A New Beginning... A New Outlook... A New You... The Subox Detox Center offers a variety of potential services to assist you in your mission to reclaim your individuality. Our services may include Acupuncture, Massage, Biofeedback, Mood Medications and SUBOXONE. Your dependence and obsession to seek out non prescription opioids has controlled your thoughts at the expense of more natural body processes. This overwhelming urge to take street drugs is a form of self medication to treat yourself medically. Perhaps the underlying disorder that began this self treatment was depression, anxiety or lack of self confidence but now the opioids have created a new drive based on addiction. And new brain pathways that serve only to fill the void that withdrawal creates and avoid those unpleasant new feelings due to the this cycle of addiction. The restructuring of your brain is a complex process that needs time, treatment and the proper environment. Dr. Kaplan's medical background and ground breaking research on ion brain regeneration will help combine these methodologies to tailor an outpatient program specifically suited for you. While Methadone must be administered at a government approved clinic and generally requires patients to return daily to get their doses, SUBOXONE can be prescribed by a doctor in the office and does not require the patient to return daily. Once the maintenance dose is determined, a doctor can prescribe a patient SUBOXONE* for an extended period. This drug is better tolerated by patients, gives them more freedom, and makes them feel "normal but not high. EXPLANATION OF TREATMENT INTAKE You will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status and physical exam. The pros and cons of the medication, SUBOXONE*, will be presented. Treatment expectations, as well as issues involved with maintenance versus medically supervised withdrawal will be discussed. INDUCTION You will be switched from your current opioid (heroin, methadone or prescription painkillers) on to SUBOXONE*. At the time of induction, you will be asked to provide a urine sample to confirm the presence of opioids and possibly other drugs. You must arrive for the first visit experiencing mild to moderate opioid withdrawal symptoms. Arrangements will be made for you to receive your first dose in your doctor's office. Your response to the initial dose will be monitored. You may receive additional medication, if necessary, to reduce withdrawal symptoms. Since an individual's tolerance and reactions to SUBOXONE* vary, daily appointments may be scheduled and medications will be adjusted until you no longer experience withdrawal symptoms or cravings. Urine drug screening is typically required for all patients at every visit during this phase. Intake and Induction may both occur at the first visit, depending on your needs and your doctor's evaluation. STABILIZATION Once the appropriate dose of SUBOXONE* is established, you will stay at this dose until steady blood levels are achieved. You and your doctor will discuss your treatment options from this point forward. MAINTENANCE Treatment compliance and progress will be monitored. Participation in some form of behavioral counseling is strongly recommended to ensure best chance of treatment success. You are likely to have scheduled appointments on a weekly basis, however, if treatment progress is good and goals are met, monthly visits will eventually be considered sufficient. The Maintenance phase can last from weeks to years-the length of treatment will be determined by you and your doctor, and, possibly, your counselor. Your length of treatment may vary depending on your individual needs. MEDICALLY SUPERVISED WITHDRAWAL As your treatment progresses, you and your doctor may eventually decide that medically supervised withdrawal is an appropriate option for you. In this phase, your doctor will gradually taper your SUBOXONE* dose over time, taking care to see that you do not experience any withdrawal symptoms or cravings. *SUBOXONE® (buprenorphine HCl/naloxone HCl dihydrate) sublingual tablet RETURN TO TOP EXPLANATION OF TREATMENT - AMAM INTAKE You will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status and physical exam. The pros and cons of the medication, SUBOXONE*, will be presented. Treatment expectations, as well as issues involved with maintenance versus medically supervised withdrawal will be discussed. This office will store and dispense your SUBOXONE* prescription for the duration of treatment; these procedures will be explained in more depth at the first visit. INDUCTION You will be switched from your current opioid (heroin, methadone or prescription painkillers) on to SUBOXONE*. At the time of induction, you will be asked to provide a urine sample to confirm the presence of opioids and possibly other drugs. You must arrive for the first visit experiencing mild to moderate opioid withdrawal symptoms. Your response to the initial dose will be monitored. You may receive additional medication, if necessary, to reduce withdrawal symptoms. Since an individual's tolerance and reactions to SUBOXONE* vary, daily appointments may be scheduled and medications will be adjusted until you no longer experience withdrawal symptoms or cravings. Urine drug screening is typically required for all patients at every visit during this phase. Intake and Induction may both occur at the first visit, depending on your needs and your doctor's evaluation. STABILIZATION Once the appropriate dose of SUBOXONE* is established, you will stay at this dose until steady blood levels are achieved. You and your doctor will discuss your treatment options from this point forward. MAINTENANCE Treatment compliance and progress will be monitored. Participation in some form of behavioral counseling is strongly recommended to ensure best chance of treatment success. Your doctor will check your progress weekly, and you will receive your weekly dose of SUBOXONE* only during these regular visits. However, if treatment progress is good and goals are met, monthly visits will eventually be considered sufficient. The Maintenance phase can last from weeks to years-the length of treatment will be determined by you and your doctor, and, possibly, your counselor. Your length of treatment may vary depending on your individual needs. MEDICALLY SUPERVISED WITHDRAWAL As your treatment progresses, you and your doctor may eventually decide that medically supervised withdrawal is an appropriate option for you. In this phase, your doctor will gradually taper your SUBOXONE* dose over time, taking care to see that you do not experience any withdrawal symptoms or cravings. *SUBOXONE® (buprenorphine HCl/naloxone HCl dihydrate) sublingual tablet RETURN TO TOP Home Page | About Us | Signs of Dependence | F.A.Q. (Frequently Asked Questions)  | Treatment Information  | Your First Appointment | Patient Forms | Internet Links  | Privacy Policy  | Contact Subox-Detox Center  | e-mail Subox-Detox Center  | Make "Subox-Detox Center" your Home Page Copyright ©2006, 2007 Subox-Detox Center (All Rights Reserved) The Contents and Graphics of the "Subox-Detox Center" MAY NOT be copied or reproduced in any form without our consent. You may also view our Privacy Policy.