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NYC Methadone Treatment Opiate Detoxification:

Our rehab and recovery counselors and addiction professionals can be reached 24 hours a day at our dedicated free help for drug addiction hotline at (855) 373-3880

Although agonist maintenance therapies like methadone treatment yield better outcomes for most opioid addicts, they continue to seek opioid withdrawal primarily to lower the cost of their habit. Sometimes as pre-treatment before the residential therapeutic community or methadone maintenance.

High relapse rates are probably less a function of withdrawal method and due more to reasons for seeking detoxification, postwithdrawal treatment, or brain changes developed during dependence. Those who complete methadone detoxification tend to have longer times to relapse than dropouts.

Methadone as a Withdrawal Solution

Methadone is orally effective, long-acting- thus producing smoother withdrawal – and safe, if care is taken with initial dosing.

NYC Methadone Treatment Because 40 mg of methadone has been a fatal dose in some nontolerant individuals, the initial dose should be less, eg, 10 to 20 mg. If withdrawal symptoms are not suppressed within 1 hour, more can be given, but in general the initial dose should not exceed 30 mg. The total 24 hour dose should not exceed 40 mg the first few days. In a non-tolerant individual, an initial tolerated dose can become risky if continued beyond 2 days because of rising methadone blood levels. The clinician should be alert for signs of drowsiness or motor impairment.

Physical dependence can be ascertained by:

waiting until the patient develops withdrawal signs and symptoms precipitating withdrawal via naloxone (if pregnancy has been ruled out). NYC Methadone Treatment

After the patient is stabilized, the dosage is gradually reduced. Additionally this is done either by decreasing the methadone 5 mg/day until zero dosage is reached, or decreasing 10 mg/day until 10 mg is reached. Finally, they decrease by 2mg/day until completely weened off.

Inpatient methadone substitution and taper is usually accomplished in 5 to 7 days, and has a retention rate of 80%; with outpatient detoxification it takes longer to minimize withdrawal symptoms and to decrease dropout and relapse, but only about 20% complete it. Lingering protracted withdrawal symptoms can be helped by clonidine.

Methadone Maintenance is an Old age Solution

NYC Methadone Treatment outpatient naloxone treatment Office-based methadone maintenance has been permitted on a limited basis for patients. Inpatient methadone substitution and taper is usually accomplished in 5 to 7 days, and has a retention rate of 80%; with outpatient detoxification it takes longer to minimize withdrawal symptoms and to decrease dropout and relapse, but only about 20% complete it. Lingering protracted withdrawal symptoms can be helped by clonidine.

Although agonist maintenance therapies like methadone treatment yield better outcomes for most opioid addicts, they continue to seek opioid withdrawal primarily to lower the cost of their habit. Sometimes as pre-treatment before the residential therapeutic community or methadone maintenance.

Outpatient Office-based Methadone Maintenance Treatment

Our rehab and recovery counselors and addiction professionals can be reached 24 hours a day at our dedicated free help for drug addiction hotline at (855) 373-3880

Office-based methadone maintenance has been permitted on a limited basis for patients. This is for patients who have been stable for at least a few years. In general, patients on this “medical maintenance” have been successful but a number increased their use of illicit drugs. While the number of patients on methadone maintenance has increased to 240 000. Many parts of the country have inadequate availability and long waiting lists.

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