How Do I Get Off Methadone?

How Do I Get Off Methadone?

I had the pleasure of seeing my patient Isabel (not her real name, but I love this name) in the office for her regular monthly Vivitrol injection. Vivitrol is a long-acting, injectable form of naltrexone. Naltrexone is an opiate blocker, also called an opiate...
Opioids, Tobacco, and Relapse

Opioids, Tobacco, and Relapse

When patients come to the Coleman Institute for Addiction Medicine to detox off various addictive substances such as heroin, fentanyl, Percocet®, Dilaudid®, Roxicet®, or any other derivatives of morphine, they aren’t feeling their best. We generally ask people to stop...
“I’m A Slave to my Fentanyl Patch”

“I’m A Slave to my Fentanyl Patch”

These are the words I heard from a middle-aged patient who came into the office a few weeks ago. He said to me: “I hate it. Every 3 days I have to re-apply my Fentanyl patch and I can’t stand the fact that I am a slave to it. All of my doctors tell me that...