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How important are saunas in a drug rehab?

  • Asks ...

    How important is it to get into rehab that uses saunas as a way to really sweat out all of the drug metabolites. Some programs seem to use them extensively and others very minimally or not at all. Is this a necessary part of a treatment program?

  • Dr. David Sack Says ...
    Dr. David Sack

    Most drugs of abuse are metabolized by the liver and excreted by the kidneys in urine or by the liver in bile.  There is no evidence that perspiration, which is presumably the mechanism by which a sauna would work, contributes significantly to this process or achieves results that would not otherwise be achieved through normal processes.  With saunas there is also the risk of medical complications through electrolyte loss and imbalance, dehydration and hyperthermia.  Given the lack of scientific evidence to support detoxification through this method, I would not recommend it as a first choice for treatment.

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