Medical and Detox information

Medical disclaimer: The medical information on this site is provided as an information resource, and is not to be used or relied on for any self diagnostic or treatment purpose. Please consult your health care provider, or our local Hospital when you arrive.

More medical and detox information can be obtained during your telephone assessment before enrolling in the program. Our policy at Hope is that all our clients should be physically comfortable enough to attend group. Whether alcohol detox, opiates or any other reduction from drugs, we always ask that you follow an agreed detox plan. 

Hope Rehab has a UK Registered Nurse Specialising in Addiction: Our senior team member Paul Garrigan is a UK General Nurse (RGN/BSc Nursing) and is on hand to advice and support you through any health or detox issues. Paul qualified as a nurse completing a Nursing Higher National Diploma at St Bartholomew's training Hospital in London and the nursing degree at Dublin City University.  We also have a compliment of highly experience team members to support clients through the difficult transition getting clean and sober. 

Simon Mott is certified by the Royal College of General Practitioners (RCGP) UK Certificate in the Management of Drug and Alcohol Misuse pdf which includes prescribing management and to administrate the detoxification process. Simon also was responsible for training Doctors and other health professionals on working in partnership and how to best treat addicts.

  • UK nurse on team
  • Local private hospital nearby
  • On-site detox
  • Work with local Psychiatrist
  • Psychologist on site

We work in close partnership with our local private Hospital, which is only 10 minutes away from our facility, and they provide all our on-site medical services. The Hospital in Sriracha has an experienced and caring medical team,  and they will visit you daily at our Rehab Center if it is required. They will ensure you receive a safe and comfortable Detox, which is included as part of your treatment package.

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Simon Mott treatment director is AQA certified in Integrated Humanistic Counselling, he also has a portfolio of DANOS specialist substance misuse training from Hertfordshire University and the Royal College of General Practitioners (RCGP) Certificate in the Management of Drug Misuse Part 1 and Part 2. His training includes the latest psychosocial interventions; ITEP mapping, Motivational Interviewing and Person Centred Approach. He is also an Auricular Acupuncturist, which is widely acknowledged for easing the detoxification process and reduces stress.  

Please note: Detox is included in the first months cost of treatment. *However, should any overnight stays be required this is not included within our fees, and the costs associated with this will need to be paid directly by the client to the hospital. Having said this thus far we have never had a case requiring a stay in Hospital due to detox issues. For this reason we do not accept particularly complex or high risk cases. Alcohol detox is usually 5 days on a Diazepam reduction and opiate either Subutex or Methadone 2 week reduction. 

Travel insurance and Holiday health insurance is recommended, it easily accessible and very inexpensive so worth while - Most clients never need any medical attention other than Rehab related Detox, however accidence can happen so consider taking out cover. 

Medication schedule for Alcohol Detox

Diazepam is often used for moderate to severe dependence and withdrawal. Doses may be adjusted according to the patient’s response and a typical withdrawal regime is:

Day  – 10mg 4 x daily
Day  – 10mg 3 x daily
Day – 10mg 2 x daily
Day  – 5 mg  2 x daily
Day  – 5mg  1 x daily

B-complex vitamins/Thiamine orally daily: – Thiamine deficiency is common in heavy drinkers with a poor diet, as vitamin B absorption is impaired by chronic alcoholism. Vitamin B1 - thiamine - acts a co-factor for metabolic enzymes.

Medication schedule for Opiate Detox

Schedule for methadone Detox plus sleep-aide and muscle relaxants:

1 Day    60 mg   8 Day 25 mg
2 Day    55 mg   9 Day 20 mg
3 Day    50 mg   10 Day 15 mg
4 Day    45 mg   11 Day 10 mg
5 Day    40 mg   12 Day 7 mg
6 Day    35 mg   13 Day 5 mg
7 Day     30 mg   14 Day 3 mg

 Please note: High threshold Opiate Detox requires Methadone and Clonidine. Catapres,  is a sympatholytic medication to treat blood pressure and withdrawal either alcohol, opiates.

Addiction and Alcoholism – Medical and Detox

The Disease concept and the medical modal: Don’t be confused, addiction cannot be cured in the traditional medical sense or in a Hospital. Treatment of addiction and alcoholism means addressing psychological, environmental and social aspects (triggers) of the problem, not just its biological condition. It’s called “medication-assisted therapy” not “therapy-assisted medication” Medication alone fails, the analogy is with depression: If you ask most people what depression is, they’ll answer that it’s a serotonin deficiency disorder and that the solution is to put somebody on an SSRI (antidepressant medication) but that’s a simplistic and short term way of managing depression. Medication can be helpful, but it needs to be combined with talk therapy and lifestyle change. Also humans become tolerant to all drugs/medication so a sustainable long-term solution must be found. Addiction is like cardiovascular disease or diabetes, recognized as a chronic disease, it must be treated, managed and monitored over a person’s lifetime because there is no pill which alone can cure addiction, so choosing “a recovery lifestyle” over unhealthy behaviours is akin to people with heart disease who choose to eat healthier or begin exercising.

 "Addiction is not the same as Intoxication -

                                       - Detoxification is not the same as Recovery"