Our Suboxone program is a medication-assisted therapeutic program for opioid dependency that is integrated with a strong psychotherapy regimen. It is important for anyone interested in our Suboxone program to understand that the mental health counseling that they will receive is both mandatory and central to the person’s overall success in treatment. Suboxone treatment is most effective when coupled with psychotherapy. At New Day Recovery, we seek to optimize the chances for client’s successful recovery and, therefore, continue to provide top-notch follow-up from therapists as well as a variety of other program staff and peer support specialists.
Suboxone (also known as buprenorphine) is a medication used for detoxification as well as short-term and long-term treatment programming for opioid dependence. In clinical terms, Suboxone is a partial opioid receptor agonist that tends to not create the unnatural euphoria that is often associated with methadone. In addition, Suboxone is much more convenient to utilize than methadone and tends to be more user-friendly in terms of symptoms and logistics of use. Specifically, Suboxone tends to have less-severe withdrawal effects than methadone.
In reality, buprenorphine is actually an opioid. However, it differs from prescription painkillers and heroin because it is a partial rather than a full opioid agonist. What occurs is a process whereby Suboxone attaches to the very same receptor sites in the brain that are used by other opioids, however, the amount of effect is significantly less than what one would experience from a full opioid agonist. This means that clients are able to moderate and maintain both cravings and symptom effects but, at the same time, do not achieve the euphoric state that they are accustomed to with full opioid agonists. Further, since this partial agonist attaches to the same receptor sites that are used by full agonist painkillers and heroin, it can effectively block the effects of these drugs. Thus, clients are not usually capable of achieving the desired effects with other opioids and are, therefore, less prone to attempt to use them while on Suboxone, especially since cravings are curbed and symptoms are better managed.
This is a question that is best left to a qualified medical professional. At New Day Recovery, we have highly trained and experienced medical staff who oversee this program. They are ideally suited to help you determine if this treatment option is right for you. It is important to understand that, just like methadone, Suboxone does lead to physical dependence. Thus, once you start Suboxone you should consult with our medical doctor before reducing your usage and/or stopping Suboxone, altogether.
First, you can contact us by phone to gain additional information at 855-8773. We will need to ensure that you achieve a moderate state of withdrawal, a state this is required for us to appropriately begin a client on Suboxone. The process for Suboxone consists of three stages which we identify as the Start-Up,Maintenance, and Reduction phases of treatment. These three phases of treatment work, as follows:
Start-Up – This phase occurs during the first 3 days in this treatment regimen. Before beginning the Start-Up phase, our medical staff will need to ensure that clients are in a moderate state of withdrawal because we must be assured that the drugs that a client has abused is free from the receptor sites in the brain so that the Suboxone medication can appropriately bind to the receptors. At this time, you will be given your first dosage of Suboxone by our doctor.
Maintenance – During this phase clients are stabilized on the Suboxone medication and they have routine visits with the doctor who monitors their progress. Also during this phase, you will begin and maintain therapeutic counseling with a trained mental health professional who understands substance abuse, addiction, and other clinical aspects relevant to clients. At a minimum, we require that clients participate in at least 1 group therapy session each week that they are in the program. Also, individual counseling is available and is encouraged on an “as needed” basis.
Reduction – This phase is when, upon determination of the medical doctor and mental health professionals, the client has been cleared to go through a process of decreased dosages of Suboxone. The ultimate goal is, of course, to completely eliminate your need to take Suboxone. During this process of decreased Suboxone dosages, medical staff will monitor and minimize withdrawal symptoms and/or opiate cravings.
After you finish the reduction phase of the program, it is recommended that clients consider further therapeutic group work as well as peer support programs. We are here for follow-up assistance and, if clients feel that they are facing a high likelihood of relapse, maintenance on Suboxone can be resumed so as to minimize uncomfortable symptoms and to avoid relapse.