Methadone

Inpatient Detox v. Outpatient Detox

In order to understand why outpatient detox for drug addicts and alcoholics rarely gives satisfactory results, we have to review a couple of things about addiction. Addiction is a compulsion to use a substance or behavior to alter the way we feel. However, it is more than that: it is a physical and emotional way …

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Binge Use of Alcohol and Drugs

Getting drunk or high on an intermittent basis — perhaps every weekend —  is known as binge using. There is are indications that people who binge drink stand a considerably greater chance of becoming alcoholics, especially young people, who are still forming neural connections in their brains.  Many authorities believe that this applies to certain …

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Opiate Overdose Due To Reduced Tolerance

In practically all cases, opiates kill by respiratory depression: when we OD, the part of the brain that controls breathing shuts down, and we “forget” to breathe.  This causes death by hypoxia — suffocation. I was reading again today about another addict who overdosed and died because she misjudged her tolerance for Oxycontin after leaving …

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Study Shows Buprenorphine Beats Methadone For Pregnancy Maintenance Treatment

An article in the December 9th issue of the New England Journal of Medicine (not available online) refers to a Johns Hopkins study regarding maintenance treatment for opiate addiction in pregnant women. First, we need to mention that, when a woman who is currently addicted to opiates gives birth, the baby is addicted as well. The child’s detox symptoms …

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I’ve heard that opiate overdoses often occur when users relapse. Is this true? What’s the deal?

It is true, but in order to give you a good overview, let’s talk about overdoses (ODs) in general. Most overdoses are caused by people mixing drugs such as heroin, alcohol, methadone and benzodiazepines (Valium, Xanax, Ativan and similar “tranquilizers”). These drugs are all central nervous system (CNS) depressants. When used together, there can be …

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If I’m On A Suboxone Or Methadone Program, Am I Clean?

Q. Is being prescribed methadone or suboxone considered being clean, even though they are addictive, abusable substances? You’ll get different answers to this question from different people.  Generally the division lies between those who are on maintenance drugs and those who are not.  Both sides of the discussion have their valid points.  However, I believe you …

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Should I Tell A Prospective Employer About My Addiction And Recovery?

This really comes down to a personal decision.  Our program is intended to develop “a manner of living that demands rigorous honesty,” but it is also an anonymous program.  The “rigorous honesty” demanded is self-honesty.  There are, without question, situations where being too open about our past can destroy careers and create chaos in other …

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