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Detox for Suboxone Addiction by State

Detox for Suboxone Addiction by State

How Is Suboxone Used During Treatment?

Suboxone is used in treatment during the initial detox phase to treat opioid withdrawal symptoms, and during therapy, to manage cravings. However, most inpatient centers will detox a patient completely off suboxone when they finish treatment. An outpatient drug rehab center will taper the addict off the drug when they have completed the program. Suboxone has been coined as being a safer alternative to methadone when treating opioid addiction. The buprenorphine within suboxone is a mild long-lasting opioid, and the naloxone counteracts the effects of the opioids on the opioid receptors within the brain. During treatment, an opioid addict would be given suboxone when they start to experience the withdrawal effects from the opioids they are taking. Typically, a detox would start with pure buprenorphine, and then the patient would be prescribed suboxone. The use of suboxone would either be continued or stopped depending on the progress the patient is making during treatment. The buprenorphine within suboxone provides the dose of opioids the user needs. This also minimizes the withdrawal effects caused by opioids. Buprenorphine is a partial opioid agonist, resulting in mild euphoric effects. Naloxone, which is the other part of suboxone, is a pure opioid antagonist. It excites the opioid receptors and shuts them down, and reverses the effects of the opioid agonists within the body.

However, is important to only take suboxone when you are not taking any opioids because it does trigger withdrawal symptoms for people who take opioids. This is why suboxone is administered to patients during the withdrawal phase and is used for medication management. The combination of buprenorphine and naloxone makes it easier for an opioid user to wean off the stronger opioids they are using. The combination of therapy/counseling with medication-assisted treatment can be effective for some opioid addicts. However, the end result should be with the patient completely off all drugs and working towards a drug-free life. The purpose of substituting one opioid with another opioid is to gradually wean the person off the opioids. A dependency on opioids is so strong, that the safest option for many patients is temporarily replacing it with another opioid. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), a patient receiving medication-assisted treatment must receive counseling, vocational, educational, and other assessments and treatment services.

In 2008, during the rise of suboxone use, the National Institute of Health reported how extended suboxone use improved the outcome for young adults addicted to opioids. Suboxone that is used in treatment is solely done to manage withdrawals and cravings, and help an opioid addict work towards recovery. However, if the addict chooses to avoid treatment or detox, and only use suboxone, they are placing themselves at risk. Suboxone without treatment will not result in the addict staying sober and not using opioids. There is still the chance they will turn back to other opioids when they have developed a tolerance for suboxone. Drug rehabilitation is the best method to overcome any type of opioid addiction.