It depends on amt: If you really want to detox-and be off all opiods including subuxone than you want to do it quickly. You may want to use subuxone for a shor period (weeks) and titrate of using a variety of adjunctive medications including clonidine, bacofen, zofran (ondansetron) and others. Expect a prolonged period after the detox protocol termed post acute withdrawal syndrome which can last months at times. (continued).
Answered 7/12/2013
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Continued: Naltrexone can help with this. Counseling also provides benefits that are hide to quantify but patients tend to do better when in counseling. If there has been a history of failure with prior treatments, more prolonged therapy with subuxone should be considered.
Answered 7/21/2014
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