Delaware Methadone Clinics



Delaware Methadone Clinics
Claymont Comprehensive Treatment Center 2999 Philadelphia Pike Claymont (302) 261-3422
Dover Comprehensive Treatment Center 429 S New Street Dover (302) 310-5064
Connections Community Support Programs — Dover 688 S. Bay Road Dover (302) 672-9360
Kent County Community Services 20728 North DuPont Boulevard Georgetown (302) 854-0172
Connections CSP, Inc-Millsboro 1 Nanticoke Crossing Millsboro (302) 947-1920
ARS New Castle LLC 263 Quigley Blvd. New Castle (302) 323-9400
Brandywine Counseling, Inc. at South Chapel 24 Brookhill Drive Newark (302) 454-3020
Connections CSP, Inc. – Newark 3304 Polly Drummond Office Plaza Newark (302) 454-7520
AMS of Delaware, LLC 20468 Coastal Hwy, Suite 101 Rehoboth Beach (302) 227-1320
Brandywine Counseling, Inc., Lancaster 2713 Lancaster Ave. Wilmington (302) 656-2348
 

Delaware has its methadone clinics and (buprenorphine) suboxone doctors concentrated mostly in and around its metropolitan urban centers. With the recent rise in opioid addiction problems across the United States, more medical providers are preparing themselves to assist people suffering with moderate to severe opioid dependency. While some individuals are able to detox successfully from opioids under supervised care, many discover that medication-assisted treatment is necessary to help them either avoid painful opioid withdrawal or to facilitate their journey into long term recovery. Methadone and (buprenorphine) suboxone are the two most popular & effective medication-assisted therapies available for opiate addicted persons. Both medications are FDA-approved, SAMHSA endorsed, and have been successfully utilized in treating opioid addiction for more than a decade. With methadone in particular, its success profile dates back to over 40 years in the United States.



How Bad Is Opioid Withdrawal

There is an informative video by Sarah Wakeman on the physical and psychological perils of severe opioid withdrawal. Sarah is a Medical Director at Mass General Brigham. They are an integrated health care system that conduct medical research, teaching, and patient care.

In the video, Sarah explains how opioid withdrawal can become so severe with diarrhea and vomiting that individuals can die from extensive dehydration. As physicial dependency progresses, the brain becomes increasingly imbalanced and unable to function without the presence of opioids.

When opioid withdrawal commences (usually 8-12 hours after last use), it becomes increasingly unbearable as the body is flushed with stress hormones. The withdrawal discomfort builds in intensity over days, and can last up to a week or more. For many, this withdrawal process feels akin to a severe case of the flu, but then potentially reaches levels of sickness even far beyond that.

In the video, Sarah goes on to discuss the benefits of methadone and buprenorphine in reducing severe withdrawal symptoms and in helping patients to ultimately not die from overdose. She also illuminates on how rational decision-making is so extremely difficult when struggling against the intense pain of opioid withdrawal.

Please check this video out, and share it with anyone you believe can benefit from its message.

Posted in Buprenorphine, Medication Assisted Treatment, Methadone, Methadone Clinics, Opiate Withdrawal, Opioid Treatment, Pain Management, Prescription Drugs, Suboxone | Tagged | Comments Off on How Bad Is Opioid Withdrawal

Helping Skeptics Understand Methadone

When it comes to addiction, reactions and opinions are often intense. Addiction is a devastating illness that can rapidly derail a person’s life, and seriously impact the lives of those around them.

Sadly, addiction leads people to behave in ways that make no sense to their family, friends, and co-workers. Therein lies an important part of the problem. Family feel confused, angry, and fearful as their loved one tumbles down the hill of active addiction.

When it comes to something as perplexing as drug addiction, grasping for answers is an understandable reflex for family and friends. What family often don’t comprehend is the power of physical dependency to opioids and the severe sickness that results from opioid withdrawal.

Family and others incorrectly assume that mere “choice” is all that’s needed to overcome the addiction. When the addict fails to remain drug free, harsh judgment by others usually follows.

Halting withdrawal sickness is a paramount step for an opioid addicted person. This cannot be overstated. As long as a person is suffering from severe opioid withdrawal, their ability to think and “choose” logically is greatly impaired.

Statistically, individuals who utilize medication-assisted treatment (like methadone) are far more likely to avoid incarceration, a continued downward spiral, or death by overdose. Medication assistance successfully removes debilitating withdrawal sickness so that the addicted person can experience greater clarity of thought and the ability to make more sound decisions that lead to improved quality of life.

If you are a skeptic about methadone or suboxone, you may think “they’re just trading one drug for another”. This is not true. People, once therapeutically stabilized on methadone or suboxone, do not get high from the medication. Health generally improves, and the person is able to function much better on the job and at home. This brings hope. It offers a new opportunity for further recovery.

When you care about a person’s survival, one more chance to help them can be quite valuable. Don’t let judgment or excessive skepticism get in the way. Medication-assistance in opioid recovery is effective for many people, and it has been the life saving next step that some never got the chance to take.

Posted in Methadone, Methadone Benefits, Methadone Clinics, Recovery, Suboxone | Tagged | Comments Off on Helping Skeptics Understand Methadone

Methadone Treatment in Oregon

Like most states, Oregon is in need of quality treatment options for opioid-addicted individuals who are ready for recovery.

This article, in the Hillsboro News-Times, features the recent approval by Washington County commissioners to add a new methadone clinic in Hillsboro, Oregon.

Acadia Healthcare is aiming to establish the new methadone clinic in Hillsboro in order to better serve the local community. Acadia already operate a mobile unit in the general area as well as a comprehensive treatment center (CTC) in nearby Tigard located about 20 miles away.

The commissioners voted 5-0 to approve the proposed site which will be on the local bus route thereby providing improved access. The article mentions that Oregon presently has 17 operational methadone clinics serving the state, where fentanyl, opiates, and other substances are causing a grave overdose crisis.

Having local opioid treatment available is a critically important step in saving lives and providing hope to patients and families. Methadone has been proven to decrease opioid use, reduce relapse risks & overdose deaths, as well as increase employment and overall health. Clinics offering medication-assisted treatment (MAT), like methadone and buprenorphine, are forging a new path to safety for those people once stuck in active addiction.

Posted in Acadia Healthcare, Addiction Treatment, Buprenorphine, Methadone, Methadone Clinics, Oregon Methadone Clinics, Suboxone | Tagged , , | Comments Off on Methadone Treatment in Oregon

Remote Observation of Methadone Dosing

There’s a new spin being proposed on the dispensing of methadone to Opioid Use Disorder (OUD) patients. A federally-funded project is underway between Scene Health and The University of Washington in which patients video themselves taking their daily methadone dose, and then submit that video to the treatment provider.

The project is evaluating this new modified approach that falls somewhere between in-person daily dosing and unsupervised take home dosing.

This new approach is currently being referred to as Video DOT (video direct observation therapy) and has been successfully implemented with other health issues including hepatitis C, asthma, and diabetes.

While this experiment seems appealing at first glance, it does raise legitimate questions about the ability to insure proper safety protocols with the provision of methadone medication to new patients. The project may possibly demonstrate the usefulness of Video DOT methadone dosing. But assuming this new approach one day becomes common practice, it will be important that physicians or clinics have in place a procedure for quickly reclaiming methadone doses that are not ingested on schedule.

Imagine a new patient receives 7 take home doses of methadone, but then only sends in the required video of their medication use on day one. At what point does the prescribing clinic intervene, and how will the unaccounted for doses be retrieved?

Approved Opioid Treatment Programs currently have “callback” procedures in which stable patients are randomly selected to return to their home clinic with their unused take home doses. This allows the clinic medical staff to perform a medication count, and it acts as a safeguard to insure patients are taking their medication as prescribed.

Patients who have earned take home privileges through months of treatment progress are less inclined to divert or misuse methadone than someone who just started treatment. New patients must be inducted gradually on a stabilizing dose of methadone. And time is typically needed to help these patients adjust to methadone while eliminating use of all other illicit substances. This is where the benefit of a structured treatment program is most relevant. OTP’s provide extremely valuable life management skills training in conjunction with medication therapy.

It remains to be seen if “easy access” to methadone is truly an advancement in care, or a step backwards in accountability & safety for patients and the public.

Posted in Medication Assisted Treatment, Methadone, Methadone Clinics, Methadone Programs, Suboxone, Suboxone Clinics | Tagged | Comments Off on Remote Observation of Methadone Dosing

Expanding Access to Methadone

Historically, access to methadone for the treatment of opioid addiction has been through enrollment in a local clinic licensed to dispense methadone. As a result of Covid restrictions, some of these clinic regulations were relaxed. For example, many patients across the U.S. were allowed to begin receiving take home doses of methadone as a result of Covid lockdowns and decreased clinic access.

Critics have begun to express the belief that clinic restrictions are cumbersome and that methadone should be made available for pick-up at local pharmacies. On the other hand, the concern remains that methadone can be misdirected or mishandled thus reinforcing the need for close supervision, particularly in the early phases of opioid treatment. Decades of research has shown that taken under proper supervision, methadone’s safety profile is excellent.

In this recent era of contaminated street opiates and overdose concerns, it is clear that methadone is a phenomenally effective medication for promoting health, well-being, and physical safety.

Mark Parrino, president of the American Association for the Treatment of Opioid Dependence, recently shared that deregulation of methadone would likely increase the diversion of methadone and methadone-related overdose deaths.

Following a period of stability, most U.S. clinics do allow patients to begin dosing at home with methadone. This system of care is working well throughout the country where methadone is readily available. However, many U.S. citizens are still lengthy distances from methadone-approved clinics. So, the challenge continues to link those with opioid addiction to effective resources in their local community. Legislators are presently examining a range of options as the opioid epidemic marches on.

Posted in Acadia Healthcare, Addiction Treatment, Brightview, Methadone, Methadone Clinics, Opioid Treatment, Suboxone | Tagged | Comments Off on Expanding Access to Methadone
Delaware Suboxone Doctors


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Delaware Buprenorphine Suboxone Doctors
Rafiya Baig, M.D. 725 Horsepond Road
Dover, DE 19901
(302) 747-1117
Ronald M. Lieberman, D.O. 1673 South State Street
Suite B
Dover, DE 19901
(302) 674-8444
Donald Norris Pyle II, D.O. Dover Behavioral Health System
725 Horsepond Road
Dover, DE 19901
(302) 741-0140
Khaled Shams Mirza, M.D. 725 Horse Pond Road
Dover, DE 19901
(302) 747-1100
Ganesh R. Balu, M.D. 240 Beiser Boulevard
Suite 201A-F
Dover, DE 19904
(302) 734-7246
Thuya Aye, M.D. 1025 South Govenors Avenue
Dover, DE 19904
(302) 734-9150
Dilipkumar J. Joshi, M .D. 874 B Walker Road
Dover, DE 19904
(302) 369-3533
Lillian V. Kraman-Roach, M.D. 846 Walker Road
Suite 31-2
Dover, DE 19904
(302) 674-9188
Nathan L. Centers, M.D. Kent County Counseling Services
1241 College Park Drive
Dover, DE 19904
(302) 735-7794
Joseph A. Glick, M.D. 528A East Market Street
Georgetown, DE 19947
(888) 226-6160
Antonio C. Sacre, M.D. 9 Spring Meadow Lane
Hockessin, DE 19707
(302) 234-8770
Adam Scott Bowman, M.D. Connections Community Support Programs
24832 John J. Williams Highway, Unit 5
Millsboro, DE 19966
(302) 947-1920
Sajjad A. Savul, M.D. 263 Quigley Boulevard
Suite 1A
New Castle, DE 19720
(302) 323-9400
Imran Trimzi, M.D. 1901 North DuPont Highway
Springer Building
New Castle, DE 19720
(302) 740-4488
Alexander M. Jacobson, M.D. 575 South Dupont Highway
New Castle, DE 19720
(302) 328-3330
Khaja G. Yezdani, M.D. 191 Christiana Road
New Castle, DE 19720
(302) 322-1794
Gregory Peter Papa, D.O. 3620 North Dupont Highway
New Castle, DE 19720
(302) 652-3545
David J. Jezyk, M.D. Alpha Primary Core- Bear
1450 Puloski Highway
Newark, DE 19702
(302) 597-6810
Mohamed Ahmed, M.D. 1450 Pulaski Highway
Newark, DE 19702
(404) 323-6072
Chandrakala Kathiravan, M.D. Horizon House-Echo Center
261 Chapman Road, Suite 102
Newark, DE 19702
(302) 266-3246
Shazia Khan, M.D. Horizon House – ECHO Center
261 Chapman Road, Suite 102
Newark, DE 19702
(302) 266-3246
Christina Elaine Jones, M.D. Glasgow Spine & Wellness
650 Plaza Drive
Newark, DE 19702
(443) 309-0480
Praful C. Desai, M.D. 260 Chapman Road
Suite 100-C
Newark, DE 19702
(302) 738-7040
Athena T. Jolly, M.D. Brandywine Counseling & Community Svcs
24 Brookhill Drive
Newark, DE 19702
(302) 454-3020
Ronald John Rosenbaum, M.D. Horizon House, Inc.
261 Chapman Road
Newark, DE 19702
(302) 266-3246
Nana Berikashvili, M.D. Horizon House, Inc., Echo Clinic
261 Chapman Road, Suite 100/102
Newark, DE 19702
(302) 266-3246
Ivan Cohen, M.D. University Office Plaza, Bellevue Blgd.
262 Chapman Road, Suite 100
Newark, DE 19702
(302) 292-0888
Dolly Mishra, D.O. 100 Rockford Drive
Newark, DE 19711
(302) 996-5480
Dilipkumar J. Joshi, M .D. 314 East Main Street
Suite # 403
Newark, DE 19711
(302) 369-3533
Sajjad A. Savul, M.D. 314 East Main Street
Suite 403
Newark, DE 19711
(302) 369-3533
Caroline Imonkune Ekong, M.D. Rockford Center
100 Rockford Drive
Newark, DE 19712
(302) 996-5480
Judy M. Lim, M.D. 620 Stanton Christiana Road
Suite 305
Newark, DE 19713
(302) 999-8830
Kimberly Valentine, M.D. MidAtlantic Behavioral Health
910 South Chapel Street
Newark, DE 19713
(302) 224-1400
Nicholas O. Biasotto, D.O. 630 Stewart Christian Road
Newark, DE 19713
(302) 998-1211
Jorge A. Pereira-Ogan, M.D. Medical Arts Pavilion I
4745 Stanton Ogletown Road, Suite 124
Newark, DE 19713
(302) 454-9900
Gaber Y. Yacoub 910 South Chapel Street
Suite 102
Newark, DE 19713
(302) 224-1400
Debora A. Roberts, M.D. 20468 Coastal Highway
Medical Aid
Rehoboth, DE 19971
(302) 227-2774
Dennis James Kondash, D.O. 100 Laurel Street
Rehoboth Beach, DE 19971
(570) 430-9031
Thomas F. Kelly, M.D. AMS of Delaware
20468 Coastal Highway
Rehoboth Beach, DE 19971-4477
(302) 227-1320
Raphaele Todaro, M.D. 26 East Glenwood Avenue
Smyrna, DE 19977
(302) 765-2345
Laurie Ann Spraga, D.O. 801 West Street
Wilmington, DE 19801
(302) 584-3984
John Giuliano, D.O. Connections CSP
500 West 10th Street
Wilmington, DE 19801
(302) 377-2892
Scott Houser, M.D. 500 West 10th Street
Wilmington, DE 19801
(302) 984-2302
Ranga N. Ram, M.D. 410 Foulk Road
Suite 105
Wilmington, DE 19803
(302) 762-2285
Elton John Smith 1701 Augustine Cutoof
Suite 8
Wilmington, DE 19803
(302) 428-1701
Andrew Donohue, M.D. 1701 Augustine Cut Off
Suite 8
Wilmington, DE 19803
(302) 235-3725
Maria D. Perez, M.D. 1701 Augustine Cut-Off
Building 1, Suite 12
Wilmington, DE 19803
(302) 571-0730
Kathy Camille Cornelius, M.D. 1802 West 4th Street
Wilmington, DE 19805
(302) 655-5822
Carol Alvarado Barrentes, M.D. 534 Greenhill Avenue
Wilmington, DE 19805
(302) 421-3388
Paul John Hannan, M.D. 2800 Lancaster Avenue
Suite 6
Wilmington, DE 19805
(623) 451-6398
I. L. Lifrak, M.D. 1010 North Union Street
Wilmington, DE 19805
(302) 654-7317
Charlene A. Browne, M.D. 31-32 A Trolley Square
Wilmington, DE 19806
(302) 777-5473
Alina Gover, M.D. 1815 West 13th Street
Wilmington, DE 19806
(302) 652-4705
Norman R. Robinson, M.D. 31-A Trolley Square
Wilmington, DE 19806
(302) 777-5473
Jerome P. Gluckman, M.D. 1815 West 13th Street
Suite 1
Wilmington, DE 19806
(302) 655-2214
George Dutkewych, M.D. Trolley Square
Suite 31- 32 A
Wilmington, DE 19806
(302) 777-5473
Patricia Lifrak, M.D., MBA 1701 Shallcross Ave
Wilmington, DE 19806
(302) 654-7317
Liana Lera-Ayotte, M.D. 5231 West Woodmill Drive
Unit 45
Wilmington, DE 19808
(302) 543-5180
Brian LaRocco, M.D. 5231 West Woodmill Drive
Suite 45
Wilmington, DE 19808
(302) 543-5180
John V. Fenice, M.D. 2601 Annand Drive
Suite 4
Wilmington, DE 19808
(302) 998-3334
Jonathan W. Kamen Mill Creek Medical Center
4512 Kirkwood Highway, Suite 301
Wilmington, DE 19808
(302) 947-4111
Pasquale Fucci, M.D. Heritage Plaza
Suite 22/23, Annand Drive
Wilmington, DE 19808
(302) 994-4606
Seth London Ivins, M.D. 2601 Annand Drive
Suite 19
Wilmington, DE 19808
(302) 999-8830
Raphaele Todaro, M.D. 234 Philadelphia Pike
Suite 8
Wilmington, DE 19809
(302) 765-2345
Preet D. Joshi, M.D. 3521 Silverside Road
Suite 2B, Quillen Building
Wilmington, DE 19810
(302) 981-3304
Mujib R. Obeidy, M.D. 3519 Silverside Road
Ridgely 102
Wilmington, DE 19810
(302) 478-5900
Marc David Grobman, D.O. 3411 Silverside Road
102 Weldin Bldg
Wilmington, DE 19810
(302) 479-0580
Jeffrey S. Meyers, M.D. 1600 Washington Street
Wilmington, DE 19899
(302) 428-5954