The Facts about Buprenorphine and Suboxone
The pros and cons of Subutex/Suboxone (buprenorphine)
If you are looking for a physician in the United States, that is certified to prescribe Suboxone®, chemically named buprenorphineor Subutex, you can go to this website for a list of doctors listed by states: http://buprenorphine.samhsa.gov/bwns_locator
Please read the remainder of this page before you decide that Suboxone® is the right for you. It is much better than methadone, but it isn't an answer to opiate addiction. Suboxone has Naloxone along with buprenrophine to inhibit the drug from being injected. Subtex® is just buprenorphine, but is still in a sublingual tablet. Buprenex® is an injectible buprenorphine.
If you look up any of the drug description sites, you will find an overview of all of the problems or side-effects with buprenorphine and Suboxone. One of the better sites can be found here: http://www.drugs.com/sfx/suboxone-side-effects.html
This site will give you more than you probably need to know, as is the case with the side effects on many drugs. It is bet that you are seen by a competent doctor who will look for any adverse side-effects of this drug. Also, remember, that this drug is also psychologically and physically addicting and you will have to tapper off it to get totally drug free.
Here is the reprint from an article from May 24, 2010 from Mediscape Medical News. Please read this lengthy article for the lates of research on buprenorphine... also call and talk to our licensed counselors to understand how buprenorphine may or may not be right for you!
Anytime that you find "research" showing that one form of treatment is ineffective, you have to ask yourself, "Who benefits from this research?" The methadone industry in the US is the most profitable form of treatment for opiate addiction. Opiate addiction includes, heroin, morphine, OxiContin, Vicodin or hydrocodone of any kind, or, basically, any kind of painkiller. Next to alcoholism, opiate addiction is American's number one form of substance abuse and addiction.
Buprenorphine has been used in Europe for many years before it was allowed to be used the U.S. Not because we have a better investigatory system, but because having in the US was going to cut into the profits of those selling methadone.
Please note that at about the same time that this research was presented, there is a company in the US that now has FDA premision to make a generic buprenorphine. Up until now, Subutex or , both buprenorphine products, were manufactured by one company and were extremely expensive to the consumers; those that need to stop taking painkillers because they are addicted.
This leaves the methadone sellers wondering if they will lose clients to the buprenorphine sales. At present, if you take methadone for replacement therapy, you have to get it from a licensed methdone clinic. You can't go to the drug store with a presctiption. However, if you take Subutex or or the new generic, you can buy that at different prices from the competetive pharmacies.
You do the math, but remember, when it comes to easy cures for addiction, BUYER BEWARE!
How Long Should You Wait Before Taking Suboxone® or Another Form of Bbuprenorphine?
Buprenorphine works as an antagonist to the opiate effects, so if you are taking other opiates, referred to as angonist opiates, you need to use precausion before you begin taking Suboxone®. If you take it too soon, it will precipitate withdrawals symptoms, meaning that it will kick you into worse cravings and withdrawal symptoms.
If you are seeing a doctor to get your Suboxone®, they will advice you of how long you should wait, but as a rule, you should follow the following times:
• Heroin – 12- 24 hours
• Percocet, Vicodin, or Oxycodone – 12-24 hours
• Crushed Oxycontin – 12 – 24 hours
• Oxycontin 24 hours +
• Methadone (must be at low dose) 36 hours (at least)
It is in your best interest to follow the advice and instructions of your doctor, and wait until you are truly in the early stages of withdrawal prior to taking a first dosage of Suboxone. After you take Suboxone under supervision in the doctor's office, you can expect to feel much better within a very short time.
There is a subjective test, the COWS Test, that you can perform to see when it is save to use buprenorphine. Find the COWS test at this site: http://www.naabt.org/documents/COWS_Induction_flow_sheet.pdf
There is tremendous dispute as to the benefits or deficits of buprenorphine replacement as a therapy. It is beneficial as an aid in deotxing from opiates, but as a replacement therapy, it is essential that you read the latest research article Medscape Medical News:
May 24, 2010 (New Orleans, Louisiana) — In persons dependent on prescription opioids, tapering with buprenorphine during a 9-month period, whether initially or after a period of substantial improvement, led to nearly universal relapse in the National Drug Abuse Treatment Clinical Trials Network Prescription Opioid Addiction Treatment Study, presented here at the American Psychiatric Association 2010 Annual Meeting.
"There has been virtually no research on the treatment of persons dependent on prescription opioids, in spite of the major increase in prescription opioid abuse and in the numbers of persons entering treatment for addiction to prescription opioids," said Roger D. Weiss, MD, professor of psychiatry at Harvard Medical School, Boston, and chief of the Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts.
The study, which is the largest treatment study ever conducted for prescription opioid dependence (POD), sought to answer several questions regarding the optimal length of pharmacotherapy, the value of intense counseling, and the role of chronic pain.
Specifically, the study asked whether adding individual drug counseling to buprenorphine-naloxone (a semisynthetic opioid and a partial agonist) plus standard medical management improves outcomes, what duration of buprenorphine is best for these patients, and whether presence or absence of current chronic pain influences outcomes.
"The trial was designed to help the physician manage patients who are dependent on opioids and want off the drugs but refuse treatment in a drug abuse treatment program," Dr. Weiss said.
The study enrolled 653 persons with POD and offered them standard medical management, which included buprenorphine (usually 12 - 16 mg maximum, adjusted for addiction, not pain), an initial 1-hour visit, and weekly 20-minute sessions with a physician who counseled the patients and monitored for drug adverse effects. Half the group remained in this standard medical management (SMM) group and half received enhanced medical management (EMM), which included twice-weekly 60-minute individualized drug counseling focusing on interpersonal issues, coping with triggers and high-risk situations, homework, and so forth.
Under a somewhat complicated schema, patients were evaluated after periods of individualized buprenorphine tapering and maintenance and were assessed for abstinence from opioids at various times.
All patients had a Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, diagnosis of opioid dependence and had used opioids for at least 20 of the last 30 days. Other substance abuse disorders were allowed, with the exception of active heroin use or history of injecting heroin. All patients expressed an interest in stopping opioids.
The population was made up of 60% men, was 91% white, had a mean age of 33 years, was likely to be cigarette smokers (71%), and had been using opioids for an average of 4.5 years. Most patients had received some college education and were employed full-time. There were no significant differences at baseline between the SMM and EMM groups.
A number of patients reported current chronic pain (42%), and some were taking opioids for this condition. Although current polypharmacy was uncommon, many patients reported a lifetime history of heroin use (23%), alcohol abuse (60%) or dependence (27%), cannabis abuse (47%) or dependence (15%), and cocaine abuse (32%) or dependence (18%). Stimulant and sedative use were less common.
Opioids used within 30 days included sustained-release oxycodone (35%), hydrocodone (32%), immediate-release oxycodone (19%), methadone (6%), and others (8%).
Thirty percent of subjects had received some previous treatment for opioid dependency, primarily "self help" (59%), inpatient/residential treatment (42%), outpatient counseling (40%), and methadone maintenance (31%).
"For most subjects, this was the first treatment for opioid dependence," said Dr. Weiss.
Treatment and Maintenance
Treatment success was defined as 4 or fewer days of opioid use per month, no positive urine screens for opioids for 2 consecutive weeks, no other formal substance abuse treatment, and no injection of opioids.
Phase 1 included 1 month of tapering and 2 months of stabilization. At the end of this time, few patients were successfully treated, and enhanced management did not influence the results, Dr. Weiss reported.
In the SMM group, only 7% met the criteria for success, as did just 6% of the EMM group (P = .45). "Nearly all patients relapsed after a 4-week taper," Dr. Weiss said.
Patients who relapsed were asked to enter phase 2, at which time 360 patients were again randomly assigned to SMM or EMM and received 3 months of buprenorphine stabilization, then had treatment tapered for 1 month, with a 2-month follow-up.
At the end of the stabilization (at week 12), substantial improvement was noted for 52% of the EMM group and 47% of the SMM group, though again there was no additional benefit to enhanced management (P = .3). Substantial improvement was defined as abstinence for 3 or more of the final 4 weeks of buprenorphine stabilization (urine-confirmed self-report).
However, by the end of the stabilization period, many patients had relapsed again, Dr. Weiss reported.
"We went from an average success rate of 49% to 26% at week 16,"he said. At week 24 (8 weeks posttaper), only 9% of patients remained successfully treated.
"At the end of the study, we were back into phase 1 territory," he said. "Seven of 8 patients doing well on buprenorphine maintenance had relapsed."
Predictors of Outcome
The only predictor outcome was ever-use of heroin. At week 12, improvement was noted for 37% of those reporting lifetime heroin use compared with 54% of those without such a history (P = .003); at week 24, this was 5% and 10%, respectively (P = .13). "Having dabbled in heroin was a bad prognostic sign," Dr. Weiss observed.
The presence of chronic pain did not influence outcomes. Patients with chronic pain were equally likely to enter phase 2 (indicating early treatment failure) and were equally likely to be substantially improved at week 12 of phase 2 (53% vs 47% for those without chronic pain).
Chronic pain tended to be lumbar/sacral (65%) and classified as only moderate (median 4.4 on 10-point scale) but was of long duration, as more than half the patients had suffered from it for at least 4 years, he said.
"Interestingly, we found that in many cases the patient's pain got better," he added. More than half the subjects reported at least a moderate reduction of pain from baseline (≥30%), and one third had a substantial improvement (≥50%).
Nevertheless, Dr. Weiss said one cannot assume that buprenorphine itself improved the pain, as there was no control group, "but it is an intriguing possibility," he commented.
Sean Mackey, MD, PhD, associate professor of anesthesia and chief of the Division of Pain Management at Stanford University, Palo Alto, California, who delivered an overview of the treatment of pain in patients with addiction at the session, commented on the current study for Medscape Psychiatry.
He was particularly interested in the finding that persons with a history of heroin use had worse outcomes. "Could it be that prior exposure to heroin fundamentally alters the neurobiology in this group such that they need higher doses of buprenorphine to prevent relapse?" he asked.
Dr. Mackey maintained that the study is important because it asked a clinically relevant question: "Does putting people on a short period of buprenorphine maintenance combined with counseling lead to reductions in relapse? It's a great idea, and a wonderful hypothesis, because if it does work then this would be a huge win. We would not have to use extended maintenance. Unfortunately, it did not work, but the study needed to be done."
He further noted that the standard management group was likely getting better care in this study than is delivered in usual practice, which may have diluted potential differences.
Dr. Weiss has reported receiving research support from Eli Lilly. Dr. Mackey has disclosed no relevant financial relationships.
American Psychiatric Association 2010 Annual Meeting: Symposium 36, presentation 4. Presented May 23, 2010.
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DRUG REHAB PROGRAMS
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What Constitutes a Successful Alcohol and Drug Rehab Treatment Program?
A program can be a longterm alcohol and drug rehab treatment program and have all but one essential component and you will find that the success rates fall dramatically.
In order of importance, these are ESSENTIAL components of a successful alcohol rehab or drug treatment programs:
1. Length of Stay
Programs that have very little effective clinical interventions, will have better success if they can keep the patients there for over 90 days. However, if a program doesn't over life-changing clinical practices, it will be nearly impossible to keep a patient from leaving the program. The anxiety levels of alcoholics and drug addicts that are left without their usual "medication" is very high and if a program isn't providing clinical practices that are helping the clients realize that their time is being well spent, then the addicts will blow the programs and they won't stay.
So Length of Stay is most important, but it must be coupled with effective treatment procedures and not just down-time and entertainment. We have reviewed some "long term treatment programs" that are doing the same practices as short-term treatment, but doing them over and over. This isn't the right approach.
An EFFECTIVE alcohol treatment program or drug rehab will require at least 90 days to cover all of the physical and behavioral interventions necessary to change those factors that cause addiction.
Most residential drug treatment centers are 28 to 30 days in length. This time is driven by the funding sources and not by the needs of the addicts that they are "treating". Most people that need residential alcohol treatment or drug rehab will need at least one month to get the drugs out of the bodies and be able to be alert enough to understand what they are being taught.
2. Successful Outcomes or Success Rate
Obviously the most important factor in choosing a alcohol rehab or a drug treatment center is their established success rate or the percentage of successful outcomes.
However, when it comes to this figure, "BUYER BE 'WARE!" This is the most fudged or embellished figures that you will encounter when talking to intake counselors at prospective drug treatment centers that you are interviewing. In 35 years I have never had a rehab center report that they are getting about 10% success, yet 90% of the treatment centers are doing well to get a 10% success rate.
What you will get is something in the range of 70 to 90%, based on their B/S index. When you get a high percentage of success quoted to you, ask what they are using as an indicator of success and how this data is collected. Many alcohol treatment centers and drug treatment centers will use an indicator that is adopted from the methadone industry; success is considered when a person has a longer period of time between relapses!
So, if you take this to the absurd, I guess it would be a successful alcohol treatment program if someone was drinking every 30 minutes and then after spending 28 days in a alcohol rehab, he now only drinks every hour. However, we forgot to mention that he used to drink beer and now he drinks vodka. (I apologize for the sarcasm, but it is essential to learn the truth and to keep some humor when working in this field.)
Honestly, this example is far fetched, but they will count someone that has been using daily and now reduces his use to every other day as a success.
The only successful outcome is someone that is no longer taking any mind altering substances after he finishes alcohol treatment or completes a drug rehab center. This includes psychiatric medications!
A program that can report any outcome above 50% and uses this definition is either misrepresenting the facts or you have found a good rehab center. (Be careful, because there are many more that lie about their outcomes than actually get that level of success)
If you would like our staff, who have done many outcomes studies and understand how this game is played and how rehab centers will embellish their number, call us with the information on the alcohol treatment or drug rehab center that you are considering and we will investigate the veracity of those number and give you the TRUTH!
3. Methods of alcohol and drug treatment
A. First of all, it is important that you know that alcohol addiction and drug dependence and addiction isn't limited to only one part of an addict's life.
It encompasses every element of ones beingness. The moral integrity of a person is diminished or completely destroyed by alcohol and drug use, over time. The lying, stealing, breaking of promises and violating moral agreements, like marriage vowels, and repeatedly violating their own moral code reduces the alcoholic or drug addict to someone that he cannot stand to be with unless he is drunk or loaded. Any program that doesn't address these considerations is being highly irresponsible.
Many programs that believe that addiction is a disease will address every aspect of the addiction as part of the "disease" and will gloss over the intense work that it takes to confront these moral issues and to give the alcoholic or drug addict time to find forgiveness in himself and in those to whom he has hurt.
B. Every alcoholic and drug addict are hurting physically not just because of the toxic nature of the chemicals that they are putting in their bodies, but their neglect for basic hygiene and nutritional support in their daily lives. Much of the pain of withdrawals comes from the painful state that the addict's body has deteriorated to. This is why every valuable and successful program has a strong nutritional supplement program as part of the addiction recovery process, especially during withdrawals. Detoxing or withdrawals are not process whereby you just wait for the body to feel better, there are specific nutritional replacements that must be addressed!
In our experience, we have treated individuals that are suffering from opiate withdrawals and have only given them vitamins and minerals when they were requesting opiates. To their surprise, they have accused us of giving them opiates after they digested the supplements. This is evidence to them that their physical state had deteriorated to a point where the opiates were masking their real needs for nutrition. Of course, they also had some opiate withdrawals, as well, but this makes the point that a program that is treating someone without addressing the nutritional problems will not get their patients to a point where they can think freely and feel well enough to respond to clinical therapies.
C. Below you will find some information on the different types of alcohol and drug rehab and treatment center modalities. Everyone one of these programs believes that their rehab center has the very best program, but the outcomes range from less than 5% to over 70%. If you are interested in having someone off of drugs, then it is important to get the programs with the best outcomes.
4. Real Change in one's world-view or in their thinking processes
Our society is continually pushing instant gratification as well as shielding us from unpleasant feelings. These two types of pervasive attitudes are major reason why so many of our loved ones become alcoholics or drug addicts.
It is difficult to change these kinds of thinking since they are so pervasive throughout our entertainment and culture, but they don't lead to happiness.
Successful programs bring the IQ level of the patient up to the place they were before they started taking alcohol and other drugs and, once they have rehabilitated their physical bodies, the real chore is to change their thinking.
You can't force someone to think differently, even though that is attempted in some TCs or Therapeutic Community programs, so you have to let the clients learn from new materials and ideas and by experiencing the effects of new behaviors. This is a major reason why short-term treatment is so ineffective... you can't have these vital therapeutic experience without having an open ended time frame. It takes months to get someone to do the kinds of work that is required to begin questioning their established thinking.
Many addicts and alcoholics come from families where they have experienced their role models taking "medicines" for their feeling rather than communicating about their problems and frustrations. Our society and educational system hasn't given most of us the tools by which we have learned that it is best to confront and solve problems, instead, we are taught to have a beer, go to a movie or sporting event...maybe even to Hawaii or Vegas and forget your troubles, but it hasn't been a sought after idea that someone will take the time to really solve interpersonal problems. Most families are franticly running away from the many things that they can't confront.
So, how does this change in attitudes happen? There are more than one way to get someone to change attitudes from destructive attitudes to those that are supporting happiness and success. The military uses their boot camp to change attitudes and to get agreement among many, and this type of attitude changing has been tried with drug addicts, but since there really isn't a mission that everyone in drug treatment is agreeing to, this method causes resistance and rebellion rather than conformity.
The most successful way to change attitudes is to build the confront on a individual so that they can actually look at and be with any of their past actions or thoughts. It is these "traumas" from the past that cause someone to feel the need to escape from the here-and-now and alcohol and drugs are the best vehicles to support that escapism.
For someone that has been addicted to drugs and alcohol, you find that their maturity and responsibility levels have been stunted from about the time that they began using these drugs to avoid confronting life, learning from experiences and maturing.
Therefore, it is obvious, that the needed amount of growth cannot happen in a 28 to 30 day program. What happens with most of the people that have alcohol and drug dependencies for some years is the fact that they are aging and their peer group is growing, but their behaviors and responsibilities are not developing. Once the alcohol and drugs are removed from protecting them from the realities of life, they are afraid, with no skills to deal with the average work-a-day problems, much less those encountered in relationships.
Many addicted people will already have a spouses and perhaps families. Not knowing how to provide the leadership in the family or in other parts of life that are required to be successful, they are destine to return to the "protection" of their drugs of choice; hence, relapse and continual use until they are intervened upon again.
This is how the idea that addiction is a disease originated, however, it is easy to see anyone faced with inevitable tasks that they can't perform and knowing that they can hide from these problems, would return to alcohol and drug use.
Having support to make it through these times is an advantage of the 12-step support groups, but percentages of success makes it obvious that this shouldn't be ones first or only choice. For someone to be successful in regaining their abilities and learning to be responsible and trustworthy requires months of therapy, which is why long-term drug rehab has a much higher success rate than short-term.
5. Physiological Aspects of Addiction
The last consideration in understanding why longterm drug rehab is so much more successful is to consider the physiological aspects of addiction. Everyone is familiar with the fact that after taking drugs or alcohol for a prolonged period of time, the body adapts to having the "poison" in its system and when it is removed the addict goes through a period of withdrawals. What isn't usually considered is the fact that the ingestion of these chemicals has also depleted the body of the vitamins, minerals and amino acids that a normal functioning body requires. This is one of the major reasons why withdrawals from alcohol and drugs can be dangerous and one element on why this process is so unconformable.
When you have a deficit of these nutritional compounds, you body and mind are stressed and the anxiety that comes from being in this unhealthy conditions leads to anxiety levels that drive the person back to their drugs of choice to mask the feeling of not being able to be comfortable in one's skin. They know that when they are drinking or on drugs they can feel normal, laugh and have pleasure in life, but in this malnutritious state, they can't feel anything other than BAD.
Alcohol and drug rehab treatment centers that do not provide a proven regime of corrective nutritional methods are not giving the addict or alcoholic the advantages they need to be successfully off of alcohol or other drugs. This component of addiction should be address in any long-term drug treatment center, but if someone has finished treatment and this wasn't addressed, they need to call us immediately to rectify what cold become the sole reason for their relapse.
Drug Rehab Programs using Bio- Physical method.
There is something regarded as a new approach to long-term rehabilitation, which is generically called: Biophysical drug rehab. This method gets toxins out of the body in a purification sauna. REsearch has found that the human body will store a residue or metabolite alcohol and other drugs in the fat tissue for 5 to 10 years after a period of alcohol or drug abuse. This residue causes cravings, anxiety and depression. Heroin, cocaine and crystal meth are more powerful than the natural chemicals the brain produces to be happy. It takes up to a year for this natural chemical balance to be restored. The Biophysical method uses a purification sauna, vitamins and minerals to release residues stored in fat tissue so that there are no more cravings, anxiety or depression caused by the effects of drug abuse. These natural chemical in the brain will come back much faster with the exercise, vitamins, and minerals are added to the body and the residues of the drugs of abuse are removed. This enables the person to have a fighting chance. This type of drug rehabilitation center will use social educational classes to restore or build skills to help the individual become drug free and a productive member of society. Drug Rehab Programs with this method are having a success rate of over 70%. This is why Bio-Physical drug treatment centers are usually recommended for the drug addiction's of our society today.
Drug Rehab Programs using Long-Term Religious method.
There is also a long-term religious based model of treatment. In this methodology the individual is required to go away for 1 – 2 years, and work on a farm or in a work-type environment. This method is also combined with religious teachings. The success rate is hard to determine as only about 10% of those that enroll in these programs will complete the program, however of the completions, around 20% will stay sober or free of drugs. These programs are certainly better than the traditional 30-day drug rehab, but those that consider this form of treatment and are successful usually have a religious history or come from previous religious training and example. If you are interested in this form of treatment, please call our Helpline and we will talk to you about the appropriateness of this treatment for your individual case.
Drug Rehab Programs Using 12 Step Recovery Model
The most prevalent modality of alcohol and drug treatment is the 12 step Recovery Model. These methods are based on the teachings of Alcoholics Anonymous, Cocaine Anonymous, Narcotics Anonymous, which are all taken from the original Big Book of Alcoholics Anonymous. 12 Step Recovery was developed in 1934 by two alcoholics who found a way to stay sober by being in continual communication with others and doing the prescribed steps that teach humility, service and surrender to God or a Higher Power. Almost all 21- 28 day alcohol and drug treatment programs use this form of rehab. Some private facilities offer longer stays in treatment, but the clinical nature of the programs are almost identical to the short-term treatment regime. This form of "drug treatment" has been in existence in a residential setting since the 1970s and was instituted because it was thought that if Alcoholics Anonymous works as a volunteer program of daily meetings, then if a person had a more intense period of these teachings, the programs would have success. When hard drugs showed up into our culture it was a natural progression to use 12 step methods on these addictions, as there was nothing else available. The method grew across the nation, as there was nothing else that was available to be used. For this simple reason 12-step programs are available almost everywhere. Today the success rate is approximately 10%-25% depending on the facility you choose. Private Facilities will yield a higher success than most state-funded programs. Some of these facilities can be long-term, however the majority are 28 to 30-day programs.
Drug Rehab Programs using Behavioral Modification
The Behavioral Modification programs were developed in the 1970s as well and are either using overt or covert sensitization as the negative feedback for the "habit" of drinking or drugging. These methods are based on the ideas learned from studying the reactive mechanisms of animals and believing that humans will respond in the same manner. Unfortunately, or fortunately, humans are not motivated to use alcohol and other drugs in the simple reactive habit formations that you see in animals. Therefore, a person can be taught to have an aversion to drinking and drugging, but need the outcomes of the drugs to the extent that he will force his use in spite of his aversion to the process. If addicts could quit for these reasons, no one would continue to use alcohol or other drugs after they have been arrested and had to face the consequences of their actions.
Some of these methods relies on boot camp style tactics where the individual is berated by groups of peers and then hopefully rebuilt into a more social person. There has been some use for this method with young teenagers who are on a war path to destroy society. However the success is only very marginally about 10%, in most cases other methods are recommended. Due to that reason very few drug rehab centers use this method.
Is Methadone or Suboxone® and Effective Longterm Treatment?
We get many calls from people that are addicted to opiates, like OxiContin, Vicodin, heroin and they have been told that the only solution for opiate addiction is methadone. Methadone clinics believe that addiction is a brain problem and that once you have an opiate addiction, you will have it the rest of your life, so the only effective treatment is to replace illegal drugs with methadone.
This is a LIE! There are literally hundreds of thousands of ex-opiate addicts that are living fine today without a replacement drug like methadone or Suboxone®. An opiate addict will have changes in his brain chemistry, but those changes will go back to normal when he quits using opiates.
It can take months, but this process can be speeded up by doing a biophysical program that gets your brain chemistry back to normal in about six weeks.
If you need a replacement drug for an opiate addiction, you should get buprenorphine, sold as Suboxone®, since it is not nearly as damaging as methadone and is 10 times easier to withdrawal from than methadone.
No matter how bad your withdrawal symptoms are from OxiContin and other opiates, methadone will only make things worse.
Call us for individual advice conceerning your opiate addiction. To find a doctor in your area that can give you Suboxone® Click HERE.
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