suboxone find a doctor
once you find a doctor he can treat your opioid addition without methadone
Methadone is only available with a prescription.
Methadone is just one part of a larger treatment regimen that includes counseling and behavioral therapies to provide them a "whole-person" approach to addiction recovery. Methadone can only be provided by a licensed practitioner in a primary care environment, unlike other drugs used to treat OUD.
Before a doctor can be allowed to administer methadone, he or she must follow a number of rules. Physicians who want to prescribe and dispense Schedule II banned substances like methadone must first register with the Drug Enforcement Administration's Narcotic Treatment Program. Methadone can be administered for detoxification and maintenance by certified treatment providers. Methadone is one of the most tightly regulated prescription drugs available. Because methadone has been the de facto standard for MOUD, federal and state laws aim to prevent its abuse. To prevent illegal methadone administration and distribution, regulatory restrictions on who can prescribe methadone have been imposed.
The seven tramadol-dependent patients sought therapy at the Drug De-addiction and Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, according to ICD-10. They were between the ages of 24 and 46. Tramadol doses vary from 50 mg to 1500 mg per day when taken on a regular basis. Tramadol was started for a variety of reasons, including as a substitute for other opioids, to combat opioid withdrawal, and as a prescription for headache and opioid detoxification. Six of the seven patients had previously used other opioids in their lifetimes. Four inpatients who were initiated on the oral opioid antagonist naltrexone 50 mg/day had poor treatment compliance. One patient was prescribed an oral buprenorphine–naloxone combination after relapsing while on oral naltrexone. With therapeutic and hazardous doses of oral tramadol, another patient experienced generalized tonic–clonic seizures. During the follow-up period, four patients remained abstinent.
Tramadol has the potential to cause dependence because it is an opioid-type analgesic that acts on several receptor systems. When the patient is detoxing from other opioids, this must be taken into account. Three of our patients began using tramadol after receiving a prescription for detoxification; however, they were unable to reduce the doses of tramadol as prescribed. Tramadol-induced euphoria has also been documented. As a result, opioid-dependent individuals take tramadol as a substitute for the more difficult-to-find 'harder' medications.
Our patients were primarily detoxed with oral clonidine and nonsteroidal anti-inflammatory medicines (NSAIDs), as described by some, but not by others who detoxed with a buprenorphine–naloxone combination and methadone.
Aside from those with medical conditions who use tramadol, the medicine has the potential to be abused by opioid-dependent individuals. Because tramadol is readily available in pharmacies in India and other nations, abuse and diversion may become a bigger problem in the future. To prevent diversion, it is necessary to adequately regulate the delivery of this medication and implement suitable measures.
This case study contributes to the growing worry about tramadol addiction. It underlines the importance of exercising caution while prescribing tramadol to patients, particularly those who are opioid-dependent, as well as notifying drug regulatory authorities of such incidents so that adequate scheduling and warnings can be issued.
Drowsiness, mental fog, nausea, and constipation are all possible side effects of opioids. They may also cause delayed breathing, which can result in death from an overdose. Call 911 if you suspect someone is overdosing:
The face of the person is exceedingly pale and/or clammy to the touch.
Their entire body becomes limp.
Their lips or fingernails are purple or blue in color.
They begin to vomit or make gurgling noises.
They are unable to be awakened or speak.
Their heartbeat or breathing slows or stops
In the United States, opioid usage, addiction, and overdoses are severe public health issues. Another issue is the increased use of opiates by pregnant women. This can result in neonates becoming hooked and experiencing withdrawal symptoms, which is known as neonatal abstinence syndrome (NAS). Because some people migrate from prescription opioids to heroin, opioid misuse can sometimes lead to heroin use.
Medication-assisted treatment is the most common treatment for prescription opioid addiction (MAT). Medicines, counseling, and family and friend support are all part of the package. MAT can assist you in quitting the drug, overcoming withdrawal, and coping with cravings. If given quickly enough, a drug called naloxone can reverse the effects of an opioid overdose and avoid death.
Make sure to follow your doctor's directions when using prescription opioids to avoid issues. Do not give anyone else your drugs. If you have any concerns about taking the medications, talk to your doctor.