Columbia Suboxone Clinic Blog
Opioid Withdrawal Timeline: What Telehealth Can Treat
Understanding the opioid withdrawal timeline is one of the most important steps for people considering treatment. Many people in Tennessee delay getting help because they fear withdrawal symptoms or believe they must suffer through detox alone. The good news is that telehealth opioid treatment can safely treat withdrawal symptoms at nearly every stage—without traveling to a clinic or enduring unnecessary discomfort.
At Recovery Care of Columbia, we help patients across Tennessee start treatment from home using evidence-based Suboxone (buprenorphine) care delivered through secure telemedicine.
Accredited, 100% Virtual Addiction Treatment for Tennessee
Recovery Care of Columbia provides evidence-based Suboxone treatment through secure telemedicine, staffed by licensed Tennessee clinicians. No clinic visits required.
- Serving all communities across Tennessee
- Accredited by The Joint Commission
- Owned and operated by people in long-term recovery
What Is the Opioid Withdrawal Timeline?
The opioid withdrawal timeline refers to the predictable pattern of symptoms that occur when someone reduces or stops opioid use. While the exact experience varies by person, opioid type, and length of use, withdrawal typically follows several stages.
Common opioids that cause withdrawal include:
- Oxycodone
- Hydrocodone
- Percocet
- OxyContin
- Morphine
- Heroin
- Fentanyl
- Methadone
- Kratom and 7-OH products
Withdrawal is not a sign of weakness—it’s a medical response to physical dependence.
Early Withdrawal (6–24 Hours After Last Use)
Symptoms in the Early Stage
Early withdrawal often begins within the first day after stopping opioids, especially short-acting ones.
Symptoms may include:
- Anxiety or restlessness
- Muscle aches
- Sweating
- Runny nose
- Yawning
- Trouble sleeping
- Cravings
This stage is when fear often sets in, especially for people in cities like Murfreesboro, Bell Buckle, LaVergne, Nashville, Oak Hill, and Ridgetop, who may not have easy access to in-person care.
How Telehealth Can Treat Early Withdrawal
Telehealth allows patients to:
- Meet with a licensed provider from home
- Start Suboxone at the right time to avoid precipitated withdrawal
- Receive medical guidance during the most uncomfortable early phase
At Recovery Care of Columbia, many patients begin treatment the same day they reach out.
Why Use Recovery Care of Columbia Telehealth for Help With Opioid Withdrawal?
- Accredited by The Joint Commission
- Clinic owners in long-term recovery
- Over 100+ Google Reviews (from real patients)
- Recipient of Tennessee’s very first Virtual OBOT medical license
- Over 1000 patients served since 2021
- 2025 regional award winner for the “Best Substance Abuse Facility” by Best of Tennessee
- Same-day Suboxone prescriptions
- A kind and caring staff, some who are in recovery
- Overnight Suboxone delivery available in most areas (the pharmacy charges a delivery fee)
- A compassionate team of caring doctors, nurse practitioners, counselors, and administrators who genuinely care about your recovery.
- No clinic visits, ever. 100% online Suboxone treatment statewide
- Same-day appointments available every Monday through Friday from 8:00 AM to 5:00 PM (based on availability)
- Evening appointments available every Monday and Wednesday until 9:00 PM
Our helpful staff is happy to answer any questions you may have. Call us or send us a text at (931) 548-3062, or message us securely using the Spruce Health mobile app.
Worried about starting online addiction treatment? Learn what to expect during your first Suboxone telemedicine appointment.
Peak Withdrawal (Days 2–5)
When Symptoms Are Most Intense
Peak withdrawal is often the most physically and emotionally difficult part of the opioid withdrawal timeline.
Symptoms may include:
- Nausea and vomiting
- Diarrhea
- Severe body aches
- Chills and hot flashes
- Elevated heart rate
- Depression or panic
- Strong cravings
This stage is where many people relapse—not because they want to use, but because they want relief.
Telehealth Suboxone Treatment During Peak Withdrawal
Suboxone (buprenorphine/naloxone) is FDA-approved to:
- Reduce withdrawal symptoms
- Control cravings
- Stabilize the nervous system
Through telehealth:
- Providers carefully guide induction timing
- Prescriptions are sent to local pharmacies or delivered
- Patients receive support without leaving home
According to SAMHSA, medication-assisted treatment is the gold standard for opioid use disorder.
Post-Acute Withdrawal (Weeks to Months)
Lingering Symptoms After Detox
Even after physical symptoms improve, many people experience post-acute withdrawal symptoms (PAWS), such as:
- Fatigue
- Low motivation
- Mood swings
- Anxiety or depression
- Sleep disruption
- Ongoing cravings
These symptoms are a major reason people return to opioid use weeks after detox.
How Telehealth Supports Long-Term Recovery
Telehealth treatment doesn’t stop after detox. Ongoing virtual care helps patients:
- Stay stabilized on Suboxone
- Adjust dosing as needed
- Access counseling support
- Maintain accountability
Recovery Care of Columbia provides continuous care, not just short-term detox support.
Why Telehealth Works for Opioid Withdrawal in Tennessee
Telemedicine has transformed addiction treatment, especially for rural and underserved communities across Tennessee.
Benefits include:
- No transportation required
- Private, secure appointments
- Works on any smartphone
- Same-day treatment availability
- Access statewide, including Memphis-area suburbs and smaller towns
Our clinic has treated 1,000+ patients, is Joint Commission Accredited, and was among the first clinics in Tennessee licensed for virtual OBOT care.
What to Expect When You Start Telehealth Treatment
Step 1 — Register Online
Patients can register in minutes:
- Register for virtual Suboxone treatment with TennCare Medicaid
- Register for online Suboxone therapy using commercial insurance
- Schedule a virtual Suboxone doctor appointment as a self-pay patient
- Register as a returning patient
- Apply for our Sliding-Scale Program
- View insurance plans we accept and self-pay pricing
- We accept all TennCare Medicaid plans, including Amerigroup Community Care, BlueCare, United Healthcare Community Plan, and Wellpoint Community Care
- We accept all major health insurance plans, including BCBS, Cigna, Ambetter, and United Healthcare, as well as all TennCare Medicaid insurance: Amerigroup Community Care, BlueCare, United Healthcare Community Plan, and Wellpoint Community Care.
Not sure if your insurance covers treatment? Click here to check your insurance coverage.
Experience a safe transition from hydrocodone, oxycodone, OxyContin, heroin, fentanyl, methadone, morphine, Kratom, 7-OH (7-Hydroxy-opioids), Tramadol, Opana, codeine, oxymorphone, Tramadol, Percocet, and other opioids.
Call or text us at (931) 548-3062 to speak to someone about our telemedicine Suboxone program. You can also message us securely on the Spruce Health mobile app.
Step 2 — Attend a Video Appointment
Your appointment is:
- Confidential
- Judgment-free
- Focused on comfort and safety
- Led by experienced providers and master’s-level counselors
Step 3 — Receive Same-Day Medication
Suboxone can be started safely when transitioning from:
- Fentanyl
- Heroin
- Oxycodone
- Hydrocodone
- Methadone
- Kratom
…and more, with provider guidance.
Insurance, Cost & Accessibility
Recovery Care of Columbia accepts:
- TennCare Medicaid
- Most commercial insurance plans
- Self-pay options
- Sliding-scale support when available
Learn more on our insurance and pricing page or read real patient experiences on our five-star reviews page.
Frequently Asked Questions About Opioid Withdrawal & Telehealth
Can telehealth really treat opioid withdrawal?
Yes. Telehealth Suboxone treatment is evidence-based and widely used across the U.S.
Do I have to be in withdrawal before starting Suboxone?
Yes, but your provider will guide timing carefully to reduce discomfort.
Will my employer or family know I’m in treatment?
No. Telehealth treatment is private and protected by HIPAA.
Is Suboxone safe?
Suboxone is FDA-approved and supported by the DEA and SAMHSA when used as prescribed (https://fda.gov, https://dea.gov).
What if I’ve used fentanyl?
Telehealth providers are experienced in fentanyl-specific induction protocols.
Register Today – Get Seen Today – Feel Better Tomorrow
- TennCare Medicaid addiction treatment coverage
- Commercial insurance Suboxone program acceptance
- A payment plan for self-pay telemedicine Suboxone
- A sliding-scale program for eligible patients
You can review insurance and pricing details before scheduling, so there are no surprises.
If you have TennCare Medicaid insurance, your treatment and medication costs are typically $0. If you have commercial health insurance, we will provide you with a treatment cost estimate before scheduling your first telemedicine appointment. If you don’t have health insurance, we offer biweekly and monthly payment plans.
Register for telemedicine Suboxone treatment using your TennCare Medicaid, commercial insurance, or choose a payment plan. (A sliding-scale program is also available) Click here if you’re a returning patient.
Addiction-Related Articles
External Resources
- Kratom/7-OH/7-hydroxymitragynine addiction is another opioid addiction-related issue facing Tennessean’s, thanks to it being readily available and unregulated. Learn more about Kratom addiction and virtual treatment options in Tennessee.
- DEA.gov – Opioid Addiction Resources
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- Centers for Disease Control and Prevention | CDC.gov
- National Institute on Drug Abuse
- National Center on Substance Abuse and Child Welfare