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  LiveWire / Teen Forums / Teen Alcohol & Substance Abuse / Adding Reply

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Topic Suboxone Treatment
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Original Post
Dustin Posted at 6:20 pm on Dec. 30, 2008
Tomorrow I am starting suboxone treatment for opiate dependancy.  I have been depending on opiates whether oxycodone, hydrocodone, or methadone and xanax for over 5 years.  My parents have agreed to pay for this treatment.  Has anyone heard any good or bad things about suboxone treatment?

Replies
pInKiE Posted at 2:50 pm on Dec. 31, 2008
Browse around, and decide for yourself.
Acustico23 Posted at 8:46 pm on Dec. 30, 2008
One of my friends was addicted to heroin for years and is now on suboxone and off the needle. Hes trying to get off the suboxone slowly too because the perscription is so expensive. Overall though, this guy is doing pretty good, so the subs have been doing their job thus far.
JaySoFitt Posted at 6:34 pm on Dec. 30, 2008
your gonna be one fucked up individual.
marshmellowman Posted at 6:26 pm on Dec. 30, 2008
I searched PubMed and this was the best thing I could find.

JAMA. 2008;300(17):2003-2011.


Results  The number of patients younger than 18 years was too small to analyze separately, but overall, patients in the detox group had higher proportions of opioid-positive urine test results at weeks 4 and 8 but not at week 12 (22 = 4.93, P = .09). At week 4, 59 detox patients had positive results (61%; 95% confidence interval [CI] = 47%-75%) vs 58 12-week buprenorphine-naloxone patients (26%; 95% CI = 14%-38%). At week 8, 53 detox patients had positive results (54%; 95% CI = 38%-70%) vs 52 12-week buprenorphine-naloxone patients (23%; 95% CI = 11%-35%). At week 12, 53 detox patients had positive results (51%; 95% CI = 35%-67%) vs 49 12-week buprenorphine-naloxone patients (43%; 95% CI = 29%-57%). By week 12, 16 of 78 detox patients (20.5%) remained in treatment vs 52 of 74 12-week buprenorphine-naloxone patients (70%; 21 = 32.90, P < .001). During weeks 1 through 12, patients in the 12-week buprenorphine-naloxone group reported less opioid use (21 = 18.45, P < .001), less injecting (21 = 6.00, P = .01), and less nonstudy addiction treatment (21 = 25.82, P < .001). High levels of opioid use occurred in both groups at follow-up. Four of 83 patients who tested negative for hepatitis C at baseline were positive for hepatitis C at week 12.

Conclusions  Continuing treatment with buprenorphine-naloxone improved outcome compared with short-term detoxification. Further research is necessary to assess the efficacy and safety of longer-term treatment with buprenorphine for young individuals with opioid dependence.


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