Commonly Asked Questions about Addiction and Treatment
What is the purpose of drugs such as methadone, suboxone and subutex in the recovery process?
Methadone, Suboxone (a combination of buprenorphine and naloxone), and Subutex (buprenorphine) are medications used in Medication-Assisted Treatment (MAT) for opioid use disorders. Their primary purpose in the recovery process is to help manage withdrawal symptoms and reduce cravings, facilitating a safer, more comfortable transition to abstinence or long-term management of the disorder. Here's a more detailed look at how each of these medications function:
Methadone: Methadone is a long-acting opioid agonist, which means it activates the same receptors in the brain that other opioids like heroin, morphine, or prescription painkillers do. However, it does so more slowly and for a longer duration, without causing the intense euphoria associated with misuse of those drugs. This helps to mitigate withdrawal symptoms and cravings, enabling individuals to function more normally in daily life.
Suboxone: Suboxone contains two active ingredients: buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, meaning it activates the opioid receptors in the brain, but to a lesser extent than full agonists like heroin or methadone. This can help manage cravings and withdrawal symptoms without producing the high associated with opioid misuse. Naloxone is an opioid antagonist, meaning it blocks the effects of opioids. It's included in Suboxone to discourage misuse of the medication; if someone tries to inject Suboxone, the naloxone will trigger withdrawal symptoms.
Subutex: Subutex is the brand name for buprenorphine alone. Like in Suboxone, buprenorphine in Subutex serves to lessen withdrawal symptoms and reduce cravings. It is typically used in the initial stages of treatment, while Suboxone is more commonly used for maintenance.
These medications are typically used as part of a comprehensive treatment plan that also includes counseling and behavioral therapies. It's important to note that while these medications can be highly effective in supporting recovery, they should be used under the guidance of a healthcare provider due to the risk of misuse and potential side effects. Each individual's treatment plan should be tailored to their unique needs and circumstances to ensure the best possible outcomes.
How can I get help for opioid addiction?
If you or someone you know is struggling with opioid addiction, seeking help is a crucial first step towards recovery. There are several resources and options available to assist you in overcoming opioid addiction:
- Consult a healthcare professional: Speak with a doctor, therapist, or counselor who is experienced in addiction treatment. They can assess your situation, provide guidance, and recommend appropriate treatment options based on your individual needs.
- Medication-Assisted Treatment (MAT): MAT combines medications like methadone, buprenorphine, and naltrexone with counseling and behavioral therapies to treat opioid addiction. These medications can help manage withdrawal symptoms, reduce cravings, and decrease the likelihood of relapse.
- Inpatient treatment programs: Inpatient or residential treatment programs provide intensive, structured care in a controlled environment. These programs typically offer medical detoxification, therapy, counseling, and support group meetings to address the physical and psychological aspects of addiction.
- Outpatient treatment programs: Outpatient programs provide therapy, counseling, and support while allowing individuals to continue living at home and attending work or school. These programs vary in intensity and duration, offering a flexible option for those who cannot commit to inpatient treatment.
- Support groups: Attending support group meetings, such as Narcotics Anonymous (NA) or SMART Recovery, can provide valuable peer support and a sense of community during the recovery process. These meetings allow individuals to share experiences, learn coping strategies, and receive encouragement from others who have faced similar challenges.
- Therapy and counseling: Individual, group, or family therapy can help address the underlying psychological and emotional issues contributing to opioid addiction. Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI) are among the evidence-based therapies that can be beneficial in the recovery process.
- Helplines and crisis lines: If you need immediate assistance or information about opioid addiction and treatment resources, consider calling a helpline, such as our own (877-882-9275), or the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP (4357) or your local crisis hotline.
- Online resources: Websites like the National Institute on Drug Abuse (NIDA), the American Society of Addiction Medicine (ASAM), and the Substance Abuse and Mental Health Services Administration (SAMHSA) provide a wealth of information about opioid addiction and treatment options. Online forums and communities can also provide peer support and shared experiences.
When a person is a substance abuser, don't they realize their life is being destroyed?
Substance Use Disorder, commonly known as addiction, is a complex condition that can significantly impact a person's judgment, perceptions, and decision-making abilities. Here are a few reasons why someone struggling with substance abuse might not fully realize the extent of the damage it's causing to their life:
Denial: It's common for individuals suffering from addiction to be in denial about the extent of their problem. They might underestimate how much or how often they use, or they may not acknowledge the negative consequences that their substance use is causing.
Altered Brain Function: Addiction affects the brain's reward system and impairs cognitive function. This can distort a person's ability to clearly see the harm that their substance use is causing. They may focus intensely on the immediate rewards of drug use while minimizing or ignoring the long-term negative consequences.
Co-occurring Disorders: Many people with Substance Use Disorder also have other mental health disorders, such as depression or anxiety. These conditions can exacerbate feelings of denial or self-deception about the extent of the substance abuse problem.
Fear and Shame: Fear of withdrawal, fear of change, and shame about their substance use can also prevent individuals from admitting to themselves or others the full extent of their problem.
Lack of Awareness: Some individuals may not understand the signs and symptoms of addiction, or they may not recognize that they can seek help and that recovery is possible.