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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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Dr. Al Hegab
43 doctors shared insights

Heroin Addiction (Definition)

Heroin addiction starts with recreational drug use. After prolonged use, individuals experience tolerance to the effects of heroin and require a greater dose to achieve the same effects. Users also develop dependence to the opioid drug and may experience ...Read more


Dr. Stuart Wasser
638 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