Accelerated Micro Induction Protocol – Fentanyl Medical Detox

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Accelerated Micro Induction (AMI) Protocol at Gallus Medical Detox

As a Center of Excellence, Gallus Medical Detox Centers has created a new protocol that addresses the ongoing opioid crisis, specifically fentanyl. The goal was to help patients with opioid use disorder (OUD) with fentanyl addiction experience a more comfortable detox and have a shorter length of stay.

In 2017, Gallus started seeing more patients testing positive for fentanyl in our detox centers, which presented a challenge. Fentanyl is a synthetic opioid pain reliever that is 50 to 100 times more powerful than morphine. Because of the way fentanyl works in the body, we can effectively treat withdrawal symptoms until fentanyl has had enough time to leave the patient’s system prior to starting detox.

Common Opioid Withdrawal Symptoms:

  • Muscle aches
  • Inability to sleep
  • Diarrhea
  • Abdominal cramping
  • Excessive sweating
  • Nausea and vomiting
  • High blood pressure
  • Anxiety
  • Restlessness
  • Rapid heartbeat
  • Teary eyes
  • Blurry vision


Gallus’ initial Progressive Induction for OUD still represents a successful approach, with decreased withdrawal symptoms and an 8-day length of stay. After much research and utilizing Gallus’ 10+ years of experience with medical detox, specifically opioids, Gallus developed a method to start the detox process immediately for these OUD patients. Gallus created the Accelerated Micro Induction (AMI) protocol to combat this waiting period and shorten the patient’s length of stay, while decreasing their withdrawal symptoms.

Patient Outcomes

Patients using the new AMI protocol for fentanyl detox experienced a significantly lower Clinical Opiate Withdrawal Scale score (COWS), an 11-item scale designed to help clinicians determine the severity of opiate withdrawal. Gallus found that the new AMI protocol lowered patient COWS scores an average of 4.4 points, or 42% a day, over the three days prior to full detox. Additionally, the patient’s length of stay has lowered to 7 days from 8, allowing the patient to transition to aftercare more quickly.


PHQ-9 Results

In addition to the Gallus Method achieving dramatic improvement in managing withdrawal symptoms, new patient research is showing a clinically and statistically significant decrease in depression, an average drop of 5.88 points, during inpatient medical detox treatment as measured using the PHQ-9.

The PHQ-9 has 9 questions with a top score of 27 and is a highly valid tool for measuring depression. We have administered PHQ-9s on 254 patients in 2020. On average patients score an 11 at admission and a 6 at discharge on this scale. An 11 indicates moderate depression and a 6 indicates mild depression. This is clinically significant and demonstrates that Gallus Detox reduces depression in a short period of time.


If you or a loved one needs opioid detox, call Gallus Medical Detox Centers today and see how we can help towards recovery: (888) 306-3122.