San Antonio Methadone Treatment


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San Antonio offers a range of opioid treatment options for those struggling with opioid addiction including several local methadone clinics and numerous physicians approved to prescribe buprenorphine. Both methadone and buprenorphine (the active ingredient in Suboxone) are very effective at eliminating painful opioid withdrawal sickness. Some patients respond better to methadone over suboxone although this is highly individualized. Your treatment team or physician will work with you to find the most effective medication to alleviate your opioid withdrawal symptoms. Below are links to more info on methadone program effectiveness, opioid dependency, addiction & recovery counseling.


San Antonio Methadone Clinics
Metro Treatment of Texas LP 3701 West Commerce Street
San Antonio, TX 78207
(210) 434-0531
River City Rehabilitation Center
Inc
680 Stonewall Street
San Antonio, TX 78214
(210) 924-7547
Tejas Recovery and Counseling Services 7418 Military Drive West
San Antonio, TX 78227
(210) 673-8111

 

San Antonio Buprenorphine Suboxone Providers
Edward Joseph Lazaga, M.D. 1222 Mccullough
Suite 101
San Antonio, TX 78212
(210) 223-4140
Rolando X. Rodriguez, M.D. 130 West Woodlawn
San Antonio, TX 78212
(210) 225-5723
Ana E. Monterrosa, M.D. 311 Camden
Suite 404
San Antonio, TX 78215
(210) 224-1811
Francisco J. Rodriguez, M.D. 311 Camden
Suite 11
San Antonio, TX 78215
(210) 224-1616
Arthur Samuel Hernandez, M.D. 88 Briggs Street
Suite 250
San Antonio, TX 78224
(210) 923-9333
Anthony Michael Deep, M.D. 5835 Callaghan, Suite 321
San Antonio, TX 78228
(210) 464-1983
Frankie Nell Nations, M.D. STOP SA, LLC
3780 NW Loop 410
San Antonio, TX 78229
(210) 736-4405
John Tobis, Jr., M.D. UTHSCSA Dept. of Psychiatry
7703 Floyd Curl Drive
San Antonio, TX 78229
(210) 567-5433
Michael Anthony Dawes, M.D. Villa Severna Building
4455 Horizon Hill
San Antonio, TX 78229
(210) 321-2700×6400
Dmitry Vito Listengarten, M.D. 8026 Floyd Curl Drive
San Antonio, TX 78229
(210) 575-8229
Jeremias Momongan Abueme, M.D. 5282 Medical Drive
Suite 130
San Antonio, TX 78229
(210) 615-8434
Richard Marmel, M.D. 8231 Fredericksburg Road
San Antonio, TX 78229
(210) 614-4711
Gundlapalli Surya, M.D. 8038 Wurz Bach Road
Physician Plaza I, Suite 680
San Antonio, TX 78229
(210) 692-0121
Yousuf Jan Allawala, M.D. 4242 Medical Drive
Suite 6300
San Antonio, TX 78229
(210) 614-8400
Bertram Wolf Roberts, M.D. STOP-SA
3780 Northwest Loop 410
San Antonio, TX 78229
(210) 736-4405
Rolando Antonio Medina, M.D. Audie L. Murphy VA Hospital
7400 Merton Winter Boulevard, 116 A
San Antonio, TX 78229
(210) 617-5130
Denise Lyn Pride, M.D. 7400 Merton Minter Boulevard
San Antonio, TX 78229
(210) 617-5300×5155
Laura Perches, M.D. STOP-SA
3780 Northwest Loop 410
San Antonio, TX 78229
(210) 736-4405
Christopher Lesle Wallace, M.D. Uthscsa Dept Psychiatry Mc 7792
7703 Floyd Curl Drive
San Antonio, TX 78229-3900
(210) 567-5453
David Henry Karney, M.D. 8207 Callaghan Road
Suite 425
San Antonio, TX 78230
(210) 692-0885
Gilbert Salazar, M.D. 730 North Main
Suite 424
San Antonio, TX 78231
(210) 227-1289
Jeffrey Michael Benzick, M.D. 14800 U.S. 281 North
Suite 110
San Antonio, TX 78232
(210) 490-9850
Edmund Payne Williams IV, M.D. 1380 Pantheon Way
Suite 310
San Antonio, TX 78232
(210) 404-9696
Habib Nathan, M.D. 9480 Huebner Road
San Antonio, TX 78240
(210) 614-9595
Abel Hipolito, M.D. 8600 Wuzrbach Road
Suite 504
San Antonio, TX 78240
(210) 614-2888
San Antonio Suboxone Doctors


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


Methadone and buprenorphine are highly effective medications that have been used for many years to successfully assist both men and women in overcoming their reliance on heroin, prescription medications, and other opioids. Methadone eliminates the strong cravings and other uncomfortable physical and psychological symptoms that are commonly related to opiate withdrawal. Buprenorphine can also alleviate debilitating withdrawal symtoms although it is typically more effective with mild to moderate opioid dependencies. Severe levels of opioid addiction are often more responsive to methadone since it is a full opioid agonist.