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Steps to ending the stigma

  • Know the facts
  • Beware of your own attitudes and behaviors 
  • Choose words carefully
  • Educate others
  • Focus on the positive

Opioid Treatment Options

Vivitrol

Vivitrol is a newer injectable medication that is used to treat opiate addiction and alcohol addiction. Vivitrol blocks opioids from acting on the receptors in the brain taking away the pleasurable effect and preventing relapse. Vivitrol, also, can block the pleasurable effects of alcohol by blocking the release of endorphins caused by alcohol. This treatment can help you stop misusing opioids and alcohol and, when combined with counseling, can help you rebuild your life.

If you are prescribed Vivitrol for opioid addiction, you will need to go through 7-14 days of detox beforehand. Vivitrol is a non-addictive and frequency of administration can be reduced over time. The goal is to reduce the addiction slowly while helping the patient cope with the underlying behavioral and mental health aspects of their disease. Treatment combined with counseling and support will substantially increases the success rate. 
Buprenorphine

Buprenorphine, often marketed under Suboxone, is a partial opiate agonist. It can block painful withdrawal symptoms and cravings as well as prevent other opioids from entering the receptor.

Buprenorphine can be used long term or short term and helps to reduce the cravings associated with opioid withdrawal. 
Buprenorphine is the active ingredient which blocks other opioids from attaching to receptors in the brain. Naloxone is the second ingredient in the medicine. It prevents abuse. 

When the medication is taken orally as prescribed it has no effect, but if Suboxone is injected the Naloxone will trigger immediate withdrawal symptoms. This works as a deterrent to abuse and can help you rebuild your life more rapidly in combination with counselling. 
Methadone

Methadone is used to treat both pain and opiate addiction and is arguably the most effective treatment for opiate addiction.

The goal of methadone treatment is to stop illegal opiate use and the crime, death, disease and other negative consequences associated with addiction. Treatment is intended to eliminate opiate use among individuals who are addicted by stabilizing them for as long as necessary to help restore their lives. Methadone is recognized worldwide as an effective treatment which reduces dependence and the possibility of HIV and hepatitis infections. 

Scientific studies have shown that the most significant health impact of long term methadone treatment is a marked improvement in general health. The most common side effects associated with Methadone are constipation and sweating. These symptoms usually diminish with time and is not a serious health hazard. 
Buprenorphine vs Methadone

- Buprenorphine has less extreme side effects.
- Buprenorphine has a lower feeling of euphoria compared to Methadone which lowers its potential for abuse.
- With Buprenorphine, the patient needs to be in moderate withdrawal before administration or they will experience acute withdrawal symptoms and failure rates are considerably higher. 
- Methadone is an effective pain management medication if taken in split doses more than once per day. 
- Methadone has a higher risk of abuse and overdose, especially when mixed with alcohol or benzodiazepines. 

Summary

Nurses in Rhode Island can help find the right treatment for you. 

Every person is different and there is no one size fits all formula. Depending on your history, length of use, prior treatment and other medical issues the best treatment will vary. 

However, our staff has over 50 years of combined experience in treating, and we are committed to finding what works for you. 
To find a qualified provider please call Nurses in Rhode Island at 1-800-264-3752
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