Tarzana Treatment Center Tarzana Treatment Center - Integrated Behavioral Healthcare - Call Now 1-888-777-8565

Addiction Nutrition

Addiction Treatment

Adolescent Alcohol Abuse

Adolescent Alcohol Treatment

Adolescent Alcohol Treatment – Los Angeles

Adolescent Co-Occurring Disorders

Adolescent Drug Abuse

Adolescent Drug Addiction

Adolescent Drug Test

Adolescent Drug Treatment

Adolescent Drug Treatment – Los Angeles

Adolescent Heroin Abuse

Adolescent Marijuana Abuse

Adolescent Mental Health

Adolescent Prescription Drug Abuse

Adolescent Substance Abuse

Affordable Care Act (ACA)

Alcohol Abuse Facts

Alcohol Abuse in College

Alcohol and Drug Treatment

Alcohol Awareness Month

Alcohol Cravings

Alcohol Dependence

Alcohol Detox

Alcohol Facts

Alcohol Intervention

Alcohol Rehab

Alcohol Tolerance

Alcohol Treatment

Alcohol Treatment - Los Angeles

Alcohol Use Quiz

Alcohol Withdrawal

Alumni Association

Behavioral Addictions

Benzodiazepine Abuse

Benzodiazepine Tolerance

Benzodiazepine Withdrawal

California Budget Issues

California Drug Trends

California Telehealth Network (CTN)

Cocaine Addiction

College Alcohol Abuse

Community Counseling

Community Healthcare

Community Involvement

Community Programs

Co-occurring Disorders

Covered CA

Domestic Violence

Drug Abuse Facts

Drug Addiction

Drug Dependence

Drug Detox

Drug Intervention

Drug Overdose

Drug Rehab

Drug Tolerance

Drug Treatment

Drug Treatment - Los Angeles

Drug Withdrawal

Drug Withdrawal Symptoms

Dual Diagnosis


Family Alcoholism

Family Drug Addiction

Gender Responsive Treatment

Gender Specific Treatment


Harm Reduction


Healthcare Integration

Healthy Way LA

Help With Alcohol

Help With Drugs

Heroin Addiction

Heroin Cravings

Heroin Detox

Heroin Treatment

Heroin Withdrawal

HIV and Drugs

HIV Test

HIV/AIDS Treatment

Homelessness and Addiction

Integrated Behavioral Healthcare


Learn About Addiction

LGBT Alcohol Treatment

LGBT Drug Treatment


Marijuana Addiction

Medical Care

Medical Detoxification


Medication Assisted Treatment

Mental Health Month

Mental Health Treatment


Methadone Maintenance

Methamphetamine Addiction

Methamphetamine Treatment


Military Alcohol Treatment

Military Drug Treatment

Military Mental Health Treatment

Naltrexone for Heroin

Naltrexone for Opiates

Native American Alcohol Dependence

Native American Alcohol Treatment

Native American Community Outreach

Native American Culture

Native American Drug Addiction

Native American Drug Treatment

Native Americans and Alcohol

Nicotine Addiction

Online Alcohol Treatment

Online Counseling

Online Drug Treatment

Online Medical Care

Online Mental Health Treatment

Online Therapy

Opiate Abuse

Opiate Addiction

Opiate Addiction Treatment

Opiate Cravings

Opiate Detox

Opiate Tolerance

Opiate Treatment

Opiate Withdrawal

Opioid Abuse

Opioid Detox

Opioid Treatment

Opioid Withdrawal

Pain Killer Addiction

Pain Killer Detox

Pain Killer Treatment

Pow Wow-Upcoming Events

Prescription Drug Abuse

Prescription Drug Addiction

Prescription Drug Detox

Prescription Drug Overdose

Prescription Drug Side Effects

Prescription Drug Tolerance

Prescription Drug Treatment

Prescription Drug Withdrawal

Preventative Care

Primary Care

Promising Practices

Prop 36 Funding

Quitting Smoking

Recovery Month 2009

Recovery Month 2010

Relapse Issues

Relapse Prevention – Alcohol

Relapse Prevention – Drugs

Second Hand Smoke

Senior Alcohol Abuse

Senior Drug Abuse

Senior Medical Care

Senior Substance Use

Seniors Mental Health

Smoking Cessation

STD Awareness Month

Stimulant Addiction

Stimulant Detox

Stimulant Withdrawal

Substance Abuse Treatment

Technology in Health Care

Teen Alcohol Abuse

Teen Alcohol Treatment

Teen Drug Abuse

Teen Drug Addiction

Teen Drug Testing

Teen Drug Treatment

Teen Marijuana Abuse

Teen Prescription Drug Abuse

Teen Recovery



Telemental Health

Temporary Housing


Third-Hand Smoke


Tobacco – Youth

Treatment Advocacy

Treatment News

Upcoming Events

Veteran Women Treatment

Veterans – Homelessness

Veterans Alcohol and Drug Treatment

Veterans Alcohol Treatment

Veterans and Prescription Drugs

Veterans Drug Addiction

Veterans Drug Detox

Veterans Drug Treatment

Veterans Mental Health Treatment


Vivitrol for Heroin

Vivitrol for Opiates




Women-only Treatment

Youth Alcohol Abuse

Youth Alcohol Treatment

Youth Drug Abuse

Youth Drug Addiction

Youth Drug Treatment

Youth Marijuana Abuse

Youth Prescription Drug Abuse


Two Strata of Opiate Detoxification Patients

Opiate detoxification is not administered in the same manner for every patient at Tarzana Treatment Centers.  Medication schedules depend on the amount of opiates the patient used upon admission, as well as the length of prior continuous opiate use.  

Obviously the amount of usage determines the starting dosage from which to taper.  But the length of prior continuous opiate use determines care in the final days of medical detoxification.  

According to Duane Carmalt, MD, who has detoxed thousands of opiate addicts over the past 30 years, the length of prior continuous opiate use can make the experience of medical detoxification like landing a helicopter or a space shuttle.  Helicopters are smooth in the final phase of landing with no “jolt” experience of hitting the ground.  Space shuttles approach landing smoothly, but, due to abrupt changes at landing time, that jolt is almost inevitable.

Dr. Carmalt explains that the “helicopter” type patients have used opiates continuously for a few months.  They begin detox treatment at a certain dosage, determined by an assessment, which is tapered down until opiate detox is achieved.  These patients’ Withdrawal symptoms are minimal throughout treatment, including the final day.

 “Space Shuttle” patients have used opiates for a year or more.  They generally experience the same minor withdrawal symptoms until the final 48 hours or so of treatment.  They often experience a jolt of more significant opiate withdrawal symptoms in the final days of detoxing, and require a slower taper off the final doses of medication, which can extend their stay one or two more days.  

Keep in mind that patient motivation is a major factor in drug and alcohol treatment, and can have an effect on the helicopter/space shuttle strata.  In fact, a strong motivation for recovery is the best tool for paving a smooth landing area in opiate detox.  Opiate tolerance also affects how a patient responds to detox medications, and can cause the “Space Shuttle” effect to occur earlier in detox treatment.

Patients planning to enter opiate drug addiction treatment at Tarzana Treatment Centers should take note of these factors in medical detoxification.  Not only is it good to know what to expect from detox treatment, but it can also help in scheduling aftercare for those entering residential or outpatient drug treatment.

If you would like further details about opiate detox and treatment, please call us at 888-777-8565 or contact us here.

Southern California Locations for Alcohol and Drug Treatment
Tarzana Treatment Centers has locations all over Southern California in Los Angeles County and Orange County. Other than our central location in Tarzana, we have facilities in Lancaster in the Antelope Valley, Long Beach, in Northridge and Reseda in the San Fernando Valley, and in Santa Ana.

Email Post