boynton Beach, Lake Worth, Deerfield Beach, Fort Lauderdale, Coral Springs, Coconut Creek, and West Palm Beach.  Due to the limited availability of such specialized outpatient detox services in the State of Florida, many clients come from Wellington, Royal Palm Beach, Melbourne, Stuart, Fort Pierce, Port St. Lucie, Miami, Miami Beach, Aventura, and the Florida Keys.  Some patients have even come from as far as South America, Central America, New York City, Nashville and the Caribbean.