Tuesday September 2nd 2014

OxyContin addiction treatment

No one treatment for addiction will work for everyone. So what are your options for OxyContin addiction treatment?

We review the two proven treatments for OxyContin addiction here. And what you can expect in long term treatment settings. Plus, more on what types of medications are used for OxyContin addiction here. Your questions about OxyContin addiction treatment are welcomed at the end.

Detox is the first step

Typically, people undergo medical detox from OxyContin before any treatment approach is begun. Although detoxification in itself is not a treatment for OxyContin addiction, medical detox can help relieve OxyContin withdrawal symptoms while you adjust to being drug free. Once you completes detox, you then need to choose which course of treatment would best suits your needs.

Two proven treatments for OxyContin addiction

The guidelines for treating OxyContin addiction are basically no different than the guidelines used to treat addiction to ANY opioid. Two types of treatment have been found to be effective for opioid addiction.

1. Long term residential treatment
2. Long term, medication assisted outpatient treatment

1. Residential treatment for OxyContin addicts

The primary goal of the rehabilitative phase of OxyContin treatment is to empower you to cope with major life problems so that they can pursue longer term goals such as education, employment, and family reconciliation.

The best known residential treatment model is called the “therapeutic community” (TC), with planned lengths of stay between 6 and 12 months. Generally, residential treatment for less than 90 days is of limited effectiveness, so if you really want to quit OxyContin, you may need to plan for a longer stay in rehab. This type of long term treatment focuses on resocialization by using other residents, staff, and the social context as active components of treatment. Residential treatment for OxyContin addiction usually combines psychological counseling and 12 step meetings with tiered levels of increasing responsibility, so that you can become a productive member of society again.

Long term residential treatment is highly structured and supervised. Therapeutic communities provide care and supervision of an addict 24 hours a day. Residential treatment can be confrontational at times. Individual and group psychotherapy is a strong component of these programs, with activities designed to help you examine your beliefs, self-concept, and destructive patterns of behavior. The idea is that you begin to adopt new, constructive ways to interact with others. Treatment centers are generally in non-hospital settings and might even include employment training or social support services. In long term residential treatment, you will address your social and psychological deficits in order to develop:

  • personal accountability
  • personal responsibility
  • a socially productive life

2. Medication assisted opioid treatment

The goal of opioid replacement treatment is to reduce or eliminate the problematic use of OxyContin so that addicts can live healthier, more productive lives.  Medications for OxyContin withdrawals can be used in the short-term (during detox), but other medications can be used in the long term to replace OxyContin with less “heavy” opiate-like substitutions.  Good treatment programs provide a full range of assessment, psychosocial intervention, and support services in addition to medications. This combined approach has the greatest likelihood for long-term success for many people.

Here, we review the main classes of medications used for OxyContin addiction treatment.  See the chart below for specific medication details.  Most OxyContin addicts in outpatient therapy do best with medication that is either an agonist or a partial agonist of oxycodone. However, oxycodone antagonists may also be used to treat OxyContin addiction. Because OxyContin contains higher dose levels of oxycodone than are typically found in other pain medications, higher dosages of opioid replacement therapies may be needed.

Agonists – Agonists are used in “maintenance programs”. An agonist medication has the same basic effect at the brain cell membrane as OxyContin. However, there are differences in how fast and how long the effects last. Methadone and levo alpha acetyl-methadol (LAAM) are the two agonist medications currently approved for addiction treatment in the U.S. Most experts agree that methadone maintenance has a 12 month minimum treatment window. But some opioid addicts can benefit from maintenance programs for many years.

Antagonists – An antagonist drug simply blocks the effect of OxyContin. This type of drug can work if you are ready to go “cold turkey” Off OxyContin or if you want to prevent relapse. Because antagonist drugs like naltrexone make it impossible for you to get high, if you relapse on OxyContin, you won’t feel high. Antagonist maintenance programs work best for people who have very strong social supports and who are highly motivated to participate in treatment.

Partial agonists – A partial agonist drug has less effect at the brain cell membrane as the “full” agonist, but it also serves to block the full agonist. In other words, you get enough opioids in your system that you don’t feel withdrawal, but not enough to get high. Buprenorphine is the most commonly prescribed partial opioid agonist medication used to treat OxyContin addiction.

Pharmacotherapeutic Medications for Opioid Addiction Treatment

Combining the two

As good as these treatments may be, there is no silver bullet for treating addiction to opioids like OxyContin. Research has shown, however that combining medications with behavioral therapies is the most successful approach to treating drug addiction. Behavioral therapies such as contingency management and cognitive-behavioral interventions can complement anti-addiction medications, such as methadone, successfully.

OxyContin addiction treatment questions

Are you scared of seeking help for an OxyContin problem? Are you getting ready to go to rehab? Or maybe detox? Please leave us your questions, comments or experiences below. We are here to help and will answer the best we can.

Reference sources:
NIDA Principles of drug addiction treatment
TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs

Congressional testimony on OxyContin addiction from NIDA Director, Glen R. Hanson, Ph.D., D.D.S.
Congressional testimony on The Treatment of OxyContin Addiction and the Prevention of Further Drug Abuse from H. Westley Clark, J.D., M.D., M.P.H.

Leave a Reply

4 Responses to “OxyContin addiction treatment
Will
2:42 pm October 4th, 2011

OxyContin has been a growing problem over the past 5 years. Very good article on this drug.

Kelvin Wilson
2:25 pm November 3rd, 2011

Thank you so much for letting us know more about you OxyContin addiction treatment view!! I am totally appreciative for addiction treatment topics. keep it up! :)

monica zajac
9:23 am April 12th, 2012

There’s a wonderful, spiritual experience that will take all of the drugs & toxins out of your body, pain-free & will take 2-3 days to go thru. Book off work or life for at least 7-10 days to get your strength back. It’s called Ibogaine & it’s illegal in some confused countries like the US who has known of its’ miraculous powers since 1969! It’s legal in Canada & there is or was an Ibogaine Healing Centre in B.C. If you can afford to go to a facility in Canada, Mexico or Amsterdamn, GO!!
(just guessing at the last 2 but have heard of them. It cost me $4,500 to go to the one on the Sunshine Coast I B.C. but worth every penny. When u wake up from wild, peyote-like spiritual ‘high’, (I went to the other realm & spoke to my dead father & saw other loved ones waving- don’t get freaked, apparently, it’s a plant from 1 small area in Africa that the tribe uses to reunite, confer etc with dead ancestors) you realise that you don’t need or want oxycontin, heroin, methadone, etc Often smokers don’t crave a cigarette either. It has helped people addicted to cocaine, smoking crack or injecting)The stuff works on your system like Draino on a clogged sink! Your eyes are bright, skin is shining & it’s almost like you have a bright aura around you. There was a CSI NY or Miami episode where they couldn’t figure out what was in the dead guys system or why his almost fully corroded liver had started to rejuvenate new/healthy cell growth. After those ‘brainiacs’ went through every computer data base in the world, they finally discovered it was Ibogaine! Plot Giveaway-He’d been stabbed by some heroin dealer who was losing business because the guy who ran a Homeless Shelter was healing addicts with Ibogaine. It is a miracle but you have to do the follow-up like any release from rehab. (meetings, new hobbies, work-out, move &/or stay away from people that have it etc we all know the drill but woe to those who disregard) I wanted to help others that couldn’t afford the 4,500 plus airfare to Vancouver. I ordered some off the Internet & had them come to my place & did the Healing Process. I know how to do all the correct dosages, ask them for the appropriate medical blood tests before the process & monitor the patient while they are in the ‘other realm’. I’m thinking of offering it as a private one on one healing treatment for much less. Addicts close to or who can afford to fly to Calgary, AB who want to embark on an incredible voyage of discovery(everyone has a different experience, some got to fly ‘high’ above the mountains or the hemisphere) & get clean, pain-free can come & see me. What do you guys think? I wouldn’t profit hugely nor do I want to but I have learned how to do the whole medical & spiritual experience complete with the burning of the Sweetgrass Ceremony right before you go to the magical kingdom of Ibogaine. I know which supplier will send the real ‘stuff’ & ‘I will hold your hand’ throughout. It is a very intense experience & it helps to have a soothing & experienced presence helping you through any anxious moments. I’d like some feedback. Thanks for listening. It’s too bad the powers that be can’t handle the idea that an opiate addict can get legally ‘high’ on a healthy miracle plant & get the stuff out of their system, pain-free in a 24-72 hr period. I think they want us to suffer for our sins & anything this easy shouldn’t be available to “those out of control junkies”!

tim
7:51 pm August 19th, 2012

I took this a couple of years ago. I suffer from chronic pain and unfortunately had to go back on morphine but I’m on a much lower dose. I hate the fact taht I have to take it but the pain is just too much. I have severe spinal chord compression in my cervical spine. I had 2 failed back surgeries and my lumbar spine is a mess and I am in chroinic pain. I took the ibogaine once I weened myself from 1000mg of long acting morphine to 200. At 200 it became really bad with the withdrawl’s so I took this miracle drug and was off of all the morphine in 2 day’s I felt a little weak but was over the withdrawl it was a miracle. I cannot believe that they have such an incredible substance that can do such an amazing job and they make it illegal. This drug can help so many people who are in a desperate situation. Shame on this country for not allowing people the freedom to choose to take waht they want to get over a real major problem. This seems to me to be the cruelest thing anyone can do . Why would you withhold a substance that has such incredible and powerful affect on someone who is in the grips of this evil drug. I would hate to think it has to do with all the industry of drug dependence. With holding something like this is a sin against mankind. This would help so many people break free from addiction. I let go of alot of negative feelings once I came off of the morphine and the ibogaine filled all the receptor’s. Do you have any idea what it is like to go to sleep and wake up and not want or crave a drug like morphine or herion?????? What the hell is wrong with this country and when are we going to stop punishing people who have a serious condition. I think it is all about guilt and punishment. One day you will know someone who is caught up in this horrible disease and knowing that there is something out there that is this powerful should be a right to every addict on this planet. They use the excuse that you might hallucinate???? What stupidity adn even if you do you open your eyes and it stops. There are nerurologists, addiction specialists, etc. who have left the country to help people because they are not allowed to do it in the US. MONEY and Dr. Drew’s and $50,000 rehabs that have a low success rate are what we do here. If you are poor it’s all the worse for you, you get little or no help. They should give people ibogaine, get them off the drugs then train them for jobs or send them for help staying clean. This is the other thing they love to scream about that alot of people relapse. There have beeb people who have relapsed and taken Ibogaine again and stayed off. They aere even doing research on Ibogaine boosters you take months down the road to reinforce it’s miraculous affects. I can see no reason for this country to not allow this except it will put alot of doctors and rehabs out of business and this is the most horrible part of this scenario

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