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Prescription drug detox for Adderall, Vyvanse, Percocet

Most of our prescription drug patients arrived at dependence through legitimate medical care: opioids for pain, benzodiazepines for anxiety, stimulants for ADHD. Your detox plan is built around that history, and we coordinate with your outside prescribers with your permission and when appropriate, so your treatment is connected to the care that follows.

Pain-aware protocolsPrescriber coordinationPhysician-led 24/7
Accredited & Certified
Joint CommissionGold Seal of Approval LegitScriptCertified
SAMHSAListed
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DEARegistered

How prescription dependence starts

Prescription drug use disorder follows a different pattern than street drug dependence. Many of our patients developed dependence through legitimate medical care: post-surgical opioids, benzodiazepines for anxiety or insomnia, stimulants for ADHD. At some point the prescription stopped working the way it used to, and therapeutic use turned into dependence.

The underlying condition, whether chronic pain, anxiety disorder, or ADHD, may still be active. The detox plan has to address both the dependence and the underlying problem, so our protocols coordinate with outside prescribers and plan for post-detox management from day one.

The protocols vary by drug class. Opioids: structured withdrawal scoring with medication-assisted treatment (MAT). Benzodiazepines: long-acting cross-taper with seizure precautions. Stimulants: supportive care with psychiatric evaluation. Every plan is physician-directed and monitored 24/7.

Admission
Medication historyComplete drug, dose, duration, prescriber review.
Day 1 to 2
Protocol selectionVitals and withdrawal scoring begin.
Day 3 to 7
Acute detoxOpioid peak 48 to 72 hours. Benzo taper continues. Stimulant crash phase.
Week 2
Taper continuationBenzo tapers often extend into residential.
Residential
Post-acute managementTherapy, psychiatric and prescriber coordination.
Discharge
Prescriber coordinationLong-term plan with your outside prescribers so your care continues.

Protocols by drug class

Every detox starts with a full medication history, an underlying-condition assessment, and prescriber coordination where appropriate.

Rx opioid detoxMedication for withdrawal and cravings

Oxycodone, hydrocodone, morphine, and codeine are treated with buprenorphine or methadone induction, coordinated with your pain plan. See opioid detox

Benzodiazepine taperLong-acting cross-taper

Cross-tapered to diazepam or clonazepam, reduced slowly with seizure precautions. Often extends into residential. See benzo detox

Rx stimulant detoxSupportive and psychiatric

For Adderall, Ritalin, and Vyvanse: supportive care, cardiac evaluation, and ADHD reassessment with non-stimulant alternatives considered.

Pain plan coordinationNon-opioid management

Continuing pain needs are managed with outside prescribers: physical therapy, non-opioid analgesics, interventional options.

Anxiety managementNon-habit-forming

Underlying anxiety is managed during residential with SSRIs/SNRIs, CBT, and lifestyle support.

Psychiatric evaluationADHD, mood, trauma

Full psychiatric assessment from day one.

24/7 physician oversightSergey Litvinov, MD reviews each active patient.
Validated monitoringClass-specific monitoring: structured withdrawal scoring for opioids and benzodiazepines, cardiac checks for stimulants.
Prescriber coordinationYour outside prescribers stay in the loop when you consent, and the transition to ongoing care is planned before discharge.
Dual-diagnosis standardPsychiatric care runs alongside detox.

Therapy options for you

CBT

Cognitive-Behavioral Therapy

Cognitive-Behavioral Therapy (CBT) is a structured, well-established approach for changing the thought patterns behind substance use.

DBT

Dialectical Behavior Therapy

Skills for calming strong emotions and getting through distress, shown to help patients with co-occurring mood disorders.

EMDR

EMDR trauma therapy

Processing of specific traumatic memories, run by certified EMDR clinicians.

MAT

Medication-Assisted Treatment

Buprenorphine, methadone, and naltrexone for opioids. There is no FDA-approved medication for benzodiazepine or stimulant withdrawal.

Group

Group Therapy

Peer-supported, clinician-led sessions.

Family

Family programming

Sessions and education with family members, with your consent.

What to Expect

How admission works

I
Phase One

Admissions and assessment

A full, unhurried clinical assessment: your substance history, medical and psychiatric conditions, and insurance verification all at once.

II
Phase Two

Prescription drug detox

Class-specific protocols, with pain and anxiety plans coordinated throughout. The medical team sets the length from your medication history and how withdrawal progresses.

III
Phase Three

Residential Inpatient

Evidence-based therapy, psychiatric care, family work, and step-down planning with partner programs.

Why coverage applies

Under federal parity laws, commercial insurance covers medically necessary detox. We confirm the details with your insurer before you make a decision.

Verify Coverage
BCBS · UnitedHealthcare · Aetna · Cigna · Tricare · Humana Military · VA CCN

Questions families ask answered plainly.

What counts as prescription drug addiction?+
Physical or psychological dependence on a prescribed medication, whether an opioid, a benzodiazepine, a stimulant, or something else, where stopping brings on withdrawal, cravings, or loss of control over use. The line between therapeutic use and dependence can blur gradually.
I have a real pain problem. Will you just stop my meds?+
No. We work with your outside prescribers on a post-detox pain plan that treats legitimate pain without the medication you depend on. Physical therapy, non-opioid medications, and interventional options are on the table.
How long does prescription drug detox take?+
Detox length depends on the substance and dose. Opioid withdrawal is shortest, benzodiazepine tapers run longest and often continue into residential, and stimulants need a crash phase with psychiatric monitoring.
Can I still take my ADHD medication?+
That depends on the reason for treatment. If stimulant dependence is the issue, we work with your psychiatric team on non-stimulant options such as atomoxetine or bupropion. If ADHD is severe and stimulant use has not been a problem, short-acting stimulants with tighter oversight may fit after residential.
Is this confidential from my employer?+
All treatment is HIPAA-protected. We do not communicate with your employer unless you specifically direct us to.
Does insurance cover prescription drug detox?+
We look at your benefits and confirm what your plan covers for a Pines detox when you call.

This prescription drug detox content was reviewed by Sergey Litvinov, MD (Medical Director and board-certified psychiatrist at Pines Recovery Life). Updated April 2026.

Authoritative references: NIDA prescription drugs · SAMHSA · FDA safe disposal of medicines · CDC Overdose Prevention

Frequently Asked Questions

What prescription drugs does Pines treat?

We treat dependence on prescription opioids (oxycodone, hydrocodone, codeine, morphine), benzodiazepines (Xanax, Klonopin, Ativan, Valium), and stimulants (Adderall, Vyvanse, Ritalin), as well as combinations across classes.

How is prescription drug detox different from street drug detox?

The medication and timeline depend on the substance class. Opioid pills follow opioid protocols; benzodiazepines follow seizure-prevention protocols; stimulants need psychiatric monitoring, not pharmacological detox.

What if I am using my prescription as directed but feel dependent?

Physical dependence on a legitimately prescribed medication means your body has adapted to the medication. Tapering can still be the right path in that case, and our team works with your prescriber where possible to coordinate a safe transition.

Will I lose my prescription if I get treatment?

We coordinate carefully with your existing prescriber to manage the transition. Many patients return to a different pain management or psychiatric plan after treatment that is more sustainable.

How long does prescription drug detox take?

Benzodiazepine and high-dose opioid tapers last longer; stimulant detox is shorter.

Does insurance cover prescription drug detox?

If your prescription drug plan carries out-of-network benefits, it is accepted, and we check your benefits against a Pines detox admission before you decide anything. Call (855) 981-8935.