EXPLANATION OF TREATMENT SUBOXONE
(buprenorphine HCl/naloxone HCl dihydrate) sublingual tablet.
You will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status and physical exam. The pros and cons of the medication, SUBOXONE, will be presented. Treatment expectations, as well as issues involved with maintenance versus medically supervised withdrawal will be discussed. Our office will provide your SUBOXONE prescription for the duration of treatment; these procedures will be explained in more depth at the first visit.
You will be switched from your current opioid (heroin, street methadone or prescription painkillers) to SUBOXONE or SUBTEX. At the time of induction, you will be asked to provide a urine sample to confirm the presence of opioids and possibly other drugs. You must arrive for the first visit experiencing mild to moderate opioid withdrawal symptoms. Your response to the initial dose will be monitored. You may receive additional medication, if necessary, to reduce withdrawal symptoms. Since an individual’s tolerance and reactions to SUBOXONE or SUBUTEX vary, additional appointments may be scheduled and medications will be adjusted until you no longer experience withdrawal symptoms or cravings. Urine drug screening is typically required for all patients on a random schedule during this phase. Intake and Induction may both occur at the first visit, depending on insurance requirements, your needs and your doctor’s evaluation.
The following guidelines are provided to ensure you are in withdrawal for the visit. (If this concerns you, it may help to schedule your first visit in the morning: some patients find it easiest to skip what would normally be their first dose of the day).
- • No methadone or long-acting painkillers for at least 24 hours
- • No heroin or short-acting painkillers for at least 4 to 6 hours
- • Bring ALL medication bottles with you to your 1st appointment.
- • Before you can be seen by the doctor, all of your paperwork must be completed, so bring all your completed forms with you or arrive about 30 minutes early. In addition, all agreed contract payments must be current and it is your responsibility if your total cost is partially financed, that payments are made in a timely basis to avoid penalties.
Opiate Detox Continued
Urine drug screening is a regular feature of SUBOXONE or SUBUTEX therapy, because it provides physicians with important insights into your health and your treatment. Your 1st visit will include a review of urine drug screening,
and blood work. A breathalyzer test will also be done. If you haven’t had a recent physical exam, your doctor ay require one.
To help ensure that SUBOXONE is the best treatment option for you, your doctor will perform a substance dependence assessment and suitability questionnaire. Lastly, you and your doctor will discuss SUBOXONE and your expectations of treatment.
After this portion of your visit is completed, your doctor will give you a SUBOXONE or SUBUTEX prescription. You fill the prescription at the pharmacy and return to the doctor’s office so you can take the medication in a safe place where the medical staff can monitor your response. Your response to the medication will be evaluated after 30 minutes and possibly again after 1 hour. Once the doctor is comfortable with your response, you can schedule your next visit and go home. Your doctor may ask you to keep a record of any medications you take at home to control withdrawal symptoms. You will also receive instructions on how to contact your doctor in an emergency, as well as additional information about treatment.