1860 El Camino Real, Suite 301, Burlingame CA 94010
Phone: (650) 552-8100
Fax: (650) 552-8105
We provide inpatient and outpatient services that are individualized to the medical needs and safety of each individual patient. Many people underestimate the degree of physical dependence they have and the risks and complications they may face. These risks are difficult to assess via e-mail, fax or telephone, and should be evaluated in a personal visit.
We provide a variety of different detoxification services that take into consideration a variety of factors including the following:
- The drug of dependence
- Degree of physical dependence
- Number of previous attempts at detoxification. When and where?
- Periods of sobriety in the past
- Previous rehabilitation services
- Willingness to continue the recovery process after detoxification.
- Insurance coverage and benefits
Alcohol detoxification is potentially life threatening and needs close medical monitoring and supervision. It is very rare for an alcoholic to safely detoxify themselves, as there is great danger in mixing alcohol and medication. Withdrawal seizures and delirium tremens are very rare with medically monitored detoxification.
Office Based Alcohol Detoxification Program
Opioids including heroin, methadone,Vicodin® (hydrocodone), Opana® (oxymorphone),Dilaudid® (hydromorphone), Oxycontin® can all be associated with incapacitating withdrawal symptoms. Many patients experience a high degree of craving after quitting and high relapse rates. Detoxification can be done in our Burlingame office as part of an Office Based Opioid Detoxification Program or as an inpatient at Mills Medical Center.
All of our physicians are certified to prescribe Suboxone® for opioid detoxification and maintenance. We use Subutex to medically manage opioid dependent pregnant patients.
We also use Naltrexone, an opioid antagonist, for relapse prevention. It is available in a daily oral form, a monthly injection, called Vivitrol® and a two-month implant in partnership with The Coleman Institute.
Cocaine, Amphetamines, and Marijuana Detoxification
Cocaine and amphetamines very addicting psychoactive stimulants and usually do not require medically monitored or supervised detoxification. People addicted to these substances often need a "safe place" to stay when they need to quit or come down from stimulant use.
Stimulant dependence can be treated with our MAAP program using flumazenil to help prevent relapse.
Marijuana does not need medically supervised detoxification.
Sedative / Hypnotic Detoxification
Sedative / Hypnotics include most sleeping pills and the minor tranquilizers in the barbituate and the benzodiazepine category (Valium®, Xanax®, Ativan®, Ambien®, Dalmane®, Restoril®, Klonepin® and others). Stopping them abruptly can lead to withdrawal seizures or severe toxic psychosis requiring emergency hospitalization.
We do inpatient detoxification for sedative-hypnotics at Mills Medical Center. Patients are typically stabilized on Phenobarbital substitution over 4-6 days and then complete tapering as an out patient.
We are also working with The Coleman Institute doing a seven (7) day outpatient infusion therapy for benzodiazepine dependence.