... kicking subs !
Tapering off the opiates is an option but takes great determination and you still have to deal with the cravings. The Suboxone helps with the cravings at least while you are on it. Generally, people stay on the Suboxone until the cravings have stopped. Of course, you have to taper off the Suboxone too but after you have "healed" the brain and reduced the cravings. It is recommended you get counseling too while taking Suboxone. Learning the tools to stay clean is critical and counseling can teach them to you. Whether you chose Suboxone or taper from the opiates, addiction's counseling is important.
Both suboxone and methadone are long acting opiate replacements, both need to be tapered off of., but so would any other opiate that is short acting if a person gets dependent enough on it to produce withdrawal when it is stopped. The kicker is that most people find it difficult if not impossible to taper off any of the short acting opiates and may have trouble getting off subs because each doctor treats his/her patients differently than another doctor. When a patient is rx'ed subs, that patient is supposed to do mandatory addiction counseling but a huge huge number of them don't. That is 1 of the main reason you see people having difficulty getting off of it. I can't stress that enough, how important the therapist is in guiding suboxone treatment. The other reason is some of the addiction is mental, that has to be healed too.
Many subs doctors are not really sure how and when to taper a patient off and any dr who takes the subs training course can then write a subs rx, regardless of what type of dr they are. A dermatologist or pediatrician is likely to know less about addiction than a psychiatrist tho if they all took the course, all can prescribe subs. And subs may need a different amount of time to heal each persons brain, and each person may need different amount of addiction therapy. Therefore if anyone is going to take the time and spend the money to do suboxone treatment, they need the addiction therapy too.
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