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Medication-Assisted Treatment for Addiction Disorder Pittsfield, Massachusetts (MA) - Berkshire Health Systems
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Health Take-Away

Health Take-Away

  • Alcohol's Impact on Breast Cancer Risk
  • Acupuncture Can Help with Relief in Breast Cancer Care
  • Breast Reconstruction Surgery Journey is Personal
  • Building Your Immunity during COVID-19
  • Emotional Toll of COVID-19
  • COVID-19 Anti-Body Testing: What It Tells You What It Won't
  • Treating Varicose Veins
  • Osteopathic Manipulative Medicine: What is OMM
  • Know Your Audiology Options
  • Pets as Therapists
  • Reducing the Stigma of Substance Use Disorder
  • Be Kind to Your Heart
  • Headache Care
  • Managing Presenteeism
  • Don't Struggle with Resolutions
  • Enjoy the Holidays Through the Gift of Giving
  • Seasonal Affective Disorder
  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays
  • Alcohol's Impact on Breast Cancer Risk
  • Acupuncture Can Help with Relief in Breast Cancer Care
  • Breast Reconstruction Surgery Journey is Personal
  • Building Your Immunity during COVID-19
  • Emotional Toll of COVID-19
  • COVID-19 Anti-Body Testing: What It Tells You What It Won't
  • Treating Varicose Veins
  • Osteopathic Manipulative Medicine: What is OMM
  • Know Your Audiology Options
  • Pets as Therapists
  • Reducing the Stigma of Substance Use Disorder
  • Be Kind to Your Heart
  • Headache Care
  • Managing Presenteeism
  • Don't Struggle with Resolutions
  • Enjoy the Holidays Through the Gift of Giving
  • Seasonal Affective Disorder
  • Save a Life, Lift Your Soul, Give Blood
  • Team Approach for Breast Cancer
  • Surviving Breast Cancer: A Journey
  • Hunger in the Berkshires
  • Vaccinations Help Avoid Needless Risks
  • Embrace Mindfulness
  • Low Carb High Fat Diet has Benefits
  • Probiotics Uses the Good Bugs to Fight the Bad Ones
  • Use the Power of Nature for Better Health
  • Unplug from Online for Better Health
  • Weight Loss Through Narrowing Your Eating Window
  • Mammography and Dense Breast Tissue
  • Medication-Assisted Treatment for Addiction Disorder
  • Smoker or Former Smoker? Lung Cancer Screening is Recommended for You
  • Be Safe When Using Over the Counter Medications
  • Screenings for Colon Cancer
  • Thyroid Health Essential to Metabolism
  • Go for Nutrition that is Heart Healthy
  • High Blood Pressure and Ways to Lower It
  • Hospitalists: Your Around the Clock Caregiver
  • Weight Loss Surgery Has Lasting Impact
  • Can you Find Joy in the Holidays When Sick?
  • Coping with Holiday Depression
  • When Quitting Smoking You May Need to Try and Try Again
  • Vaginal Birth after C-Section
  • New Tool to Assess Breast Cancer Risk
  • Migraines: How to Treat Them
  • Vestibular Care: It's All in Your Ears
  • Prepare for a Healthy Trip Abroad
  • New Moms Encouraged to Breast Feed
  • Language Diversity Important to Healthcare
  • Latest Advances in Joint Replacement
  • Vaping and Nicotine Addiction
  • Urgent Care or Emergency Department
  • Free Medicare Wellness Visit
  • Rehabilitation from Stroke Onset
  • Life Threatening Stroke Can be Prevented
  • Mammography and MRI for Women with High Risk of Breast Cancer
  • Breaking the Silence on Kidney Disease
  • Stop Mindless Eating
  • Hospitals Working to Improve Heart Health
  • Your Healthy Gut Bacteria
  • Give Up Smoking in 2018
  • Healthy Resolutions for 2018
  • Healthy Giving for 2017
  • Concussions: Myths and Truths
  • Celebrate a Thankful & Healthy Holiday
  • Don't Die of Embarrassment: Get Screened for Colon Cancer
  • Don't Let the Flu Get You This Season
  • Advanced Cardiac Imaging
  • Chronic Wound Care
  • What is a Hospitalist?
  • Healthy Heart Rhythms
  • Wellness Coaching
  • Men's Health In Crisis
  • Prevent Stroke or Respond FAST
  • Walking to Good Health
  • Healing Through Acupuncture
  • Self Care is Our Future
  • Family Wellness - Play Together Stay Healthy Together
  • Rewriting Your Book of Life
  • Pre-Diabetes: A Wake-Up Call for Better Health
  • Overcoming Crisis With Resiliency
  • Stepping Off the Slippery Slope
  • Sleep & Wellness: Learning to Cherish Your Sleep
  • Kicking the Habit and Ending the Fear
  • High Blood Pressure: One of the Few Things in Life We Can Control
  • Friendship is Powerful Medicine
  • It's Flu Season: Get the Vaccine!
  • The Healing Power of Gratitude
  • Where's the Joy?
  • New Year's Resolutions to Live By
  • Preventing Falls: A Leading Health Risk for the Older Population
  • Staying Healthy in the Office
  • Exercising at Home and Staying Fit in the Winter
  • Cardiac Rehabilitation: Regaining a Healthier and Better Life
  • Nutrition & Exercise: Two Great Gifts for Children
  • A Screening That Has Saved More than a Million Lives
  • How Walking Can Change Your Life
  • Injury-Free Sports & Activities
  • Have a Healthy Summer
  • Head to a Farmers' Market
  • Just Breathe
  • Lyme Disease Facts
  • Mindful Eating
  • Empathy in Healthcare
  • Preparing Your Family for an Emergency
  • Helping Someone to Cope with Opioid Addiction
  • Breast Cancer Awareness: Mammograms Save Lives
  • Antibiotic Resistance
  • Lung Cancer Screening
  • Giving Thanks
  • Healthy Holidays

Medication-Assisted Treatment for Addiction Disorder

Medication-assisted treatments can break the cycle of opioid addiction
By Douglas R. Molin, M.D. 

We’ve all seen the alarming headlines about the ever-widening opioid crisis in this country, where, by the latest counts, nearly 50,000 people a year – more than 130 people every day – die from opioid-related drug overdoses, a two-fold increase in a single decade.  While those stories may accurately convey the scope and depth of this national crisis, they don’t always clearly coMOLIN.jpgmmunicate that some highly effective medicinal treatments actually are available to help break the addiction cycle and potentially save millions of lives. 

 Medication-assisted treatment of opioid use disorder is a proven method using FDA-approved medications that help people through the painful stages of withdrawal and chemically relieve the fierce cravings that can lead to relapse. These medications are designed to normalize brain chemistry and block the euphoric effects of addictive opioids. They are a bridge to help an opioid-dependent person regain a balanced state of mind, free of drug-induced highs and lows, able to physically and mentally escape their constant obsession with these opioids. They give people the opportunity they desperately want and need to re-assert control over their lives. 

Like heart disease and diabetes, opioid addiction is a chronic disease, a medical condition that can last for the rest of your life.  However, it can be medically managed.  Just as a person with chronic diabetes can lead a healthy, productive life by adhering to a regular regimen of insulin, a person with chronic opioid use disorder can control their addiction pharmaceutically. Taking medication for opioid addiction is not the same as substituting one addictive drug for another. Used properly, the medication does not create a new addiction. Rather, it helps people manage their addiction so that the benefits of recovery can be achieved and maintained. People can safely take treatment medication as long as needed— for months, a year, several years, even for life.  It is important to understand that the health risks of relapse with non-prescribed opioids are far greater than the risks of lifetime treatment. 

There are three main choices of medication: methadone, buprenorphine and naltrexone. Methadone and buprenorphine are long-acting opioids which prevent the emergence of withdrawal symptoms and diminish cravings. The person feels normal, not high. Naltrexone helps overcome addiction in a different way, by blocking the effect of opioids. It prevents them from inducing their typical effects and also diminishes cravings. 

Methadone is administered daily in specially licensed clinics only. Buprenorphine and naltrexone are dispensed at treatment clinics or prescribed during regular office visits by doctors who must have special approval to do so. The form and dosages of these medications and the frequency of taking them can vary, depending on what the prescribing physician believes best suits the patient. Some patients take them daily by mouth, others are given monthly injections and there are variations in between. People who are stable in recovery may be prescribed a greater supply of medication – up to a month at a time – to take at home. 

People on medication-assisted treatment can also benefit greatly from counseling, including one-on-one sessions with a professional and/or group sessions with others in treatment. Those interactions can provide encouragement to stick to treatment, helping people make healthy decisions, handle setbacks, cope with stress, and move forward with their lives. 

The most important take-away here by far is that medication-assisted treatment can truly break the cycle of opioid addiction, one person at a time.  No, it’s not some sort of “magic pill” that will reverse the current opioid crisis. The social forces driving this epidemic of addiction will not be erased pharmaceutically.  But for anyone suffering from this brain disease called opioid addiction, these medications absolutely open the door to life-saving, life-long recovery. 

Douglas R. Molin, M.D., is a physical medicine and rehabilitation specialist focusing on opioid dependence and pain medicine at Berkshire Medical Center.

 

 

 

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