There are now three traditional ways to stop heroin:
1) “Cold Turkey.” This method is simply stopping the opiate you are using and trying to tough it out on your own or with the help of a few over the counter medications and or some prescription medications.
2) Methadone: This mediation has been around for a very long time and is a replacement for the heroin or other opiate.
Suboxone or buprenorphine is an opiate. That is it acts very much like Vicodin, Norco, Heroin and a host of other similar medications. The difference is that it does not attach to all of the opiate receptors in your brain. You do not get “high” or energized form Soboxone. It you take more than you are supposed to it does nothing.
Since it is an opiate if you stop you will have withdrawal sysmptons, such as:
Suboxone is a trade name for buprenorphine. It was developed years ago as a pain reliever. It was later used in Europe as a substance to help people with opiate addiction ( hydrocodone, oxymorphone, heroin, opium and many others with their trade names such as Vicodin). Buprenorphine was approved in the United States in 2002 for opiate addiction treatment.
All opiates attach to “opiate receptors” in the brain. This helps relieve pain, relax people and for some people it energizes them. Other people will feel drowsy. For some an opiate will make them feel a sense of wellbeing and euphoria.
Studies are mixed as to whether inpatient or outpatient is better. As years have gone by that data indicates that they are fairly equivalent.
Inpatient is probably better suited, or is suited, for those that do not have a good support system and that are in the throes of an addiction that is out-of-control. That is addiction that has escalated in terms of amount used and money spent and social costs such as job loss.
At Brian Lynch, M.D, we concentrate on outpatient treatment.
It is my philosophy that, if at all possible, the patient should stay in the community.
This is despite the fact that many people and many in the situation of addiction, find themselves isolated. We hope to provide a therapeutic home and and one way or the other, in the long term, we have to return to the community.
The beauty of buprenorphine treatment is that one can literally be back at work within 48 hours.