Withdrawal
person on couch looking out window while considering hydrocodone withdrawal symptoms
By BrightView
Published: May 18, 2025
Updated: June 4, 2025

Hydrocodone is a commonly prescribed opioid medication used to treat moderate to severe pain. While effective in pain relief, it can also lead to physical dependence, especially when taken for an extended period or in higher-than-prescribed doses. When someone stops taking it, they may experience uncomfortable and even dangerous withdrawal symptoms. 

If you’re considering stopping hydrocodone or supporting someone who is, it’s important to understand what the withdrawal process looks like and how to safely navigate it. At BrightView, we offer a comprehensive medication assisted treatment program that combines FDA-approved medications with counseling and case management. This integrated approach helps manage withdrawal symptoms and supports long-term recovery. 

What is hydrocodone withdrawal? 

Hydrocodone withdrawal occurs when the body reacts to the absence of the drug after physical dependence has developed. This process is the body’s way of adjusting to functioning without the presence of opioids. While withdrawal is a natural part of stopping opioid use, it can be uncomfortable. In some cases, it may be intense enough to interfere with daily life or increase the risk of returning to use. 

Causes of hydrocodone withdrawal 

The causes of hydrocodone withdrawal are rooted in the way opioids affect the brain and body. Over time, regular use of hydrocodone changes how the brain processes pain and pleasure. The body becomes reliant on the drug to function normally, and when it’s no longer present, the brain and nervous system experience a “shock” as they try to reestablish balance. 

Some common factors that influence the likelihood and severity of withdrawal include: 

  • How long someone has been taking hydrocodone 
  • The dosage and frequency of use 
  • Whether the drug was used as prescribed or not 
  • Overall physical health and medical history 

Symptoms of hydrocodone withdrawal 

Hydrocodone withdrawal symptoms can vary in severity and duration depending on the individual. Most symptoms begin six to twelve hours after the last dose and peak within the first few days. 

Common symptoms of hydrocodone withdrawal include: 

  • Muscle aches and joint pain 
  • Nausea, vomiting, and diarrhea 
  • Excessive sweating or chills 
  • Anxiety, irritability, or mood changes 
  • Insomnia or disturbed sleep 
  • Cravings for hydrocodone 
  • Shaking or tremors 
  • Increased heart rate and blood pressure 

In some cases, lingering symptoms like fatigue, difficulty concentrating, and depression may persist for weeks or months, a condition referred to as post-acute withdrawal syndrome (PAWS). 

Management of hydrocodone withdrawal 

The management of hydrocodone withdrawal is best done under medical supervision. At BrightView, we offer outpatient care that combines medications with counseling and case management to help ease withdrawal and reduce the risk of relapse. 

Our approach includes: 

  • Medication assisted treatment (MAT): Medications such as buprenorphine can reduce cravings and withdrawal symptoms. 
  • Individual and group therapy: Evidence-based therapies like cognitive-behavioral therapy (CBT) help address the emotional side of withdrawal. 
  • Case management: Our team of case managers will assist you by offering guidance and resources that can help with education, career, housing, and more.  
  • Flexible outpatient scheduling: We offer same-day appointments, walk-ins, and telehealth options to meet you where you are. 

We treat each patient with compassion and respect, tailoring treatment plans to each person’s unique needs and goals. 

Looking ahead: prevention and prognosis 

Getting through withdrawal is just one part of the recovery journey. Preventing relapse and building a strong foundation for long-term wellness requires continued care and support. 

Steps to support long-term recovery: 

  • Continue therapy: Regular counseling can help you stay motivated and focused. 
  • Build healthy routines: Sleep, nutrition, and physical activity all support mental well-being. 
  • Avoid triggers and high-risk situations: Create a plan to manage stress and cravings. 
  • Stay connected with your care team: Ongoing communication with your BrightView providers ensures continuity of care. 

The prognosis for someone going through hydrocodone withdrawal improves significantly with professional treatment. With the right support, many patients successfully reduce or eliminate their opioid use and regain control of their lives. 

Start your recovery with BrightView 

If you’re ready to take the next step, BrightView is here for you. Our outpatient programs are accessible, personalized, and built around your schedule — no inpatient stays required. We accept Medicaid, Medicare, and most insurance plans, and we never turn anyone away based on financial or personal circumstances. 

You don’t have to go through this alone. Call BrightView at 888.501.9865 or complete our quick online scheduling form to learn more about starting treatment.