Cocaine · Detox
Cocaine Detox in Los Angeles
Medically supervised cocaine detox in Sun Valley with 24/7 nursing, mental-health support and a direct path into treatment.
Medically reviewed by Dr. Eric Chegouri, MD, Medical Director · Last reviewed November 7, 2026
Deciding to stop using cocaine often happens in a hard moment: the morning after a long weekend, a scare with your heart, money that no longer adds up, or someone you love finally saying what they have seen. Whatever brought you here, the next step does not have to be figured out alone.
This page walks through medical cocaine detox at Reggie's Recovery in Sun Valley, from the first phone call through the first 72 hours and the plan for what comes next. It is written for people considering detox for themselves and for families trying to understand what their loved one will experience.
Quick answer
Medical cocaine detox in Los Angeles gives you a safe, cocaine-free place to get through the crash and the first week of cravings with 24/7 nursing, an on-call physician and mental-health monitoring. At Reggie's, a DHCS-licensed, Joint Commission–accredited program, detox takes place at our Sun Valley campus, typically lasts 5 to 10 days and leads directly into residential care. Admissions answers 24/7 at (818) 355-1200.
At a glance
- Setting
- Private suites on our hilltop Sun Valley campus
- Typical length
- 5 to 10 days, based on clinical need
- Staffing
- 24/7 nursing with an on-call physician
- Medications
- Comfort care as appropriate; no FDA-approved drug for cocaine use disorder
- Admission
- Most people admitted the same day
- Insurance
- Most PPO plans; free verification in 15–30 minutes
Do you need medical detox for cocaine?
Cocaine withdrawal is mainly psychological. It is not typically physically life-threatening the way alcohol or benzodiazepine withdrawal can be, and not everyone who uses cocaine needs an inpatient stay. But many people do benefit from one, because the first one to two weeks after stopping are when depression, cravings and relapse risk are highest.
Inpatient detox is especially worth considering if any of these sound familiar:
- You have tried to stop on your own and ended up using again within days
- You use in binges that last through the night or across a weekend
- You feel deeply depressed, hopeless or have thoughts of self-harm after using
- You also drink heavily, take sedative pills or use opioids
- You have chest pain, heart problems, high blood pressure or seizures in your history
- Your home, friends or job keep you close to cocaine
- You have anxiety, depression, ADHD or trauma that has never been treated
If you are not sure, that is what an assessment is for. Our anonymous Self-Check can help you think it through privately, and our admissions team can talk through options without pressure. For a detailed look at symptoms, read our guide to cocaine withdrawal and the crash.
Where can I detox from cocaine in Los Angeles?
Reggie's Recovery provides inpatient medical detox and residential treatment at our hilltop campus at 9250 Del Arroyo Dr in Sun Valley, in the northeast San Fernando Valley. The setting is quiet and residential, with views over the valley toward the San Gabriel Mountains, which gives people real distance from the nightlife, contacts and routines tied to cocaine use.
The campus is a short drive from Burbank, Glendale, Pasadena and the rest of Los Angeles, and our admissions team can coordinate transportation if you need it. Many of the people we see are working professionals who value discretion. Care is protected by HIPAA and 42 CFR Part 2, the federal confidentiality rule for substance use treatment, and we do not notify your employer. You can see the communities we serve on our areas we serve page.
How do I get admitted to cocaine detox?
Admission follows three steps, and most people complete them in under two hours:
- Step 1Call admissions
Call (818) 355-1200, any time of day or night. You will speak with someone who asks about your use, health and goals, and answers your questions. Self-referral is welcome.
- Step 2Verify insurance
Share your insurance details and we check your benefits for free, usually in 15 to 30 minutes. If you are self-paying, we can discuss options.
- Step 3Begin treatment
Most people are admitted the same day. We can coordinate transportation and help with FMLA paperwork if you need time away from work.
Our admissions page lists what to bring and what to leave at home. In general, plan for comfortable clothes, a photo ID, your insurance card and a list of any medications you take.
What happens in the first 72 hours of cocaine detox?
The first three days are usually about the crash: the body and brain catching up on sleep and food after a run of use. Here is what that period typically looks like in our care.
Arrival and assessment
Soon after you arrive, a nurse checks your vitals and the team completes an initial assessment, including bloodwork and a mental-health screening. You will be asked about your substance use, physical health, sleep, mood and any history of depression, anxiety, psychosis or self-harm. This shapes your individual detox plan.
Rest and recovery
Many people sleep for long stretches in the first day or two. That is normal, and the nursing team checks on you regularly while you rest. Appetite often returns, and chef-prepared meals help rebuild a body that may have gone days without real food.
Mood and safety checks
Low mood, anxiety and irritability are common. Staff keep a close eye on how you are feeling and watch for signs of severe depression, suicidal thoughts or paranoia. Psychiatric input is available when needed, and the on-call physician is involved if your heart rate, blood pressure or other vitals raise concern.
Starting to talk
Once you are stable, light counseling begins. This is not intensive therapy yet; it is a chance to start making sense of what happened and what you want next. With your consent, the team can also give your family updates.
What does comfort care look like in cocaine detox?
Comfort care is the practical, human side of detox. It covers everything that makes the crash more bearable and lowers the chance that you leave early to escape the low:
| Common challenge | How care typically helps |
|---|---|
| Exhaustion and heavy sleep | A private suite, quiet nights and regular nursing check-ins |
| Insomnia later in the week | Sleep routines and, where appropriate, comfort medications chosen by your care team |
| Anxiety and irritability | Calm surroundings, supportive staff and clinical review of symptoms |
| Depression and hopelessness | Mental-health monitoring, counseling and psychiatric input when needed |
| Hunger and depletion | Chef-prepared meals and attention to hydration |
| Cravings | A cocaine-free environment, distraction, early coping skills and staff to talk to |
We do not publish medication names or doses for comfort care, because every plan is set individually by the medical team based on your assessment, history and symptoms.
Is there medication for cocaine detox?
According to NIDA, there is currently no FDA-approved medication for cocaine use disorder, and no medication reverses cocaine withdrawal. Researchers continue to study options, but for now the evidence base for treatment is behavioral therapy.
That said, medication still has a role. Your care team may treat specific symptoms such as anxiety or insomnia, and may address co-occurring conditions such as depression or ADHD through dual-diagnosis care and psychiatric medication management.
If you also use opioids, medication-assisted treatment with buprenorphine (Suboxone) or naltrexone may be considered for the opioid side of the picture. If alcohol is part of the pattern, naltrexone and other FDA-approved alcohol-recovery medications may be considered. Reggie's does not offer methadone.
How long does cocaine detox take?
Inpatient detox at Reggie's typically lasts 5 to 10 days. For cocaine, the length depends less on physical withdrawal and more on how quickly sleep, mood and stability return. Your care team will consider:
- How long and how heavily you used, and how recent the last binge was
- Whether alcohol, sedatives or opioids were also involved
- How severe the depression or anxiety is during the crash
- Any heart or other medical concerns
- Whether you are moving straight into residential care
Detox is a starting line, not the whole race. Cravings and low mood can continue for weeks after the crash, which is why we recommend moving directly into treatment rather than going home after detox.
Does insurance cover cocaine detox?
Substance use disorder treatment is an essential health benefit under the Affordable Care Act, and many PPO plans cover medical detox and follow-up care for cocaine use disorder at least in part, depending on your plan. Reggie's works primarily with PPO plans. HMO coverage for our level of care is more limited, but we can point you toward resources. We generally don't accept Medi-Cal, but if that's your coverage we'll connect you with a provider who does.
Verification is free, confidential and usually takes 15 to 30 minutes. You can start on our insurance page, or decode your card first with our free Insurance Decoder. Self-pay and financing options can also be discussed.
What happens after cocaine detox?
Because there is no medication that treats cocaine use disorder, what happens after detox is where most of the healing happens. A typical path looks like this, though your plan will be built around your assessment:
| Stage | Focus | Typical length |
|---|---|---|
| Residential treatment | Daily individual and group therapy, CBT, DBT, family work and dual-diagnosis care in Sun Valley | 30 to 90 days, extended by clinical need |
| PHP | About 5 to 6 hours of therapy a day, 5 to 6 days a week, at Reggie's Treatment Center | Typically 4 to 6 weeks |
| IOP | 3-hour sessions, 3 to 5 days a week, morning or evening tracks | Typically 8 to 12 weeks |
| Sober living | Structure, accountability and random testing while life rebuilds | 30 days to 12+ months |
In residential and outpatient care, therapy focuses on the skills that protect recovery from cocaine: recognizing triggers, handling cravings, managing stress and money, and rebuilding relationships. NIDA describes cognitive behavioral therapy and contingency management as behavioral approaches with research support for stimulant use disorders. Learn more about the full program on our cocaine rehab page.
How do you choose a cocaine detox program?
When you compare detox programs in Los Angeles, these questions can help you tell them apart:
- Is the program licensed by the California Department of Health Care Services (DHCS) and accredited by a body such as The Joint Commission?
- Is nursing on site 24 hours a day, with a physician available?
- Does the team screen for depression, suicidal thoughts and psychosis, and have psychiatric support?
- Can they safely handle alcohol, sedative or opioid use alongside cocaine?
- Is there a direct path into residential or outpatient treatment after detox?
- Will they verify your insurance and explain what you may owe before you arrive?
Reggie's is DHCS licensed and certified and accredited by The Joint Commission, with 24/7 nursing, an on-call physician and on-staff psychiatric care. If you are helping someone else find care, our family resources can help you plan the conversation.
Key takeaways
- Medical detox gives you a safe, cocaine-free place to get through the crash and the first week of cravings.
- Detox at Reggie's takes place in Sun Valley and typically lasts 5 to 10 days.
- There is no FDA-approved medication for cocaine use disorder; care focuses on safety, sleep, mood and comfort.
- Fentanyl contamination is a real overdose risk; keep naloxone nearby.
- Moving straight from detox into treatment gives recovery the best footing.
Sources & further reading
- NIDA — Cocaine research topic — cocaine effects, withdrawal and behavioral treatment research.
- Centers for Disease Control and Prevention (CDC) — Overdose Prevention — fentanyl and stimulant-involved overdose information.
- SAMHSA National Helpline — free, confidential, 24/7 treatment referral at 1-800-662-4357.
- 988 Suicide & Crisis Lifeline — call or text 988, available 24/7.
- U.S. Food and Drug Administration (FDA) — information on approved addiction medications.
This page is educational and does not replace medical advice. If you are in crisis, call 911 or call or text 988.
FAQs
Cocaine Detox Questions
We do not recommend detoxing from cocaine alone at home. Although cocaine withdrawal is not usually physically life-threatening, the crash can bring severe depression and suicidal thoughts, cravings peak when your supply and contacts are within reach, and hidden alcohol or sedative use can cause dangerous withdrawal. A medical assessment can tell you what level of care is safest.
Inpatient detox at Reggie's typically lasts 5 to 10 days. The exact length depends on how heavily you used, whether other substances were involved, how quickly your sleep and mood stabilize, and any medical concerns. Most people move directly from detox into residential treatment so there is no gap in care.
There is no FDA-approved medication for cocaine use disorder, according to NIDA. During detox, the care team may use comfort medications where appropriate to ease symptoms such as anxiety or poor sleep, and may treat co-occurring conditions. If opioids or alcohol are also involved, medication-assisted treatment may be considered for those. Plans are set individually.
Often, yes. Admissions answers 24/7, most people complete the process in under two hours, and most are admitted the same day. The three steps are a call to (818) 355-1200, a free insurance check that usually takes 15 to 30 minutes, and arrival at our Sun Valley campus. We can help coordinate transportation.
We do not notify your employer. Substance use treatment records are protected by HIPAA and by 42 CFR Part 2, a federal rule that adds extra confidentiality for addiction care. If you need time away from work, we can help with FMLA paperwork, which allows protected leave without sharing your diagnosis details with coworkers.
Tell the admissions team. Mixed use is common, and it changes the safety plan. Alcohol and benzodiazepine withdrawal can cause seizures and can be life-threatening, so they need medical supervision. Our detox treats polysubstance use, and your care team will build a plan around everything you have been taking.
Many PPO plans cover medical detox for cocaine use disorder at least in part, depending on your plan. Reggie's works primarily with PPO plans, and we verify benefits for free, usually in 15 to 30 minutes. HMO coverage for our level of care is more limited, but we can point you toward resources. We generally don't accept Medi-Cal, but if that's your coverage we'll connect you with a provider who does.