Everything You Need To Know About Alcoholics Anonymous
What is Alcoholics Anonymous? Alcoholics Anonymous (AA) is a recovery model for people struggling with drinking problems. They come together either physically or virtually to help figure out healthy ways to cope with and heal from their alcohol substance use disorder. The group is free for anyone who desires to stop drinking, and does not have age restrictions or membership fees. The primary purpose of AA is to help you achieve and live a sober life. AA is a multiracial, nonprofessional, and self-supporting organization found almost anywhere globally. The group does not have a sole leadership team but is run by former alcoholics who desire to help others. AA has continued growing worldwide with over two million members. Understanding AA Alcoholism Statistics According to the National Center for Drug Abuse Statistics: 6.7% of adults using alcohol develop alcohol abuse disorder 25.8% of people aged eighteen and over reported binge drinking in the previous month 1.7% of teenagers under eighteen have alcohol abuse disorder According to the World Health Organization, excessive alcohol use causes 7.1% of diseases among males, and 2.2% among females. Alcohol is linked to 13.5% of deaths between twenty and thirty-nine year olds. How Does Alcoholics Anonymous Help People Deal With Alcoholism? AA uses a 12-step program to help people fight alcoholism. Whether or not a member actually finishes the 12-step program, the first step for anyone is to attend a meeting. AA often encourages new members to share their stories while getting information and advice about the program from the other members. AA emphasizes new members joining ninety meetings in ninety days to help get through the early recovery days. After the first three months, AA encourages members to continue attending the meetings for the rest of their life, although not on the same rigorous basis unless it is needed. It is essential to stay vigilant and get the support necessary to avoid possible relapses. AA also assigns newer members a senior member “sponsor,” who is someone they can go to when they’re tempted to drink again. Apart from the general guidelines, AA works differently for each member, but the more involved a member is, the better. Alcoholics Anonymous Meetings You or your loved one can achieve a significant part of recovery through Alcoholics Anonymous meetings. During meetings, members share their experiences and give hope and strength to each other while they find solutions to their drinking habits. There are three general types of AA meetings, including: Closed AA meetings: “Closed” meetings are available for members only. However, people can attend a closed session if they believe they desire to quit drinking. After the meeting is over, people can become a member themselves by signing up. People don’t need to have attended any previous meetings to join a “closed” meeting. Open AA meetings: These are open to anyone who desires to attend the meeting for their alcoholism problem. If you are a non-alcoholic, or are a friend or family member of the one suffering from alcoholism, you can still participate as an observer. Alcoholics anonymous online meetings: AA online meetings occur virtually. Whether the sessions are “open” or “closed,” it is open to anyone who wants to attend. Use your local AA meeting finder to locate online or in-person AA meetings near you. What to Expect From an AA Meeting History Of Alcoholics Anonymous Alcoholics Anonymous began in 1935 in Akron, Ohio. The meeting resulted from New York stockbroker Bill W. and Akron-local surgeon Dr. Bob S. Both of these men had struggled with alcoholism and were involved in a non-alcoholic fellowship whose primary purpose emphasized the importance of spiritual values in daily life. When they met, Dr. Bob was still struggling to maintain a sober life. Bill helped him by highlighting that alcoholism was a sickness that affected the mind, body, and emotions. Even though Dr. Bob was a physician, he hadn’t looked at alcoholism as a disease before. After realizing this with Bob’s help, he was able to start leading a sober life. The men continued discussing their ideas surrounding sobriety and finally arrived at the idea of Alcoholics Anonymous. They formed AA and began working with people battling alcoholism at the Akron City Hospital. After a patient achieved sobriety, the two men agreed that they had created the right program. In 1939, AA published its first introductory textbook. Bill wrote the texts, explained the group’s philosophy and methods, and developed a core ideology. This core ideology runs the AA group and constitutes the 12 steps of recovery still to this day. Since its foundation, the group has reached various locations throughout the United States and worldwide in New Zealand, Germany, Spain, and other major cities. Big Book, 12 Steps, & 12 Traditions Of Alcoholics Anonymous The “Big Book” explains the AA alcohol recovery program. Since its publication in 1939, it shows how the first 100 people who participated in AA became sober. The book has been translated into seventy languages and still holds the main principles of AA to help members step forward towards recovery. 12 Steps Of Alcoholics Anonymous Most AA success comes from the idea that a former alcoholic reaches out and helps others stay sober. These mentors use the 12-step program outlined as follows: Step 1: Admit that you are powerless and your life has become unimaginable due to drinking. Step 2: Come to believe that a power greater than you can restore yourself. Step 3: Decide to turn your will and life to the care of God as you understand him. Step 4: Make a fearless and searching moral inventory of yourself. Step 5: Admit to God, yourself, and other people the exact nature of your wrongs. Step 6: Be entirely ready to let God remove all the defects of your character. Step 7: Humbly ask God to deal with your shortcomings. Step 8: Make a list of everyone you wronged and be ready to make amends to them. Step 9: Make direct amends to such people when you
What Is the Rate of Relapse for Substance Abuse?
Understanding Relapse While we hope for a total recovery for anyone with substance use disorders, the unfortunate fact is that many will experience relapse. Relapse means the return of a medical condition after successful treatment. When someone goes back to substance abuse after recovery and a period of abstinence, that’s substance abuse relapse. If you or any of your loved ones have received treatment for substance use disorder, then there is a 40 to 60% chance of experiencing relapse. This relapse rate percentage is high. That’s why we must understand the reasons behind relapse and what we can do to prevent it. Why Do People Relapse On Drugs? “Why do addicts relapse?” you may wonder. No addiction recovery treatment can take away one’s freedom to choose. For many individuals who have received treatment for substance use disorders, a battle continues to rage in their minds. This is because the substance never completely loses its appeal; there will always be an urge to relapse. Relapse Risk Factors Several factors and conditions may trigger substance abuse relapse. These include: Peer Pressure: When people around you abuse the substance you have received treatment for, maintaining abstinence becomes an uphill task. Gradually, your resistance to such substances may begin to taper. Stress: Life can get fast-paced and unpredictable. In these moments, you are likely to fall back to the substance. Stress could come from a challenging home, school, or work environment. Depression: Depression could also induce relapse. During these periods, you may feel a heightened need for the substance. Failure to Follow Recovery Routines: Several recovery routines aim to guide you through abstinence. For example, failure to continue a twelve-step program or attend addiction support group meetings could leave you vulnerable. Group meetings provide peer support to maintain abstinence. Withdrawing from these programs could lessen your sense of responsibility and lead to a relapse. How Common Are Relapses? Drug relapse statistics have revealed a worrying trend in alcohol and drug abuse relapse rates. 65% to 70% of persons who experience substance abuse relapse do so within the first ninety days after treatment. What Do Relapse Rates Indicate? While we may be alarmed by the drug and alcohol relapse rate, relapse isn’t an indication of failure. Relapse should be embraced as part of the recovery process. People who experience relapse are closer to achieving permanent abstinence, but only if they refuse to throw in the towel. What is the Rate of Relapse for Substance Abuse? Relapse rates after rehab or treatment vary for different substances. Also, abstinence periods are not the same for people who experience substance abuse relapse. What Percentage of Patients Will Relapse In The First Year? 85% of people who have received treatment for substance abuse disorders suffer a relapse after the first year. However, each type of abused substance does not contribute equally to relapse statistics. Relapse rates by drug type are as follows: Alcohol: The likelihood of relapse among persons who have received treatment for alcohol use disorder is between 50% to 90% Heroin: The likelihood of relapse among persons who have received treatment for heroin addiction is about 75%. Cocaine: The likelihood of relapse among persons who have received treatment for cocaine addiction is about 73.1%. Methamphetamine: The likelihood of relapse among persons who have received treatment for methamphetamine addiction is 91% How You Can Avoid Substance Abuse Relapse Avoiding substance abuse relapse is possible. The first step is not to underestimate the possibility of relapse. While it isn’t healthy to fill your mind with a relapse consciousness, it is also important that you do not let your guard down. Below are steps you should take to ensure substance abuse relapse prevention. Monitor Signs and Symptoms of Relapse Relapse can occur at any time after recovery. Therefore, it is important to arm oneself in advance. One way to fortify oneself against relapse is to monitor for the signs and symptoms of relapse. Even though relapse seems to take individuals unawares, the signs of a possible relapse usually show way before it begins. Persons who have abstained from substances must be sensitive enough to spot these signals. First, list the circumstances that have induced substance use in the past. These may include stress, company, and depression. Most importantly, pay keen attention to the signs of relapse, which manifest in three stages. Create An Effective Relapse Prevention Plan As an individual progresses through the stages, the chances of relapse increase. For this reason, it is crucial to start early. Creating a relapse prevention plan before or immediately after addiction treatment. Better still, enroll in addiction treatment centers that provide robust relapse prevention programs Types of Relapse There are various types of relapse: emotional, mental, and physical. These will be detailed below. Emotional Relapse At this stage, the individual feels overconfident and dismissive of the possibility of a relapse. While there isn’t any urge to fall back to the substances yet, the individual may begin to neglect certain precautions and restrictions. Indications of Emotional Relapse The individual may begin to expose themselves to situations and environments that could encourage relapse. Signs of emotional relapse include: Overconfidence Poor eating and sleeping habits Isolation Frequent absence from group meetings Lack of contribution to group meeting activities Easing restrictions and flouting precautions. Mental Relapse At the stage of mental relapse, contentions begin to develop. The individual begins to rationalize or consider a return to substance use. These include the temptation to attempt slight use or contemplations that substance use may not be as bad as it seems. Signs of mental relapse include: Contemplating substance use Rationalizing substance use Downplaying the effect of substance use Setting money aside for substance purchase Physical Relapse At the stage of physical relapse, the individual has caved in to pressure. After attempting slight use, the individual quickly graduates to heavy use. Signs of physical relapse include: Slight use Heavy use Get Help for Relapse Prevention at San Diego Detox If you want to stop substance abuse, there is a
Top 10 Relapse Prevention Skills
A relapse is when someone who has overcome an addiction falls back into usage. More generally, it’s when a condition that had been improving starts to deteriorate. When a person who used to abuse alcohol or other substances resumes their addictive behavior after abstaining from it for a while, this is referred to as relapsing. Relapses can be frequent or even anticipated, and those trying to overcome addiction are likely to experience one or even several relapses before finally quitting. According to the stages-of-change model, people will cycle through a pattern of avoiding, thinking about quitting, actually stopping, and then relapsing. Before giving up, some people go through the stages multiple times. Why Does Relapse Happen? For a long time, people have believed that addiction is a choice rather than an illness. However, drug or alcohol addiction is influenced by environmental, biological, and behavioral variables. The brain is altered by substance misuse over time as well. Some addiction specialists have compared it to the brain being “taken over” by alcohol or narcotics. Abuse of drugs affects the brain’s reward system. When individuals act in a manner that supports their survival and is healthy, the brain rewards them. A brain that has experienced substance addiction thus rewards individuals by asking for more alcohol and drugs. The “rewiring” of some of the functional and structural components of the brain causes it to assume that it is dependent on substances to survive. This causes those with previous substance abuse issues to frequently relapse. Why are Relapse Prevention Skills Important? Learning how to live a happy life in recovery requires knowledge of relapse prevention coping skills. One can learn to use these coping mechanisms one day at a time to avoid relapsing and lead a fulfilling life beyond their expectations. Getting sober from alcohol or other drugs involves personal development and developmental stages. Relapse risk exists at every level of recovery; therefore, learning and understanding relapse prevention techniques is crucial. What Are the Signs of Relapse in Addiction? Symptoms of relapse in addiction can be grouped into three separate types. These will be detailed below. Signs of Emotional Relapse Although people are not actively considering using drugs at this point, their actions and feelings may increase their risk of doing so in the future. They are determined not to experience another relapse after their previous one. Denial plays a significant role in emotional relapse because individuals aren’t consciously considering using it at this point. The following are signs of emotional relapse: Not attending group meetings Isolating Bottling up emotions Signs of Mental Relapse In this stage, people are contemplating taking the substance, and some may even start to miss the people and environments they once associated with substance use. The person’s cognitive resistance to relapse decreases as they sink further into mental relapse and become more desperate for escape. Common signs of mental relapse include: Craving for drugs or alcohol Thinking of schemes to better control using Thinking about people, places, and things associated with past use Looking for relapse opportunities Signs of Physical Relapse The actual act of resuming drug abuse is known as a physical relapse. A lapse is the initial use of alcohol or drugs, while a relapse is the return to uncontrolled abuse of substances. A lapse and relapse are two terms used by some researchers to describe physical relapse. The majority of physical relapses are opportunity relapses. They happen when the person believes others might not catch them. Factors That May Affect Any Relapse Prevention Strategy The following are factors that may affect any relapse prevention strategy: Environment For many addictive behaviors, long-term abstinence rates are substantially correlated with positive social support and environment. The level of support provided by individuals around an addict is the best predictor of abstinence. Negative social support, such as interpersonal conflict and peer pressure to use drugs, has been linked to an increased chance of relapse. Substance abuse is more likely to occur in families where negative behaviors are present. Level of Motivation Both the drive to engage in the problematic behavior and the motivation to change one’s behavior positively might have an impact on the relapse process. This exemplifies the problem of ambivalence faced by several individuals trying to change addictive behavior. Motivational interviewing can facilitate the process of encouraging change. The Severity of a Person’s Addiction Relapse prevention coping skills may be impacted by the extent of an individual’s addiction. Individuals risk relapsing if appropriate treatment techniques are not used in accordance with the severity of their addiction. Co-Occurring Mental Health Conditions A person who is addicted may relapse due to underlying or common mental health issues like PTSD, bipolar illness, and other mental disorders. The relapse prevention technique may be affected if effective treatment for mental health disorders is not included in treatment plans. Other Factors Several less evident factors also influence the relapse process. Lifestyle factors, including general stress levels, and anxiety levels, are among these other causes. Top 10 Relapse Prevention Skills Skills that aid in reducing the chances of relapsing include: 1. Know Your Potential Risks Anxiety, tension, and low self-esteem are internal risks of potential relapse, while people, places, or things that bring up unpleasant memories are examples of external triggers. An effective technique to become aware of one’s risks and lower the chance of relapsing is to list these internal and external causes. 2. Self-Care During recovery from addiction, sleeplessness and exhaustion are frequent post-acute withdrawal symptoms that might serve as relapse risks. One can enhance sleep quality by engaging in physical activity and maintaining a healthy diet. This will assist in retraining the body to sleep more soundly while also lowering the risk of relapse 3. HALT HALT stands for Hungry, Angry, Lonely, and Tired. Individuals should ask themselves whether they are experiencing any of these symptoms, have a craving to use, or are feeling anxious. For many alcoholics and addicts in recovery, hunger, anger, loneliness, and exhaustion are the most frequent risks
Does Opioid Relapse Restart Post-Acute-Withdrawal Syndrome (PAWS)?
What Is Post-Acute Withdrawal Syndrome (PAWS)? Post-acute withdrawal syndrome (PAWS) describes a collection of symptoms that might linger for weeks or months after quitting an addictive substance. The condition is characterized by signs and symptoms of those like anxiety and mood disorders, such as mood swings, sleeplessness, and elevated levels of worry even in the absence of obvious triggers.1 What Does PAWS Feel Like? The initial phase of PAWS makes one feel as though they are on an emotional rollercoaster, with mood swings ranging from happy to sad to angry. Though initially debilitating, these symptoms start to fade as a person advances further in their recovery. Individuals affected by PAWS may go a few weeks without experiencing any symptoms, and then wake up one morning with having experienced disrupted or restless sleep, intense exhaustion, fits of impatience, and hostility. How Long Does Post-Acute Withdrawal Syndrome Last? PAWS often lasts between six months and two years. How long a person actively used drugs or alcohol, how much was used, if there were any underlying mental diseases present, and prior psychiatric and medical histories can all affect how long they suffer from these symptoms. Signs and Symptoms of PAWS from Opioids Some common signs and symptoms of someone experiencing PAWS after opioid use include: Insomnia Aggression Anxiety Depression Inability to focus Unstable and unpredictable moods Panic attacks Fatigue Poor impulse control Drug cravings Does Opioid Relapse Restart Post-Acute-Withdrawal Syndrome? Relapse management is a crucial component of ongoing recovery. The brain has developed an abusive pattern as a result of an addiction. Retraining the brain takes time, so it shouldn’t be viewed as a sign that rehabilitation is failing, but rather as a natural part of the process. Being accountable, accepting the circumstances, figuring out the steps that caused it, and discussing it with a therapist or support group is crucial in order to continue recovering. Many patients wonder if they must restart the recovery process from scratch after relapsing. Usually, the answer is yes, as they will have to go through detox first again, and then start managing other symptoms and side effects that relapsing has created in their body and mind. The road to sobriety cannot be rushed. Retracing their steps can help to emphasize the principles necessary for a successful recovery, along with solidifying important behaviors in order for recovery to be successful.2 How to Treat and Help Prevent Post-Acute Withdrawal Syndrome There are many ways that one can help treat PAWS, along with some things you or a loved one can do at home. These will be detailed below. Avoid Potential Causes Potential relapse causes are essentially inevitable during the rehabilitation process. It’s critical to be aware of the individuals, circumstances, and sentiments that might lead to a relapse. When avoiding these causes is not always an option, group members in a support group, for instance, can assist a person in developing productive coping mechanisms.3 Be Patient It is important to avoid doing too much and worrying about the future or the past. It can be more helpful to focus on daily self-care and the successes that each day brings. Self-Care Self-care supports both physical and mental health, which lowers the likelihood that someone may turn to alcohol or drugs as a coping mechanism. Additionally, when a person is physically and psychologically at their best, it inspires them to strive for their greatest potential They are more motivated to abstain from drugs and have less of a hard time doing so because they are working toward meaningful goals. As a matter of fact, those in recovery have cited boredom and worry as causes for relapse. Lack of motivational factors like a meaningful purpose in life or connections with people are other potential causes. It is possible to relieve stress and worry and fill time with enjoyable activities by taking care of oneself. Exercise Regularly Exercise encourages the brain’s creation of feel-good neurotransmitters that give us a contented feeling. It lessens the likelihood of falling ill and developing certain diseases. Just simply moving is enough; it doesn’t have to be something too demanding or exhausting. Walking is a great kind of exercise. Assess Co-Occurring Disorders A dual diagnosis in the context of drug abuse and mental health therapy describes the occurrence of a substance use disorder and one or more co-occurring psychiatric disorders at the same time. When a patient has to deal with both a mental health condition and a substance use issue, they are said to be co-occurring disorders.4 A variety of mental illnesses listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-V), such as schizophrenia, bipolar disorder, depressive disorders, or generalized anxiety disorder may be among the co-occurring psychiatric conditions.4 Getting PAWS Treatment at San Diego Detox At San Diego Detox, we provide a comfortable and safe environment with intensive programs to give you the best treatment possible. Get help for yourself or a loved one struggling with substance abuse and PAWS. Contact us today. Causes And Risk Factors of Post-Acute Withdrawal Syndrome PAWS may occur as a result of changes in the brain’s stress response in that region during addiction. The stress reaction, however, can occur for a variety of causes. Here are a few causes and risk factors of PAWS. Homeostatic Adjustment Physical reliance on drugs or alcohol causes changes in brain chemistry over time; without the chemical that causes the release of neurotransmitters and endorphins, the body is unable to achieve homeostasis on its own. Without pharmacological assistance, the brain can take a while to fully regain homeostasis, which can result in mood swings, tiredness, cravings, and other psychological symptoms during PAWS. Chemical Changes in the Brain Drugs are, of course, chemicals. They interfere with the body’s communication system and the way that nerve cells process information as soon as they enter a person. For instance, some medications mimic the chemical signals sent naturally by the brain. Others, on the other hand, overcompensate the reward system. Neurotransmitters significantly
Drug Addiction Relapse Prevention
Understanding Relapse The term “relapse” describes the process of resuming drug or alcohol use after a long break. Addiction often results in relapses for many people who have attempted to reach and maintain sobriety, due to how much it can alter the brain’s chemistry and ultimately affect our mood and behaviors accordingly. Even after undergoing successful addiction treatment, the urges to relapse do not subside. This is why it’s important to exercise both compassion and understanding when it comes to addiction and relapse related matters. Addiction Relapse Overview According to the National Institute on Drug Abuse, between 40-60% of patients with drug use disorders will experience relapse. This indicates that one may easily return to drug and alcohol use, just like how a person with heart disease or cancer may experience a relapse of symptoms having to do with their health condition as well.1 However, relapse does not mean that a person is doomed to relive their previous conditions of addiction. People can reintegrate into sobriety, even post-relapse, with the right support system and continuous effort and determination. Stages of Relapse The following are the common stages of relapse one might go through: Emotional Relapse: The first of the three stages of relapse is emotional relapse. The patient is not thinking about using the substance, but this stage is marked by the emergence (or reemergence) of unfavorable feelings like irritation, anxiety, or rage. Mental Relapse: This stage is marked by people actively exploring using substances again to deal with their emotional pain. It could first only begin as nostalgic thoughts about earlier drug-using periods. Physical Relapse: The last stage of drug usage is physical relapse, including the proactive actions used to get drugs. These can entail calling a dealer or going to a business that sells alcohol. Common Causes of Relapse It is essential to know specific causes that might result in a relapse, along with plans for how to potentially deal with that happening. The following are possible causes that might result in a relapse:2 Stress One of the top causes of addiction relapse is stress. Many people who battle addiction resort to their preferred drug or pastime as a maladaptive coping mechanism. Studies show that people who use drugs, alcohol, or other addictive behaviors more often have heightened desires under stressful situations, especially if they use that behavior or substance as their primary coping mechanism.3 People The ones who support a patient with addictive behavior might also cause a relapse. Even the family members could act as a cause, mainly if they make one feel more helpless and defenseless. The same is true for areas that conjure up memories of addiction for patients. Overconfidence During Recovery Although recovery is a never-ending process, some people start to believe that if they have overcome their condition that they no longer have to worry about “fully” relapsing. One may be tempted to take “just one” drink or hit, believing it won’t be a huge concern. While having a fair dose of self-confidence is crucial, self-awareness is also essential. Physical or Mental Illness Relapses in drug or alcohol use can be brought on by anxiety, panic, and other underlying psychological issues. The body is under stress from physical disease and discomfort, which increases the chance of relapsing. Prescription medications for physical and mental problems can affect consciousness and cause a relapse into addiction. Relationships and Sex There are various causes for why therapists advise not to go right into a new relationship during recovery. One is that starting new romantic relationships may increase your chance of relapsing. If one splits up with a new partner, one can turn to drugs again due to the stress. How to Create Relapse Prevention Plan for Drug Addiction There are many ways one can start the process for creating a relapse prevention plan. These include: Set a recovery goal: A recovery goal is fundamental in creating a relapse prevention plan, which may help foster the process and to avoid any loopholes Avoid places linked with substance use: You may want to avoid places you’ve been to when you were using the substance. Think deliberately: Don’t act subjectively. Instead, be deliberate about your thoughts and have a to-do list of your goals. Make a daily or weekly routine: A daily or weekly routine will help you maintain the plan and track your program. Know the warning signs: Be aware of the warning signs when they come. Create an emergency contact list: Create a list of your close friends and family members that are accessible in emergencies. Define actions to take: Know what steps to take beforehand. Relapse Prevention Skills There are many prevention methods you can employ in order to help with a potential relapse before it even happens. Some of these include: Self-care: Self-care helps to keep the body in proper shape. One must set goals for a daily self-care routine. Regular exercise: Exercising helps to release the hormone “dopamine” that is responsible for the feeling of happiness. It also helps to curtail the desire to relapse since one gets a very similar feeling they get when they use drugs or drink alcohol. Joining a self-help group: A self-help group with like-minded people can help to prevent relapse. Meditation: Meditation is good for the mind. It helps to clear negative thoughts in your mind and allows you to focus. Distracting and rewarding yourself: A distraction is good for you because it helps you forget about your worries, while rewarding yourself can give you encouragement to keep going through difficult times. Relaxation: While you relax, you allow your body to be energized and rejuvenated. Building a support network: Support from friends, family, and people you just met can also be helpful. Get Professional Help at San Diego Detox Today San Diego Detox’s goal is to assist those struggling with addiction to live extraordinary lives. We provide all-encompassing care for the complete person and are dedicated to improving addiction and mental health treatment’s effectiveness, efficiency, and affordability.
Pharmacologic Treatments for Opioid Dependence
What Is Opioid Dependence? The past decades have seen incredible progress in treating opioid dependence and addiction. As the academic communities have gravitated toward treating addiction with the medical model, several opioid dependence drugs and opioid use disorder therapies have been developed. Opioid dependence is characterized by tolerance and withdrawal. In other words, the body adapts to the substance, needing more to achieve the same effects and experiencing mental or physical symptoms without it. What Is the Difference Between Opioid Dependence and Opioid Addiction? Opioid dependence and opioid addiction are both terms that describe opioid abuse; however, dependence emphasizes the physical symptoms of a substance use disorder rather than the cognitive and social symptoms. Opioid addiction refers to the physical, mental, and social effects that impact a person due to drug abuse. Why People Become Addicted to Opioids Reports show that 10.1 million people in America aged twelve and older misused opioids in 2019. More specifically, 9.7 million misused prescription pain relievers and 745,000 used heroin. It is clear that prescription pain medication is responsible for the majority of opioid addiction cases. There are countless reasons opioid dependence occurs, but a few patterns and factors are more common and notable than others. These causes of opioid addiction include: Using opioids to cope with mental illness Taking large amounts of painkillers to deal with pain Using opioids to cover emotional pain, such as trauma or grief Using opioids to enhance other sensations Tolerance Escapism During the early stages of opioid dependence, drugs can seem like a universal palliative for many people. They produce feelings of pleasure and euphoria, relieve worries, and dampen pain. Regardless, after repeated use, opioid addiction will bring more negative consequences than any fleeting positives. Signs and Symptoms of Opioid Dependence The signs and symptoms of opioid dependence fall into several categories, including behavioral, physical, cognitive, and psychosocial. The following indicates opioid addiction treatment may be necessary. Behavioral Symptoms The behavioral symptoms of opioid dependence include: Constantly seeking out opioids Neglecting other hobbies or activities in favor of opioid misuse Spending an excessive amount of time using, recovering from, or looking for opioids Borrowing money Sleeping all the time, or falling asleep while standing or sitting In opioid addiction treatment, there are specific therapies designed to change these behavioral patterns. Physical Symptoms The physical symptoms of opioid dependence and withdrawal symptoms include: Sneezing Restlessness Fever Chills Sweats Shakes Nausea Diarrhea Tolerance Track marks along arms if taken intravenously Weight loss The physical symptoms of opioid use disorder can be treated with various therapies. Cognitive Symptoms The cognitive symptoms of opioid dependence include: Restlessness Anxiety Depression Persistent cravings for opioids Denial that a problem is present Evidence-based treatments address the cognitive symptoms and mental health issues caused by long-term opioid addiction. Psychosocial Symptoms Lastly, the psychosocial symptoms of an opioid use disorder refer to the damage this condition can cause to social aspects of life. They include: Loss of a job or occupation Strained relationships with friends and family members Housing instability Legal consequences At an opioid addiction treatment center, counselors and therapists are trained to help people deal with these psychosocial symptoms. Medical Treatments or Opioid Dependence Drugs to treat opioid addiction come in several varieties. These are some of the most effective opioid addiction treatment options and have helped millions of people to recover. The three main medications used as opioid addiction treatment medications are: Buprenorphine Methadone Naltrexone Buprenorphine Buprenorphine is an opioid partial agonist, meaning it binds to opioid receptors in the brain and mildly activates them. As a result, this medication produces lessened effects of opioids (e.g., euphoria), working as a replacement for harsh drugs like heroin to help treat addiction to opioids. In addition, buprenorphine has a ceiling effect (the effects are capped at a certain amount), preventing abuse and overdose. Research shows that buprenorphine resolves withdrawal symptoms more quickly and has better retention and completion rates compared to other opioid treatment medications. Methadone Methadone is a long-acting full opioid agonist, so its effects are similar to buprenorphine, but it fully activates the opioid receptors in the brain. Thus, methadone provides the full effects that other opioids do and does not have a cap (i.e., effects increase as the dose increases). Nonetheless, this medication effectively reduces opioid craving, lessens withdrawal symptoms, and blocks the effects of opioids. Studies found that methadone treatment was associated with a 76% reduction in overdose at three months and a 59% reduction at twelve months.3 Naltrexone Unlike buprenorphine and methadone, naltrexone is an opioid antagonist, meaning it reverses and blocks the effects of other opioids, preventing the effects of opioid drugs and reducing abuse. Multiple clinical trials studying the efficacy of naltrexone found that it reduced heroin cravings, and between 23% and 62% of participants remained in treatment after three to four weeks. In addition, two studies reported that 32% to 58% of participants who continued treatment maintained sobriety six to twelve months after their naltrexone treatment ended. How to Diagnose Opioid Dependence Diagnosing an opioid use disorder has to be performed by a licensed clinician. When clients start treatment at an opioid addiction treatment center, clinicians will typically ask several questions regarding their addiction, look over medical records, and determine whether they meet the criteria for opioid dependence. Receiving this diagnosis can help determine the next steps for opioid treatment. Psychological Treatments for Opioid Dependence Psychotherapy, also called talk therapy, is an effective tool for managing opioid use disorder. The best evidence-based treatment for opioid use disorder is to use a variety of psychological treatments alongside medication, but determining which treatment plan is right for you is between you, your physician, and your therapist. Talk therapies for opioid use disorder include: Motivational interviewing and motivational enhancement therapy Cognitive behavioral therapy (CBT) Family therapy Couples counseling Hypnotherapy Neurotherapy 12-Steps programs Opioid use disorder therapies have several targets, but in general, they aim to teach healthier coping mechanisms, reduce drug cravings, and reverse opioids’ effect on the brain. Getting
Medication-Assisted Treatment for Opioid Use Disorder
What is MAT? Medication-Assisted Treatment (MAT) is a standard method of treating substance use disorder within and outside the United States. It’s effective for individuals experiencing specific drug use challenges, such as opioid use disorder, and it usually follows in combination with behavioral therapies. Opioid Use Disorder Opioid Use Disorder is a condition that affects the brain due to the uncontrolled intake of opioids. Individuals experiencing the condition find it difficult to discontinue the drug’s intake, regardless of the harm it causes. For some, opioid abuse may begin with experimental intake before becoming more frequent. While for others, it starts with receiving prescription pain medications. A Further Look at MAT for Opioid Abuse Compared to many other medications, opioids have a significantly high tendency to be habit-forming. According to the Centers for Disease Control and Prevention, over 92,000 Americans lost their lives due to drug overdose in 2020.2 Note that the overdose cases include opioids, marking an approximate 30 percent increase from 2019. Reports show a 22-fold increase in the overall death rates involving synthetic opioids. In the United States, visits to the emergency department also rose by 30 percent from mid-2016 to September 2017. Later in October 2017 (a month after), the opioid crisis became a nationwide Health Emergency in the United States. What Causes Opioid Use Disorder? What causes the opioid disorder is typically due to the physical dependence people develop in a short time of intake. Researchers discovered that intake of opioids for over a few days increases the tendency of substance use disorder. Some of the significant risk factors of opioid addiction include a history of depression, anxiety, and stress. Opioid Use Disorder Symptoms and Dangers There are apparent opioid use disorder symptoms that individuals may observe. According to the Diagnostic and Statistical Manual of Mental Disorders, here are some signs associated with opioid addiction for proper diagnosis:3 Continued intake leads to social and interpersonal consequences Decreased social or recreational activities Difficulty fulfilling professional duties at school or work The individual is unable to reduce the amount used Tolerance Using despite it being physically dangerous settings Experiencing withdrawal Excessive time to obtain opioids or recover from taking them More taken than intended The individual has cravings Continued use despite worsening physical or psychological health Dangers of Opioid Use Disorder At lower dosages, intake of opioids is typically adequate for treating pain by making individuals feel sleepy. However, with constant intake leading to opioid addiction, individuals may experience slower breathing and heart rate. OUD can lead to an overdose without early medical attention, which is life-threatening. Due to the risks of opioid abuse, doctors typically recommend that individuals follow prescription instructions carefully. Medication-Assisted Treatment for Opioid Use Disorder Medication-assisted treatment is an effective treatment option for individuals experiencing OUD.4 This treatment approach involves using opioid use disorder medication, behavioral therapies, and counseling. It focuses on providing a “whole-patient” approach to treating the condition in individuals. MAT for opioid use disorder is specifically tailored to meet everyone’s needs for recovery. An estimated 2 million individuals were experiencing opioid use disorder in 2018, including prescription pain meds with heroin and opiates. Medication-assisted treatment for opioid use disorder proves to be a significantly effective treatment option for these individuals. MAT Medications for Opioid Use Disorder Treatment Here are some of the significant opioid use disorder medications: Methadone: The intake of Methadone for opioid use disorder is adequate and approved by the Food and Drug Administration. The substance is also helpful for pain management as an opioid use disorder treatment option. Buprenorphine: Apart from common opioid use disorder therapies, Buprenorphine is common for the effective treatment of OUD. It also helps treat acute and chronic pain. Doctors may administer sublingually, buccally, or intravenously. Naltrexone: Opioid use disorder specialists typically administer naltrexone for opioid use disorder by watching the individual take the drug. Individuals can take it with food or antacids. MAT Medications for Opioid Overdose Prevention Counseling In most cases, counseling is also applicable for OUD treatment. It improves the individual’s motivation for recovery. Counseling also helps individuals learn the necessary skills for discontinuation of opioid intake. Behavioral Therapies The use of behavioral therapies helps engage individuals in OUD treatment. This technique is important for the effective treatment of opioid use disorder symptoms in specific individuals. It helps their life skills and develops coping mechanisms to prevent relapse. Treatment for Opioid Use Disorder at San Diego Detox San Diego Detox helps provide an individual treatment approach to individuals experiencing OUD. MAT Program At San Diego Detox, the goal for the MAT program is full recovery. We also focus on helping individuals live lives filled with significant self-direction. Our medication-assisted treatment for opioid use disorder increases the ability to return to normal living. Note that MAT can also reduce the chances of individuals contracting hepatitis C or HIV. Opioid Use Disorder Therapies These OUD therapies may occur one-on-one with the individual or include a group or family. The therapy method typically depends on the individual’s needs. A therapy for opioid use disorder is Cognitive Behavioral Therapy (CBT). It focuses on recognizing negative thinking patterns causing OUD and changing such patterns. With CBT, individuals can handle overwhelming challenges more positively. Aftercare San Diego Detox offers aftercare programs for individuals recovering from OUD. Our aftercare plan helps individuals anticipate potential future challenges relating to OUD and come up with viable solutions. Loved ones and family members can show support during this period by celebrating successes and encouraging healthy living. If you or your loved one is experiencing opioid use disorder symptoms, please consider reaching out for support. Contact us today at San Diego Detox. FAQs About Opioid Use Disorder What is opioid use disorder (OUD)? Opioid use disorder is a chronic substance use disorder marked by a strong desire to use opioids, inability to control or cut down use, increased tolerance, cravings, and withdrawal symptoms when use stops. What are common signs and symptoms of opioid use disorder? Common signs include strong cravings,
Lifesaving Naloxone Treatment
Naloxone treatment, also sold under the brand name Narcan, is a lifesaving medication that can reverse an opioid overdose if used correctly. In contrast to other medications for opioid use disorder, naloxone administration is designed specifically for immediate crisis intervention. Knowing how naloxone works and having it available could make a life-or-death difference for friends or loved ones struggling with an opioid use disorder. The first step to understanding naloxone treatment is learning how this drug works as an opioid overdose medication. Naloxone uses different routes of administration, but the effect in a person who is overdosing is typically the same. What is Naloxone? Naloxone is an opioid overdose medication. Pharmacologically, it is known as a full opioid receptor antagonist. This means that naloxone medication will “kick out” any drugs on an opioid receptor and prevent them from attaching again.1 In practice, this means that a naloxone injection or naloxone nasal spray will reverse the effects of powerful opioids such as heroin, morphine, oxycodone, or even fentanyl. Is Naloxone an Opioid? Naloxone is not an opioid; instead, it is an opioid “blocker.” This medication cannot be abused and is not considered a controlled substance. What is Naloxone Used for? Naloxone treatment uses a powerful medication to reverse opioid overdose. If you see that somebody is experiencing the symptoms of an opioid overdose and have naloxone (Narcan) nearby, administering this medication can literally save their life. Opioid Overdose Symptoms The first step to naloxone opioid overdose treatment is recognizing the symptoms of an opioid overdose.2 Somebody who is experiencing an opioid overdose may show signs such as: Loss of consciousness Pinpoint pupils Face or lips turning blue Breathing that has completely stopped or slowed dramatically Unresponsiveness Cold, clammy skin Gurgling sounds coming from the throat When left untreated, an opioid overdose can quickly lead to death. Opioids are central nervous symptom depressants, which means they can stop the body from breathing and dramatically slow the heart rate. If you recognize that somebody is overdosing, the first thing you should do is call 911. These operators can guide you through administering naloxone, send paramedics, and help you treat the person overdosing. Side Effects of Naloxone Treatment Naloxone treatment, when delivered correctly, will not only wake the person from an opioid overdose but send them instantly into severe opioid withdrawal. This includes naloxone side effects such as:3 Fever Body aches Sweating Runny nose Sneezing Restlessness Anxiety Diarrhea Naloxone side effects closely parallel severe flu symptoms and are pointedly the opposite effects of an opioid overdose. Other Information You Should Know About Naloxone Treatment Lastly, you should know a few other things about naloxone (Narcan). The first is that there is no upper limit to naloxone, which means that you can administer this medication repeatedly without fearing that you will cause any damage to the person receiving the medication. The second is that you can receive a naloxone prescription if you use opioids, illicit or prescribed. Finally, many states let you buy naloxone at a pharmacy, and several have free naloxone programs, usually alongside needle exchange services.4 How is Naloxone Used? There are two forms of naloxone medication used as an opioid overdose treatment: naloxone injections and naloxone nasal spray. Knowing how to use these treatments before an overdose occurs is essential to ensure you can help somebody in need. Injectable Naloxone The first form of naloxone (Narcan) widely available is the injectable version. Narcan injections either come with a needle and a vial or a prefilled syringe. Naloxone in a Vial If your naloxone medication comes in a vial, remove the cap from the needle, insert the needle into the vial, and fill the syringe. Then, take the needle and drive it directly into the muscle of the person overdosing, like a flu shot. You can deliver the medication into the shoulder or top of the thigh, and it is okay to go through clothing. Naloxone in a Syringe If you have a prefilled syringe, remove the cap and follow the same instructions as above, skipping filling from the vial. Make sure that your syringe is designed for injection — some nasal sprays come in a package that looks like a syringe, but they are designed to be sprayed into the nostrils. If the person does not snap out of their overdose within two to three minutes, administer a second shot. Continue this every two to three minutes until paramedics arrive or you run out of naloxone. Naloxone Nasal Spray The naloxone nasal spray is the other common and effective method of naloxone treatment. To administer the nasal spray, remove the cap from the spray, place it into the person who is overdosing’s nostrils, and push the plunger. The medication should spray into their nostrils and quickly reach their bloodstream through the inside of the nose. Like with the injectable naloxone, you should administer a second dose two to three minutes after the first if the person is not responding and repeat until paramedics arrive. Treatment for Opioid Addiction and Overdose at San Diego Detox While there is no such thing as a naloxone treatment program, treating an opioid use disorder is an effective way of helping people break free from their addiction. At San Diego Detox, our team is dedicated to helping people overcome opioid use disorders, and we are trained in using naloxone in the case of overdose. Coming to our treatment facility can help show you that recovery is possible and can also be enjoyable and sustainable. We will help you through the detoxification process in the safest and most comfortable manner possible. In addition to the detoxification process, our program emphasizes the need for continuing care after detox. Aftercare programs are a key indicator of long-term abstinence and provide lasting support to those who need it most, and we will guide you towards the best aftercare programs. When you are ready to start treatment, reach out to the team at San Diego Detox today, and start the road
Is Methadone an Effective Treatment for Opioid Addiction
What Is Methadone? Methadone is a prescription medication often used as part of an addiction treatment program. While methadone is classified as an opioid drug, it is prescribed to help people taper off opioids safely. Methadone Therapy Methadone therapy works because it “replaces” other opioids in the body. When someone takes an opioid, such as heroin, the drug attaches to specific receptor sites in the brain known as opioid receptors—which is how the relaxation and pleasure effects occur. Methadone medication binds to the same receptor sites, preventing the illicit opioid from producing desirable effects. Methadone therapy has been used for over forty years to help individuals struggling with opioid addiction. While medication-assisted treatment (MAT) is not for everyone, it may help many who have a severe addiction or a chronic relapse overcome an opioid use disorder. Methadone Treatment for Opiate Addiction Opioid abuse and addiction is a serious issue and affects millions of people each year. In 2019, an estimated 10.1 million people aged twelve and older reported opioid misuse, with 9.7 million misusing prescription opioids and 745,000 using heroin.1 Thus, effective treatment for opioid and opiate use disorder is crucial. Fortunately, methadone treatment helps people struggling with opiate addiction, including heroin, oxycodone, and codeine, overcome dependency as part of a comprehensive treatment program. It is important to remember that methadone medication alone is not a standalone treatment for substance use disorders. Methadone therapy is effective with a full treatment program that includes detox, therapy, and aftercare. Methadone Side Effects and Risks Although generally safe to use in most cases, methadone can produce side effects. The side effects of methadone can be severe in some cases, so it is important to participate in methadone therapy in a monitored addiction treatment program. Common Side Effects Common side effects of methadone include: Constipation Restlessness Upset stomach Vomiting Slowed breathing Itchy skin Heavy sweating Weight gain Flushed skin Difficulties sleeping Problems with sexual function Severe Side Effects In more severe circumstances, the side effects of methadone may include: Breathing difficulties Feeling faint Chest pain Racing heart Confusion Hallucinations Seizures Methadone Risks Methadone treatment is proven to decrease the severity of withdrawal symptoms in those recovering from severe opioid addiction. Although using methadone for opioid addiction treatment is highly effective, it is worth noting that several long-term effects of methadone can occur in some people. Because the potential long-term effects of methadone use can be severe, the drug is not typically prescribed for long-term use. Long-Term Consequences Examples of potential long-term side effects of methadone use include:2 Cardiovascular problems, such as heart disease Electrolyte imbalances Liver or kidney diseases Difficulties with urination Difficulties breathing Lung disease Heart rhythm disorders In addition, long-term use can lead to dependency and methadone addiction. How Effective Is Methadone Treatment? Methadone’s medical uses are well documented. Significant evidence shows that methadone helps reduce opioid use and symptoms connected to opioid use disorders. For example, one study found that people on methadone had 33% fewer opioid-positive drug tests and were 4.44 times more likely to stay in treatment compared to controls.4 Decreases Deaths From Overdose Because methadone affects how opioids act on the brain by directly inhibiting their ability to impact dopamine release, it vastly reduces the risk of death from an opioid overdose. When methadone is used as part of a drug treatment program, the use of opioids like heroin does not produce the same desirable effects. Therefore, the risk of harm and overdose death declines. Crime Reduction Methadone drug treatment can reduce criminal activity related to opioid use and abuse. Because the need to obtain and use opioid drugs declines with methadone-assisted treatment, the urge to seek opioids through illegal means also declines. This inevitably leads to less involvement with law enforcement. Decreased Spread of Blood-Borne Illnesses Methadone treatment may also reduce the spread of AIDS and other blood-borne illnesses. Because methadone helps people overcome heroin addiction, intravenous (IV) drug use may also decline, reducing potential exposure to blood-borne viruses such as HIV and AIDS. Improved Physical, Emotional, and Mental Health Methadone drug therapy helps individuals struggling with opioid addiction overcome their dependence on substances. As a result, physical, emotional, and spiritual health is vastly improved. In addition, as part of a methadone addiction treatment program, participants learn more about the root causes of addiction and how to manage relapse triggers after treatment is complete safely. This leads to a greater sense of health and well-being. What Methadone Treatment Can Help With Methadone can be an effective option for several situations; these will be detailed below. Opioid Addiction In 1972, the Food and Drug Administration (FDA) approved methadone as an opioid addiction treatment medication. Although new drugs for medication-assisted treatments have entered the market in the past forty years, methadone for opioid addiction often remains the first course of treatment for many. It is estimated that over 115,000 people have received methadone treatment for opioid addiction thus far.3 Relapse and Alternative Options In addition to helping those struggling with a severe opioid addiction, methadone can help those who relapsed after completing addiction treatment, tried other treatment methods, and tried other forms of MAT without success. Pain Management Methadone can also be used for pain management. Patients who experience severe or chronic pain may be prescribed methadone to help reduce symptoms. This prescription is closely monitored by a doctor and tailored to the individual. It is essential to remember that while methadone has many beneficial uses, the dangers of methadone should not go unnoticed. Is Methadone an Opioid? It is important to remember that despite it being highly beneficial as part of an opioid addiction treatment program, methadone itself is an opioid. Thus, when methadone is prescribed, the dose, duration, frequency, and patients’ well-being are highly regulated. In addition, those who have a history of opioid dependency are at a higher risk of developing a methadone addiction. So, it is important for medical professionals to regularly monitor and observe any symptoms of addiction or methadone dependency. Will Methadone
How Easy Is It to Switch from Buprenorphine to Methadone
What is Buprenorphine and Methadone? Both buprenorphine and methadone are opioid drugs. Buprenorphine is a semi-synthetic compound and methadone is a fully synthetic compound. Both drugs help prevent or reduce withdrawal symptoms in those who struggle with opioid addiction.1 Medication-Assisted Treatment (MAT) There are many different types of treatment available for those affected by addiction, including medication-assisted treatment (MAT). MAT involves using medications to help ease withdrawal symptoms and prevent relapse during treatment. One of the most commonly used medications in MAT is buprenorphine. However, some people may find that buprenorphine treatment is not effective for them and may want to switch to methadone. This article will discuss how easy it is to switch from buprenorphine to methadone and if it is a good idea to switch between the two medications. How is Buprenorphine and Methadone Used? The most common methadone and buprenorphine uses are during addiction treatment. Buprenorphine and methadone may be used during addiction treatment to help ease withdrawal symptoms and prevent relapse from occurring. These drugs are often implemented as a form of drug replacement therapy to help taper someone off of another substance, such as an opioid drug.2 How Buprenorphine Works Buprenorphine works by binding to the opioid receptors in the brain. The effects of buprenorphine are weaker than other opioid drugs, which makes it a useful medication for drug replacement therapy to help someone slowly wean off of other opioid substances. There are many medical buprenorphine treatment uses, most notably that it is a safe and effective drug for addiction treatment. Common benefits of using buprenorphine drugs during treatment include: Lowering the potential for misuse Diminishing the effects of physical dependence to opioids Increasing safety in cases of overdose or substance abuse disorder3 Buprenorphine Alcohol Treatment There is a growing body of evidence that shows buprenorphine treatment helps people with alcohol addiction as well. It’s an effective treatment, and it can be combined with counseling or therapy for the best results. Buprenorphine Opioid Addiction Treatment Buprenorphine is an effective treatment for opioid substance abuse disorders. It’s used to help people recover from dependency on heroin and other prescription opioid drugs. It helps patients slowly stop taking other substances in a safe and healthy manner. Should You Switch from Buprenorphine to Methadone? Making a transfer from buprenorphine to methadone treatment may be a reasonable option if a patient is having side effects, or if buprenorphine treatment isn’t effective for them. However, switching between the drugs could have unseen side effects or might make addiction treatment take longer, so if buprenorphine treatment is stable and effective, it is not recommended to make the switch. How Do You Switch from Buprenorphine to Methadone? In order to switch from buprenorphine to methadone treatment, buprenorphine and opioid drugs must be tapered off and stopped completely. Once a patient has completely stopped taking buprenorphine for two days, then methadone treatment can begin. This is due to the buprenorphine half-life, as the patient needs to ensure that buprenorphine is entirely out of the system before starting methadone treatments instead. This will prevent any methadone side effects or drug interactions from occurring and will help stabilize the patient before moving forward with continuing treatment. Side Effects of Methadone and Buprenorphine Common side effects of methadone and buprenorphine include: Constipation Nausea and vomiting Drowsiness and fatigue Dilated pupils Insomnia Sweating Respiratory distress Double-vision Although there can be side effects to taking these drugs, both methadone and buprenorphine can be very effective in addiction treatment. If you or a loved one are receiving buprenorphine or methadone treatment from a treatment center, treatment professionals will help ensure that you are as safe and comfortable during the treatment process. The Three Phases of Buprenorphine Treatment Buprenorphine addiction treatment will typically happen in three phases. When you or a loved one go to an addiction treatment center that uses buprenorphine treatment, they will ensure that you get the right buprenorphine dosage and will help manage any buprenorphine side effects to keep the treatment process as safe and effective as possible through each stage. The Induction Phase The induction phase is the beginning of buprenorphine withdrawal treatment. The induction phase must be medically supervised to ensure that there aren’t any side effects that occur and to keep the process as safe as possible. Due to buprenorphine drug interactions with other opioids, the induction phase should begin twelve to twenty-four hours after the final dose of another opioid drug has been taken.4 The Stabilization Phase The next stage in buprenorphine treatment is stabilization. This phase typically lasts one to two months and patients will usually be seen on a weekly basis to monitor the dosage and make sure that no negative side effects are occurring. Typically, people will reduce or stop their drug usage entirely during this stage. If drug use continues, the dosage should be adjusted accordingly. The Maintenance Phase Once someone reaches the maintenance phase, they will remain on buprenorphine indefinitely until it is determined they can manage their addiction on their own without a high risk of relapse. Some form of counseling or therapy is important during this phase for patients to work on skills and coping mechanisms to help them learn how to manage their addiction on their own. Patients who discontinue buprenorphine use should be tapered off gradually to avoid withdrawal symptoms. Is Methadone Stronger Than Buprenorphine? While buprenorphine and methadone side effects may differ slightly, studies have shown that both drugs are equally as effective in addiction treatment and a dose of each substance has approximately the same effectiveness. Methadone has been around for much longer than buprenorphine, generally making it the more popular choice for addiction treatment centers to use. However, buprenorphine still is able to help patients with substance abuse treatment.5 Get Help at San Diego Detox If you or a loved one are struggling with addiction and have been prescribed buprenorphine, it may be a reasonable option to switch to methadone treatment if you are experiencing side effects or if