Skip to content
Costa Rica Treatment Center
Safe, peaceful nature path surrounded by lush Costa Rican greenery

Medical detox program in Costa Rica

Safe. Supervised. Never alone.

Medical detox is the first and most critical phase of recovery. At CRTC it is managed by our clinical and nursing team around the clock. You do not need to have stopped using before you arrive. You just need to arrive.

  • 30-day guarantee · Continued care commitment*
  • 24/7 medical supervision
  • All substances. One team.
4.6 Google reviews
Licensed and accredited
IAFA · Instituto sobre Alcoholismo y FarmacodependenciaMinisterio de Salud · Costa RicaColegio de Enfermeras de Costa Rica
Colegio de Profesionales en Psicología de Costa RicaColegio de Médicos y Cirujanos de Costa Rica
Close-up of large green leaves, with the soft blur of a room behind them.
What is medical detox

Detox is not punishment. It is the first act of care.

Medical detox is the process of clearing substances from the body under clinical supervision. For many substances this process comes with withdrawal symptoms that range from uncomfortable to medically serious. Managing those symptoms safely, with real professional support, is what separates medical detox from trying to stop alone.

At CRTC medical detox is not a gate you pass through before the real treatment begins. It is the first chapter of recovery. The moment a client arrives, the clinical relationship begins. The team is present from the first hour. And the work of understanding who this person is and what they need starts immediately.

Substances we detox

Every substance. One experienced team.

Our medical team is experienced in managing detox from the full range of substances. Each substance creates different withdrawal patterns and different clinical requirements. We address all of them.

  • Alcohol

    One of the most medically serious withdrawals. Seizures, severe anxiety and other complications are real risks without proper supervision. Our medical team manages alcohol detox with clinical precision and around-the-clock monitoring.

  • Opioids and heroin

    Intensely uncomfortable physically and psychologically. Medication-assisted support is available where clinically appropriate. Our team manages the timeline safely.

  • Benzodiazepines

    One of the most dangerous withdrawals. Tapering protocols are essential and managed by our medical team with careful clinical oversight.

  • Cocaine, meth and stimulants

    Primarily psychological withdrawal. Severe depression, fatigue and cravings are common. Clinical and psychiatric support begins from the first day.

  • Polysubstance

    Multiple substances create multiple withdrawal patterns and timelines. Our team builds a detox protocol specific to each combination.

  • Prescription drugs, marijuana and other substances

    All assessed individually and managed according to the specific clinical requirements of each substance.

How it works at CRTC

From the moment you arrive, you are in our care

You do not need to have stopped using before you arrive. You do not need a plan. You just need to get here.

A man walking a garden path between low hedges, trailing a hand through the leaves.
Step 1

Arrival and assessment

Our team meets you at San José International Airport and transfers you directly to your center. On arrival a comprehensive medical and clinical evaluation begins. Your substance use history, current health, medications and any co-occurring conditions are all assessed before anything else.

A half-finished jigsaw puzzle on a wooden table, with an armchair and a guitar behind.
Step 2

Detox protocol

Based on the assessment our medical team builds a detox protocol specific to you. The substances involved, the dosage, the duration of use and your individual health picture all shape the approach. Nothing is standard. Everything is designed for you.

A sunlit lawn running to a line of trees, with green hills in the distance.
Step 3

Around the clock supervision

Our clinical and nursing team monitors you throughout the detox process. Withdrawal symptoms are managed. Your comfort is a priority. Medication support is available where clinically appropriate. You are never left alone.

The edge of the infinity pool meeting the treetops and a cloudy sky.
Step 4

The bridge to residential

As the detox phase completes, the clinical team begins preparing your individualized residential treatment plan. The transition is seamless. Nothing starts over. The team that walked you through detox is the same team that will walk you through what comes next.

The CRTC team, about a dozen people in black, standing together in the living room at San José.
Built from the inside

A team that knows this journey

CRTC began with our founder's own recovery, and with the gaps he found in the care he received.

Today the program is run by a multidisciplinary team: an addiction psychiatrist, physicians, clinical psychologists, counselors and holistic therapists, alongside an admissions team that answers every call. When you reach out you are not talking to a call center. You are talking to people who do this work every day and understand where you are right now.

What comes after detox

Detox is the beginning. Not the destination.

At CRTC detox flows directly into residential treatment. There is no gap. No handoff to a different facility. No starting over with a new team that does not know you. The same team that managed your detox continues with your residential treatment. Your individualized plan is already being built while detox is still in progress.

  1. I

    Medical detox

    One of the most dangerous moments in recovery is immediately after detox ends. The body has cleared. The withdrawal has passed. And without a proper clinical program to step into, the risk of relapse is high.

  2. II

    Residential treatment

    Detox flows directly into residential treatment, where the deeper clinical work happens. The same team, the same plan, no starting over.

  3. III

    Reintegration

    As you step back toward daily life, the structure of residential gives way to reintegration. Still with the same team beside you.

  4. IV

    Aftercare

    One journey. One team. All the way through.

Whoever brought you here

You will not face this alone

For family

You are here for someone you love

You are here for someone you love. The fear of withdrawal is one of the most common reasons families wait. We want you to know that with proper medical support, your loved one can get through detox safely. We have done this hundreds of times.

For you

You are here for yourself

You are here for yourself. You may be afraid of what withdrawal feels like. That fear is valid. What we can tell you is that with our team beside you from the first hour, you will not face it alone.

Their words. Their journey.

From people who have been here

★★★★★
When I arrived at CRTC, I was hopeless and broken. The night before, I had almost ended my life with a bottle of methadone pills just to make the pain stop. I didn't really feel like I deserved another chance at recovery. Before coming to…
★★★★★
I'm so grateful I chose CRTC. They gave me the knowledge to understand, address and change my self destructive behaviours. I really liked the holistic approach to heal my mind, body and spirit. The program content was comprehensive enough…
★★★★★
CRTC gave our daughter her life back and a fighting chance. I have waited a full year to write this review. I am a mom of a 21 year old girl that went through the full 90 day in-patient CRTC program, arriving in September of 2023. 
We are…
Why CRTC for medical detox

The things that make this different

24/7 medical supervision
Our clinical and nursing team is present around the clock throughout the detox process. No shift handoffs that lose continuity. Real presence
All substances
We are equipped to manage detox from alcohol, opioids, benzodiazepines, stimulants, polysubstance presentations and prescription drugs
Seamless transition
Detox flows directly into residential treatment with the same team. Nothing starts over and no handoff to a facility that does not know you
Individualized protocol
Every detox protocol is built specifically for you, shaped by the substances involved, the dosage, the duration of use and your individual health picture
Psychiatric support
Psychiatric evaluation and support is available from arrival for patients with co-occurring mental health conditions
30-day guarantee · Continued care commitment
Clients who complete the 120-day program and relapse within 6 months can return for 30 days at no extra cost
How the guarantee works
IAFA and Ministry of Health
Fully accredited by Costa Rica's national health authorities
Two centers. One philosophy.

Medical detox is available at both centers

The garden at the San José residence, with sun loungers on the lawn in front of the house under a clear blue sky.
San José · Rohrmoser

Structured. Private. Urban.

A warm, structured residential environment in the heart of San José. Clinical depth meets genuine human care.

From $8,950 / month
Tell me more about San José
A white garden cottage with a tiled roof and two wooden chairs on the porch, set on a sunny lawn among palms at the Atenas center.
Atenas · Riverside

The therapeutic retreat

A deeply private retreat in the mountains of Atenas. Nature, stillness and genuine restoration.

From $14,350 / month
Tell me more about Riverside

Not sure which center is right for you? We will help you decide. Help me choose the right center

Frequently asked questions

Questions about medical detox at CRTC

Do I need to stop using before I arrive?

No. Our medical detox team manages the process from the moment you arrive. You do not need to have reduced or stopped your use before coming. In many cases arriving while still using is clinically safer because it allows our team to manage the transition under supervision.

Is medical detox dangerous?

For some substances, particularly alcohol and benzodiazepines, withdrawal without medical supervision can be dangerous. Opioid withdrawal is not typically life-threatening but can be severely uncomfortable. Our medical team manages the risks for all substances with clinical precision and around-the-clock monitoring.

How long does detox take?

Detox duration varies by substance, dosage, duration of use and individual health. Alcohol detox typically takes 5 to 7 days. Opioid detox is usually 5 to 10 days. Benzodiazepine detox can take longer due to tapering requirements. Our medical team will give you a realistic timeline based on your specific situation.

Will I be given medication during detox?

Medication-assisted support is available where clinically appropriate. Our medical team evaluates each patient individually and determines whether medication support is indicated based on the substance, the severity of dependency and the individual's health picture.

What happens after detox?

Detox flows directly into our residential treatment program. The same team that managed your detox continues with your residential care. Your individualized treatment plan is already being built during the detox phase so the transition is seamless.

Is detox included in the program fee?

The detox program is included in your treatment fee. Medical detox substances, such as medications required during the withdrawal process, are charged separately if required.

Can my family be informed of how I am doing during detox?

Yes. With appropriate consent we maintain communication with designated family contacts throughout the detox process. We understand how important it is for families to know their loved one is safe.

Take the first step

The first conversation costs nothing

You do not have to have everything figured out. You just have to be ready to start talking. We are here. Day or night.

Your privacy is always protected