Treating opioid dependence is our area of expertise and the most specialized part of our practice. We offer confidential, personalized treatment of dependence to Oxycontin, Opana, Norco, Vicodin, Percocet, Methadone, Ultram, and Heroin. Our office is private yet affordable, with compassionate Suboxone (buprenorphine/naloxone) licensed physicians, who listen carefully, and provide the highest quality care. Greenwood Addiction Physicians is focused on long term recovery. We are discreet and protect your privacy. During your time in our program, we help you to gain the tools to live free of drugs. Unlike Methadone Clinics which require daily attendance, we provide monthly prescriptions for Suboxone (buprenorphine/naloxone) or Subutex (buprenorphine), which are filled at a retail pharmacy, and taken at home.
Suboxone (buprenorphine/naloxone) or Subutex (buprenorphine) is the evidence-based and best practice treatment of choice for opioid dependence. It’s main benefit to patients is its ability to eliminate opioid withdrawal sickness and to reduce opioid cravings. Suboxone (buprenorphine/naloxone) is a special formulation containing both buprenorphine and naloxone. Subutex (buprenorphine) is a partial opioid agonist that binds to the brain and body’s opioid receptor cells. This action causes a dramatic reduction in opioid withdrawal symptoms such as nausea, chills, and diarrhea thus allowing patients to resume a normal life. Suboxone (buprenorphine/naloxone) became readily available to consumers in 2002 when it was approved by the U.S. Federal Food and Drug Administration (FDA) following years of research proving the efficacy of Subutex (buprenorphine), the active ingredient in Suboxone (buprenorphine/naloxone) which alleviates opioid withdrawal). Suboxone (buprenorphine/naloxone) is taken by mouth and dissolved under the tongue where it is absorbed through the mucosal lining and into the bloodstream. The appropriate dosage varies for each person and is individualized to their need based on the duration and intensity of their opioid withdrawal symptoms. Your buprenorphine-approved physician will work with you on arriving at the most effective Suboxone (buprenorphine/naloxone) dosage that eliminates your opioid withdrawal. Suboxone (buprenorphine/naloxone) is a slow onset, long-lasting medication with a much longer duration of action than typical prescription opiates or heroin, and it remains active in a person’s system for a full 24 hours or longer. This results in sustained relief from opioid withdrawal and allows the individual to resume normal life and functioning instead of struggling with the anxiety of securing opiates to avoid debilitating withdrawal sickness.
Outpatient Alcohol Detoxification. Our physicians offer outpatient medical detoxification from alcohol in the privacy of your home, hotel room, or the place of your choosing.
Alcohol detoxification is a medically supervised withdrawal process. This is accomplished by giving long acting medications that work on the same receptor system as alcohol. The medication is given in tapering doses over a period of days to a week. The class of drugs used for outpatient alcohol detox are called benzodiazepines. In our practice, we use Ativan (lorazepam) and Librium (chlordiazepoxide).
Alcohol withdrawal is diagnosed by a combination of abnormal vital signs, malaise, anxiety, irritability, and hand tremors. This results when the body has a physical dependence to alcohol. This occurs when a person drinks throughout the day and evening.
ALCOHOL WITHDRAWAL IS A DANGEROUS MEDICAL CONDITION: Alcohol withdrawal should be taken extremely seriously. The most important reason for detoxification is to prevent life-threatening complications, which include withdrawal seizures and delirium tremens ("DTs"). Delirium tremens is manifested by hallucinations and unstable vital signs. A patient's safety for outpatient medical detoxification from alcohol is evaluated on a case by case basis.
We offer outpatient medical detoxification from benzodiazepines such as Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), and Klonopin (clonazepam). Detoxification from benzodiazepines is difficult, but possible. Successful benzodiazepine detoxification requires a gradual taper over several months. The relationship between the physician and patient is key, and monthly office visits and phone consultations are crucial. Our physicians have successfully tapered many patients off of benzodiazepines.
Outpatient Medical Detox
MEDICALLY SUPERVISED WITHDRAWAL: We offer outpatient medical detoxification in the privacy of your home, hotel room, or the place of your choosing. Our physicians work with you privately, formulating a taper schedule that's completed over the course of a week or weekend, weaning patients off of the substances of abuse This allows patients to avoid admission to an inpatient detox facility, and provides a more personalized, less public experience. Private detoxification is evaluated on a case by case basis. Please call to discuss rates and treatment options.
Experts in detoxifying patients from alcohol, heroin, and prescription pain killers such as Oxycontin, Percocet, Norco, Vicodin, Lortab, morphine, Dilaudid, and Ultram. We also provide outpatient medical detoxification for Xanax (alprazolam), Ativan (lorazepam), Klonopin (clonazepam), Valium (diazepam), phenobarbital, and Ambien.
Superior to other methods of detoxification (such as social detoxification) because it decreases the risk of medical complications of withdrawal and provides more comfort to patients as they go through the withdrawal process. Our physicians offer outpatient medical detoxification from alcohol in the privacy of your home, hotel room, or the place of your choosing.
Relapse Prevention Medications
We offer three prescription medications for the prevention of relapse on opioids and alcohol: naltrexone (Revia), disulfiram (Antabuse), and acamprosate (Campral). Naltrexone prevents and blocks cravings for opioids and alcohol. It also blocks the pleasurable effects or reward experienced when opioids and alcohol are consumed. Antabuse works through negative feedback causing headache, facial flushing, tachycardia, nausea, and vomiting when alcohol is consumed. Campral reduces alcohol cravings.
We treat nicotine dependence with varenicline (Chantix), a medication that helps with nicotine craving and withdrawal symptoms. It also blocks the effects of nicotine from tobacco. If you smoke while taking varenicline, the medication lowers the sense of satisfaction you get from smoking, improving the odds you will quit. Varenicline does not contain nicotine and does not help you quit smoking in the same way nicotine replacement therapy does. You start taking varenicline one week before quitting, and is taken for a total of 12 weeks. A second 12 week cycle may be completed if necessary. We prescribe varenicline to help you quit smoking. It is not available over-the-counter. Varenicline has not been studied in children and is not recommended to help them quit smoking. Varenicline doubles or triples the chances of quitting smoking. It has been shown to work better than other medications for smoking cessation.