Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behavior and help them become more open to behavioral treatments. A NIDA study found that once treatment is initiated, both a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid addiction. Because full detoxification is necessary for treatment with naloxone, initiating treatment among active users was difficult, but once detoxification was complete, both medications had similar effectiveness.
The one that’s right for you depends on your situation and your goals. Many people find that a combination of treatments works best, and you can get them together through a program. Some of these are inpatient or residential programs, where you stay at a treatment center for a while. Others are outpatient programs, where you live at home and go to the center for treatment.
There are many places to turn for help. Not everybody requires medically supervised detox or an extended stint in rehab. The care you need depends on a variety of factors, including your age, drug-use history, medical or psychiatric conditions. In addition to doctors and psychologists, many clergy members, social workers, and counselors offer addiction treatment services.
The National Institute on Drug Abuse states, “Addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences.” Addiction can result from a variety of factors and catalysts, including genetic predisposition, circumstances, environment, trauma and mental health disorders. While addiction often starts with drug abuse, it is not an indication of a person’s moral status or stability. In fact, many addictions spring from prescription drug use or casual use of legal substances.
Research the history of the Treatment Center or facility. What is their success rate? Can you find any medical recommendations for them online from members of the established rehab or medical community? How long has the Center been in operation? Is their leadership on solid ground? Are there any signs of financial corruption associated with the Center that is readily visible on the Internet? It is your responsibility to dig for this information. If you cannot find any information about a given Treatment Center online or at your local library, move on to the next Center on your list! 3 Stages of Drug Alcohol Rehab-How It Works