Treatment

Recovery Cornwall is primarily an opiate replacement therapy center. Our primary mandate is to provide treatment for addiction to opiates, (heroine and other morphine derivatives), and opiods, (synthetic prescription painkillers like codeine, oxycodone, heroin, and fentanyl). However we also offer treatment to persons struggling with addiction to other substances like alcohol and narcotics.

Some of the treatment programs we provide are described below:

Methadone Maintenance Treatment Program

Methadone belongs to the opioid family of drugs. It is most commonly used to treat addiction to other opiates such as heroin, fentanyl, oxycodone (OxyContin), and hydromorphone (Dilaudid). It is a synthetic opioid meaning it is made with chemicals in a lab rather than being derived from plants like heroine. Methadone was first developed during the second world war in Germany to provide pain relief. Methadone is described as an "agonist" because it binds to neural receptors in the brain to help block the pain response - mimicking the body's natural euphoric response.

About Methadone Maintenance Treatment

Methadone Maintenance Treatment (MMT), helps to prevent opioid withdrawal and prevents or eliminates drug cravings. This treatment was first developed in the 1960′s. It involves the prescription of methadone as an alternative to the opiate which a person is addicted to. Central to MMT is the provision of counselling, case management and other medical services to help the patient change addictive behaviour and get back on their feet.

How Methadone is Taken

Methadone is taken orally and is diluted with Tang. When you first start the program, you will be asked to drink your medication at the Respect pharmacy daily.

As you stabilize your dose, and progress in the treatment program, you may be eligible for some take-home doses.

Take-home doses of methadone should be refrigerated. It is your responsibility to store them safely to make sure the medication is not taken by anyone else, especially a child, or a non-opiate dependent person, for whom it may be lethal.

How the MMT Program Works

The program is based on an Outpatient Harm Reduction Model, and consists of 5 steps:

  1. An initial intake interview and registration
  2. A physician consultation, medical examination, and laboratory tests where appropriate
  3. Creation of a personalized treatment plan
  4. Dispensing a regular daily dose of methadone, which is generally taken under observation
  5. Personal counselling and regular medical an drug testing follow-up throughout the course of treatment

Benefits of Methadone Maintenance Treatment

Research indicates that Methadone Maintenance Treatment (MMT) is effective in:

  • Reducing the use of opiods and other substances (including some narcotics like cocaine)
  • Reducing the incidence and risk of criminal activity related to drug use
  • Reducing mortality and improving life-expectancy
  • Reducing risk related to injection
  • Reducing other risk behaviours for the transmission of HIV and other STDs
  • Reducing the risk of Hepatitis C and other blood-borne pathogens
  • Improving physical and mental health
  • Improving social functioning and quality of life
  • Improving pregnancy outcomes

 

Suboxone Maintenance Treatment Program

Suboxone is a combination of Buprenorphine and Naloxone. It is most commonly used to treat addiction to opiates. It is most commonly used to treat addiction to other opiates such as heroin, fentanyl, oxycodone (OxyContin), and hydromorphone (Dilaudid). It is a synthetic opioid meaning it is made with chemicals in a lab rather than being derived from plants like heroine. Suboxone is generally prescribed in less severe cases of addiction.

Differences Between Methadone and Suboxone

Suboxone is dispensed as a pill, while methadone is usually dispensed as a liquid which is orally ingested. Suboxone is much harder to abuse than methadone so patients are allowed to take it home, whereas when methadone patients first start treatment they need to travel to a clinic each day to take their medication under supervision. At later stages of the treatment they are may be dispensed take-home doses of methadone.

For people with heavy opiate habits and serious addiction, Suboxone cannot provide effective relief from withdrawal symptoms. Methadone works better for such individuals. Suboxone is generally less addictive than methadone. Withdrawal symptoms of a Suboxone detox are generally less severe than methadone detox and the risk of a fatal overdose on Suboxone is less than with methadone.

Suboxone is dispensed as a small tablet, which is taken "sub-lingaully" - held under the tongue and allowed to dissolve.

About Suboxone Maintenance Treatment

Suboxone Maintenance Treatment (SMT), helps to prevent opioid withdrawal and prevents or eliminates drug cravings. It involves the prescription of suboxone as an alternative to the opiate which a person is addicted to. Central to SMT is the provision of counselling, case management and other medical services to help the patient change addictive behaviour and get back on their feet.

How the SMT Program Works

The program is based on an Outpatient Harm Reduction Model, and consists of 5 steps:

  1. An initial intake interview and registration
  2. A physician consultation, medical examination, and laboratory tests where appropriate
  3. Creation of a personalized treatment plan
  4. Dispensing a treatment regimen of Suboxone, which may be taken at home
  5. Personal counselling and regular medical an drug testing follow-up throughout the course of treatment

Benefits of Suboxone Maintenance Treatment

Research indicates that Methadone Maintenance Treatment (MMT) is effective in:

  • Reducing the use of opiods and other substances (including some narcotics like cocaine)
  • Reducing the incidence and risk of criminal activity related to drug use
  • Reducing mortality and improving life-expectancy
  • Reducing risk related to injection
  • Reducing other risk behaviours for the transmission of HIV and other STDs
  • Reducing the risk of Hepatitis C and other blood-borne pathogens
  • Improving physical and mental health
  • Improving social functioning and quality of life
  • Improving pregnancy outcomes

 

Naltrexone Treatment Program

Naltrexone is an opioid antagonist used primarily in the management of alcohol dependence and opioid dependence. Unlike methadone and Suboxone - which work as "agonists" by mimicking the action of the drugs you are addicted to, Naltrexone is an "antagonist" - which blocks the behaviour of alcohol and opioids in the brain. Naltrexone helps patients overcome addiction by blocking the drugs’ euphoric effects. However, unlike when used for alcohol dependence, naltrexone has little effect on opioid cravings, so even though Naltrexone is approved for treating opioid dependency, it is primarily used in treating alcohol dependency.

Studies have shown that Naltrexone can be very effective in treating alcohol dependency, and that it reduces the rate of relapse when used as part of an abstinence program.