Posts Tagged ‘methadone’

Suboxone- the pluses and minuses

Wednesday, January 20th, 2010

Suboxone (or buprenorphin) seems to be all the rage these days. With the power of the multi-lateral corporation Reckitt Benckiser (whose exclusive license on Suboxone brought in fifteen percent of their overall revenue in 2009), a huge push is being made to medical doctors to prescribe Suboxone as a way to combat heroin use. Since Suboxone is a semi-synthetic opiate, many dangers arise from the over-prescription of this drug. While we at AiR have seen many benefits to Suboxone during the initial detoxification process, we worry about the addicts who get saddled in trading one maintenance drug for another. Now the website for Suboxone does suggest that “more than medication alone” makes for successful treatment; however- we’d like to see some facts and research behind the amount of people who seek outside therapy along with their medication management.
Here’s the main problem, directly from the Suboxone website:

“All opioids can cause physical dependence. SUBOXONE belongs to a class of opioids called “partial opioid agonists.” As a partial agonist, buprenorphine appears to produce less physical dependence, limited euphoria, and less potential for abuse compared with a full agonist, eg, heroin, oxycodone, and hydrocodone. SUBOXONE has potential for abuse and produces dependence of the opioid type with a milder withdrawal syndrome than full agonists.

When patients are ready to stop taking SUBOXONE, the dose is slowly and gradually tapered. The withdrawal symptoms of SUBOXONE are milder than those seen with a full opioid agonist and can be managed with your doctor’s supervision.”

So, basically, are we dealing with the new methadone here? It sure looks like it. We need physicians to be responsible and educated around addiction before they reach for that prescription pad. If a doc wants to use suboxone to assist in the detoxification process, then please do- just be sure to remove a patient from this opioid. Creating additional dependence, albeit on a lower-level substance, still encourages a dependence instead of a solution. Hazelden had this to say (from a CNN article earlier this year): “At Hazelden, a small proportion of patients receive anti-addiction drugs, but medical director Dr. Kevin Clark says the traditional model — based on intensive therapy and the 12 steps — is still best. ‘It is a disease of the brain, but it’s a multifaceted disease. It has a spiritual component, a behavioral component to it,’ says Clark. ‘Our experience tells us that having the network of support and recovery is what really makes the difference.’”

With the help of residential treatment, twelve-step programs, and support from a family, the chances of an addict getting into recovery skyrocket. Medication alone will never be the solution, because, at the end of the day, the drugs are only a symptom. An addict needs help outside of a pill.

For help for yourself or a loved one, please call us at 877-320-0247 or visit our main page at www.a-i-r.com.

Tags: addiction, addiction intervention, AiR Assistance in recovery, assistance in recovery, buprenorphin, chemical dependency, drug addiction, drug deaths, methadone, prescription drug abuse, Recovery Assistance Program, suboxone, substance abuse, Treatment
Posted in Blog | No Comments »

Methadone Deaths on Wyoming Reservations

Monday, November 23rd, 2009

On the Wind River Reservation in Wyoming, families are mourning the deaths of three girls from methadone overdoses. CNN posted this interesting and terrible article this morning, talking about the tragic deaths of girls ages 13, 14 and 15. The three girls were sleeping over on a night just before starting a new semester of high school- and never made it home. On a reservation that has seen its share of drug and alcohol-related deaths, the loss of three young teenagers really struck home.

The coroner ruled the deaths homicides- but it was not readily apparent where the drugs came from.The FBI got involved almost immediately following the deaths, as they do when felonies occur on reservations. As a result, not much is known about the case itself. Two teenage boys have been arrested in conjunction with the deaths, but no other details are really known at this time. In a culture that acknowledges a distrust of law enforcement, nearly 24 hours passed before authorities were contacted about the deaths.

A difficult situation for the families on this reservation; one can only hope that, through this tragic loss, the people on the reservation can be more aware of the dangers of drug use and abuse. Through this, more help may be available- at least we can hope so. A difficult and tragic situation like this, along with it being brought into the public eye, may actually result in some change.

If you or a loved one are struggling with addiction, please contact us directly at 877-320-0247 or visit us on the web at www.a-i-r.com.

Tags: addiction, addiction intervention, adolescent addiction, AiR Assistance in recovery, assistance in recovery, chemical dependency, drug addiction, drug deaths, mental illness, methadone, methadone overdose, overdose, pain addiction, pain killers, prescription drug abuse, substance abuse, Treatment
Posted in Blog | No Comments »