lsoGreene Treatment Center is a methadone clinic established for dispensing of methadone (Dolophine), a schedule II opioid analgesic, to those who abuse/addicted to heroin and other opioids. Our focus is the elimination or reduction of opioid usage by putting the patient on methadone. We offer both short or long-term replacement therapy using methadone. Also a big part of of the replacement therapy is counseling.
The U.S. Office of National Drug Control Policy describes methadone as "a rigorously well-tested medication that is safe and efficacious for the treatment of narcotic withdrawal and dependence. For more than 30 years this synthetic narcotic has been used to treat opioid addiction. Heroin releases an excess of dopamine in the body and causes users to need an opiate continuously occupying the opioid receptor in the brain. Methadone occupies this receptor and is the stabilizing factor that permits addicts on methadone to change their behavior and to discontinue heroin use. Taken orally once a day, methadone reduces the drug cravings and harsh withdrawal symptoms that are often associated with a patient's relapse, without creating the sense of euphoria associated with the abuse of heroin and other opiates for between 24 and 36 hours. Because methadone is effective in eliminating withdrawal symptoms, it is used in detoxifying opiate addicts. It is, however, only effective in cases of addiction to heroin, morphine, and other opioid drugs, and it is not an effective treatment for other non-opioid drug addictions to substances like alcohol, marijuana or cocaine.
When used as prescribed, methadone can safely be taken continuously over a period of weeks, months and even years without any harsh side effects. According to the U.S. Office of National Drug Control Policy, methadone is "a rigorously well-tested medication that is safe and efficacious for the treatment of narcotic withdrawal and dependence." In addiction, methadone is no way impairing to mental function or daily activities. It is prescribed by licensed nurses with the approval of a physician, under strict state and federal guidelines, and only produced by licensed pharmaceutical companies..
Methadone's effectiveness in treatment of opioid addiction has been proven for over 40 years.
Studies show that there are no serious side effects to methadone use. Minor side effects such as head aches, nausea and a changed libido had been documented but they all diminished upon the patient finding their correct dosage.
In addition to its effectiveness, methadone is one of the most affordable drug treatment options for opioid and prescription medication addiction.
Methadone affects the body very differently than opiate drugs and is used in an approved course of action, so you are not simply substituting one drug for another
Methadone will not show up in a drug test unless a company tests specifically for it, which is very uncommon practice. Furthermore a patient participating in our approved methadone maintenance program and is not abusing an illegal drug. In fact, methadone patients are covered under the Americans with Disabilities Act, which means that methadone use cannot be used to deny employment.
It is not illegal to operate a motor vehicle or other machinery while taking methadone for drug treatment purposes.
Use of methadone, depending on the patient, can last for months, years or sometimes is indefinite. Withdrawal from methadone use is very possible, and safe
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National Opioid Overdose Epidemic
Drug overdose is the leading cause of accidental death in the US, with 47,055 lethal drug overdoses in 2014. Opioid addiction is driving this epidemic, with 18,893 overdose deaths related to prescription pain relievers, and 10,574 overdose deaths related to heroin in 2014.5
From 1999 to 2008, overdose death rates, sales and substance use disorder treatment admissions related to prescription pain relievers increased in parallel. The overdose death rate in 2008 was nearly four times the 1999 rate; sales of prescription pain relievers in 2010 were four times those in 1999; and the substance use disorder treatment admission rate in 2009 was six times the 1999 rate. 6
In 2012, 259 million prescriptions were written for opioids, which is more than enough to give every American adult their own bottle of pills.7
Four in five new heroin users started out misusing prescription painkillers. As a consequence, the rate of heroin overdose deaths nearly quadrupled from 2000 to 2013. During this 14-year period, the rate of heroin overdose showed an average increase of 6% per year from 2000 to 2010, followed by a larger average increase of 37% per year from 2010 to 2013. 8
94% of respondents in a 2014 survey of people in treatment for opioid addiction said they chose to use heroin because prescription opioids were “far more expensive and harder to obtain.” 9
Impact on Special Populations
Adolescents (12 to 17 years old)
In 2014, 467,000 adolescents were current nonmedical users of pain reliever, with 168,000 having an addiction to prescription pain relievers. 3
In 2014, an estimated 28,000 adolescents had used heroin in the past year, and an estimated 16,000 were current heroin users. Additionally, an estimated 18,000 adolescents had heroin a heroin use disorder in 2014.3
People often share their unused pain relievers, unaware of the dangers of nonmedical opioid use. Most adolescents who misuse prescription pain relievers are given them for free by a friend or relative.10
The prescribing rates for prescription opioids among adolescents and young adults nearly doubled from 1994 to 2007. 11
Women are more likely to have chronic pain, be prescribed prescription pain relievers, be given higher doses, and use them for longer time periods than men. Women may become dependent on prescription pain relievers more quickly than men.12
48,000 women died of prescription pain reliever overdoses between 1999 and 2010. 12
Prescription pain reliever overdose deaths among women increased more than 400% from 1999 to 2010, compared to 237% among men. 12
Heroin overdose deaths among women have tripled in the last few years. From 2010 through 2013, female heroin overdoses increased from 0.4 to 1.2 per 100,000. 8
1 National Institute on Drug Abuse. (2015). Drugs of Abuse: Opioids. Bethesda, MD: National Institute on Drug Abuse. Available at http://www.drugabuse.gov/drugs-abuse/opioids. 2 American Society of Addiction Medicine. (2011). Public Policy Statement: Definition of Addiction. Chevy Chase, MD: American Society of Addiction Medicine. Available at http://www.asam.org/docs/publicypolicy-statements/1definition_of_addiction_long_4-11.pdf?sfvrsn=2. 3 Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at http://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf. 4 National Institute on Drug Abuse. (2014). Drug Facts: Heroin. Bethesda, MD: National Institute on Drug Abuse. Available at http://www.drugabuse.gov/publications/drugfacts/heroin. 5 Center for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System, Mortality File. (2015). Number and Age-Adjusted Rates of Drug-poisoning Deaths Involving Opioid Analgesics and Heroin: United States, 2000–2014. Atlanta, GA: Center for Disease Control and Prevention. Available at http://www.cdc.gov/nchs/data/health_policy/AADR_drug_poisoning_involving_OA_Heroin_US_2000- 2014.pdf. 6 Paulozzi MD, Jones PharmD, Mack PhD, Rudd MSPH. Vital Signs: Overdoses of Prescription Opioid Pain Relievers – United State, 1999-2008. Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Center for Disease Control and Prevention. 2011:60:5. 7 Centers for Disease Control and Prevention. (2014). Opioid Painkiller Prescribing, Where You Live Makes a Difference. Atlanta, GA: Centers for Disease Control and Prevention. Available at http://www.cdc.gov/vitalsigns/opioid-prescribing/. 8 Hedegaard MD MSPH, Chen MS PhD, Warner PhD. Drug-Poisoning Deaths Involving Heroin: United States, 2000-2013. National Center for Health Statistics Data Brief. 2015:190:1-8. 9 Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The changing face of heroin use in the United States: a retrospective analysis of the past 50 years. JAMA Psychiatry. 2014;71(7):821-826. 10 National Institute of Drug Abuse. (2015). Drug Facts: Prescription and Over-the-Counter Medications. Bethesda, MD: National Institute of Drug Abuse. Available at http://www.drugabuse.gov/publications/drugfacts/prescription-over-counter-medications. 11 Fortuna RJ, Robbins BW, Caiola E, Joynt M, Halterman JS. Prescribing of controlled medications to adolescents and young adults in the United States. Pediatrics. 2010;126(6):1108-1116. 12 Center for Disease Control and Prevention. (2013). Prescription Painkiller Overdoses: A Growing Epidemic, Especially Among Women. Atlanta, GA: Centers for Disease Control and Prevention. Available at http://www.cdc.gov/vitalsigns/prescriptionpainkilleroverdoses/index.html.