Category Archives: Suboxone

Methadone Plus Counseling Equals Treatment

methadonetruthThe two primary components of opioid addiction treatment are opioid replacement therapy (methadone or suboxone) and behavioral health counseling. Each of these therapeutic interventions address very different aspects of one’s addiction. And one intervention, without the other, is generally not sufficient to promote lasting recovery from opioid addiction. Both must work in unison to produce meaningful, lasting change.

When entering treatment, most clients are initially very focused on their physiological dependency to opioids and the associated withdrawal symptoms that emerge when their drug supply runs out. Recurrent opioid withdrawal takes priority over most all other considerations. Consequently, addicted people place much emphasis on their methadone dose due to its ability to provide relief from painful opioid withdrawal. There is such a clear connection between methadone dosing and symptom relief that clients often assume that dosing alone is the complete answer to their addiction problem.

However, this is a false & inaccurate conclusion. Real recovery involves not just the absence of withdrawal symptoms, but deliberate changes in thinking, attitude, and behavior. Without improvements in these areas, a majority of clients will relapse again and again, and consequently be unable to sustain progress over time.

There is an old saying in the recovery field that goes “You can’t go back to being the same person you were … because that person became addicted.” What is meant by this is that one cannot afford to remain stuck with the same old ways of thinking and living. It was those old ways that led down the addiction path. In order to experience lasting quality recovery, one must adopt new approaches to living and coping with life. It is the development of these new approaches, skills, and tools that will allow a person to deal with life using healthy methods … instead of drugs.

Counseling not only teaches key skills for managing life, but aids clients in developing inner resources that will empower them to achieve new things that were previously not attainable. Many clients dedicated to personal recovery become much more complete people, more capable, and ultimately more satisfied. Addiction sucks the life out of individuals day by day, but recovery brings people back in contact with life & opportunity, and opens doors that were previously shut tight. Counseling is an extremely important piece of the recovery puzzle. Counseling facilitates positive change and positive results.

Use counseling to learn more about yourself. It will allow you to become better educated on managing the disease of addiction, and it will strengthen you in numerous ways, if you let it.

Texas Methadone and Opioid Treatment Programs

texas-methadoneTexas is America’s second largest state by size and second in total population figures with just over 25 million people. Adding to Texas’ impressive statistics is the fact that Texas has five of the country’s top 20 largest cities: Houston, San Antonio, Dallas, Austin, and Fort Worth.

The U.S. database of opioid treatment clinics currently lists 81 separate methadone clinics in operation throughout Texas. Many of these methadone program clinics also offer suboxone. This number does not include the individual suboxone-approved physicians in private practice. That number is many times larger. For example, there are 132 suboxone doctors in Houston alone. These numbers offer some indication of the magnitude of America’s opioid abuse problem as well as the ever increasing availability of treatment professionals ready to help.

The diversity of opioid treatment programs is somewhat revealing too with many being private clinics, and others being state-funded or affiliated with area mental health centers or general substance abuse programs. More clinics are based out of the (VA) Veterans Administration Hospital system while some are supported through the research or medical school division of the State University system.

Opioid addiction is a subject of considerable interest to addiction researchers as well as private pharmaceutical companies. That addiction is recognized as a legitimate medical condition lends serious examination, and commitment, to discovering causes of addiction as well as potential treatments.

Texas is a state that has a very well-developed medical research network and general above-average health care delivery system. These characteristics can only help to advance opioid addiction treatment, either directly or indirectly, and perhaps lead more people into medication-assisted addiction recovery.

To browse the Methadone.US Texas page, visit: Texas Methadone Clinics

The Future of Methadone Treatment

methadonefutureThe total number of U.S. private and publicly funded methadone clinics has risen substantially just in the last few years. Moreover, opioid addiction treatment is receiving increased attention across the country as organizations like SAMHSA, NIDA, ASAM, and CARF become familiar acronyms to everyone working in the addiction treatment field.

We now have various suboxone formulations with increased availability, in addition to methadone, and new products aimed at treating opioid addiction are being researched and periodically released (such as Vivitrol). A generic version of suboxone is said to be on the horizon too thus becoming a more accessible & affordable option for many. The message is out that opioid addiction is a disease which can be successfully treated & managed using a combination of medication and behavioral health counseling approaches.

Methadone programs received a quality boost in 1999 when the U.S. Dept of Health and Human Services identified methadone as a useful “clinical tool” in the treatment of opioid dependency. Provisions were then drafted & implemented which required all methadone programs to become independently accredited in order to establish a clinical standard of care.

Leading medical and educational institutions, such as Duke University, have committed to researching effective addiction treatments and are consequently advancing our knowledge of ways to deal with addictive disease. Organizations like JoinTogether.org are bringing relevant news to America on a daily basis in regard to addiction problems and solutions.

If the last 20 years are any indication, then the future of opioid addiction treatment will only improve. What used to be regarded as a “heroin only” isolated problem contained in the big cities, is in reality a fairly widespread problem affecting many everyday families in every American town regardless of its size.

The good new is that people all around the country are getting well. They have tools available for coping with addiction. The power of the internet is helping people tap into useful addiction recovery resources. The future brings continued promise, and many possibilities.

Buprenorphine and Suboxone in Opioid Addiction Treatment

methadoneblog4Suboxone® (a branded medication of Reckitt Benckiser Pharmaceuticals) is a relatively newer opioid replacement therapy consisting of a combination of buprenorphine and naloxone. Buprenorphine is the generic, active ingredient in Suboxone that provides extended relief from opioid withdrawal symptoms. Naloxone is an opioid antagonist that deters abuse of suboxone by injection.

Methadone and buprenorphine are the only two opioid medications which are FDA-approved for the treatment of opioid addiction. While they achieve the same end, they have significant differences. Buprenorphine can be administered in a physician's office, and is considered safer than methadone. However, buprenorphine is a "partial" opioid and provides little benefit beyond the maximum dose of 24 mg. This is sufficient for many opioid dependent persons and will provide substantial relief.

Methadone, by contrast, is more powerful and does not have the same ceiling effect of buprenorphine. Some clients find that they are more comfortable on methadone. It is not easy to predict which clients can be effectively maintained on buprenorphine. Some individuals have started on methadone for maintenance, but then later switched to buprenorphine to complete their medication taper.

Currently, Suboxone costs more than methadone. For this reason, many seeking opioid replacement therapy will choose methadone. There is some opinion that longer term opioid addicts tend to stabilize better on methadone over buprenorphine (Suboxone). In the end, the choice of which replacement medication to go with is best determined by the client and their physician. What is most important … is to seek help as soon as possible.