ULTRA RAPID OPIATE DETOXIFICATION
(UROD) IN IRAN

There are several goals to attain with opiate detoxification programmes: reducing the symptoms of opiate withdrawal, providing a setting in which the individual may enter recovery, identifying any probable concurrent medical difficulties which might occasionally develop, and initiating the full recovery process.
A large number of people from all walks of life and of a variety of professions have undergone the Ultra Rapid Opiate Detoxification process on Wednesday - one day before Iranian weekend - and returned to work on Saturday with no one even noticing their absence yet returning as a new person with a fresher outlook of life. Our method in the words of our patients proved to be 'both highly effective, economical, and above all in absolute privacy'. In most cases, even family members did not so much miss them while undergoing the UROD process.

Confidentiality and the safety plus preserving the private and social dignity and respect of patients backed by an optional tour of Iranian ancient cities of Isfahan and Persepolis in Shiraz are parts and parcels of our UROD comprehensive programme. Indeed, it is a private plan to return to a more successful life plus the chance of visiting Iran and probably opting for a lifetime memory of the rich Iranian cultural heritage to tell friends and relatives about. We do respect a full confidentiality at all times before and after the programme.

Although our Ultra Rapid Opiate Detoxification programme does not place individuals at risk for medical complications it is carried out in the most up to date ward within hospitals - with high quality medical services - at the foot of the overlooking mountainous natural beauties with absolutely remarkable sceneries cared by highly qualified western educated conscientious and compassionate Iranian physicians. This procedure is appropriate for addiction to all opiates, i.e., heroin, morphine, methadone, buprenorphine, codeine, dilaudid, percocet, vicodin, Demerol, fentanyl, painkillers, etc. - any drug classified as opiate including alcohol. Patients, however, receive the highest humanely possible standards of quality care nurses while undergoing the anesthesia assisted detoxification process of kicking an undesirable drug dependency in a controlled medical environment. In this programme, the opiate is first eliminated from the body and it is replaced by a drug to assist the patient to go through the recovery procedures with the least amount of residual withdrawal symptoms. It is, however, mandatory that naltrexone is taken after anesthesia-assisted detoxification. Naltrexone that was especially designed in the mid-90s for use in cases of opiate dependence, indeed, most successfully serves to bind to receptors on cell membranes and inhibits opiates from entering their effects. In simple terms, this medication, when taken, decreases the cravings for heroin or any other opiate. Most importantly, Naltrexone is non-addictive, thus the patient is not replacing one addiction with another.

Our friendly international relation welcoming staff will meet the patient at the airport to take the person to the hospital for an immediate admittance. During the treatment, the patient would receive medications to help the person to by pass the most probable side effects of the withdrawal symptoms to guarantee a relatively pain-free and opiate-free comfortable sleep. An especially purpose-trained anesthesiologist and/or nurse are by the patient's bedside during the entire detoxification period to continually evaluate and closely monitor the oxygenation, ventilation, blood circulation and temperature of the patient. This quality medical care continues until the patient regains consciousness while safely sedated. In practice, the patient is asleep during peak withdrawal. From this time on, Dr. Hossein Najmi, Neuropsychiatrist, a graduate of University of London with twenty-six years of experience on detoxification in several major Iranian Addiction Treatment centres, will take over to help the patient to pull through most confidently. Of course, detoxification without a meaningful rehabilitation service can result in a poor long-term abstinent rate.

Our anesthesia-assisted opiate detoxification system is based on a series of thorough studies made on the opiate dependence, tolerance, and withdrawal concentrating on the structure and function of brain cells. Through a combination of anesthesia and naloxone- or naltrexone-induced withdrawal, ultra rapid detoxification from opiates can take place within a matter of 4-7 hours. It is, however, vital that concurrent psychosocial support and treatment take place alongside the detoxification process.

In short, in less than twenty-four hours this detoxification programme successfully results in brain neuroadaptation. However, to complete the treatment the patient should undergo a post-detoxification rehabilitation programme and the relevant psychiatric treatment for a period of at least six to nine months. This is needed to prevent a secondary drug abuse and the otherwise probable relapse. It is true that the anesthesia-assisted opiate detoxification treats the physical addiction of the patient but the patient must decide to deal with the everyday life’s problems that had originally led to addiction in the first place. A personal determination will make a huge difference in a long-term success.