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Doctor insights on: Suboxone Methadone Naltrexone Heroin Addiction

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How would you go about switching from Suboxone to naltrexone? What would the timing and prescription look like? The current dose of Suboxone is 12mg. Thxs

See below: She has to detox first which requires an individualized approach. Afterward-she needs to wait 2 weeks prior to an injection of naltrexone. However, I have a protocol for initiating Naltrexone at small doses after 3-5 days and quickly titrating to a full dose by day 7-10. ...Read more

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Dr. Vasu Brown
612 doctors shared insights

Addiction (Definition)

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more


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What are the pros/cons and differences between suboxone, methadone, and naltrexone for heroin addiction?

What are the pros/cons and differences between suboxone, methadone, and naltrexone for heroin addiction?

Many: Each form of treatment is different , suboxone is a partial agonist and anatgonist which can induce precipted withdrawal when used with opioids, it can be prescribed out of a data licensed physician office. Methadone is a full agonist advantage inexpensive prescribeed at a Methadone cliniccon tolearnce and use of other narcotics.Naltrexone is a anatagonist that is requires abstinence can be costly. ...Read more

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How does methadone work for heroin addiction?

How does methadone work for heroin addiction?

Mutual support helps: Methadone replaces the heroin, releasing the addict from the time, energy and legal risks of using heroin. Consider using some of this time and energy to engage in a recovery process involving a mutual support group like narcotics anonymous. ...Read more

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What might I do to go about finding a doctor who prescribes methadone for heroin addiction?

Suboxone first: If you are planning on starting Methadone for an opiate addiction, it is suggested you start by discussing your situation by consulting an an addiction specialist. Methadone is not the only choice and not the safest choice. A better & safer outpatient treatment is burenorphine (eg suboxone). ...Read more

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Im on 100 mg of methadone for heroin addiction. I've been on it for 30 days. Lately my fingers and wrists are painful to move. Is it a side effect?

Im on 100 mg of methadone for heroin addiction. I've been on it for 30 days. Lately my fingers and wrists are painful to move. Is it a side effect?

More than likely: A relatively common side effect of Methadone is swelling of the hands and feet that may result in your wrist and fingers being stiff and sore. Methadone has a 5 day half life so it takes about 17 days to clear your system. If you have insurance, suboxone may be a better alternative to detox as the cost without insurance is over $350 monthly. Suboxone is also an easier drug to get off of. ...Read more

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Can anyone answer why ibogaine is not available to cure methadone and heroin addiction instantly by resetting the body?

Can anyone answer why ibogaine is not available to cure methadone and heroin addiction instantly by resetting the body?

Not that simple: Ibogaine is available in multiple clinics in mexico for dealing with addiction. Caution is advised. It is not an automatic cure, and there are dangers like sudden cardiac death and autonomic dysfunction. http://www.ncbi.nlm.nih.gov/pubmed/16698188 more needs to be looked at if this is to be used on larger scale, even though some have found benefit in both opiate and Cocaine addiction. ...Read more

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Can 7 months of methadone treatment for heroin addiction cause a LARGE weight gain? Eating reasonably. Swelling in hands & feet.

Can 7 months of methadone treatment for heroin addiction cause a LARGE weight gain? Eating reasonably. Swelling in hands & feet.

I see it sometimes: Opiods interfere with appetite and metabolism controls in the hypothalamus. In fact, opioid blockers lead to weight loss. Weight gain is more pronounced when other meds are also used. I have the swelling as well but don't understand the mechanism ...Read more

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Could i go to a Suboxone clinic for heroin addiction?

Could i go to a Suboxone clinic for heroin addiction?

Suboxone use: The active ingredient in Suboxone is called Buprenorphine (bupe). Bupe is by itself an Opiate and is used as part of what is known as the Harm Reduction Model with Opiate Replacement Therapy. The Harm Reduction Model attempts to improve the Opiate Addict's overall level of functioning while causing less harm and in some cases-death. Suboxone is not a cure for Opiate Addiction. ...Read more

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What is better for detoxing from heroin, methadone or suboxone, while 6 months pregnant?

What is better for detoxing from heroin, methadone or suboxone, while 6 months pregnant?

Suboxone: Suboxone (buprenorphine) has an improved safety profile compared to methadone. Methadone has a very unpredictable elimination half-life in the body, and therefore, a higher risk profile. ...Read more

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Which is better, Suboxone or methadone for detoxing from heroin, while 6 months pregnant?

Which is better, Suboxone or methadone for detoxing from heroin, while 6 months pregnant?

Which better not clear: Both Methadone and suboxone would be better than heroin. Which of the two likely better than the other given 6 mos into pregnancy is not entirely clear. Methadone, the older drug, is often preferred during pregnancy, though pregnancy class d. Some evidence to suggest less neonatal opioid dependence occurs with suboxone, pregnancy class c. Ref: http://www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc3271614/. ...Read more

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Was on heroin for 11 months started methadone 2wks ago 30mgs n get headaches everyday from it on 45mgs would Suboxone be better for me or what's best?

Was on heroin for 11 months started methadone 2wks ago 30mgs n get headaches everyday from it on 45mgs would Suboxone be better for me or what's best?

Difficult question: Possibly you could take suboxone but are you ready to by responsible to take it yourself? Would you decide not to take it and go out and use? Suboxone works and is well tolerated but you have to be in a structured Aida program and know you are ready because you have a lot of responsibility with subozone . ...Read more

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What's the length of physical withdrawal symptoms from heroin, and which is worse-heroin, suboxone, of methadone-in terms of withdrawal duration and intensity?

There is no 1 answer: because there is enormous variability between people and all of these opioids (and others). However, in general heroin and other short-acting drugs produce a 5-10 day acute withdrawal, usually worst at 24-72 hours and is VERY severe&then improves, but a post-acute withdrawal which is milder but can last months. Buprenorphine is milder than methadone;both peak at 72 hours but can last many weeks. ...Read more

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I am 30 yrs old and a heroin addict I've been in rehab I've been on methadone which works how Can I find an addiction specialist to prescribe it?

I am 30 yrs old and a heroin addict I've been in rehab I've been on methadone which works how Can I find an addiction specialist to prescribe it?

Methadone: This really depends on the States you are in - Federally to be on Methadone for addiction requires you to attend a "Methadone CLINIC" - dO A GOODLE SEARCH FOR METHADONE CLINICS, OR ADDICTION SPECIALISTS IN YOUR AREA. ...Read more

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What does heroin addiction do to a person’s life?

Shortens It: Heroine addiction makes it more likely that an individual contract HIV & hepatitis c. It also makes one less likely to engage in regular health maintenance. It often decreases quality of life by eroding relationships & makes it more likely for people to engage in illegal activities to maintain their habit. ...Read more

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How long to cure heroin addiction?

How long to cure heroin addiction?

Time to cure addicti: Depends on your motivation, resources, and support system. Addiction is a chronic disease. The treatment is behavior modification, which is life long, life style , change. ...Read more

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How do I stay sober with my heroin addiction?

Mutual support helps: If you are concerned about maintaining, you might want to consider attending a meeting of narcotics anonymous. Find a meeting at their web site: http://www.Na.Org/ next step is to find a sponsor. ...Read more

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What can I take to fight heroin addiction withdraws?

What can I take to fight heroin addiction withdraws?

Complicated: You will have difficulty to stop addiction alone, care of addiction psychiatrist most likely required. First step is to find social support from family and friends, second sign up with a treatment program, third is to start regular exercise, increase your work load. ...Read more

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Is kissing someone with heroin addiction dangerous?

Is kissing someone with  heroin addiction dangerous?

Could lead to danger: Heroin users are at risk for contracting hiv, hepatitis c & other infectious diseases, through sharing/reuse of syringes and injection paraphernalia used by infected individuals -- or through unprotected sex with an infected person. These diseases are transmitted via infected blood. Blood in the mouth, could possibly transmit the virus. Kissing could lead to unprotected sex, risking hiv. ...Read more

Dr. Stuart Wasser
645 doctors shared insights

Methadone (Definition)

Methadone is a synthetic opiate used for pain control and in the rehabilitation of opiate addicts. Methadone used in rehabilitation relieves craving, suppresses withdrawal symptoms, and blocks the euphoric effects associated with ...Read more


Dr. Kevin Passer
400 doctors shared insights

Suboxone (Definition)

Suboxone is semi-synthetic opiate compound. At higher doses, it is used to treat opioid addiction. In lower doses, suboxone can be used to control moderate acute pain in non-opioid tolerant individuals and ...Read more