Frequently Asked Questions

What is Medication-Assisted Treatment (MAT)?

Medication-Assisted Treatment is the evidenced based treatment for Opioid Use Disorder. It combines medication that is FDA-approved in combination with counseling and behavioral therapies to provide a whole-person treatment approach.  The medication “quiets” your brain such that you no longer have cravings for opioids and then you are able to utilize the counseling to understand your addiction and make the necessary behavior changes.

How long do I have to be in treatment?

The length of your treatment is dependent on your goals and is individualized.  The RPN providers have been selected because of their commitment to individualized treatment based on clinical best practices.

Is my treatment confidential?

Your confidentiality is protected by both federal and state regulations, including the Americans with Disabilities Act.

What is the difference between the medications that are used?

Methadone is a liquid medication that you will take daily and will block cravings for opioids and will prevent withdrawal symptoms.  It may several weeks to fully stabilize on the medication.  You will feel “normal” and be able to perform all your usual activities, like working, driving, sleeping and eating.  When you decide to discontinue medication, you need to decrease your dose slowly over a period of time.

Buprenorphine is a medication that is taken orally, under your tongue, either once per day or several times per day.  It will block cravings and will prevent withdrawal symptoms.  Typically, you will stabilize within a week of starting treatment.  You will feel “normal” and be able to perform all your usual activities.  When you decide to discontinue medication, you need to decrease your dose slowly over a period of time.  There is a new medication called Sublocaid, a buprenorphine product, which is an injection given under the skin.  This medication works the same way as the oral buprenorphine.

Vivatrol is a medication that is also given by injection once per month.  Typically, Vivatrol is used after you have stopped one of the other medications.

Your RPN provider and your physician will discuss these choices with you in detail and will make a recommendation based on your unique needs and medical history.  All the medications have side effects that the physician will describe and review with you prior to starting the medication.

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