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Dr. Mark Agresti, West Palm Beach Drug & Alcohol Detox Specialist – Psychiatrist, explains what are Subutex and Suboxone.  He explains the other common names for Subutex and Suboxone.  Learn how Subutex and Suboxone are used to help aid in drug detox.

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They are medications used to detox people from opiates like Roxycodone, Oxycodone and Loretab. These medications can also be used over long periods of time like months or years to continually block the cravings for opiates.

This is extremely important valuable. You can take someone who is addicted to Roxycodone also known by the street name “blues”, and detox them painlessly with Subutex /Suboxone. In days past the treatment would end at that point. The individual would detox and then be sent home, but what happen was a post acute withdrawal syndrome. The individual would crave opiates and these craving periods have been described as unbearable which would lead people to relapse. Individuals become irritable, anxious, insomniac, fatigued, and obsessed with getting and using drugs. The street term for this is called “jonesing”.

The advantage of Subutex/Suboxone is the drug Buprenorphine. These pills stimulate the brain into thinking it has an opiate on board. The difference is the individual does not get high, drowsy, have any risks of overdose, and does not engage in drug seeking behaviors. They no longer obsess about drugs, the desire and wanting to use them is diminished. They remove themselves from the drug world. Their lives can normalize and their thinking clears so they can make better decisions. This medication has changed many lives in which other people thought those individuals were hopeless.  The Subutex/Suboxone can be tapered and stopped when the individual is confident of his/her sobriety.  This medication itself is habit forming but much less so. Most people come off it easily. Twenty to thirty percent have problems coming off. This is nothing like the problems of coming off an opiate like Roxicodone, Oxycodone, Lorcet, and Loretab. (more…)

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By Dr Mark Agresti

Treating opiate addiction (Oxycodone, Roxycodone dependency) since 1988 has taught me a few things.  Opiate dependency is all consuming.  Individuals become consumed with getting money for opiates, obtaining opiates and having time to use opiates.  All this mental energy is pulled from other activities.  Resources are taken from loved ones, leisure activities and business.  Individuals using opiates spend discretionary income on opiates (i.e. oxycontin), instead of going out to dinners, dating and playing.  Once on opiates the range of activities that individual engages in decrease.  Hobbies and sports fall to the side.  These individuals lack time and money to do fun things, but also lack desire to have fun.  There is no desire to have sex and desire to socialize decrease.  These individuals can maintain jobs and relations with a few close others.

They usually become depressed, crave sugar, and gain weight.  Their complexion changes to a grayscale cancer looking color.  They develop strange eating habits and sleeping habits.  Their sense of self worth and self-esteem decline.  They have feeling of emptiness and detachment from others.  One patient said she looked in the mirror and she saw a skeleton.  She no longer existed.  The opiate becomes everything.

The opiate becomes an individual’s lover and family.  The fear of going into withdrawal is so powerful.  When the possibility that the individual may be cut off from drugs, the beast comes out. (more…)

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Initially coming off opiates involves acute detox.  That involves anxiety, abdominal cramping, goose flesh, leg jerking, yawning, nausea, vomiting, diarrhea, and headache and acute distress.  These pains end in five days.  After the detox ends, the real problems begin.  Individuals begin to experience intense craving for the opiate.  They become anxious, depressed and lethargic.  They have no energy and have trouble functioning.  Problems with sleep develop.  People describe feelings; they don’t know who they are or what their purpose in life is.  They have problems interacting with others because they are not sure how to act.  There’s the feeling of loss. Almost as if they are mourning the loss of a lover.  The loss of what they see as an exciting life and living outside the rules.  It’s very difficult for these individuals to be integrated back into society and live normal lives.  They always feel different.  Also in the addict mind is a grandiose sense they are better and superior.   This interferes with them finding jobs and forming relationships with others.  Commonly individuals who stop opiates relapse, use marijuana or alcohol. Involve themselves in toxic relationships.  Some develop gambling behaviors or inappropriate sexual activities.  They continue to look for the high.

Opiate addicts must make an initial step and say to themselves they no longer want to alter their mental state.  Decide the addict personality must go and a new one must be created.  Psychotherapy may be helpful.  Problems with depression, anxiety, insomnia, lethargy and drug cravings can be helped with non-addicting medication from a psychiatrist.

Forget one thing nicotine is usually what kills these people because they smoke too much.

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