Addiction Resources Incorporated

AN OPIOID TREATMENT PROGRAM

Blog

Blog

Is buprenorphine treatment just trading one addiction for another?

Posted on May 19, 2017 at 12:50 AM

No- with successful buprenorphine treatment, the compulsive behavior, the loss of control of drug use, the constant cravings, and all of the other hallmarks of addiction vanish. When all signs and symptoms of the disease of addiction vanish, we call that remission, not switching addictions.


The key to understanding this is knowing the difference between physical dependence and addiction.


Buprenorphine will maintain some of the preexisting physical dependence, but that is easily managed medically and eventually resolved with a slow taper off of the buprenorphine when the patient is ready. Physical dependence, unlike addiction, is not a dangerous medical condition that requires treatment. Addiction is damaging and life-threatening, while physical dependence is an inconvenience, and is normal physiology for anyone taking large doses of opioids for an extended period of time.


It is essential to understand the definition of addiction and know how it differs from physical dependence or tolerance.


The American Academy of Pain Medicine (AAPM), American Pain Society (APS), American Society of Addiction Medicine (ASAM), and (NAABT) National Alliance of Advocates of Buprenorphine Treatment, have recognizes these definitions below.


Addiction:

Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.


Physical Dependence:

Physical dependence is a state of adaptation that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist.


Tolerance:

Tolerance is a state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time.


Physical dependence and tolerance are normal physiology. Addiction is a disorder that is damaging and requires treatment.


When a patient switches from an addictive opioid to successful buprenorphine treatment, the addictive behavior often stops. In part due to buprenorphine's long duration of action, patients do not have physical cravings prior to taking their daily dose. The drug seeking behavior ends. Patients; regain control over drug use, compulsive use ends, they are no longer using despite harm, and many patients report no cravings. Thus all of the hallmarks of addiction disappear with successful buprenorphine treatment.


Therefore, one is not trading one addiction for another addiction. They have traded a life threatening situation (addiction) for a daily inconvenience of needing to take a medication (physical dependence), as some would a vitamin. Yes the physical dependence to opioids still remains, but that is vast improvement over addiction, is not life threatening, and it can easily be managed medically. It's also important to note that the physical depndence pre-existed the buprenorphine treatment and was not caused by it.

 

Addiction is a brain disease that affects behavior. This addictive behavior can be devastating to the patient and their loved ones. It's not the need to take a medication that is the problem, many people need to take a medication, but rather it is the compulsive addictive behavior to keep taking it despite doing harm to one's self or loved ones that needs to stop. Whether or not the person takes a medication to help achieve this shouldn't matter to anyone. If a medication helps stop the damaging addictive behavior, then that is successful treatment and not switching one addiction for another.


How to find buprenorphine treatment.


Sources:


The Essence of Drug Addiction- By Alan I. Leshner, Ph.D., Former Director, National Institute of Drug Abuse, National Institutes of Health

http://www.nida.nih.gov/Published_Articles/Essence.html

http://www.naabt.org/tl/The_Essence_of_Addiction.pdf


What’s in a Word? Addiction Versus Dependence in DSM-V - CHARLES P. O’BRIEN, M.D., PH.D. NORA VOLKOW, M.D.

http://ajp.psychiatryonline.org/cgi/reprint/163/5/764


NIDA publication: The Neurobiology of Opioid Dependence: Implications for Treatment Thomas Kosten MD, Tony George MD

http://archives.drugabuse.gov/pdf/Perspectives/vol1no1/03Perspectives-Neurobio.pdf


The American Academy of Pain Medicine, American Pain Society, American Society of Addiction Medicine - consensus document – February 2001,

http://www.naabt.org/documents/APS_consensus_document.pdf

American Academy of Pain Medicine - http://www.painmed.org/

American Pain Society - http://www.ampainsoc.org/

American Society of Addiction Medicine - http://www.asam.org/

Categories: Suboxone

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

1023 Comments

Reply Carrington
4:10 AM on June 11, 2020 
Drug-seeking behavior ends. Patients; regain control over drug use, compulsive use ends, they're not using despite harm, and lots of patients report no cravings. Thus all of the hallmarks of addiction disappear with successful buprenorphine treatment. Therefore, one isn't trading one addiction for an additional addiction. they need to trade a life-threatening situation addiction for a daily inconvenience of wanting to take medicine physical dependence, as some would a vitamin. Yes, the physical dependence on opioids still remains, but that's a huge improvement over addiction, isn't life-threatening, and it can easily be managed medically.

Regards,
https://essayservices.org/
Reply Jeffloult
8:11 AM on June 15, 2020 
Amoxicillin For Dogs And Vomiting https://bbuycialisss.com/ - Cialis Cytotec Online In Usa buy cialis non prescription Cialis Arreter
Reply Jeffloult
2:08 PM on June 15, 2020 
Priligy And Levitra https://cheapcialisll.com/ - Cialis Medicamento Llamado Cialis cialis without prescription Wirkung Von Viagra Bodybuilding
Reply Jeffloult
1:35 AM on June 16, 2020 
cheapest cialis pharnacy comparison https://agenericcialise.com/ - Cialis Analyse Du Clomid cheap cialis generic online Generic Viagra Soft Tabs 50mg
Reply Jeffloult
8:16 AM on June 16, 2020 
Female Cialis Testimonials https://agenericcialise.com/ - buy cialis online using paypal Viagra 25mg Dosierung Cialis Tadalista Vs Cialis
Reply п»Ñ?cialis
6:46 PM on July 5, 2020 
Kamagra Liquido InedeAreni https://acialisd.com/# - cialis for sale DrearwonHown Cialis Prices Walmart Sarsewes Cialis bapypeefforb viagra e infarto
Reply п»Ñ?cialis
4:23 AM on July 6, 2020 
cialis non generic from canada InedeAreni https://acialisd.com/# - buying cialis online forum DrearwonHown I Need Viagra Overnight Delivery Canada Sarsewes cheapest cialis bapypeefforb cialis orgasm
Reply BeardenSwanReapy
5:41 AM on July 10, 2020 
cialis forum alfemminile

https://ciasale20.com/ - cialis uk supplier
small pink cialis pills

cialis sale in india
Reply WarrJhovaniReapy
10:49 AM on July 10, 2020 
forum cialis one day

https://itcialis20.com/ - cialis im internet bestellen
follow link cialis soft shop

cheapest cialis 20mg lilly
Reply BeardenSwanReapy
11:44 AM on July 10, 2020 
best price on cialis

https://ciasale20.com/ - cheap cialis
only now cialis soft

try it cialis sale
Reply BeardenSwanReapy
12:56 PM on July 10, 2020 
dove comprare cialis in italia

https://ciasale20.com/ - cialis for sale in usa
generic cialis

compare generic cialis 5 mg
Reply WarrJhovaniReapy
2:16 PM on July 10, 2020 
what is generic for cialis

https://itcialis20.com/ - generic cialis 100mg india
meilleur cialis

cialis 20 controindicazioni
Reply BeardenSwanReapy
4:14 PM on July 10, 2020 
best site to order cialis

https://ciasale20.com/ - cialis tadalafil generika
cialis dove acquistare

order cialis europe
Reply BeardenSwanReapy
6:13 PM on July 10, 2020 
buying cialis overnight

https://ciasale20.com/ - cialis
cheap cialis

cialis sconto enorme
Reply BeardenSwanReapy
8:55 PM on July 10, 2020 
cialis thailand online

https://ciasale20.com/ - cialis merken
buying cialis overnight

cialis curativo
Reply WarrJhovaniReapy
8:57 PM on July 10, 2020 
cialis canada en ligne

https://itcialis20.com/ - acquisto cialis
any are cialis coupons

cialis soft meilleur prix
Reply BeardenSwanReapy
11:50 PM on July 10, 2020 
low prices on generic cialis

https://ciasale20.com/ - cialis uk supplier
buy generic cialis

cialis 5 mg tablets c5
Reply BeardenSwanReapy
2:55 AM on July 11, 2020 
buy cialis jelly

https://ciasale20.com/ - cialis 5mg hersteller
buy cialis

acquisto cialis in indonesia
Reply WarrJhovaniReapy
2:59 AM on July 11, 2020 
brand ca overnight cialis

https://itcialis20.com/ - cialis italia
click now cialis daily or once farmacia,acquistare - comprare cialis
off lable use of cialis

cialis 10 mg prezzo
Reply BeardenSwanReapy
7:11 AM on July 11, 2020 
wwwcialispharmacist

https://ciasale20.com/ - cialisprice net review
cialis

visit our site cialis germany