Addiction Control

Best prescription drugs to end opioids addiction


Prescription Drug Rehab

If you don’t want to attend a clinic every day to begin opioid replacement therapy, suboxone or subutex (subutex does not contain naloxone; it just contains buprenorphine) are good options. You only need to take it once a day, but you can split it into two doses if you like.

I’m not sure about Canada, but in the United States, when you’ve established some level of trust with your doctor or clinic, you can generally receive a prescription for an entire month’s supply of around 30 tablets. It is the least disruptive method of detoxing from opiates.

For short-term maintenance, doctors may put you on buprenorphine for a year or two before gradually tapering you off when you’re ready. Some people want to maintain their homes for a longer period of time, such as several years.

Buprenorphine can also be used to perform a fast taper. You switch from your preferred drug to buprenorphine and stabilize for a day or two on whatever dose makes you feel comfortable. Then, over the course of a week or two, you progressively reduce your dose. If you use the magnifying glass icon at the upper right to search this site, you’ll find different taper schedules used by other users, as well as their experience reports.

Taking that strategy will need you to go through some withdrawal symptoms, but not as severe as quitting heroin on your own. The advantage is that you get through the detox process quickly and with only minor discomfort. When I was debating whether to perform a rapid taper with suboxone or simply non-opioid helper medicines, my doctor told me that the withdrawal would be longer with suboxone but less intense. He recommended that it would still be severe enough that I would probably want to take time off work.

I decided to take the short term maintenance approach but had difficulty staying on buprenorphine without relapsing. That’s why I’m on methadone instead. It’s more effective for me as a replacement therapy and I’ll probably start to taper off next month.

If your region in Canada is less restricted with methadone than it is in the United States, it may be a possibility. You don’t seem to want or be able to go to a clinic every day for several weeks or months until you earn “take home” doses. I work from home, don’t have children, my spouse is supportive, and the clinic isn’t too far away. It turned out to be the greatest solution for me. I’m delighted to provide additional information about that alternative if you’re interested, but it appears that buprenorphine is a better fit for your circumstances.

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