Updated: Feb 11, 2019
Dr. Mahjabeen Islam MD, FAAFP, FASAM, is the Medical Director of UMADAOP of Lucas County and is board-certified in Addiction and Family Medicine.
She has over twenty-five years experience in Addiction Medicine and has worked in all phases of treatment, from inpatient to intensive outpatient, residential and ambulatory treatment.
TREATMENT CHOICES IN OPIOID ADDICTION
More than 50,000 people die of opioid overdose every year and now more people being killed by opioid than traffic accidents or guns.
All of us know someone with the disease of opioid addiction and everyday we either personally deal with the devastation that opioid cause, or read or hear about it. Opioids are taking lives the way that the AIDS epidemic did when it was at its peak in the 1980s and early 1990s. We were able to control the AIDS epidemic, and if the government, the health care system, law enforcement and each and every one of us decides that we are going to defeat this epidemic, we will. Learn More
UMADAOP MAT Program
At UMADAOP you will receive state of the art treatment. We practice our treatment methods in accordance with the latest research in addiction medicine and the recommendations of the American Society of Addiction Medicine (ASAM). UMADAOP is also accredited by the Commission on Accreditation of Rehabilitation Facilities, CARF.
You will have a tailored made treatment plan. Each patient gets a comprehensive evaluation by our physicians and the most ideal treatment for the patient is recommended
SUBOXONE: This is used for opioid use disorder. The dose and duration of Suboxone are customized for each patient. Many factors are taken into account, such as the intensity and duration of opioid use, and the social and emotional circumstance of the patient.
4 Stages of Suboxone Treatment:
INDUCTION: The patient is requested to present in opioid (are you saying that “I have to presently be going through the withdraw symptoms”) withdrawal so the Suboxone can be started immediately. The lowest possible dose of Suboxone that will take care of withdrawal is given to the patient. They are rechecked in two to three days.
STABILIZATION: During the next few visits we focus on stabilizing the Suboxone dose. If the urine drug screen is negative and the patient is compliant with counseling, the Suboxone dose is increased, if needed.
MAINTENANCE: This is the phase when the patient is comfortable with their dose. This is typically the longest of all the phases of buprenorphine treatment. I thought this was the Suboxone treatment???
WEANING: Depending on the patient’s dose of Suboxone, it can take one to four months for a patient to be weaned.
Treatment times can vary depending on the patient's needs:
Short-term treatment is for patients that are on Suboxone for a few weeks and is rapidly weaned to zero and placed on naltrexone.
Medium-term treatment is for one to two years. Ideally, we prefer the dose of Suboxone to be eight milligrams or below.
Long-term/Indefinite treatment is reserved for patients who have a concurrent psychiatric illness, such as not well-controlled bipolar disorder or schizophrenia. If treatment is going to be indefinite, the preferred dosage is eight milligrams or less. Again, it all depends on each person’s opioid use.