Why Did We Replace Ultra Rapid Detoxification With The Coleman Method for Outpatient Detox?

What is Ultra Rapid Opioid Detoxification (URD or UROD)?

Amidst the opioid crisis in the 1980’s, a new detoxification technique called Ultra-Rapid Detoxification (URD) was developed to treat opioid-based substance use disorder. This technique is also called ‘anesthesia detox’. Like all medical treatments, URD was an evolution of older, more antiquated detox methods that relied on methadone, which at the time, was the subject of little scientific research. 

Because these older methods were painful, unsuccessful, and were trading one opioid for another, URD was developed. 

In URD, patients are put under general anesthesia. Then they are given fairly large doses of Naltrexone to flush all of the opiates off of the brain’s receptors. This process essentially forces the patient into the withdrawal process while under anesthesia, compressing many withdrawal symptoms into a few hours. While this can be effective in shortening the process from days or weeks to a matter of hours, this can be extremely taxing on the patient’s body, and even fatal. Approximately 1/500 to 1/1,000 patients die after an Ultra-Rapid Detoxification. 

While our Medical Director, Dr. Peter Coleman, no longer performs URDs, there are some medical facilities around the world that perform URD in situations where the benefits outweigh the risks.

Why We No Longer Do Ultra-Rapid Detoxification

About 20 years ago, Dr. Coleman safely performed about 300 anesthesia detox procedures in a hospital without major complications. However, as medicine has evolved and progresses, so have we.

To better serve our patients, we created a new technique called The Coleman Method or an Accelerated Opiate Detox, which is performed in an outpatient setting. This technique was developed by Dr. Peter Coleman, National Medical Director and founder of Coleman Addiction Medicine, the Coleman Institute, and The Coleman Network. This method is successful and more affordable, without all of the added risks of URD. Since 2001, we have performed thousands of Accelerated Opiate Detoxes using The Coleman Method and our patients report experiences that are significantly less traumatic and vastly more comfortable than URD.

Why is the Accelerated Detox Technique Better Than URD?

Our Accelerated Opiate Detox using The Coleman Method was created with a patient-first approach. Our method: 

  • Can be completed in as few as 3 days in an outpatient setting
  • Has a 98% completion rate
  • Includes customized comfort medications 
  • Provides 6 months of recovery support to prevent relapse using Naltrexone Therapy

Our patients prefer our Accelerated Opiate Detox process over URD because: 

  • Accelerated Detox does not require anesthesia
  • There are no inpatient hospital stays
  • Accelerated Detox is more affordable    
  • The process is more comfortable 

To learn more about Coleman Addiction Medicine and our detox process, check out our Frequently Asked Questions.

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