Choosing to begin recovery from substance use is one of the most important decisions a person can make. But before healing can begin, the body needs to clear itself of substances in a safe, medically supervised environment. This process—known as medical detox—is often the first step in treatment. One of the most common questions people have is: How long does medical detox take?
The answer depends on many factors, including the type of substance, how long it has been used, and the person’s overall health. For those considering treatment, understanding the timeline and purpose of detox can ease anxiety and help them take that crucial first step toward recovery.
Spokane Falls Recovery Center provides a compassionate, evidence-based medical detox program in Spokane, Washington. Our approach provides each person with personalized care from trained medical staff in a safe, supportive environment. Approximately 75% of adults who reported having a substance use issue have also reported being in recovery. The path to recovery is possible with the right support and treatment.
Understanding medical detox: What to expect during a medical detox
Medical detox is more than just letting the substance leave the body. It is a clinically managed process focusing on safety, comfort, and stabilization.
When someone becomes physically dependent on a substance, their body adapts to its presence. Removing the substance suddenly can lead to withdrawal, an often painful or even dangerous process if not managed properly.
Medical detox provides:
- 24/7 medical supervision: Nurses and clinicians monitor vital signs, administer medications, and manage symptoms
- Supportive medications: These can ease physical discomfort, reduce cravings, and help prevent complications like seizures or hallucinations.
- Mental health care: Anxiety, depression, and mood swings are common during detox. Emotional support and psychiatric care are essential.
- Nutritional support: The body needs hydration, vitamins, and balanced nutrition to begin healing.
- Preparation for treatment: Detox is just the beginning. Once stabilized, individuals transition into the next phase of treatment.
At Spokane Falls Recovery Center, we create individualized detox plans based on each person’s history, medical needs, and recovery goals. Our treatment center offers a peaceful, private setting where clients can focus on getting well with the support of an experienced clinical team.
How long does medical detox take?
The duration of medical detox typically ranges from three to seven days, but it can vary widely based on a person’s needs. Some may need only a few days of support, while others, especially those dependent on alcohol, benzodiazepines, or opioids, may require longer monitoring to ensure their safety and comfort.
Several key factors influence the length of detox:
- Type of substance: Substances like alcohol, heroin, fentanyl, or benzos often require longer detox timelines due to the risk of complications
- Frequency and length of use: The longer and more heavily someone has used a substance, the more severe the withdrawal symptoms may be
- Polysubstance use: Detox may take longer when multiple substances are involved, especially if they interact in complex ways
- Overall physical and mental health: People with chronic medical conditions and mental health conditions may need additional time and care during detox
- Age and metabolism: These can affect how quickly the body clears substances
Generally, withdrawal symptoms begin within a few hours after the last use and peak within 24 to 72 hours. After that, symptoms typically start to ease, though some individuals may experience lingering effects.
Withdrawal symptoms timeline
While most withdrawal symptoms peak within a few days, the body’s healing process continues well beyond detox. The full timeline for detoxification includes both acute and post-acute phases.
- Acute withdrawal: This usually lasts three to seven days. Symptoms are most intense during this time and require the highest level of medical support.
- Post-acute withdrawal syndrome (PAWS): After the initial detox phase, some individuals may experience lingering symptoms such as fatigue, anxiety, sleep disturbances, or mood swings. PAWS can last for weeks or even months, especially after long-term use of certain substances.
PAWS is a natural part of recovery. These symptoms are manageable with ongoing therapy, medical care, and support systems like group meetings or aftercare programs.
What to expect in a medical detox program
Knowing what happens during detox can help reduce fear and prepare individuals mentally and emotionally for the experience. While every detox journey is unique, most programs follow these general stages:
1. Intake and assessment
Upon arrival, clients meet with medical staff to complete a comprehensive assessment. This includes:
- Substance use history
- Physical and mental health evaluation
- Review of any medications or existing conditions
- Bloodwork or urine screening (if needed)
This information allows the clinical team to develop a detox plan tailored to the client’s specific needs.
2. Stabilization and withdrawal management
As the body begins to detoxify, withdrawal symptoms usually appear within hours to a day after the last substance use. These symptoms can range from mild to severe, depending on the substance and the individual.
Common withdrawal symptoms may include:
- Nausea and vomiting
- Sweating or chills
- Muscle aches or tremors
- Anxiety or irritability
- Insomnia
- Cravings
- Increased heart rate or blood pressure
- Hallucinations or confusion (in severe cases)
During this stage, medical staff provide constant monitoring. Medications may be used to:
- Ease discomfort
- Regulate vital signs
- Prevent complications (especially for alcohol or benzo detox)
- Support sleep and hydration
Clients at Spokane Falls Recovery Center also receive emotional support during this period. Even if symptoms are physically manageable, detox can be emotionally intense.
3. Transition planning
Detox alone is not enough to support lasting recovery. Once a client is physically stable, the clinical team begins preparing for the next step in treatment. This may include:
- Residential or outpatient treatment planning
- Mental health evaluations
- Family communication and support
- Discharge and aftercare recommendations
The goal is to move seamlessly from detox into long-term treatment, minimizing gaps in care.
Why medical detox matters in your recovery journey
Detoxing without medical supervision—often called “going cold turkey”—can be dangerous and, in some cases, life-threatening. This is especially true for substances like alcohol and benzodiazepines, which can cause seizures or cardiac issues when stopped abruptly.
Medical detox is the safest way to begin recovery. It helps:
- Prevent medical emergencies
- Reduce the risk of relapse during early withdrawal
- Provide emotional and psychiatric support
- Prepare the body and mind for further treatment
At Spokane Falls Recovery Center, our medical detox program is staffed by caring professionals who understand the complexity of addiction. We work to ensure that every person feels safe, supported, and empowered to take the next step in recovery.
Signs you may need medical detox
If you or someone you love is unsure whether detox is necessary, there are several signs that indicate the need for medical supervision:
- You experience withdrawal symptoms when not using
- You have tried to quit before and relapsed due to discomfort
- You use alcohol, benzodiazepines, opioids, or multiple substances
- You have co-occurring mental or physical health conditions
- You are worried about safety if you stop using it on your own
If any of these apply, contacting a detox provider can help you make a safe, informed decision. Spokane Falls Recovery Center offers assessments and consultations to help people determine the right level of care for their needs.
What happens after detox?
After detox, the next steps are crucial. Medical stabilization is just the beginning of a longer recovery process that includes therapy, education, and long-term planning. Continuing treatment can help individuals:
- Understand the root causes of their addiction
- Build new coping skills and routines
- Rebuild relationships and self-esteem
- Develop a relapse prevention plan
- Connect with others in recovery
Spokane Falls Recovery Center offers personalized, holistic care tailored to your unique needs, including:
- Residential treatment
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Outpatient treatment
- Individual and group therapy
- Family involvement and education
- Aftercare and alumni support
This structure allows our clients to move from detox into deeper, lasting recovery, with support at every stage.
Medical detox program at Spokane Falls Recovery Center
Our medical detox program in North Spokane, WA, is designed with both safety and compassion in mind. We provide:
- 24/7 monitoring by trained medical staff
- Medication-assisted symptom management
- Private, supportive environment
- Emotional and therapeutic support
- Seamless transition into additional levels of care
Each client receives a personalized detox plan that respects their dignity and honors their recovery goals. Whether you are seeking help for yourself or someone you love, our team is here to guide you with expertise and compassion.
Start your recovery with Spokane Falls Recovery Center
Choosing recovery is not easy, but it is brave. Spokane Falls Recovery Center’s medically supervised detox program can help you begin that journey with safety, dignity, and expert care. We understand the fear and uncertainty that can come with this decision, and we are here to walk with you, every hour, every day.
If you are asking how long medical detox takes, you are likely standing at a turning point. Let us help you take that next step with confidence. Call Spokane Falls Recovery Center at 844.962.2775 or use our contact form to connect to learn more about how we can guide you from withdrawal to lasting recovery.







