Treatments

We specialise in helping people who are addicted to ‘painkillers’. By ‘painkillers’ we mean any opiate drug.

These include Heroin,opium,morphine(Statex, MS-Contin), codeine(Tylenol #1,2,3,4), hydromorphone, oxycodone(Percocet,Oxycontin,OxyNeo).

We offer Methadone or Suboxone(buprenorphine) to anyone who can’t stop opiates-or can’t stay away from them.

Methadone and Suboxone are both very effective. Each has its benefits and drawbacks. 

We help you carefully decide which is best for you.

 

OPIOID SUBSTITUTION THERAPY

Opioid Substitution Therapy means treating your narcotic problem with a prescription medication. There are two  options:  Methadone and Suboxone. They are both long-acting opioid drugs that fill-up the same receptors in your brain as do other narcotic drugs.


Opioid Substitution Right Is Right For you if you answer yes to any of these questions:

  • Have you been using drugs like codeine, oxycodone, hydromorphone, morphine, heroin, fentanyl and others ?

  • Have you tried to quit using but you can’t seem to stop for more than a few hours, days , weeks, or months at a time?

  • Is your current use more about avoiding feeling sick / coping with cravings / feeling “normal” than it is about getting high?

  • Do you want to feel more in control of your life / work / home/  yourself?

  • Do you want to be able to offer more to the people you care about?


If you answered “yes” to any of the questions above, Opioid Replacement Therapy (Methadone or Suboxone) may be a good next step for you.

 

Advantages of Methadone and Suboxone

  • Taken orally, which is safer than injecting, snorting or smoking

  • When prescribed by a doctor, opioid replacement therapies are legal and safe – no risk of arrest

  • You know what you’re getting – potency is known and it’s never cut with other substances

  • Can eliminate involvement in criminal activity to obtain drugs as you can access opioid replacement therapies regularly

  • Reduces the risk of getting HIV or Hepatitis C.- No need to use / share needles and more likely to practice safe sex as you can think straight

  • Makes life more stable and creates space for things other than drugs: family / relationships, work/study, activities that bring you joy

  • Puts you in contact with people who can support you and help you reach the goals that are most important to you

 

What are Methadone and Suboxone:

METHADONE

What is methadone?
Methadone is a synthetic type of narcotic. It is taken daily by mouth, dissolved in a liquid drink. Only specially trained and  licensed physicians are able to prescribe methadone. Each patient may only be registered with one methadone clinic.

SUBOXONE

What is Suboxone?
Suboxone, also, is a synthetic type of narcotic The primary active ingredient in Suboxone is Buprenorphine. Suboxone also contains Naloxone to prevent it from being injected, which would put you into withdrawal. It is taken daily as a tablet, dissolved under your tongue. It is safer but more expensive than methadone.

 

Methadone

Pros                                                                                                                  Cons

  • Long lasting-up to 24 – 36 hours!


  • Methadone (at the right dose) keeps away physical drug cravings and doesn’t leave you high or ‘ nodding off’

  • Cheap!  $7-10 / day, or free if you have an Ontario Drug Benefit Card or a drug prescription plan

  • Safe for  pregnant women and breast-feeding..

  • Of all the treatments for Opioid dependence,

  • Methadone Maintenance has the best record for helping clients not to use other opioid drugs

  • Methadone maintenance is a long-term treatment. 


  • For at least the first 8 weeks of treatment, you will need to go to the clinic or pharmacy every day. After that, if you do well, you will earn take-home “carry” privileges 

  • Like all drugs, there can be side effects. Those most commonly reported are: drowsiness and constipation. Adjusting the dose can reduce most side effects.

 

Suboxone

Pros                                                                                                                  Cons

  •  Long lasting-up to 24 – 36 hours!

  • At  the right dose keeps away physical drug cravings and doesn’t leave you high or ‘ nodding off’ Therapeutic dose can usually be reached within the first week of treatment.

  • Less restrictive.

  • Offers an alternative for people who can not, or who do not wish to, take methadone.

  • Lower risk of fatal overdose as Suboxone.

  • (NOTE:  This does not mean it’s safe to take more Suboxone than prescribed)

  • Not as effective as Methadone for those with high tolerance / heavy of opioid use.

  • There are some side effects.  Those most commonly reported are: drowsiness, dizziness, constipation, or headache

  • Not for use in pregnancy.