Author Box
Articles Categories
All Categories
Articles Resources

Office Based Treatment for Opiate and Opioid Addictions

March 19, 2012 | Comments: 0 | Views: 90

Drug and alcohol detoxification is medically supervised withdrawal. A medication that is the same or similar to the drug being abused is given to the patient until withdrawal symptoms are alleviated. The medication is then given in downward tapering doses. This allows for a safer and more comfortable withdrawal for the patient.

Suboxone is an excellent medication for the outpatient detoxification from opiates (heroin) and opioids (Oxycontin, oxycodone, Percocet, Vicodin, and Lortab). There are a number of reasons that suboxone is such a good option. It is considered a very safe medication. Suboxone is known as a partial agonist, meaning it partially stimulates the opiate receptor. This means that it has what we call a ceiling effect, so that at a given dose the medication has no more effect. This translates into it having a low risk of respiratory depression, which is a low risk of stopping breathing.

The other thing about Suboxone is that the buprenorphine, which is the narcotic part of the medication, binds very tightly to the opioid receptor. It binds so tightly that other opiates and opioids cannot get in, so that if a patient decides to use Heroin or Percocet during their detox, those medications will have no effect, and there will also be no additive affect of two opioids with the potential for serious side effects like respiratory depression.

Suboxone is also interesting because in order to start the medication, the patient actually has to be somewhere between early to moderate withdrawal. If Suboxone is started too early, it would actually send the patient into precipitated withdrawal, which is ten times worse than regular withdrawal. So what needs to be done is keep the patient as comfortable as possible overnight before they come in for what is called induction. A number of medications can be used overnight to make patients more comfortable. Clonidine is a gold standard type of medication for opioid withdrawal. It is an old blood pressure medication, and it treats what are called hyperadrenergic symptoms. These are the stimulating symptoms of withdrawal, the sweats, chills and shakes.

I also use the class of medications called benzodiazepines to keep the patient comfortable overnight, medications such as Klonopin, Valium and Ativan. These alleviate anxiety, which is frequently a big part of the withdrawal syndrome, and at a minimum, it helps patients to not care as much that they basically feel terrible. I also remind patients to consider themselves as having the flu, and remember the basics such as pushing fluids. Nobody is going to feel well if they get dehydrated, it doesn't matter what is prescribed.

Tylenol and Motrin are recommended for aches and pains, as well as Imodium for upset stomach. I also recommend that patients keep yogurt or ice cream in the house, because those are easy to eat when you don't feel well. Each patent is different, and my approach in general is to tailor treatment to each individual patient.

Stuart Kloda, M.D. is an addiction medicine physician in New York City. He is an expert in the treatment of opioid and opiate addictions:

Stuart Kloda, M.D. is an addiction medicine physician in New York City. His website offers a comprehensive description of his entire medical practice:

Source: EzineArticles
Was this Helpful ?

Rate this Article

Article Tags:

Suboxone Nyc


Suboxone New York City


New Jersey Counseling Addiction







Your body needs glucose in order to get energy for cell and tissue function. Without energy, the cells do not function properly and the immune system is compromised. When your blood glucose levels

By: Clifford H Woods l Health & Fitness > Diabetes l July 09, 2013 lViews: 2617

Heavy Metals - Free radicals (tissue damaging molecules that cause aging and bodily deterioration) are the result of the ever-present toxins within our environment. Heavy metals are contained in

By: Clifford H Woods l Health & Fitness > Supplements l July 09, 2013 lViews: 607

Braun shavers and trimmers are very standard brand and their new curser beard and head trimmer is big for trimming beards. This trimmer was specifically made to be able to trim down your beard and

By: Lovey Blackburn l Health & Fitness > Beauty l December 20, 2012 lViews: 460

On this website you will find latest makeup reviews and swatches from real people. You will know how makeup products look in real life, and you can also participate! Post your photos, tips and

By: l Health & Fitness > Beauty l December 09, 2012 lViews: 321

You can either seek referrals from friends and associates or search for consultants on the internet. The latter, in our opinion, would be a viable option for those pressed for time.You can either

By: Simon Liva l Health & Fitness > Diseases l December 07, 2012 lViews: 269

Healthy living is essential in today's world, to ensure one's well being. Learn how to relax and improve your mood now! Be it exercising, or indulging in one's passions and hobbies, be sure to set

By: Clarinda l Health & Fitness > Mind Body Spirit l December 02, 2012 lViews: 262

Today’s is the busy world, where there are constant activities leaving little time for one to relax.In such a state of hurry and flurry and scrambles, people can not spare moments after standing in

By: Adam Nicolsonl Health & Fitness > Medicinel August 09, 2012 lViews: 254

The Adaman tribe, inhab­it­ing a tiny island in the tsunami-tossed Bay of Ben­gal, pos­sesses a unique count­ing sys­tem. Here it is: One. More than one. That's all. That's it. If you have one,

By: Patricia L Raymondl Health & Fitness > Medicinel July 05, 2012 lViews: 163

Medical technology is helping people move and live, even if their heart can't function. The developments are something worth looking into the next time you have orthopedic or cardiovascular surgery.

By: Lyndsay Flagell Health & Fitness > Medicinel July 04, 2012 lViews: 154

Human beings need iron to stay alive; yes, for it is iron that enables the transportation of oxygen to the cells. A healthy adult will have between 4 to 5 grams of iron in the body. Almost 65% of the

By: Tim Lakerl Health & Fitness > Medicinel July 04, 2012 lViews: 156

The mineral calcium is the most abundantly found mineral in the human body. And we all know that along with phosphorous and Vitamin D, calcium is essential for strong teeth and bones. The average

By: Tim Lakerl Health & Fitness > Medicinel July 04, 2012 lViews: 158

A healthy child is a happy child. Ensure that your child is up to date on all their vaccinations, so they will stay healthy and happy in the future.

By: Anders Abadiel Health & Fitness > Medicinel July 03, 2012 lViews: 161

Attempting to detox off of benzodiazepines such as Xanax, Klonopin, Ativan, and Valium can be extremely difficult. If not done properly, the withdrawal symptoms can become unbearable. It is therefore

By: Stuart Kloda, M.D.l Health & Fitness > Medicinel March 19, 2012 lViews: 132

Discuss this Article

comments powered by Disqus