RAPID SUBOXONE DETOX UNDER SEDATION
When MAT (medication assisted treatment) with Suboxone is used for the opioid-dependent patient, the opiate buprenorphine portion attaches to the opioid Mu receptors dependent on opiates. By this replacement therapy, the patient is still dependent on opiates. Basically, it is trading one opiate for the other. The patient will go through withdrawals when Suboxone is discontinued. Patients wanting to be opiate free reach out to us. We detox all opiates, rather than substituting one opiate with another opiate.
Rapid Suboxone Detox under sedation is a medical detoxification treatment offered by All Opiates Detox for patients dependent on Suboxone. It consists of sedating the patient and removing Suboxone from the brain receptor while the patient is sleeping. Acute withdrawals are precipitated with an opiate blocker. These withdrawals will pass during the sedation period. Once the withdrawals are over, and the brain receptors are free of the opiate Suboxone, a blocker is placed to prevent any opiates from getting back into the brain receptor.
The blocker of choice used at All Opiates Detox is an implant. Dr. George prefers the Naltrexone implant blocker for several reasons. First, the Naltrexone implant lasts approximately two months, as opposed to Vivitrol (lasts about 28 days) or tablets (have to be taken daily). Another reason our physicians prefer the implant over the injection is for patients that may not be able to tolerate Naltrexone due to side effects, sensitivity or allergies. The implant can be removed from under the skin, whereas the injection stays in the body for about 28 days and therefore cannot be removed once it is administered. It is recommended to remain on Naltrexone maintenance therapy for at least one year to allow the brain to heal from the damage caused by the drug use and abuse.
Our success rate is near 100% for helping patients detox off opiates without the excruciating pain and discomfort of the withdrawals. Aftercare consisting of the Naltrexone opiate blocker, psychotherapy, and 12 step programs are recommended to ensure long-term abstinence and success.
Suboxone is used as an opiate agonist therapy for the treatment of opiate dependence. It is a semi-synthetic opioid derived from thebaine of the poppy seed. Suboxone is a combination of the opiate buprenorphine and the opiate blocker naloxone. The purpose of combining it with naloxone is to prevent intravenous injection of Suboxone. It is the most widely used trade name of the buprenorphine. It was the first oral disintegrating tablet available with the buprenorphine-naloxone combination. After the pills went generic, Suboxone became available in the sublingual film, strip form. Later other combinations under trade names Zubsolv, Bunavail, Butrane became available. Suboxone starts to work about 30 minutes after sublingual administration, with maximum effects one to two hours later. The half-life is prolonged and varies between 24-60 hours. It is an opioid.
Suboxone SIDE EFFECTS
Suboxone can cause nausea, vomiting, drug withdrawal syndrome, headache, sweating, mouth numbness, constipation, tongue pain and redness of the mouth, attention problems, palpitation, reduced sleep, and decreased libido. Intoxication can also happen, especially when mixed with benzodiazepines.
Suboxone is a long-acting opioid, so withdrawals start several hours to days after its discontinuation. Suboxone withdrawals are more severe than some of the potent opiates. Withdrawals include nausea, vomiting, hot-cold flashes, restlessness, leg cramps, muscle jerking, anxiety, and sweating. Insomnia usually lasts several weeks to months. It is withdrawals that keep the patient going back to the use of opiates and consequently unable to break the cycle of addiction.
Taking benzodiazepines, sedatives or drinking alcohol while on Suboxone can result in overdose. Suboxone overdose symptoms include cold, clammy skin, coma, fainting, hypotension, sleepiness and sluggishness, slow, shallow breathing, respiratory depression, and death.
When opiate agonist therapy with Suboxone is used for the opioid-dependent patient, it is done to satisfy the need of the opioid Mu receptor that is dependent on opiates. By this replacement therapy, the patient is still dependent on opiates. When Suboxone is discontinued, the withdrawal syndrome will start.
Suboxone is abused in several ways. Few patients have reported injecting Suboxone. Some patients report a “high” with its use. Suboxone is used by some patients to prevent withdrawals when they are not able to find their opiate of choice.
Improper use and abuse of Suboxone can lead to dependence, tolerance, and addiction.
Opiates can be habit forming, causing not only physical, but also psychological dependence. Withdrawals may occur if the dose of the opiates is reduced or discontinued after long term use.
Using opiates for an extended period of time can lead to tolerance, where the user needs to increase the dosage of their opiates to achieve the desired effect, whether the desired effect is pain control or euphoria.
Once the patient develops a tolerance, it becomes even more difficult to stop using due to the withdrawals. Symptoms of withdrawals are an indication of physical dependence and addiction to the opiate Suboxone. Most patients describe withdrawals as the worst, most frightening experience one will ever encounter. One can only imagine the excruciating pain when the opiate user says that they’d rather die than go through the withdrawals. Suboxone physical dependence symptoms, such as withdrawals, lead to psychological dependence. That is when addiction takes over the mind and life of the Suboxone opiate user.
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