BUPRENORPHINE for Opioid Addiction/Dependency

Dr. Tilak offers comprehensive and caring outpatient Opioids or Narcotics dependency/addiction treatment services at our Jacksonville and Middleburg locations. We provide effective medication and non-medication treatments for opiate addiction, including Suboxone, Zubsolv (buprenorphine/naloxone), and Subutex (buprenorphine).

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Are opiates really addicting?

For many Americans, opiate addiction begins with legitimate, prescribed medication to treat chronic pain. However, with regular use over time, pain medications change the function of the nerve cells in the brain. Eventually, this leads to developing a tolerance and needing an increasing amount of the drug to maintain the same results or to avoid withdrawal symptoms.

Withdrawal symptoms occur when the body is deprived of a substance it has come to rely on. Withdrawal symptoms typically include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Cramps
  • Joint pain
  • Tremors
  • Chills and sweats
  • Anxiety, depression, and insomnia

In some cases, patients not able secure sufficient prescription drugs to manage their pain and avoid withdrawal symptoms, may turn to heroin use.

What Kinds of Patients Are Suitable for Addiction Program?

We see patients in both our clinics for outpatient Narcotics addiction medical treatment. We specialize in treating young adults to seniors who want to stop using heroin as well as others who have gotten hooked on to pain medications like oxycodone, Vicodin or Norco to treat chronic pain. Many patients come in after they have tried unsuccessfully to detox on their own and others come in after discharge from rehab for continued care. Either way, we can help and we are glad you are here.

How Does Dr. Tilak Approach Addiction Treatment?

We provide safe, effective and non-judgmental medical treatment for your alcohol and drug problems. We specialize in using the latest treatments, based on research in neuroscience, to help your brain heal and recover from alcohol or drug use.

We use FDA-approved medication treatments including Suboxone® (Buprenorphine/naloxone) and Subutex (Buprenorphine) to help patients with addiction. These medications help mitigate the symptoms of withdrawal, curbing the physical addiction while learning to manage and control the psychological aspects of addiction.

If needed, we can also prescribe other medications for depression, anxiety or insomnia.

How Does Buprenorphine help you get off opiates?

The simplest explanation of how buprenorphine works is that it helps reduce opiate use by reducing the cravings for opiates. Buprenorphine reduces cravings by occupying the same opiate receptors in the brain in which other chemical opiates attach. In fact, buprenorphine actually binds much longer and much stronger than other opiates, like oxycodone or heroin, which helps people stabilize, reduce drug consumption and overcome addiction.

After a few days of being on the medication, the vast majority of patients feel “normal,” with little to no cravings and can drive, go to work, take care of their kids and move on with their lives.

How Does the Outpatient Opioid Addiction/Dependency Treatment Program Work?

There are three phases to Suboxone or Buprenorphine treatment.

Stabilization phase:

In your first visit, Dr. Tilak will review your history and help you decide the right next step for treatment.

If you are being prescribed buprenorphine (Suboxone or Subutex), you will leave your first appointment with a prescription to fill at a local pharmacy and detailed instructions on home induction and stabilization. You are closely monitored after your first visit and have follow-up appointments at least every week until you have stabilized and are ready to enter the maintenance phase of treatment. These appointments allow the doctor to monitor your well-being and adjust your dose if necessary.

Maintenance phase:

The maintenance phase is the longest part of your physician-supervised recovery program. This phase begins when your medication dosage is stabilized. During the maintenance phase, you begin to feel normal, both physically and emotionally. Your visits become less frequent during this phase and you spend more time dealing with the psychological aspects of your addiction. Then as you recover from all aspects of your addiction, you finally enter the tapering phase. Maintenance phase can last for many months to years depending on patient preference and need. Many adult conditions need lifelong medications. Buprenorphine should also be looked upon as long term medication to avoid risk of relapse and many patients feel unwell and uneasy or get mild withdrawal symptoms without it.

Tapering phase:

During this phase, you slowly reduce your dose of Suboxone or Buprenorphine with an end goal of being free from reliance on all drugs. The tapering of your prescription is tailored to meet your needs and preference and is never forced upon you. Once you have tapered off your prescription and are doing well, you are officially discharged.

How Do I Get Started for Addiction Treatment?

To access care, call our office at 904-298-1994 to make an appointment.