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Drug Rehab

Keys to Successful Drug Addiction Recovery

Drug addiction recovery will look different for each person because all people are unique. Some people may need a stronger emphasis on certain parts of the recovery, and some people may struggle more with other parts. While drug addiction recovery is unique for each person, there are a few key factors that can benefit all people undergoing drug addiction recovery.

First off, typically the longer a treatment program is, the more successful it will be. This especially applies to those addicts who are deep in their addiction. Addiction occurs because neuro pathways in the brain have changed to make the addict need a drug. Every time the addict uses his or her substance of choice, those pathways are reinforced and become even harder to change. Therefore, a person who has been suffering from addiction for many years may benefit from a more extended treatment program than someone who is a new user. Some research has found that programs over 90 days offer the best chance for success.

It is also important for the person undergoing recovery treatment to have a strong network of people who understand their struggle. While healthy family and friend relationships are key to help an addict’s recovery last, it is equally as important for an addict to feel they have a network of people who understand what they have been through. Treatment programs that encompass a full lifestyle change versus solely focusing on no longer using typically have the best results.

While outside influences and support groups are important, at the end of the day, the addict is the most important part of drug addiction recovery. Patients need to be willing to put themselves first, to show up to all meetings, get a sponsor, go to family and individual therapy, re-learn how to manage money and be a productive member of society, and ultimately forgive themselves. Many patients end up relapsing because the guilt and shame they feel are just too much to bear. A key part of drug addiction recovery success is rooted in forgiveness. Forgiveness allows the addict to put themselves first and take the necessary steps to maintain their recovery and avoiding relapse.

There is no shortcut to a successful drug recovery. Patients and families must be willing to put in the work, both in the short term and the long term, to ensure the person suffering from addiction can stay sober. The most important thing is for an addict to undergo recovery for themselves. They need to remember it is ok to prioritize their recovery process, whether that means meetings every day, or therapy, or getting a whole new group of friends. Following the recovery process without taking any shortcuts is key to remaining sober.

Drug addiction recovery is not a one size fits all. Some people may stay in a treatment program for a few months, while others may remain for a year. Each person’s circumstance and needs are different. It is key to find a recovery program that focuses on creating a customized treatment plan. For this reason, it is also important for addicts not to compare themselves to others and to never lose hope. While recovery will not be the same for everyone, having a strong support system, sticking to the program, and forgiving oneself are all necessary keys for an addict to have a successful recovery.

Prescription Drug Treatment

Overcoming prescription drug addiction is one of the most difficult things a person can do. For this reason, it is important to have a team of professionals helping along the way. Prescription drug addiction can negatively affect all aspects of a person’s life, from the ability to hold a job to the ability to maintain healthy relationships. People become addicted to prescription drugs for a wide variety of reasons, such as obtaining the drugs from their own doctor or taking the drugs without a prescription. Regardless of what started the addiction, those who find themselves addicted to prescription drugs should trust professionals to help.

While there are a wide variety of prescription drugs that people abuse, the most common include opiates, stimulants, and sedatives. Oftentimes, there are signs that a person is on the path to addiction, such as, “losing” prescriptions or asking for refills early, visiting multiple doctors, mood swings, and irritability when drugs are not available to name a few. Addiction to different prescription drugs causes different symptoms in the patient. For example, stimulant abuse can manifest as high blood pressure, hostility, and irregular heartbeat. Sedative abuse can manifest as confusion or memory problems. Opiate abuse manifests as low blood pressure, depression, or gastrointestinal problems.

Addiction to different prescription drugs causes different symptoms in the patient
Left untreated, prescription abuse can lead to mental and emotional health problems, issues with keeping a job or with the law, and in the worst cases, prescription addiction can lead to death. While some people take prescription drugs that are not prescribed to them, the majority of prescription drug addicts began taking the medication in the direction of their doctor. Addiction has been shown to have a genetic component. Therefore, some people are more predisposed to addiction than others. It is difficult to know for sure who these people are prior to prescribing them medications. Many of these medications are prescribed after surgery, or to treat pain. Experiencing the “good feelings” that come with the drugs in addition to the bodybuilding up tolerance to the drug, can lead people to take higher and higher doses over time. Thus, leading to drug addiction. In short, most people do not set out to become addicted to prescription drugs. It is a by-product of them following their doctors’ instructions.

Prescription drug abuse is not just a problem in adults, it is a problem in teens as well. People who start abusing prescription drugs as teens are more likely to use other substances as well. Prescription drug abuse is very difficult for a person to overcome on his or her own. Pacific Bay Recovery utilizes a variety of approaches, including a support team, to help people overcome their addiction. Those who choose to seek help at Pacific Bay Recovery will benefit from the support team, along with various medications to help with withdrawal symptoms and drug cravings.

Those who are interested in getting help for their prescription drug addiction should contact Pacific Bay Recovery at (858) 263-9700. Complimentary and confidential evaluations are always offered so patients can understand the methods Pacific Bay Recovery utilizes to help those addicted to prescription drugs.

Drug Abuse in the United States

Drug abuse is a major problem in the United States. It can come in the form of alcohol, tobacco, illicit drugs, or prescription drugs. While some of these substances are legal, when people begin using any kind of substance in an effort to get high, it becomes drug abuse. Drug abuse is a problem that affects a wide range of people, from teenagers to adults, students to professionals, athletes, you name it. Drug abuse can occur for a wide variety of reasons. Therefore, those suffering from drug addiction require a personalized treatment plan in order to begin the process of recovery.

Alcohol is one of the most common drugs. Many people drink alcohol, and in moderation, it can be ok. However, 6.5% of the population in the U.S. admits to heavy drinking. Heavy drinking can lead to problems such as liver and pancreas disease. Women who abuse alcohol while pregnant can event affect their child. Many people discount signs of alcohol abuse because alcohol is “legal.” However, it is a very widely abused substance and should be taken seriously,

Hallucinogens such as PCP and LSD are commonly used among drug abusers
Marijuana is another widely abused substance and is very popular among the teenage demographic. While it may not be as fatal as other drugs, it can still negative effects on the user. Cocaine is another abused drug. People who use cocaine typically do so for its stimulant effects. It keeps people awake for long period s of time and can give the user euphoric effects. While the effects typically only last half an hour, the drug can quickly alter the person’s body putting them at a much higher risk of stroke. Hallucinogens such as PCP and LSD are commonly used among drug abusers. While it’s much harder to overdose from these drugs, many people who utilize them are at risk of secondary injuries from distorted perception such as falling.

Heroin is possibly the most addictive drug in the world. Unfortunately, in recent years, heroin use in the U.S. has surged due to the crackdown on prescription medications. Heroin is extremely addictive because it changes brain function. With regular use, those who use heroin quickly develop a tolerance and find themselves unable to function without more and more heroin in their systems. Another reason for heroin is so addictive is due to the painful detox. Even with one use, people may start feeling withdrawal symptoms after the drug has worn off. People who inject heroin will find themselves at a higher risk of blood-borne infections due to dirty needles. They are also at risk for Hepatitis C, HIV, kidney disease, abscesses, and even death.

There is a multitude of drugs people choose to abuse for various reasons. Sometimes it is because they were legally prescribed, sometimes it is because they were just curious to try a drug. However, regardless of the user’s drug of choice, treatment, and a strong support system is always important in the road to recovery. Much of the recovery includes detox, therapy, and coping mechanisms to help the drug abuser lead a healthier and drug-free lifestyle.

Psilocybin Abuse

Psilocybin is a psychoactive substance contained in several species of mushrooms, which are consumed recreationally. Psilocybin/mushrooms are categorized as psychedelic drugs (or hallucinogens) and are considered to be a Schedule I controlled substance without any indications for medical use by the United States Drug Enforcement Administration 2. However, there is some evidence to suggest that it may have some therapeutic utility for some conditions, such as depression. Approximately, 1.2 million people over the age of 12 have been reported to be users of hallucinogens, and young people with a co-occurring major depressive disorder have been found to be more likely to use hallucinogenic drugs than those without that diagnosis.

These mushrooms containing psilocybin are typically ingested or drank as a brewed beverage. They are hallucinogenic and people consume it to experience a “good trip”, which are vivid perceptual effects (visual and auditory hallucinations) and changes in perception of time. Sometimes, user experience a “bad trip”, which comprise negative experiences while under the influence, and can have lasting effects on the user. Other symptoms include detachment from reality or self, feeling of spiritual experiences, intense emotions, increased respiration, temperature, and blood pressure, heart palpitations, tremors, loss of appetite, dry mouth, sleep disturbances, nausea, blurred vision, dilated pupils, loss of coordination, paranoia, and in extreme cases, psychosis. These users are prone to injury or death as a result of poor judgment while under the influence of psilocybin. Furthermore, they are also at increased risk of poisoning and potential death from accidentally ingesting a misidentified, poisonous mushroom.

These mushrooms containing psilocybin are typically ingested or drank as a brewed beverage

About 4.2% of the users experience what is known as the hallucinogen persisting perception disorder, which includes flashbacks or re-experiencing of psilocybin intoxication despite having abstained from magic mushroom use for an extended period of time.

Persistent use of psilocybin can indeed result in addiction. The signs of psilocybin addiction include craving for mushrooms and spending a lot of time and effort seeking them and using them despite failure to fulfill personal obligations, or having a concern for social/interpersonal problems or health issues. These abusers also repeatedly fail to cut down or quit using mushrooms.

Psilocybin/mushroom treatment becomes necessary for someone who abuses it to the point that they become out of touch with reality. The treatment plan is targeted at weaning them from psilocybin/mushroom dependency. The good news is that psilocybin is not that addictive, so there is no major chemical/pharmacologic dependence; however, the psychological dependence is quite strong. Things get complicated when there is polysubstance abuse. This is not uncommon in these users, as they tend to use other agents as well, such as alcohol, benzodiazepines, stimulants or opioids. Such users would always require a rigorous detox program and rehabilitation in order to have a full recovery. There are various programs especially designed to address not only these addiction issues but also the underlying psychological issues that predispose them to addiction in the first place.

Hashish addiction

Hashish is a plant derivative substance, extracted from the trichomes, flowers, and fragments of leaves and stems of the cannabis plant. It contains tetrahydrocannabinol (THC), which is the same active ingredients found in marijuana, but at a much higher concentration (up to 15% in hashish as compared to 5% in marijuana). Hash oil is another substance produced by solvent extraction of hashish/marijuana and ends up having even a higher dose of THC.

Based on the way it is prepared, it comes in various forms and preparations. Hash oil comes as a golden syrupy-like substance. Hash is typically consumed by smoking or ingestion, but the effects are much faster and stronger when smoked due to faster entry into the bloodstream through the lungs. How does hashish work? The active substance of hashish, THC acts by binding to cannabinoid receptors in the neurons, which results in physical, emotional, and cognitive effects.

The active substance of hashish, THC acts by binding to cannabinoid receptors in the neurons, which results in physical, emotional, and cognitive effects
While many studies have shown that there are medicinal effects of cannabis products, particularly a substance known as cannabidiol, it should be noted that the United States Drug Enforcement Administration (DEA) still considers cannabis a Schedule I controlled substance, meaning that it is considered to have no medicinal use and a high potential for abuse.

So what does hash abuse look like? Hashish is typically smoked in pipes or bongs. Some users add hashish to food or brew it in a tea, and other casual ways. However, given the potent concentration of THC present in hashish, it has a higher potential for addiction and more serious side effects as compared to marijuana. The typical signs and symptoms of hash addiction include euphoria, increased relaxation, hunger, sore throat, panic, paranoia, anxiety, tachycardia, hypertension, impaired coordination, lack of motivation, impaired concentration, and hallucinations.

Long-term effects of hash abuse include immunosuppression, respiratory issues from chronic lung damage, sexual dysfunction in males, cardiovascular issues, mental issues, etc. As expected, hashish users face significant social issues as well, such as job loss, financial issues, legal issues, strained relationships with spouses, children, and other loved ones, just to name a few.

The use of hashish among teens is disproportionately high. There are several reasons for that – most of them having to do that mainstream acceptance and legalization (in some states) of marijuana, and coupling hashish with it as a comparable alternative, which of course, it isn’t. There is a tendency is downplay the potential for abuse, physical dependence, and other harmful effects of hashish. The teens are even more susceptible to its deleterious effects because of their greater propensity for the development of a substance use disorder. They are also more susceptible to peer pressure and having an underlying ADHD or conduct disorder which increases their predilection for hashish addiction, further leading to polysubstance abuse.

Health awareness and education play an important role in helping teenagers understand the hazards of hashish use. Preventing hashish addiction can also prevent falling prey to other even more serious drugs such as heroin and cocaine.

Odds of Dying from Opioid Overdose Surpasses Automobile Accidents

Death rate statistics in the United States now point to a startling turnaround with the likelihood of dying by opioid drug overdose surpassing the chances of dying in an automobile accident. Automobile accident deaths have long been the balancing point in conversations around the country. It is frequently said that a person has more chances of dying in an automobile than they do in an airplane. This is true.
You also hear that automobile deaths are the number one cause of preventable death. That is no longer the case, according to the Odds of Dying report put out by the National Safety Council (NSC). Opioids, their numbers say, are now the No. 1 preventable death threat in the United States.

The numbers are not only scary today, but the numbers have been on a rampage since 2011, coinciding with the arrival of street market fentanyl, which has proved to be as lethal as any illicit drug in the country. Put another way: The odds of dying by opioid overdose have probably not peaked yet. The problem, in part, is getting the message out to the public. “I can tell you without hesitancy, the general public does not like death rates,” Pain Medicine News quoted NSC statistics manager Ken Kolosh as saying. The aim of the NSC is, in fact, to put statistics in a manner in which the public can fully grasp their meaning. As such, the numbers are frightening, as they should be.

Opioids, their numbers say, are now the No. 1 preventable death threat in the United States

It breaks down this way: The U.S. population was approximately 326 million in 2017. The number of accidental opioid-related deaths came to 43,036 that year. Simply divide 326 million by 43,036 and you get one in 7,569, which are the odds of dying of an opioid-related overdose in the entire year. When you divide that by the average life expectancy, which is 78.6 years, you get one in 96. That’s the odds of dying of an opioid-related accident for someone born in the United States in 2019. Do the same numbers for other causes of death and you have heart disease, a one in six chance; cancer a one in seven chance, chronic respiratory disease one in 27, suicide one in 88. If born in 2019, the odds of dying in an automobile accident are one in 103.

Further, the odds of dying in an automobile accident have been improving over the last 10 years, while the odds of dying from overdose have been getting worse … and worse. According to the CDC, there were 47,600 opioid-related overdoses in 2017, which is 67. 8 percent of all drug overdoses. Are we done being scared? Absolutely not. But Pacific Bay Recovery is absolutely confident we have the team in place to turn your drug or alcohol addiction around.

Confidence and fear do not cancel each other out. We certainly know this is tough. We know this is difficult. We know you did not start out life seeking to be addicted to drugs or alcohol. We know how difficult this can be. We know this is scary, but we also know and abide by one absolute: Emotions can change. What if the source of your fear today – facing recovery – becomes a source of your proudest accomplishment in the future? We understand you are scared today, but how will you feel when you get back on your feet when you find you are no longer beholden to any mood altering substance or behavior?

Recovery is scary on day one. It’s scary on day two. It’s frightening for a while. We can help you get through those early fears and move on to a full, fruitful, healthy life in the future. What may seem scary, depressing and isolating today will look very different in the future. Recovery is about restoring hope. It’s about waking up every day with hope in your heart. Every day you have regained control of your life is a day of hope. You can win this struggle.

Don’t be a statistic. Call Pacific Bay Recovery, San Diego’s top drug and alcohol recovery program. Call 858-263-9700 today.

Opioid Alternatives for Chronic Pain Relief

As we all know, we are in an opioid epidemic in this country. But the good news is that the numbers are beginning to go down. Having said that, the job is still not done. The main reason we still high opioid use (and eventually abuse) is that we still have a very high prevalence of chronic pain (almost 1 in 10). And opioids are still being overprescribed. Hence, there is a pressing need to use opioid alternatives for chronic pain relief.

Not only that opioids have a very high addiction potential  (15-fold greater risk for those who have been taking opioids for three or more months), but also they are not very effective in the management of chronic pain. There are a number of alternative strategies that have been found to be effective against chronic pain, such as cognitive behavioral therapy, acupuncture, medical massage, physical therapy, etc.

Chronic pain is defined as a pain condition that lasts for more than six months. Studies have shown that chronic pain involves the same areas of the brain as the emotional disturbance. Emotional pain is treated with alternative methods, so it is worth exploring if chronic pain can be effectively managed that way as well.
Opioid use has yet to be seen whether these efforts made any difference in preventing addiction
Many healthcare providers have made initiatives to minimize the chance of opioid addiction. Pain clinics assess people for risk of addiction, have them sign a medication contract, educate and counsel them on the risks of addiction and other side effects, perform urine drug testing, undertake pill counts, etc. But it has yet to be seen whether these efforts made any difference in preventing addiction.

The opioid alternatives that are being used for chronic pain management include nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants and antiseizure medications. Nonpharmacologic options include cognitive behavioral therapy, exercise therapy, physical therapy, etc. There are also some interventional approaches such as nerve blocks, neuromodulation, etc. These methods have been found to be effective in chronic pain management.

There is now one-stop-shop type of pain clinics where the patient can see a physician, a physical therapist, a psychologist, a massage therapist, an acupuncturist, etc., for one’s pain complaint. However, these approaches can be expensive with limited or no insurance coverage.

 

It is being widely understood that opioids can only provide short term from severe acute pain and are ineffective for lasting relief from chronic pain. Instead, a better approach for the latter is to use a combination of alternative modalities mentioned above. But these methods take patience and effort because complying with them takes commitment and the results are not immediate. But when the patient sticks with them, the results are often very rewarding.

It is important to note that these alternative methods are much more effective once somebody is not on opioids. The reason may be psychological, at least in part, that the patients have gotten used to finding immediate relief that comes with taking opioids even if its temporary. But working closely with the therapists and with some encouragement and perseverance, patients are able to overcome chronic pain through these safe methods.

Methamphetamine Drug Rehabilitation

The abuse of illicit drugs is a serious health issue and it causes up to 200,000 lives every year. One of these dangerous drugs is Methamphetamine, which is a stimulant. It has several street names, such as speed, crank or meth. Other similar drugs in this class include levomethamphetamine and dextromethamphetamine (crystal meth).

This crystal meth is often made in illegal home-based labs. It is popular among partygoers and easily found on the streets and in the clubs. It is extremely addictive in nature and can cause dependency after just one use.

 

When a user takes crystal meth by way of snorting or swallowing, it causes a feeling of rush within 15 to 20 minutes. This effect is immediately following injection or smoking of the drug, causing extreme euphoria and a  sense of elation. This effect typically lasts for six to eight hours up to a full day. It may lead one to try more injectable drugs like heroin.

The most common cause of meth-related death is multiple organ failure
When a user is addicted to meth, it causes a withdrawal syndrome when you take away the drug. There is evidence of psychological addiction manifested by extreme shifts in mood, severe insomnia, intense paranoid and delusional behaviors. Physical symptoms include sickness, hunger, and even seizures. Addiction to meth also leads to anhedonia (inability to find joy in anything), which makes it extremely hard to stay abstinent as they seek that joy in abusing meth. It can take up to two years of abstinence to have restored mood and effect.

Prolonged use of crystal meth has devastating effects on one’s physical and mental health. It causes damage to the liver, kidneys, and lungs, leads to hypertension and vascular injury in the brain, increasing the likelihood of stroke and cardiac complications, which can be fatal.  The brain damage can be extensive and lead to stroke, epilepsy, and dementia. Smoking it can cause lung abscesses, snorting it damages nasal mucosa, and injecting it increases the risk of HIV, Hepatitis B and C, and infective endocarditis. Addicts of meth also suffer from tooth decay, psychosis, depressed mood, and weight loss as well.

 

There is now a resurgence of meth-related emergency room visits related to overdose and withdrawals. The most common cause of meth-related death is multiple organ failure. An overwhelming percentage of these patients (86%) have co-occurring HIV infection due to associated risky behavior.

The treatment for meth addiction is extensive and rigorous rehabilitation. While brief stints at a rehabilitation facility can provide short-term benefits, fully recovery warrants a much longer commitment. A treatment period of at least 90 days is recommended to ensure efficacy. The detox process is highly involved and requires close monitoring of experienced staff. The withdrawal process can be challenging and the patients can become violent, which is why a skilled rehab facility should be carefully chosen. With proper professional help, the chances of a successful recovery are fairly high.

Drug Rehabilitation with Pain management

There are many causes of chronic pain – injury, accident or illness. One of the biggest healthcare crisis of our times is the opioid abuse crisis. Opioids are typically prescribed for severe and/or chronic pain, to which the patient ultimately develops tolerance and becomes addicted. However, an integrated approach that includes pharmacotherapy, physical therapy, individual counseling, and group support, can be the right choice for patients suffering from chronic pain. Drug rehab with pain management includes this approach for the effective treatment of chronic pain.

According to a recently published study, patients who suffer from drug addiction and chronic pain tend to receive inadequate pain control compared to non-addicted patients. Doctors in rehab facilities may be hesitant to provide opioid pain medications given their predisposition to addiction. However, these patients deserve adequate relief is the pain is severe, the same way as any other patient. Drug rehabilitation for chronic pain is an approach that treats the patient’s substance abuse without compromising pain control.
Drug rehab with pain management focuses on not only the substance abuse and pain control components but also other facets of health
Chronic pain can debilitating — physically, emotionally and socially. The end results of under-treated pain can be isolation, depression, substance abuse or worse, suicide.

Chronic pain is actually underreported. Many patients suffer from it and assume it as a part of growing old.  Adequate pain control can dramatically improve their quality of life and functionality.

It is true as well that prescription painkillers can be abused. These patients are vulnerable to getting addicted as they develop tolerance to them. This is why it is extremely important to provide them with pain in a controlled setting with careful monitoring. Patients undergoing drug rehab are in a structured program under careful supervision and it is important to provide them with adequate pain relief and monitor them for warning signs of abuse.

 

Having said that, giving alternatives to opioids for pain relief is advisable in patients with a past or current history of substance abuse. Some of the non-opioid options for pain relief, with varying degree of strength and efficacy, include buprenorphine, psychological counseling and behavioral modification, massage, acupuncture, hydrotherapy and herbal therapy, physical therapy, etc.

Psychotherapy can help identify negative behaviors and thought patterns that contribute to addiction, but it is not an actual pain relief method. Drug rehab with pain management focuses on not only substance abuse and pain control components but also other facets of health, such as nutrition, exercise, etc. As drug addicts tend to ignore these, addressing them is likely to help them regain physical and mental health. Pain should not be ignored. It should be addressed by the right clinicians and a personalized plan for pain relief should be sketched out keeping in view the unique history and health status of each patient. A comprehensive approach is likely to yield successful results in the recovery process of the patients and improve their overall quality of life.

Substance Abuse Treatment Plan

Addiction affects parts of the brain involved in reward and motivation, learning and memory, and control over behavior, rendering the addict feeling helpless in coping with it. It takes a highly specialized approach to treat someone’s addiction. Addiction is a chronic problem and fixing it requires a long-term plan to stop using completely and recover their lives.

The goals for addiction treatment include getting the patient to stop using drugs, stay drug-free, and be productive in the family, at work, and in society.

An effective treatment program should identify addiction as being a complex but treatable disease and that the treatments need to be personalized, as no single treatment works for everyone. It is important to account for the fact that people need to have quick access to treatment. It needs to be a holistic program that effectively addresses all of the patient’s needs, not just the drug use. The program needs to be comprehensive, with a focus on counseling and other behavioral therapies. Medications are also necessary, especially when combined with behavioral therapies. Patients’ needs change, so the treatment plans must be reviewed often and modified to fit the current status.

When patients don’t receive treatment following detox, they are very likely to resume their drug use

Treatment should also address other possible coexisting mental disorders. Treatment sometimes has to be involuntary to be effective. Of course, drug use during treatment must be monitored continuously. It is also necessary to screen these patients for HIV/AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as educate them on ways to reduce their risk of contracting these illnesses. Following treatment, a long-term follow-up is necessary to prevent relapse. Follow-up care may include community- or family-based recovery support systems.

Medications and devices can be used to manage withdrawal symptoms, prevent relapse, and treat co-existing conditions. Detoxification is the first step of the treatment. When patients don’t receive treatment following detox, they are very likely to resume their drug use. While medications are the mainstay option in detox, recently FDA granted the use of an electronic stimulation device, NSS-2 Bridge, for use in helping reduce opioid withdrawal symptoms.

Medications are also helpful in relapse prevention. They can help to re-establish normal brain function and decrease cravings. They are especially helpful in opioid, tobacco and alcohol addiction treatment.

These medications are used for the following addictions:

 

Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®).

 

Nicotine addiction: bupropion (Zyban®) and varenicline (Chantix®).

 

Alcohol: Disulfiram (Antabuse®), Acamprosate (Campral®), Naltrexone have been FDA-approved for treating alcohol addiction and a fourth, topiramate, has shown promise in clinical trials.

Behavioral therapies can greatly help these patients be aiming to modify their attitudes and behaviors related to drug use and by trying to increase healthy life skills.
Most of the programs involve individual or group drug counseling and include cognitive-behavioral therapy, multidimensional family therapy, motivational interviewing, etc.

Inpatient or residential treatment can be necessary in some cases, especially for those with more severe problems. Licensed residential treatment facilities offer 24-hour structured and intensive care, including safe housing and medical attention, and aimed at helping the patient live a drug-free, healthy and productive lifestyle after treatment.