Prescription drug detox. Adderall, Vyvanse, Percocet, Ativan.
Most of our prescription drug patients arrived at dependence through legitimate medical treatment — opioids for pain, benzodiazepines for anxiety, stimulants for ADHD. That history matters clinically. Our detox protocols are pain-aware, taper-based where indicated, and coordinated with your outside prescribers when appropriate.
LegitScriptCertified
Prescription drug dependence, a clinical reality.
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 a line quietly crossed from therapeutic use to dependence.
Clinically, this history matters. The underlying condition (chronic pain, anxiety disorder, ADHD) may still be active. The detox plan must address both the dependence and the underlying problem — which is why our protocols coordinate with outside prescribers and plan for post-detox management from day one.
The protocols vary by drug class. Opioids: COWS-guided MOUD. Benzodiazepines: long-acting cross-taper with seizure precautions. Stimulants: supportive care with psychiatric evaluation. Every plan is physician-directed, 24/7 monitored, and tailored.
Class-specific, prescriber-coordinated.
Every prescription drug detox begins with a complete medication history, assessment of the underlying condition, and coordination with outside prescribers when appropriate.
For oxycodone, hydrocodone, morphine, codeine — buprenorphine or methadone induction with pain plan coordination. See opioid detox →
Cross-tapered to diazepam or clonazepam, reduced slowly with seizure precautions. Often extends into residential. See benzo detox →
Adderall, Ritalin, Vyvanse — supportive care, cardiac evaluation, ADHD reassessment with non-stimulant alternatives considered.
For patients with continuing pain needs, we coordinate with outside prescribers on non-opioid management: physical therapy, non-opioid analgesics, interventional options.
For patients with underlying anxiety, transition to SSRIs/SNRIs, CBT, and lifestyle management during residential.
Comprehensive psychiatric assessment from day one. Medication review and adjustment.
Medicine stabilizes. Therapy changes the pattern.
Cognitive-Behavioral Therapy
The gold standard for thought-pattern change in substance use disorder.
Dialectical Behavior Therapy
Skills-based emotion regulation and distress tolerance — strong evidence for co-occurring mood disorders.
EMDR Trauma Therapy
Targeted trauma processing, led by certified EMDR clinicians.
Medication-Assisted Treatment
Buprenorphine, methadone, and naltrexone for opioids. No FDA-approved MAT for benzos or stimulants.
Group Therapy
Peer-supported, clinician-led sessions.
Family Programming
Family sessions and education — when the patient consents.
From first call to stable in care.
Admissions & Assessment
Full, unhurried clinical assessment. History of use, medical and psychiatric comorbidity, insurance verification in parallel.
Prescription Drug Detox
5–21+ days depending on substance class. Class-specific protocols, pain/anxiety plans coordinated throughout.
Residential Inpatient
14–30 days of evidence-based therapy, psychiatric care, family work, and step-down coordination through our partner network.
Prescription Drug detox is medically necessary.
Under federal parity laws, commercial insurance covers medically necessary detox and treatment at parity with medical/surgical benefits.
Verify CoverageQuestions families ask, answered plainly.
What counts as prescription drug addiction?+
I have a real pain problem. Will you just stop my meds?+
How long does prescription drug detox take?+
Can I still take my ADHD medication?+
Is this confidential from my employer?+
Does insurance cover prescription drug detox?+
Clinical information on this page 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 entirely on the substance class. Opioid pills follow opioid protocols; benzodiazepines follow seizure-prevention protocols; stimulants typically don’t require pharmacological detox but need psychiatric monitoring.
What if I am using my prescription as directed but feel dependent?
Physical dependence on a legitimately prescribed medication is not the same as addiction, but tapering can still be appropriate. Our team works with your prescriber where possible to coordinate a safe transition.
Will I lose my prescription if I get treatment?
No. 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?
Typical detox is 5 to 14 days, depending on the substance and dose. Benzodiazepine and high-dose opioid tapers run longer; stimulant detox is shorter.
Does insurance cover prescription drug detox?
Yes, in most cases. Confidential verification at (855) 981-8935.
