The Coleman Institute Blog

Suboxone (a combination of buprenorphine and naloxone) has helped many people manage opioid addiction and reduce the risk of relapse. But for those who are ready to stop taking Suboxone, the journey forward often begins with a critical question: What happens when I stop?

Suboxone withdrawal is very real, and although generally less intense than other forms of opioid withdrawal (oxycodone, heroin, etc.), it can still be physically and emotionally taxing. If not done properly, it can lead to relapse or prolonged dependence. That's why understanding the withdrawal process and having a medically supervised detox plan is critical.

At The Coleman Institute, we offer a safe, outpatient Suboxone detox program designed to help people stop using the medication safely and comfortably in as little as 8 days.

What Is Suboxone & How Does It Work?

Suboxone is prescribed as part of Medication-Assisted Treatment (MAT) for opioid use disorder.

Suboxone contains two ingredients -

• Buprenorphine: A partial opioid agonist that activates opioid receptors to reduce cravings and withdrawal symptoms without producing the full euphoria of other opioids.
• Naloxone: An opioid antagonist added to deter misuse. It remains inactive when taken as directed, but can block opioid effects if the medication is misused intravenously.

Suboxone has a long half-life (24 - 42 hours), meaning it stays in the body longer and provides a steady level of relief from cravings. While this extended duration is helpful in treatment, it can make detox more challenging.

Why Does Suboxone Withdrawal Happen?

Even though Suboxone is used to treat opioid dependence, it's still an opioid. Over time, the brain adjusts to its presence. When the medication is reduced too quickly or stopped abruptly, withdrawal symptoms occur as the body struggles to rebalance without it.

Factors that can influence the severity of withdrawal include -

• Duration of Suboxone use
• Daily dosage
• Overall physical health
• Co-occurring mental health conditions
• History of opioid use

Suboxone Withdrawal Symptoms - What to Expect

Withdrawal symptoms are similar to those of other opioids but tend to come on more gradually and last longer due to Suboxone's extended-release properties.

Physical Symptoms

• Muscle aches & body pain
• Nausea, vomiting, & diarrhea
• Headaches & abdominal cramps
• Excessive sweating or chills
• Fatigue & low energy
• Tremors or restlessness
• Sleep disturbances or insomnia
• Runny nose, watery eyes, or yawning

Psychological Symptoms

• Anxiety or panic attacks
• Depression or emotional numbness
• Mood swings & irritability
• Intense cravings for opioids
• Difficulty concentrating or staying motivated
• Feeling disconnected or overwhelmed

Although not typically life-threatening, these symptoms can be severe enough to cause emotional distress or lead to relapse without proper support.

Suboxone Withdrawal Timeline

The timeline for Suboxone withdrawal can vary based on how the medication is stopped. The following is a general overview of what to expect when stopping Suboxone abruptly (cold turkey), without medical tapering -

1 - 3 Days After Last Dose:

• Symptoms begin to emerge
• Anxiety, body aches, & insomnia are common

4 - 7 Days:

• Peak withdrawal symptoms
• Strong cravings, nausea, chills, & mood swings

2 - 4 Weeks:

• Physical symptoms begin to improve
• Mental health symptoms like depression & fatigue may persist

1+ Month:

• Some individuals experience Post-Acute Withdrawal Syndrome (PAWS)
• Ongoing psychological symptoms like low mood, poor sleep, & cravings may linger

Because of the risk of PAWS, it's important to have a plan for ongoing support after detox.

Is It Safe to Detox from Suboxone at Home?

Tapering off Suboxone without medical supervision can be physically uncomfortable and emotionally overwhelming. Unfortunately, many people who attempt to quit cold turkey or without guidance end up relapsing or prolonging the process.

Home detox attempts may lead to -

• Unmanaged withdrawal symptoms
• Risk of turning to other opioids
• Sleep deprivation and emotional instability
• Dangerously high relapse risk

A structured, medically supervised detox gives your body and mind the best chance to recover safely and completely.

Outpatient Suboxone Detox at The Coleman Institute

The Coleman Institute offers an accelerated Suboxone detox program that can help most patients completely detox in as little as 8 days, all without the need for hospitalization.

What Makes Our Program Different?

• Outpatient-based care: Receive treatment while staying in the comfort of your own home or nearby accommodations
• Non-addictive comfort medications: Minimize withdrawal symptoms without using other opioids
• Naltrexone therapy: Helps reduce cravings after detox and supports long-term recovery
• Personalized care: Each detox is personalized to the individual's unique medical and substance use history
• Aftercare coordination: We work with patients to plan next steps in therapy, support groups, and relapse prevention

We have helped thousands of people safely and successfully detox from Suboxone and other opioids.

What Happens After Suboxone Detox?

Completing detox is a major milestone, but it's not the journey's end. Recovery is an ongoing process that requires continued support.

After detox, individuals often benefit from -

• Outpatient counseling or therapy
• Peer support groups (like SMART Recovery or NA)
• Dual-diagnosis treatment if co-occurring conditions are present
• Recovery coaching or case management services

Our goal is to set you up for long-term success and lasting sobriety, not just detox you and send you on your way.

Take the First Step Toward Life After Suboxone

Suboxone withdrawal can be extremely difficult, but we're here to help you get through it as comfortably and safely as possible. The Coleman Institute offers a compassionate, medically supervised detox program that's fast, safe, and designed around your needs.

If you're ready to stop Suboxone and move forward in your recovery, our experienced team is here to guide you toward lasting healing. Call The Coleman Institute at 703-991-0330 or schedule a callback to learn more about our safe, comfortable, and effective detox services.

If you've recently searched "Is The Coleman Institute open?" or "Why did the Coleman Institute close?", we're here to provide a clear and up-to-date overview of where we've been and where we're going.

A Legacy of Compassionate Detox Care Since 1998

Founded in 1998 by Dr. Peter Coleman, the Coleman Institute has helped thousands of individuals safely detox from opioids, alcohol, and other substances. With a focus on outpatient medical detox protocols, we have long been recognized for our effective, comfortable approach to recovery.

In 2017, The Coleman Institute joined BayMark Health Services, working collaboratively with Applegate Recovery. This partnership helped us provide evidence-based detox services as part of a larger behavioral healthcare network.

Why Did the Coleman Institute Close?

In late 2024, the Coleman Institute experienced a brief pause in operations during a leadership transition and organizational restructuring. This temporary closure allowed for internal updates and a thoughtful transition to independent ownership, ensuring continued alignment with our long-standing mission and values.

Reopening Under New Independent Leadership

As of 2025, the Coleman Institute has reopened as an independently operated organization, now led by Jennifer Gifford. Jennifer has been a part of the Coleman team since 2000 and now serves as CEO and owner. Her leadership reflects decades of experience and a deep commitment to the values that have defined Coleman since its founding.

Is the Coleman Institute Open Now?

Yes, the Coleman Institute is currently open and actively serving patients at our Richmond, Virginia, headquarters.

Additional Locations Reopening

We are also working to reopen several affiliate locations across the country in the near future, including:

• Denver, Colorado (Aurora) - Target reopening date in late May 2025
• Atlanta, Georgia (Dawsonville) - Target reopening date in late May 2025
• Tampa, Florida (Largo) - Target reopening date in early June 2025
• Orange County, California (Santa Ana)
• San Francisco, California (Burlingame)

Each site will resume services on a rolling basis, guided by our expert clinical leadership and commitment to the highest standards of care. Stay tuned for updates!

Tianeptine powder has drawn attention in recent years, though not for positive reasons. Marketed under brand names like Stablon in other countries, tianeptine was originally developed as a prescription antidepressant. These pharmaceutical versions are typically produced as tablets, not powders. However, in the United States, tianeptine is often sold in unregulated forms, including powder and liquid, under street names like ‘zaza’ or ‘gas station heroin’. This growing misuse has raised serious concerns about safety, addiction potential, and withdrawal risks.

What Is Tianeptine Powder?

Tianeptine is a synthetic drug that was originally prescribed to treat major depressive disorder. Unlike traditional antidepressants, tianeptine works primarily by modulating glutamate activity and, more importantly, by acting as a mu-opioid receptor agonist. This opioid receptor activity is key to understanding why misuse can quickly spiral into dependence.

Tianeptine is now available through unregulated markets in several forms, including powder, capsules, and liquids. However, tianeptine powder, particularly in the sodium form, poses unique risks because it is pure, highly potent, and difficult to measure dosages due to its consistency.

Pharmaceutical versions such as Stablon, Tatinol, and Coaxil are provided by medical professionals in tablet form in other countries. In the United States, powdered versions are often bought online or at various retailers, including gas stations.

How Tianeptine Powder Became a ‘Gas Station Heroin’

Sold under flashy names like ‘zaza’, tianeptine is often marketed as a supplement or nootropic. In reality, its opioid-like effects can lead to euphoria, sedation, as well as physical and psychological dependence, much like traditional opioids such as morphine. Because it acts directly on opioid receptors, users may initially feel mood elevation or pain relief, but with repeated use, tolerance builds rapidly, setting the stage for addiction.

The nickname 'gas station heroin' illustrates how potent and dangerous tianeptine powder can be, while remaining accessible through shops.

Is Tianeptine Powder Similar to Kratom?

In some ways, yes. Both tianeptine and kratom affect the brain's mu-opioid receptors, producing effects like euphoria and sedation. However, while kratom is derived from a plant (Mitragyna speciosa) and contains multiple alkaloids, tianeptine is a synthetic compound. Many users seeking alternatives to prescription opioids may turn to substances like kratom or tianeptine, believing them to be safer options. Unfortunately, both can lead to dependence, withdrawal, and the need for professional detox services.

Addiction & Withdrawal Risks

Because tianeptine interacts so powerfully with opioid receptors, it carries a high risk of misuse, especially for those already struggling with addiction. Symptoms of tianeptine dependence and withdrawal can mirror those of traditional opioid withdrawal.

Symptoms may include -

• Anxiety & panic attacks
• Muscle aches & cramps
• Insomnia
• Nausea & vomiting
• Depression & mood swings

Withdrawal from tianeptine can be extremely uncomfortable and, in some cases, dangerous without medical support. Tianeptine carries the risk of tianeptine poisoning, which can be deadly.

How The Coleman Institute Can Help

At The Coleman Institute, we specialize in outpatient detox services designed for substances, including those that impact the brain's opioid receptors, such as tianeptine. Our Outpatient Opioid Detox program helps patients safely and comfortably manage withdrawal symptoms without the need for lengthy inpatient stays. We understand the unique challenges that come with tianeptine dependence, and we provide compassionate, medically supervised care to promote long-term recovery.

If you or a loved one is struggling with tianeptine use, help is available. Call The Coleman Institute at 703-991-0330 or schedule a callback to learn more about our safe, comfortable, and effective detox services.

In recent years, kratom has gained a reputation as a so-called ‘natural remedy’ for pain, anxiety, and even opioid withdrawal. Available in smoke shops, gas stations, and online, it is marketed as a legal herbal alternative to prescription medications. But as kratom use becomes more widespread, so do the stories of individuals developing kratom dependence, struggling with painful withdrawal symptoms, and needing help stopping.

At The Coleman Institute, we are seeing firsthand how kratom can negatively impact people. Many are surprised by how addictive it has become for them despite its natural origins. Our Outpatient Kratom Detox Program helps those struggling safely, comfortably, and quickly detox from kratom.

What Is Kratom?

Kratom (Mitragyna speciosa) is a tropical tree native to Southeast Asia, with leaves that contain compounds called mitragynine and 7-hydroxymitragynine. These compounds interact with opioid receptors in the brain, producing effects similar to opioids, such as euphoria, pain relief, and sedation, especially at higher doses.

Some users take kratom for its stimulant-like effects at low doses or to manage chronic pain, while others use it as a 'DIY remedy' for opioid withdrawal. However, regular use can lead to tolerance, physical dependence, and withdrawal symptoms similar to those experienced with other opioids.

Is Kratom Addictive?

Despite being unregulated at the federal level in the United States, kratom carries a very real risk of addiction. Continuous use leads to both physical and psychological dependence.

Individuals who try to stop using kratom can experience withdrawal symptoms such as:

• Intense cravings
• Anxiety & irritability
• Mood swings & depression
• Insomnia
• Muscle aches
• Runny nose & watery eyes
• Nausea, vomiting, & diarrhea

Because kratom withdrawal symptoms can be distressing and difficult to manage without medical intervention, many people continue using it just to avoid withdrawal, perpetuating the cycle of dependence.

The Rise in Kratom Use and Its Consequences

Many perceive kratom as a ‘safe’ or ‘natural’ alternative to opioids, but this perception is dangerously misleading. According to the FDA, there is growing evidence that kratom can cause addiction, seizures, liver damage, and even death in some cases. Emergency room visits and poison control calls related to kratom have also increased in recent years. Many find it difficult or even impossible to stop due to the severity of the withdrawal symptoms. That’s when kratom detox becomes necessary.

The Coleman Institute’s Kratom Detox Program

At The Coleman Institute, we offer an Outpatient Kratom Detox Program that helps people quit kratom quickly and safely without the need for an inpatient stay or overnight hospitalization.

Why Choose Our Kratom Detox?

• Outpatient Setting – Detox in the comfort of a non-hospital environment for five days.
• Comfort Meds to Help Minimize Withdrawal Symptoms - Customized medications throughout the detox that greatly reduce patient discomfort.
• Compassionate, Personalized Care – Our experienced medical team provides continuous monitoring, emotional support, and a tailored treatment plan.
• Aftercare Planning & Relapse Prevention – Detox is only the first step. We help you develop a long-term recovery strategy to maintain sobriety and avoid relapse.
• Break the Cycle – Many of our patients have already tried to quit kratom on their own, sometimes multiple times, without success. At the Coleman Institute, people stuck in the cycle of dependence finally have a safe, proven way to move forward.

Who Should Consider Kratom Detox?

You may benefit from our kratom detox program if:

• You’re using kratom daily or multiple times per week
• You feel like you need kratom just to get through the day
• You’ve experienced withdrawal symptoms when trying to quit
• You’ve tried to quit before but couldn’t
• You want a safe, medically supervised way to start fresh

Kratom dependence can affect your health, relationships, and daily life. If any of the above signs sound familiar, a kratom detox may be the right choice to reclaim your health.

It’s Time to Break Free from Kratom Dependence

If you or someone you love is struggling with kratom addiction, don’t wait for the situation to worsen. Kratom may be legal, but that doesn’t equate to being harmless. As dependence grows, so do the risks to your mental and physical health.

At The Coleman Institute, we’ve helped thousands of people safely detox over the last 25 years from addictive substances, including kratom, with a 98% completion rate. Our compassionate team is here to help you achieve lasting recovery.

Learn more about our Kratom Detox Program by visiting our webpage!

Call us at 703-991-0330 to speak with a recovery specialist or schedule a callback.

Adderall is a prescription stimulant often used to treat Attention-Deficit/Hyperactivity Disorder (ADHD), but it's also commonly misused for its energizing and focus-enhancing effects. Whether prescribed or taken recreationally, stopping Adderall after prolonged use can be challenging. For those who are trying to quit or have a drug screening, a very common question is, "How long does Adderall stay in your system?".

Understanding Adderall's Duration in the Body

The length of time Adderall stays in your system depends on several factors, including:

• Formulation type: Immediate-release (IR) Adderall usually clears the body in about 24 hours, while extended-release (XR) can be in your system even longer.
• Individual metabolism: Factors like body weight, hydration, and liver function can impact how quickly your body processes the drug.
• Dosage and frequency: Higher doses can extend the time Adderall is detectable.

For those who may be subject to a drug screening, whether for work, legal reasons, or medical treatment, Adderall can typically be detected in urine for up to 7 days if you’ve been using it long-term, and even longer in blood or hair samples.

What Withdrawal from Adderall Feels Like

Coming off Adderall can be mentally and emotionally difficult. Common withdrawal symptoms include:

• Fatigue and low motivation
• Anxiety, irritability, or depression
• Intense cravings
• Sleep disruptions

Support is available if you're struggling to stop taking Adderall.

A Safer, More Comfortable Way to Quit Stimulants

At the Coleman Institute, we have developed an Outpatient Stimulant Detox Program aimed at safely addressing Stimulant Use Disorder with minimal disruptions to daily life.

What You Can Expect:

• A medically supervised, customized detox plan
• Comfort medications to ease symptoms
• Daily check-ins (virtual or in-person) during the first week
• Most people can return to their daily routine by Day 5

We also provide continued support through follow-up appointments and case management because detox is just the beginning of recovery.

Why People Choose Us

Patients across the country trust our outpatient detox program for being:

• Safe and medically supported
• Non-residential and flexible
• Personalized to your unique situation
• Backed by over 25 years of experience

Whether prescribed by a physician or obtained from non-medical sources such as the dark web, Adderall, as well as other prescriptions like Vyvanse and Ritalin, can be difficult to stop, but recovery is possible.

Start Your Recovery Journey

You don't have to face Adderall withdrawal by yourself. The Coleman Institute's outpatient detox program offers a supportive and effective way to abstain from stimulants and reclaim your health.   Request a confidential callback to learn more!