Treatment FAQ

what is required to participate in suboxone treatment as a patient

by Meghan Lakin Published 3 years ago Updated 2 years ago
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All new patients must be in active substance abuse counseling/therapy before beginning Suboxone. Counseling must continue on a regular basis (at least twice monthly) for the duration of Suboxone treatment. To meet this requirement, there are three possible avenues you may take:

‍All clinics that prescribe buprenorphine/naloxone (Suboxone) have requirements for periodic urine drug screening. These drug screens check two things: 1) that the patient has the metabolite of Suboxone in their body, and 2) that the patient does not have other drug products in their body.Apr 18, 2022

Full Answer

How long should I be on Suboxone?

How Long Should Suboxone Be Prescribed? The length of time one stays on Suboxone depends on a number of different factors: how long the person has been addicted to narcotics; the types of narcotics; whether there is a family history of substance abuse; how well the patient responds to Suboxone; and how well the treatment is progressing (in ...

Is Suboxone an effective addiction treatment?

Suboxone is an incredibly popular and effective drug for treating opioid addiction. Studies on Suboxone treatment have found that extended use of Suboxone is incredibly useful for improving the outcomes of people in recovery for opioid addiction. Around 9 million prescriptions for Suboxone are filled every year.

Do I need detox for Suboxone?

While the decision to detox from Suboxone is yours alone to make, choosing medically-supervised Suboxone detox is the safest and most effective approach. A successful detox, immediately followed by treatment, will give you the best chances of a successful, long-term recovery.

What is an over-the-counter substitute for Suboxone?

Natural Alternatives to Suboxone Drinking more water. Whenever coming off of any drug, one constant challenge is to stay hydrated. ... Bananas. One way to try and naturally combat the effects of addiction and to come off of Suboxone is to start eating plenty of bananas. St. John's Wort. ... Green Tea. ... Velvet Bean. ... Passion Flower. ... Ginger. ...

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What happens if you get dismissed from Suboxone?

If you are dismissed from the Suboxone program, you are still able to be treated for other medical problems. However, we will no longer be able to provide care for your addiction and will recommend you find another treatment program.

What are the rules for a drug test?

Failure to adhere to any of the above listed rules. Lying about anything during your Intake and/or Induction. Lying about anything during your treatment. Continuing to consume illegal drugs during your treatment. Cheating on a urine screening. Failing a urine screening (found drugs).

Can you give away Suboxone?

It is illegal to give away or sell your Suboxone medication. It is illegal to receive Subox one treatment from more than one physician at a time. You cannot request an early refill on the medication. You cannot request a refill without an appointment.

What do you need to know about Suboxone?

Everything You Need to Know About Suboxone® Treatment. Opioid use disorder is an ever-growing issue, the effects of which are widespread. Virtually no community or demographic has been spared of the consequences of prescription of drug abuse, which is the primary cause of the opioid epidemic in the U.S. In 2017, the federal Substance Abuse and ...

What is the maintenance phase of Suboxone?

Maintenance Phase: When a patient can maintain their treatment, they begin the maintenance phase. They continue to take the correct dose of Suboxone ® as directed by their physician. They can begin to regain the lifestyle they had before their addiction started with a support system in place.

How many parts of Suboxone are in a narcotic?

Suboxone ® contains four parts buprenorphine and one part naloxone. Naloxone is used not only to curb narcotic effects but also to prevent abuse, as using Suboxone ® in ways other than prescribed can cause immediate symptoms of narcotics withdrawal.

How long does it take for buprenorphine to clear the system?

However, each halving of the metabolite takes an additional 37 hours, so in total, it can take from nine to 14 days for Suboxone ® to fully clear the system after the last dose is administered.

What class of drug is naloxone?

Naloxone belongs to the class of drugs known as opioid antagonists, which means it binds to the brain’s opioid receptors preventing opioids themselves from taking hold and stopping the intoxicating flood of dopamine that is the hallmark of opioid drug abuse.

How long does it take for Suboxone to taper?

It can take about two years of treatment for a patient to reach this phase.

What is the induction phase of a drug?

Induction Phase: During the induction phase, the patient will undergo an intake assessment so a doctor can determine the proper dose. The doctor will work with the patient to find a comfortable dose that relieves symptoms of withdrawal and drug cravings. Dosage will be increased until the intended results are achieved.

When was buprenorphine approved?

The FDA approved the medication buprenorphine and the combination medicine Suboxone® (buprenorphine and naloxone) in 2002. Opioid addiction treatment centers like BAART Programs administer Suboxone to relieve withdrawal symptoms. In this Suboxone guide, we will explain the process behind medication-assisted treatment (MAT) using the medicine.

What can MAT patients take?

MAT patients can take medicines such as methadone, buprenorphine or a compound like Suboxone. Each MAT patient has different needs, so their doctor will help them find a medication that suits them. Suboxone’s benefits that influence this choice include:

What is the purpose of suboxone?

What Is Suboxone? Suboxone is a combination of buprenorphine (an opioid medication) and naloxone (a medication that blocks the effects of opioid medication) that is used to treat opioid addiction, including addiction to heroin and narcotic painkillers.

What is the initial phase of Suboxone?

Induction phase. The initial phase of Suboxone treatment, called “induction,” occurs under the supervision of a physician. 3 This phase begins once a person is in the early stages of withdrawal.

What is Suboxone 7?

Food and Drug Administration in 2002 to be used as part of medication-assisted treatment (MAT), 7 Suboxone is one of the most commonly prescribed medications for the treatment of opioid addiction. MAT combines behavioral therapy and medications to treat substance use disorders.

How long does suboxone last?

Suboxone can begin to work within 30 minutes of the first dose and last up to 3 days. The typical course of treatment with Suboxone can last from a month to a year.

How to contact buprenorphine?

You are never too old to improve your health and quality of life! You are never too old to improve your health and quality of life! Call 1-888-319-2606 Helpline Information.

What are the side effects of buprenorphine?

Adjustments to dosing may occur during this stage under the direction of a prescribing physician. 1. Common side effects of buprenorphine include: 10. Nausea.

What is the last stage of treatment?

The last stage of treatment is recovery . Aftercare planning under the supervision of a case manager or a counselor is encouraged. Ongoing participation with other forms of outpatient therapy may also be beneficial. This can include 12-step programs, and/or individual or group therapy.

New Rules for Suboxone Treatment in Ohio

For those who don’t know, the state of Ohio has consistently had one of the highest overdose death-rates per capita in America. In the midst of the opioid crisis, the Buckeye State has suffered tremendously, while officials have tried to develop new strategies for addressing the issue.

Opponents of Mandatory Counseling

While many feel that therapy is an important resource for those trying to get off drugs, several doctors oppose the requirement to get counseling. Some physicians insist that any kind of therapy is not medically necessary.

Supporting the Counseling Requirements

Meanwhile, there are those who support the current requirements and find the new rules will only ensure patients are receiving quality care. In fact, the same 2018 Substance Abuse and Mental Health Services Administration document also makes references to the benefits of counseling, including:

Curbing Street Sales of Suboxone

Those who support mandatory counseling are concerned about doctors who operate cash-only clinics, worried that they will dish out Suboxone with no other services or referrals to further treatment simply to make money. While we would like to believe this wouldn’t happen, we have seen the damage of untethered prescribing with opioid pill mills.

Should Therapy be Required for Suboxone?

Many people will argue that suboxone treatment is a crucial medical resource that should not be dependent on a patients willingness to attend therapy. Because addiction is a health issue, some believe the focus should be primarily on the individual’s health.

Why is Suboxone counseling required?

It turns out that counseling can be a necessary and impactful method of fostering freedom from opioid addiction.

What is the purpose of addiction counseling?

In addition to sharing your struggles and successes in your addiction journey, counseling is a place to learn methods of coping with the stresses of life in a healthy way.

Why are blanket requirements for counseling important?

Blanket requirements for counseling creates an unnecessary financial burden on payers: individuals, health insurers, and self-insured companies. Programs should be sophisticated enough to provide individualized treatment to their patients.

Is Suboxone stable?

Approximately two out of three patients who are prescribed Suboxone are stable and only return for monthly maintenance appointments with a provider. Counseling should be available to stable patients but should not be required. Requiring stable patients to engage in unneeded counseling creates two major problems:

Can you take Suboxone with opioid use disorder?

In addition, people who are recovering from Opioid Use Disorder, are likely to be taking Suboxone or other buprenorphine medications for many years while they try to rebuild their lives. For many of those patients, who are no longer tempted by opioids, the medication alone is enough.

Does MAT use Suboxone?

Unlike other systems that are abstinence-based, MAT utilizes Suboxone to assist individuals in their recovery. But it’s important to remember that Suboxone is part of a larger treatment plan. If patients need more help, it can be supplemented with additional services.

Is counseling a good addition to a treatment plan?

But a large body of research proves that counseling can be a beneficial addition to a treatment plan. Research from SAMHSA found that “regardless of what setting MAT is provided in, it is more effective when counseling and other behavioral health therapies are included…”.

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