How Long Does Restoril (Temazepam) Stay in Your System?

How Long Do Benzodiazepines Stay In Your System — Benzodiazepine Detection Time

How Long Does Restoril (Temazepam) Stay in Your System?

The exact time a benzodiazepine drug may be detected for varies per drug. The length of time depends on the drug’s half-life or the time it takes for half the drug to be metabolized and eliminated from a person’s body. The type of test also determines how soon, and for how long, the drug can be detected.

Blood tests have the shortest window of detection; followed by saliva (oral fluid screening) and urine (urinalysis), which have an intermediate testing window and then the longest, hair tests.

An individual’s age, metabolism, physiology, and health or medical concerns may also influence the rate by which the drug is metabolized, thus influencing its detection. Detection time may also be dependent on the dose and frequency of use or abuse.

When a drug is consumed and metabolized by the body it’s broken down into different chemical components called metabolites. For example, diazepam (Valium) is metabolized into two other benzodiazepines, oxazepam and temazepam, in addition to the metabolite nordiazepam.

In addition to the parent drug (the drug consumed), certain drug tests look for the presence of metabolites. Mayo Clinic notes that “Benzodiazepines are extensively metabolized and the parent compounds are not detected in urine.” Even so, tests can determine if a metabolite is present, thus enabling the test administered to determine what drug was used or abused.

The exact time it takes for a medication or its metabolite to show up in urine varies. With certain medicines, these substances may show up in minutes and last for days, according to the University of Rochester Medical Center (URMC). For instance, the metabolites of diazepam (Valium) show up in urine 30 minutes after a dose is taken.

As reported by Mayo Clinic, here are the approximate detection times:

Standard urine tests don’t detect every benzodiazepine. The URMC writes that many of the common tests may not find alprazolam (Xanax), clonazepam (Klonopin), temazepam (Restoril) and triazolam (Halcion).

Should a sample test positive, it doesn’t necessarily mean that a person is actively using the drug. While many urine tests identity that a drug is present, they are not able to give the exact amount. A positive blood test, however, may be able to detect the amount of drug present in the bloodstream.

In many cases, a blood test is able to determine the parent drug, not just the metabolites. The window for testing benzodiazepines in the blood is smaller than the detection time in urine, yielding results for only a matter of hours, not days. A blood sample has the earliest and shortest window of detection.

A saliva or oral fluids test can detect benzodiazepines in a person’s system for longer than blood tests. For example, one study reported that diazepam was detected for seven days, clonazepam for five and alprazolam for two and a half days.

A hair test may test positive for benzodiazepines up to 90 days from past drug use.

Factors That Influence Benzodiazepine Test Results

While drug tests are fairly reliable, they sometimes yield inaccurate results, including false positives or false negatives.

Compared to urine, blood tests may be more reliable, since it’s harder for a person to tamper with the sample. At-home drug tests may be more prone to error, as individuals administering them may not adhere to the same strict collection procedures that a lab does.

Further, the quality and reliability of at-home collection kits are typically less than those administered by a lab. However, as noted by the FDA, certain at-home tests are sent to reputable laboratories, making these tests reliable options.

The FDA does note that several factors can influence the accuracy of a test, including:

  • the way the test was administered
  • the way the test or urine was stored
  • different foods or beverages which were consumed prior to the test
  • prescription and over-the-counter drugs are taken prior to the test

According to URMC, the following drugs may cause a false positive result in benzodiazepine urine tests:

  • etodolac (Lodine)
  • fenoprofen (Nalfon)
  • naproxen (Aleve)
  • oxaprozin (Daypro)
  • sertraline (Zoloft)
  • tolmetin (Tolectin)

In addition to false positives, drug tests may also produce negative results even when a person took drugs. A drug does not remain detectable indefinitely. Taking a test too soon or too late could yield negative results. In regards to an at-home test, the testing chemicals may no longer be good if they are beyond their expiration date or stored improperly.

Individuals with liver disease and older adults may eliminate benzodiazepine drugs more slowly. This can cause higher levels of the drug to show up on a test even when the initial dose was the same.

When Are Benzodiazepine Drug Tests Used?

A drug test monitoring benzodiazepine use may be administered by a drug rehab center, per a court order, to an athlete, to military personnel, by an employer or to hospital patients.

Individuals with a prescription for benzodiazepines may be screened for overdose if they are showing signs of confusion, poor coordination, slurred speech, breathing difficulties, unconsciousness or other signs of overdose.

On the other hand, individuals presenting in the emergency department with these symptoms, but no known prescription for these or other medications, may be given a drug test as part of a urine or blood toxicology screen. Individuals overdosing on other drugs may also be given a benzodiazepine test to rule out polydrug use.

Individuals who have experienced sexual assault may have a drug test done to determine if they have been slipped a date rape drug or “roofie,” such as the benzodiazepine Rohypnol. Medical personnel may also perform a test if they believe a person took benzodiazepines by accident or to commit suicide.

Keep in mind, even if there’s a positive result for a benzodiazepine, this does not mean that a person is necessarily abusing it.

According to the FDA, there is no way for a test to differentiate between what are acceptable levels of use (meaning prescribed use) compared to those which accompany abuse.

However, if a person does not have a prescription for a benzodiazepine, there is cause for concern. Any use of a benzodiazepine without a prescription qualifies as abuse.

Gain Control Over Benzodiazepine Abuse And Addiction Today

The benzodiazepine class of drugs includes those used to treat anxiety, insomnia, panic disorder and alcohol withdrawal. They may also be used as muscle relaxants and to induce sedation. With so many indications for treatment, this drug class is one of the most frequently prescribed in America. But with this prevalence comes a greater opportunity for drug misuse, diversion, and abuse.

Benzodiazepine drugs can be very dangerous when abused, particularly when abused with other central nervous system depressants alcohol and opioids.

Even if a person can no longer feel the peak euphoric or sedative effects of a benzodiazepine drug, it could still be in their system.

Taking more doses or using another drug in a short period of time increases the risk of respiratory depression, coma, and overdose.

Benzodiazepines form strong physical dependencies, often necessitating a medically-supervised detoxification. Following this treatment with an inpatient drug rehabilitation program is the strongest treatment plan for recovery success.

Contact to learn more about benzodiazepine drug abuse and treatment.


Restoril Withdrawal: Side Effects, Recommendations, and Timelines | DBH

How Long Does Restoril (Temazepam) Stay in Your System?

Restoril is a benzodiazepine that is prescribed for the treatment of insomnia and other sleep disorders.

It is an effective medication, but for people who are desperate for sleep relief, the temptation to abuse it can be overwhelming.

Doing so brings about several problems, including an addiction to Restoril. Attempting to stop consumption after this can cause distressing withdrawal symptoms.

Benzodiazepine Withdrawal

The danger is that when the Restoril consumption stops – either because the supply runs out or because of concern regarding addiction – the brain cannot simply return to its pre-Restoril state.

The entire central nervous system has become so dependent on the benzodiazepine to do the work of calming nervous activity for it, that the sudden deprivation of the Restoril throws multiple systems into chaos.

This process is called withdrawal, where the patient undergoes several physically and psychologically distressing symptoms because of the drug’s absence.

Restoril withdrawal is not fatal in and of itself; however, if a patient is in poor health, has a co-occurring substance abuse disorder or a mental health illness, or has genetic factors for another medical complication, then the drastic changes brought about by withdrawal can lead to the development of a medical problem that could, if left unchecked, be dangerous to health.

Specific Symptoms Of Restoril Withdrawal Are:

  •  Nausea and vomiting
  •  Diarrhea
  •  Muscle cramps
  •  Trembling and shaking
  •  Mood swings and agitation
  •  Periods of anxiety and depression
  •  Sleep disruptions
  •  Restoril cravings

While Restoril withdrawal will not cause death, the associated diarrhea and vomiting can deprive patients of vital nutrients and fluids. If these are not replenished, the resultant malnutrition and dehydration can cause organ failure, which can be life-threatening.

Unique to Restoril withdrawal is the issue of memory loss because the drug can cause short-term gaps in memory. This is why doctors are very careful when prescribing temazepam.

As a patient withdraws from Restoril, there might be brief periods of mental disorientation and confused memories.

This will pass in time, and if the patient is in the company of medical professionals, they can provide assurance and safety until memory returns.

Withdrawal is a necessary experience if a person wants to break their dependence on a benzodiazepine for their sleep needs. As a result, one of the first steps in the recovery process is to carefully wean the need for Restoril. When done with medical supervision, the process is known as medical detoxification, and it is safer and less painful than withdrawing without any help.

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Restoril (Temazepam)

To understand how and why Restoril withdrawal happens, it is necessary to look at what Restoril is and how it works. Restoril is the brand name for the generic drug temazepam, which belongs to a category of drugs known as benzodiazepines.

Benzodiazepines are specially formulated to affect the brain in a very precise way: stimulating the brain to release a particular neurotransmitter, known as GABA (gamma-Aminobutyric acid), especially for those who cannot make enough of that neurotransmitter on their own.

The GABA neurotransmitter is released to calm electrical activity in the brain and central nervous system. This is usually done as a response to stress, helping people relax, balance their mood, and prepare them for sleep.

For many people, the production and release of the GABA neurotransmitter is a normal function of their brains; many other people, however, have brains that cannot produce enough GABA. This may be due to genetic factors, substance abuse, or any number of other reasons.

Whatever the cause, people with this problem do not have the necessary GABA to regulate their moods, control their reactions to stress and anxiety, or enjoy enough sleep.

This is where benzodiazepines come in. The medications target the brain to stimulate GABA production, giving these people a burst of the necessary neurotransmitters to help them with their anxiety and/or sleep.

Benzodiazepines effectively slow down the central nervous system, inducing strong sensations of calm, rest, and tranquility. For people who are prone to insomnia or panic and anxiety attacks, this can feel a blessing.

Different benzodiazepines work at different rates. In Restoril’s case, it is within the range of a short-acting benzodiazepine to an intermediate-acting benzodiazepine.

Patients feel its effects within 20 minutes after they take a dose, and the peak effect is felt around 90 minutes later. After this point, the drug is broken down by the liver, and most of it is excreted through the urine.

Restoril’s half-life is around nine hours, meaning it takes nine hours for half of the original dose to be fully metabolized.

The Risks of Restoril

When prescribed and taken properly, a benzodiazepine Restoril can help a patient fall asleep faster, stay asleep longer, and reduce the occurrences of waking up during the night. The medication is usually limited to only one or two weeks. If insomnia continues after that period, patients should consult their doctor and not continue taking Restoril.

One reason for this is that Restoril can become habit-forming.

People receive such relief from their insomnia symptoms that they might persist with taking the drug for more than the two-week prescription period, or they might increase their doses beyond the prescribed amount.

This can provide welcome relief from insomnia, but it also has the result of the patient becoming unhealthily dependent on the GABA-boosting effects of Restoril, to the point where the only time they feel calm, relaxed, and ready for sleep is when they take it.

For others, Restoril consumption is for recreational purposes. They may not have anxiety or insomnia issues, but they enjoy the enhanced calm they feel when they take the medication, or they experience deeper sleep than they normally do. This can be pleasing at first, but it creates a harmful and unnecessary connection between relaxation and sleep and Restoril.

Additionally, the more Restoril is consumed, the increasingly higher amounts the body needs to experience the sedative effects.

This is known as drug tolerance, where a person is compelled to take more and more Restoril to feel the same basic effects, all the while forcing the brain to release the GABA neurotransmitter beyond safe levels. This is why a doctor will not prescribe Restoril for longer than two weeks.

Withdrawal Timeline

The first effects of withdrawing from Restoril are typically felt within four days of the last dose. There are multiple phases to Restoril withdrawal, and the timeline for the whole process depends on the length and extent of use if the patient was using other drugs at the same time, and the patient’s overall physical and mental health condition.

In the early stages of withdrawal, patients will ly experience a return of their insomnia because the lack of Restoril means they have insufficient GABA to calm their central nervous systems. This also has the result of an increase in anxiety levels.

To better manage this process, doctors will very gradually reduce the Restoril dose, staggering the doses so the patient has time to get used to the diminishing amounts.

They might also prescribe other benzodiazepines for their respective anti-anxiety properties, ensuring the doses are precise enough to not push the patient into becoming dependent on the new medications.

This early phase can last up to four days, after which patients will ly experience the brunt of the withdrawal symptoms.

There is sometimes severe anxiety and insomnia for those going without Restoril as well as other psychological symptoms, and people shouldn’t experience this without medical care and intervention.

Without such oversight, people might experience seizures, hallucinations, and suicidal thoughts. The best way for these to be addressed is with a combination of other medications and therapy.

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Recommendations and Recovery

Past this point, further physical and psychological symptoms might linger for a couple of weeks, but they will gradually diminish with time and care.

To ensure that withdrawal is completely over, patients should remain under observation until their doctors are sure they are ready to begin more long-term care, which will include group and family counseling, peer support, and other programs.

This will inevitably mean that Restoril is no longer an option for treating insomnia, but many other remedies can be used.

This might cover lifestyle changes, such as avoiding any chemicals caffeine that interfere with sleep, establishing a pre-sleep routine, and establishing consistent bedtime and wake-up times.

It might mean continuing to work with a therapist, a process that can help people change the thought patterns that lead to sleep problems. In some ways, this can be even more effective than sleep medications because it can address the underlying causes of insomnia.

When done right, recovery from Restoril abuse and withdrawal will allow people to enjoy healthy sleep, devoid of anxiety, without the compulsive need for chemical aids.


Restoril (Temazepam) Abuse And Addiction

How Long Does Restoril (Temazepam) Stay in Your System?

Benzodiazepines such as Restoril have a potential for addiction because they can cause physical and psychological dependence.

In addition to being dependent, an addicted individual will ly experience strong urges or cravings to use the drug and withdrawal symptoms if they suddenly stop taking it. Without treatment, these states can drive a person to abuse Restoril even more frequently and heavily.

Recovery from Restoril addiction is possible when a person receives the right care for their needs. Individualized treatment plans address the physical, mental, emotional, social, and even spiritual damage caused by addiction.

By receiving this personalized care, a person has a higher chance of regaining sobriety and a healthier life.

Understanding Restoril (Temazepam)

Restoril is the brand name of temazepam, a benzodiazepine drug that is prescribed as a short-term treatment for insomnia. As a sedative-hypnotic and central nervous system depressant, Restoril creates its sleep-inducing effect by slowing activity in the brain.

Temazepam accomplishes this by enhancing the action of the neurotransmitter gamma-aminobutyric acid (GABA). GABA blocks nerve impulses in certain regions of the brain, a characteristic that gives Restoril its sedative properties.

Restoril is recommended for short-term use, for a period of seven to 10 days. Taking this medication for longer than prescribed could increase the lihood that a person become dependent or addicted. Long-term use also increases the risk of harmful side effects.

Restoril comes as an oral capsule in 7.5 mg, 15 mg, 22.5 mg, and 30 mg doses. Restoril is a low-potency benzodiazepine drug with a short half-life. This medication has been classified by the DEA as a Schedule IV controlled substance.

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About Restoril Abuse

Restoril abuse can begin in several ways. A person may misuse their or someone else’s prescription to self-treat insomnia or anxiety. While misusing a medication to self-medicate these or other conditions doesn’t necessarily mean a person is addicted, these behaviors could set the stage for addiction.

Some people abuse Restoril because they enjoy the way it makes them feel. When taken for this purpose, Restoril may cause a buzzed feeling similar to alcohol’s effects, euphoria, or a sense of extreme relaxation.

Taking a medication to create these or other pleasurable effects is considered abuse and often leads to addiction.

Despite being weaker than some benzodiazepines, when abused frequently or in high quantities this drug can be dangerous and addictive.

People who abuse Restoril may abuse it with other depressants or downers, such as alcohol. It may also be mixed with stimulants or uppers such as cocaine or amphetamine.

The dangers of mixing Restoril with alcohol, prescription opioids, heroin, or stimulant drugs include a greater risk of addiction, coma, overdose, and/or death.

Restoril Abuse Signs And Symptoms

When a person is abusing Restoril to create a feel-good effect they may force themselves to stay awake after taking it. Not using the drug as a sleep-aid and taking the drug in greater quantities than prescribed can be telltale signs of abuse.

Altering the drug’s form can also be a red flag for abuse and addiction. As a capsule, Restoril may be opened up so the contents can be abused in other ways besides being swallowed. A person may mix the drug into food or a beverage or attempt to dissolve temazepam for an injection. Some people may also try to smoke or snort Restoril.

When a person is addicted, they will ly have all the following major signs of Restoril addiction:

  • Tolerance: A typical dose not create the feelings a person desires.
  • Cravings: Urges to find and use the drug become frequent and begin to interfere with important responsibilities in a person’s life.
  • Dependence: Frequent use of a drug causes a person’s body to become reliant on it.
  • Withdrawal: Physical dependence causes pain, sickness, or discomfort when a person discontinues a drug or substantially reduces their dose.

These states can drive a person to take Restoril more frequently and/or in higher quantities. To overcome a tolerance, feed cravings, or to prevent withdrawal, a person may continue abusing temazepam.

Continuing to use a drug despite harm to a person’s relationships, job, or health is a major sign of temazepam abuse and addiction as well.

As a person’s use becomes compulsive, they will often go to great lengths to find and use the drug. These behaviors may include buying or stealing pills from friends and family, buying pills off the street, doctor shopping, or pretending to have insomnia to get a prescription.

Restoril Abuse Short-Term Effects

When a person takes Restoril orally, the drug is rapidly absorbed into their system. The effects of temazepam can be felt in as little as 30 to 60 minutes. When a person changes the drug’s form, such as by injecting, smoking, or snorting it, the onset of action may be even faster.

When a person takes Restoril in smaller doses, they may feel a mild buzz. With higher doses, the drug may create euphoria, a sense of deep relaxation, or an anxiolytic effect that reduces anxiety.

Depending on a person’s tolerance, Restoril may induce sleep at any dose. However, if a person takes a high dose they may slip into unconsciousness or have memory blackouts.

Restoril abuse may cause dizziness or confusion. A person may also develop ataxia, a state that can resemble drunkenness and cause slurred speech, poor coordination, and trouble walking. Elderly individuals or people taking certain medications may be more apt to develop these side effects.

Restoril Abuse Long-Term Effects, Risks, And Dangers

Two of the greatest risks of long-term Restoril abuse are addiction and overdose. In addition to these, people who abuse temazepam place themselves at risk of serious mental and physical harm.

When excessive amounts of Restoril are abused, the properties of the drug can become magnified. This psychomotor slowing can impair a person’s reaction time and make it difficult for them to drive a vehicle, a combination that can increase the risk of motor vehicle accidents.

The FDA cautions that sedative-hypnotics may cause sleep-driving, which could be dangerous to both the driver and others on the street. This risk is higher when Restoril is mixed with alcohol or other central nervous system depressants.

While taking Restoril, a person may make and eat food, make phone calls, or have sex while they’re not fully awake. Typically, a person does not remember sleep-driving or doing these things.

Some individuals who have depression prior to taking a benzodiazepine drug may experience new or worsening symptoms. Abusing this drug may be very dangerous for individuals struggling with thoughts of suicide (suicidal ideation) or who have previously attempted suicide.

Further, individuals with bipolar disorder may experience mania and hypomania under the influence of benzodiazepines such as Restoril.

Individuals with severe or chronic pain may have worsening symptoms if they abuse Restoril.

Taking benzodiazepine drugs for an extended period of time may cause problems with attention and memory. Memory problems could increase if Restoril is abused with alcohol. Further, research suggests that benzodiazepines can increase the risk of dementia, including Alzheimer’s disease.

Restoril Overdose Dangers And Deaths

A Restoril overdose may be intentional or accidental. Within patterns of drug abuse, a person may take too high a dose and experience an accidental overdose. Though the risk of fatal overdose from Restoril isn’t as high as with other drugs, death is possible.

An overdose occurs when a person’s body cannot keep up with the amount of drug consumed. As a person’s body struggles to eliminate temazepam, toxic levels of the drug can build up in their system, causing an overdose.

When Restoril is taken with certain medications, such as prescription opioid painkillers, the risk of serious or life-threatening breathing problems, sedation, or coma can be much higher.

This can happen to people who abuse Restoril while taking opioid pain medications as prescribed. It can also occur when people abuse both Restoril and painkillers. When abused, a person may take high doses of both these drugs, a behavior that significantly increases these dangers.

Knowing the signs and symptoms of a Restoril overdose could help a person get themselves or someone close to them potentially life-saving care at this time.

Restoril Overdose Signs And Symptoms

When a person first starts to overdose on Restoril they may appear intoxicated, as if they are drunk on alcohol. While alcohol intoxication can itself be dangerous, believing these symptoms are due to alcohol could prevent a person from receiving the care they need at this time.

Signs and symptoms of temazepam overdose include:

  • clammy skin
  • confusion
  • dizziness
  • drowsiness
  • fainting
  • slowed reflexes
  • unconsciousness

As an overdose from Restoril progresses, a person’s symptoms may become more severe.

Because it’s a central nervous system depressant, Restoril can make a person’s blood pressure and breathing rates slow, resulting in hypotension (low blood pressure) and/or respiratory depression.

Respiratory depression can be fatal and occurs when a person struggles to breathe, to the extent their breathing may become very shallow or even stop.

A Restoril overdose can be a medical emergency. If a person has difficulty breathing, will not wake up, has collapsed, and/or had a seizure, emergency medical services should be contacted.

Restoril Withdrawal Timeline

A person who is taking a benzodiazepine at therapeutic, prescribed doses may become dependent in as little as one to two weeks. People who abuse high doses on a regular basis may become dependent even faster.

Once a person is dependent on Restoril, they will ly experience symptoms of temazepam withdrawal. As a short-acting benzodiazepine, Restoril exits a person’s body fairly quickly. Because of this, withdrawal may set in faster than with certain other benzodiazepine drugs.

Withdrawal symptoms may be felt in as little as a few hours after a person quits taking the drug and last up to several weeks, however, the timeline of Restoril withdrawal can vary from person to person. Further, if benzodiazepine withdrawal seizures develop, they most commonly happen in the first one to three days of withdrawal.

The length of addiction and amounts regularly abused can both influence the timeline and severity of withdrawal. With tapering, or gradually reducing a person’s dose, withdrawal from benzodiazepines could take several weeks.

In certain cases, a person may have withdrawal symptoms for several months after they stop using Restoril, a condition known as post-acute withdrawal syndrome or PAWS.
Also known as protracted withdrawal, PAWS happens when a person has withdrawal symptoms beyond what is known as acute withdrawal, or the period of withdrawal most people are familiar with.

Restoril Withdrawal Signs And Symptoms

If a person’s dose isn’t tapered gradually, withdrawal symptoms of Restoril can resemble those caused by alcohol and barbiturate addiction. They may include:

  • abdominal cramps
  • convulsions
  • muscle cramps
  • sweating
  • tremor
  • vomiting

People who have abused large amounts of Restoril for a significant length of time are more prone to developing severe withdrawal.

Quitting temazepam cold turkey may cause seizures or a severe, long-lasting, and potentially deadly type of seizure known as status epilepticus.

Individuals who abuse small doses of the drug may experience more mild and manageable withdrawal symptoms, such as dysphoria (unhappiness or unease) and insomnia.

Restoril Withdrawal And Detox Programs

Due to the risks and dangers of benzodiazepine withdrawal, an inpatient medical detox program for Restoril may be recommended.

Bearing in mind withdrawal complications that could occur, such as deadly seizures, a person should be monitored continuously to ensure they are safe and comfortable as they detox from Restoril.

Enrolling in a residential medically supervised detox program for temazepam allows a person to detox under 24-hour supervision.

During a detox from Restoril, a gradual taper using medications may be used to alleviate the pain and discomfort caused by withdrawal. Other medications may be used to treat insomnia or dysphoria that accompanies withdrawal.

Withdrawing from Restoril can be emotionally and mentally challenging. Because of this, our highly-trained and compassionate staff will be standing by to offer comfort, guidance, and encouragement at this critical time.

We are here to help you through every aspect of recovery. Let us call you to learn more about our treatment options.


Finding A Restoril Drug Rehab Program

An inpatient drug rehab program for Restoril addiction offers intensive treatment for people who are working to recover from addiction and mental health disorders that accompany addiction.

The most effective programs provide a comprehensive evaluation so that each client’s treatment plans are individualized to their needs.

Many people who have addiction also struggle with a mental health disorder, such as those who first began abusing Restoril to self-medicate anxiety. When addiction occurs with a mental illness it’s called a co-occurring disorder or dual diagnosis.

At Vertava Health Texas, we offer compassionate and research-based dual diagnosis addiction treatment. Behavioral therapies and counseling help our clients build strong recoveries from both addiction and mental health problems.

We also use exciting and rejuvenating alternative approaches to treat addiction, such as adventure, expressive, and wilderness therapies.

Reach out to Vertava Health Texas today for more resources on Restoril abuse, addiction, and treatment.


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