Hawaii Methadone Clinics



Hawaii Methadone Clinics
Ku Aloha Ola Mau, Inc 900 Leilani St. Hilo (808) 961-6822
Comprehensive Health and Attitude Management Program 173 South Kukui St. Honolulu (808) 426-4515
Ku Aloha Ola Mau 1130 North Nimitz Hwy., C-302 Honolulu (808) 538-0704
CHAMP Clinic of Maui (Comprehensive Health and Attitude Management Program) 270 Waiehu Beach Rd, #115 Wailuku, Maui (808) 249-8784
 

Hawaii 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
Hawaii Suboxone Doctors


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Hawaii Buprenorphine Suboxone Doctors
Rodney Yamaki, M.D. 99-080 Kauhale Street
Suite C-22
Aiea, HI 96701
(808) 777-0689
Michael B. Zafrani, M.D. 98-1247 Kaahumana Street
Suite 312A
Aiea, HI 96701
(808) 488-7888
John Patrick Neuhaus, M.D. 98-211 Pali Momi Street
Unit #414
Aiea, HI 96701
(808) 723-9344
William Scott Mandel, M.D. 82-6123 Mamalahoa Highway
Captain Cook, HI 96704
(808) 323-8200
William Scott Mandel, M.D. P.O. Box 202
Captain Cook, HI 96704
(808) 323-8200
Ashley Chatigny, D.O. 91-2301 Old Fort Weaver Road
Ewa Beach, HI 96706
(808) 671-8511
Lauren Elizabeth Hodge, M.D. Leeward Oahu CBOC
91-2135 Fort Weaver Road Street, Suite 5
Ewa Beach, HI 96706
(808) 312-6800
David Johnson Barton, M.D. 91-896 Makule Road
Suite 102
Ewa Beach, HI 96706
(808) 689-4414
Celia M. Ona, M.D. 91-2301 Old Fort Weaver Road
Ewa Beach, HI 96706
(808) 671-8511
Sadye Yvonne Conner, M.D. 3246 Luahine Place
Haiku, HI 96708
(808) 961-4722
Ian N. Chun, M.D. 88 Kanoelehua Avenue
Suite A204
Hilo, HI 96720
(808) 933-0610
Richard Lee-Ching, M.D. 780 Laukapu Street
Hilo, HI 96720
(808) 961-6922
George A. Rourke, M.D. 900 Leilani Street
Hilo, HI 96720
(808) 961-6822
Kristine Irene McCoy, M.D. 45 Mohouli Street
Suite 101
Hilo, HI 96720
(808) 932-4215
Samuel Mark Ruben, M.D. Christopher J. Linden Family Medicine
400 Hualani Street, Bldg 10, Unit 196
Hilo, HI 96720
(808) 961-0146
Lee N. Baumel, M.D. 1188 Bishop Street
Suite 1306
Honolulu, HI 96813
(808) 826-2993×1
Jason Richard Keifer, M.D. 4211 Waialae Avenue
Suite 207
Honolulu, HI 96813
(808) 542-7349
Barry Stuart Carlton, M.D. 1356 Lusitana Street
Department of Psychiatry
Honolulu, HI 96813
(808) 586-2900
Gregory E.M. Yuen, M.D. 173 South Kukui Street
Honolulu, HI 96813
(808) 528-0550
Gregory E.M. Yuen, M.D. 1188 Bishop Street, #806
Honolulu, HI 96813
(808) 599-5050
William Frees Haning III, M.D. Queen's University Tower 4th Floor, QMC
1356 Lusitana Street
Honolulu, HI 96813
(808) 586-2900
Jon Streltzer, M.D. 1356 Lusitana Street
4th Floor
Honolulu, HI 96813
(808) 586-7427
Brett Lu, M.D. Psychiatry Department
1356 Lusitana Street, 4th Floor
Honolulu, HI 96813
(808) 586-2900
Mya Moe Hla, M.D. Department of Psychiatry- Univ. Tower
1356 Lousitana Street 4th Floor
Honolulu, HI 96813
(808) 586-2900
Amber Lea Rohner, M.D. Department of Psychiatry- Univ. Tower
1356 Lusitana Street 4th Floor
Honolulu, HI 96813
(808) 586-2900
Robert Alan Hyman, M.D. 1188 Bishop Street
Suite 3311
Honolulu, HI 96813
(808) 738-5601
Deborah Anne Kissinger, D.O. 1356 Lusitania Street
Fourth Floor
Honolulu, HI 96813
(808) 586-2900
Mark D. Herbst, M.D. 1356 Lusitana Street
4th Floor
Honolulu, HI 96813
(808) 478-9402
Peter Rudlowski, M.D. 438 Hobron Lane
Unit 315
Honolulu, HI 96815
(808) 947-2224
James C. DeMarco, M.D. 4999 Kohala Avenue
Unit #362
Honolulu, HI 96816
(808) 735-4414
Tricia Elaine Wright, M.D. 845 22nd Avenue
Honolulu, HI 96816
(808) 734-2034
Glenn A. Rediger, M.D. 915 North King Street
Honolulu, HI 96817
(808) 848-1438
Joseph W. Turban, M.D. 1130 N. Nimtz Highway
#C302
Honolulu, HI 96817
(808) 566-8224
Takako Vivian Ishimaru-Tseng, M.D. Drug Addiction Services of Hawaii
1130 North Nimitz Highway, Suite C-302
Honolulu, HI 96817
(808) 538-0704
Randolph Dale Neal, M.D. 1601 Punahou Avenue
Wo International Center
Honolulu, HI 96822
(808) 373-2676
Paul Adam Kaiwi, Jr. 444 Hana Highway
Suite 201
Kahului, HI 96732-2315
(808) 877-5222
Jeremy D. Roberts, M.D. 40 Aulike St #312
Kailua, HI 96734
(808) 664-3744
Lothar Michael Varady, M.D. 640 Ulukahiki
Kailua, HI 96734
(808) 735-0665
Dale Adams, M.D. 314 Uluniu Street
Kailua, HI 96734
(808) 263-7686
D. Gwendolyn Ross, M.D. PO Box 4998
Kailua Kona, HI 96745
(808) 325-3255
Raymond Charles Ray 65-1227A Opelo Road
Suite 104
Kamuela, HI 96743
(808) 885-6030
Bimmie Price Strausser II, M.D. 45-845 Po'okela Street
Kaneohe, HI 96744
(808) 236-2600
Sian Mcintyre Evans, M.D. 6809 B Kahuna Road
Kapaa, HI 96746
(808) 278-8925
Michael John McGrath, M.D. 79-1019 Haukapila Street
Kealakekua, HI 96750
(808) 322-4818
George Carlson, M.D. 645 Laniolu Place
Kihei, HI 96753
(808) 879-8716
Steven Matthew Rogoff, M.D. 2460 Oka Street
Unit 101-A
Kilauea, HI 96754
(808) 828-2885
Patrick D. Ogilvie, M.D. Kauai Medical Clinic
3-3420 Kuhio Highway, Suite B
Lihue, HI 96766
(808) 245-1500
Constante Jadormeo Flora, M.D. 4484 Pahe'e Street
Lihue, HI 96766
(808) 246-3800
Gerald James McKenna, M.D. 4374 Kukui Grove St., Suite 104
Lihue, HI 96766
(808) 246-0663
Michael Lawrence Rimm, M.D. 1043 Makawao Avenue
Suite 201
Makawao, HI 96768
(808) 572-4500
Kristopher K. Bjornson, M.D. 95-1249 Meheula Parkway
Suite B-10
Mililani, HI 96789
(808) 637-5111
Richard David Greczanik, D.O. Pahoa Family Health Center
P.O.Box 1455
Pahoa, HI 96778
(808) 965-9711
Willard Spiegelman, M.D. 3781 Milimakani Place
Princeville, HI 96722
(650) 279-9800
Zehra Siddiqui, M.D. 55 Maui Lani Parkway
Wailuku, HI 96793
(808) 243-6050
Jeffrey Hal Chester, D.O. 1063 Lower East Main Street
Suite C-212
Wailuku, HI 96793
(808) 249-8887
Royal Randolph, Jr., M.D. One Main Plaza Building
2200 Main Street, Ste 517, P.O. Box 1441
Wailuku, HI 96793
(808) 244-9677
Ralph Anthony Dupree, M.D. Kauai Veterans Memorial Hospital
4643 Waimea Canyon Drive, P.O. BOX 337
Waimea, HI 96796
(808) 634-1548
Jami Adair Knox, M.D. 4643B Waimea Canyon Road
Waimea, HI 96796
(808) 335-0579
Graham Timothy Chelius West Kauai Clinic
PO Box 337
Waimea, HI 96796
(808) 338-8311