Sedation Detox

Sedation detox, anesthesia detox and ANR: what the terms mean

Programs use different names for procedures that share one idea: the patient is sedated or anesthetized while an opioid antagonist pushes the opioid off the receptors, so the worst of withdrawal happens while the patient is unconscious. The names matter because they signal how deep the sedation goes and where it happens.

Updated October 20, 2026. Sources are linked in the text.

Rapid detox

A marketing term used since the 1990s for any version of the procedure. Google search volume for "rapid detox" in the US fell by about a third over the past year, while searches for "sedation detox" grew, which is why several programs have changed their wording.

Ultra-rapid opioid detox (UROD) and anesthesia-assisted rapid opioid detox (AAROD)

The clinical names for the procedure under general anesthesia, typically with intubation, lasting several hours. This is the version documented in the deaths and regulatory actions of the 1990s and 2000s and in the CDC's 2013 report. Among programs operating today, Dr. Yee's clinic describes deep sedation or general anesthesia for 8 to 10 hours, and MRODS describes an anesthesia-assisted procedure of 4 to 6 hours in a hospital.

Sedation-assisted detox

IV sedation rather than general anesthesia, usually without intubation, often over a longer period. Advanced Rapid Detox describes about 24 hours of IV sedation with no general anesthesia; All Opiates Detox describes sedation supervised by an anesthesiologist and an addiction physician; Opiate Detox Institute says the modern procedure does not require hours under general anesthesia. The closed Waismann Method described IV sedation without intubation.

Where it happens

The same procedure is done in very different places. On this site's list: a hospital ICU (ANR Clinic), a hospital bed (Opiate Detox Institute, MRODS), a surgery center (Dr. Yee), a licensed inpatient clinic with its own ICU-style unit (Advanced Rapid Detox, All Opiates Detox), and a setting the program does not describe (Rapid Drug Detox Center). The questions to ask start here.

ANR, Accelerated Neuro-Regulation

ANR Clinic in Florida uses sedation in a hospital ICU, so it appears on this list, but it describes what it does as a different category. In the clinic's own words, ANR is not a detox: the stated aim is to treat the dependency itself by restoring the balance of the endorphin-receptor system during about 4 to 5 hours of sedation, so that withdrawal and craving do not return afterwards, followed by naltrexone tablets with a dose set at discharge. The clinic publishes a page setting out how it sees the difference from rapid detox. ANR Clinic profile, the clinic's own comparison.

ANR Clinic is listed with the same fields as every other program, under the label the clinic uses.

What follows the procedure

Every program sends patients home on an opioid antagonist. The forms differ: naltrexone tablets (ANR Clinic, Advanced Rapid Detox as one option), a Vivitrol injection (Dr. Yee, Opiate Detox Institute, Advanced Rapid Detox as the other option, All Opiates Detox as one option), or a naltrexone implant (All Opiates Detox, and the Coleman Institute's current non-anesthesia program). The implant is not FDA-approved in the United States; ask any program offering one how it is sourced.