Switching from Suboxone® to Naltrexone
Claire (not her real name) juggles a lot in her life. She is a full-time college student. She works part-time. She is getting married over Thanksgiving. She has an opioid addiction. How Claire Got Here Her first attempt to complete college failed when she started...
Evidence-Based, Medication-Assisted Treatment: Suboxone® or Naltrexone?
I had the great pleasure of seeing Jane last week at the Richmond office of the Coleman Institute for Addiction Medicine. Jane detoxed off Suboxone® two months ago through our accelerated outpatient detox process. With long-acting opioids, such as methadone and...
How to Avoid Opioid Use Relapse
First of all, plan to fail. I don’t want to sound pessimistic, but over 2.5 million Americans suffer from opioid use disorder, which contributed to over 70,000 overdose deaths in 2017. Once the brain gets basically highjacked by opioids and is being held hostage or...
What’s the Difference Between Using Naltrexone and Buprenorphine?
I started a new patient, Jimmy, for his Accelerated Opioid Detox today. He thought he was coming off heroin, but his urine also revealed fentanyl. . . almost a daily occurrence now at the Coleman Institute. He was here with his father, Bob, who didn’t really...
