Outpatient Opioid & Fentanyl Detox
Medically supervised withdrawal from opioids — in the comfort of your home
Opioid withdrawal — particularly from fentanyl — is among the most physically uncomfortable detox experiences. While rarely life-threatening in otherwise healthy adults, the intensity of symptoms drives relapse within hours or days of stopping. Dr. Agresti's outpatient protocol provides prescription comfort medications that manage withdrawal safely at home, eliminating the barrier of inpatient admission.
Medications & Clinical Support
- Clonidine — reduces autonomic symptoms (sweating, chills, elevated BP)
- Hydroxyzine — anxiety and insomnia management
- Ondansetron / Phenergan — nausea and vomiting control
- Anti-diarrheal medications
- Non-opioid pain management for muscle aches
- Suboxone / Sublocade — MAT to prevent relapse after detox
Withdrawal Timeline
Hours 8–24
Early symptoms begin: anxiety, yawning, sweating, runny nose, restlessness
Days 2–3
Peak withdrawal: muscle aches, nausea, vomiting, insomnia, intense cravings
Days 4–7
Symptoms gradually improve; fatigue and mood disturbance persist
Weeks 2–4
Post-acute withdrawal (PAWS): lingering anxiety, insomnia, anhedonia — MAT critical here
Why Outpatient Detox?
Inpatient detox costs $5,000–$20,000+ for a 5–7 day stay and requires time away from work, family, and life. Most opioid-dependent patients can safely detox at home with physician supervision, daily check-in calls, and prescription comfort medications. The concierge model — with direct cell access — makes outpatient detox as safe as possible.
The Concierge Difference
During detox, you have Dr. Agresti's direct cell number. If symptoms become concerning at 2 AM, you call — not an answering service. This level of access is what makes outpatient detox safe and what separates concierge psychiatric care from standard treatment.
24/7
Direct physician access
No ER
Avoid unnecessary hospitalizations
Private
No inpatient admission record
Frequently Asked Questions
Is outpatient opioid detox safe?
For most patients without serious medical comorbidities, outpatient opioid detox is medically safe with appropriate supervision. Dr. Agresti conducts a thorough evaluation to determine candidacy and provides 24-hour access during the detox period.
How long does fentanyl withdrawal last?
Fentanyl withdrawal typically peaks at 2–3 days and resolves over 7–10 days for acute symptoms. Post-acute withdrawal syndrome (PAWS) — characterized by mood disturbance, sleep problems, and cravings — can persist for weeks to months and is why MAT is strongly recommended.
Will I get Suboxone?
Suboxone (buprenorphine/naloxone) can be started after the acute withdrawal phase and is highly effective at preventing relapse. Dr. Agresti discusses MAT options as part of every opioid detox consultation.