Safely Switching from Methadone
Can you safely switch from Methadone to Buprenorphine?
Yes, you can switch from methadone to buprenorphine (ie suboxone) and Vivitrol. It is best to slowly reduce your therapeutic dose of Methadone to 20-30 mg a day or less for at least a week before discontinuing it completely for at least 36 hours before starting Buprenorphine (ie suboxone). You must be in mild to moderate withdrawal before you take your first dose of Buprenorphine. Our providers will assist you with comfort medications during the withdrawal process.
If you decide to use Vivitrol, you must discontinue methadone at least 12-14 days before the Vivitrol injection. Receiving Vivitrol before the majority of the methadone in your system has cleared can lead to worse withdrawal symptoms; It’s known as precipitated withdrawal. If you decide to taper your methadone dose, make sure to coordinate the process with your methadone provider. If you are doing well on methadone, it may not be a good idea to switch treatments unless you and your doctor agree that tapering off methadone is in your best interests. We advise pregnant women who are on methadone to continue taking it until the baby is born.
At Right Choice, our addiction clinics in Massachusetts offer the most modern treatment for opioid dependence. Combining treatment with substance abuse counseling and medication-assisted treatment MAT, you can expect the best result when treating opioids or any other addiction. Buprenorphine (i.e. Suboxone, injectable Sublocade) or Vivitrol injection is FDA approved treatment for opioid dependence.
If you became addicted to heroin, oxycodone, oxycontin, Percocet, tramadol, or any other forms of prescription painkillers you could be a candidate for treatment with Suboxone, Sublocade or Vivitrol.
Asking for help is not a shame; we are here to help you to find the right treatment plan for you. Our friendly, cheerful, and judgment-free professional staff will answer your questions when you make the first call to inquire about your treatment.