Before Entering Opiate Addiction Treatment with Buprenorphine (Suboxone, Subutex), Please Take a Few Minutes to Read About This
Treatment Option For Opiate Addiction
From The Desk Of Stephen Gilman, M.D., Addiction Psychiatrist in New York
We both know it's no "accident" that you came across this site, so I'll get right to the point. You're reading this because either you or a
close loved one is struggling with an addiction to opiates - heroin, Vicodin, Oxycontin, Percocet or other similar ones. And you probably
want to learn some more about how this treatment might be helpful.
Now treatment with buprenorphine - Suboxone, Subutex is not right for everyone with an
opiate addiction issue. This determination can only be made after a careful, thorough evaluation from a physician certified to use the
You may not know this, but up until a few years ago the treatments available in a private doctor's office for opiate addiction had
significant limitations. Some treatments did not make the process that comfortable, with some people not being able to complete the
process. From my experience, this meant that people would often need to go into a hospital setting and be detoxed with methadone or other
medications over a few days or longer. This would mean taking time off from work, being away from the family and the potentially high cost
of the hospital stay if not covered by your insurance.
And ongoing medication based treatment - to assist in keeping you off the opiate - was limited.
Suboxone - Buprenorphine, Subutex - Is A New Way to Detox From Opiates. And It Can Be Done In The Privacy Of An Appropriately
Trained And Certified Doctor's Office
For the last few years, buprenorpine has been available in The United States to assist in getting people addicted to opiates of ALL types
(heroin, Vicodin, Oxycontin, Percocet, Codeine and others) opiate free. It is used in combination with addiction counseling,
psychotherapy and other treatment modalities. It is NOT a "magic pill" - just one part of an intergrated treatment approach.
But its not only able to help with the initial detox. It has improved the ability of specially certified physicians to help keep opiate
addicted individuals off their drugs for extended periods of time - many times for good.
And best of all is that it can be prescribed right from a private physicians private office. No need to check into a hospital or medical detox
facility. No need to admit yourself for a costly inpatient substance abuse rehabilitation stay.
Why Should You Listen To Stephen Gilman, M.D.?
I'm a psychiatrist based in NYC. My specialization is specifically addiction psychiatry. The main focus of my practice is treating people with addiction problems, as well as meet with the addicted one's loved ones to offer
support and help them convince the addicted person to get into treatment.
Just briefly, my qualifications are as follows: Board Certification in both general psychiatry and addiction psychiatry. Faculty appointment
and addiction researcher at NYU School of Medicine. Former Medical Director of a major, world renowned substance abuse rehabilitation program.
Addiction treatment consultant to investment banks, market research firms and the media. (If you want to look through my entire resume, then
click this link: About Stephen Gilman, M.D.
What You Must Know NOW Before Looking For A Suboxone Doctor
I urge you to take the few minutes and read through this site, BEFORE you make your appointment with a Suboxone Doctor (be it
me or anyone else). I've loaded it with information about buprenorphine treatment for opiate addiction and detox. I have pages about all of the
different types of opiates you might be addicted to.
Not All Buprenorphine - Subutex, Suboxone - Doctors Follow The Same Training Path. They Could Be General Doctors Or Addiction Medicine
Specialist Or Addiction Psychiatrists. There Are Differences In Training And Approach To Using Buprenorphine
First, not any physicians in the U.S. can prescribe this medication - the prescriber must be approved by the DEA (Drug Enforcement Agency) and
FDA (Food And Drug Administration) to use it for opiate addiction treatment. So your general doctor may NOT able to use it, and may not even
know how to refer you to someone who does.
And you need to know that there are different levels of training and education that would qualify a physician to prescribe buprenorphine. And
the degree of training varies widely. If you are thinking about buprenorphine (Suboxone, Subutex) treatment, you should ofcourse
do your homework and ask the prospective treating physician about there training and experience so you can make an informed
Review This Information, Then Feel Free To Call My Office To Learn If This Treatment Could Be Of Assistance To You.
By law a suboxone certified physician can only have a maximum of 30 patients on this medication
at any given time. The exception is if they have been prescribing this medication for greater than a year. Then the limit is higher.
I often get calls from people outside of the New York area for treatment. Please understand that treatment can only occur in my office in NYC,
so you need to be in the NYC area and make regular in-office treatment sessions.
Click the link below to learn more about buprenorphine treatment
Suboxone Treatment Options
Preview of Buprenorphine (Suboxone, Subutex) and Opiate Addiction Information On This Site
What Is Buprenorphine?
Buprenorphine is a medication much like the opiates that you might be addicted to right now - but it has some very special
properties that make it extremely helpful in treating opiate dependence.
Buprenorphine has been available in the United States for opiate addiction treatment since 2002. It has unquestionably revolutionized the way
that this addiction can be treated.
Now, not all formulations of this buprenorphine medication are approved for use in opiate addiction. Only the Suboxone and
Subutex formulations can be legally used in the United States.
Suboxone is the main form of buprenorphine that is used in The United States for opiate detox treatment.
Suboxone is a combination medication containing both buprenorphine and naloxone. It's the buprenorphine that is doing the work to help with
detox. So what is the naloxone and why even bother including it?
This has to due to legal regulatory issues. You see, the buprenorphine itself is still an opiate that does have the potential to be abused.
Sure, its weaker than most of the typically abused opiates, but nevertheless, it still has the potential as a drug of abuse.
Subutex Buprenorphine Detox
Subutex is the formulation of buprenorphine that does not contain the naloxone (Narcan). It does have advantages over the Suboxone formulation
for certain opiate addiction treatments.
If you are addicted to one of the longer acting opiates, such as MS Contin (morphine), Oxycontin (oxycodone) or methadone, then the inital
detox is usually done with Subutex as oppossed to Suboxone.
Outpatient Suboxone Treatment
I just wanted to take a moment to tell you just how lucky you are to be seeking opiate addiction treatment right now.
Prior to the end of 2002, buprenorphine was not available for use to treat opiate addiction. The medication treatments available for the
private office physician were of only slight help with the detox process. And they were of little to no benefit in keeping people from going
back to opiate use.
Heroin is an illegal, extremely addictive drug, which has no approved medical use. It is a rapidly acting opiate
and produces profound euphoria - which is its draw to those predisposed to addiction. It is typically sold as a white or brownish
powder or as the black sticky substance known on the streets as "black tar heroin." Heroin is a derivative of morphine.
Buprenorphine can be very effective in the treatment of heroin addiction. The transition from heroin to buprenorphine is usually smooth. The
exception is if you are addicted to large amounts of heroin. In this case, you may need to be initailly detoxed with a "stronger" medication such
as methadone. Discuss this with your addiction treatment physician.
Vicodin Hydrocodone Addiction
Vicodin is a combination of acetaminophen and hydrocodone. It has a legitimate medical use - the treatment of moderate to severe pain. In
order to be effective, it needs to be taken every 4 to 6 hours.
Most people prescribed this medication have no problems with it. They are not at risk for becoming addicted as long as it is taken as
prescribed and use stops as soon as the pain subsides.
Because this opiate is a shorter acting one, patients tend to respond very well to buprenorphine (Suboxone, Subutex) treatment.
OxyContin is a semisynthetic opiate prescribed for chronic or long-lasting pain. The medication’s active ingredient is oxycodone, which is
also found in drugs like Percodan, Percocet and Tylox. In Oxycontin the drug is found in a potent, sustained release (time
release) form containing anywhere from 10 to 160 mg of oxycodone. (The 160 mg formulation was discontinued in the U.S. in
2001). This drug is usually treated by buprenorphine detox with Subutex, as opposed to Suboxone.
Click this link to discover the Suboxone Treatment Options offered by Dr. Gilman