The providers at Comprehensive Medical, Addiction and Psychiatric Services are able to provide Buprenorphine/Naloxone medication therapy to appropriate patients willing to comply with clinic recommendations and guidelines. Suboxone is approved for use in both induction and maintenance treatment of opioid dependence in appropriate patients. For dependence on short-acting opioids, like heroin or prescription painkillers, Suboxone, which contains buprenorphine and naloxone, may be recommended to help you begin and maintain continuity of treatment. When transitioning from dependence on long-acting opioids, like methadone, a buprenorphine-only medication may be recommended.
You begin your treatment (or restart it if you’ve relapsed) under the supervision of a doctor. For your first dose, you must be in a moderate state of withdrawal. You work with your doctor to reach a dose of Suboxone that works for you.
Your doctor will help you to transition to the maintenance phase of treatment when you:
- Are no longer experiencing withdrawal symptoms
- Have minimal to no side effects
- Do not have uncontrollable cravings
In the maintenance phase, you may be taking your medication regularly as prescribed. Patients must comply with all of the elements of their treatment plan including responsibly handling the medication, staying free from illicit drug use, and seeking counseling and/or psychosocial support.
The decision to discontinue therapy with Suboxone after a period of maintenance should be made as part of a comprehensive treatment plan. It is important that you work with your doctor to determine when the time is right to slowly lower your dose, taking care to minimize withdrawal symptoms. Throughout treatment, you should discuss any concerns you have about relapse with your doctor.