Methadone

If you have found that you are unable to just stop using methadone. We can TRY to make you comfortable with one month of Suboxone (or Subutex) maintenance therapy, 7-10 days of other medications and then naltrexone to cleanse your system. The following steps are required:

1. At your first doctors visit, the doctor will ask that you stop taking methadone for 48-96 hours.
2. After at least 48 hours, take a Suboxone (or subutex) 2 mg tablet.
   • a. If you get sick � WAIT 12 HOURS AND TRY AGAIN.
   • b. If you DON’T get sick — Take Suboxone (or subutex) 2 mg tablet every 4 hours until they are gone.
3. The next day take a Suboxone (or subutex) 8 mg tablet and continue with one tablet each day for one week. Then take one half of an 8 mg tablet (4 mg) each day until they are gone, and return to the office.
4. Suboxone (or subutex) 2 mg tablets will be prescribed to be taken every day for a week. Then take 1 mg (one half of the Suboxone (or subutex) 2 mg tablet) every day till they are gone, and return to the office.
5. Prescription medications will then be prescribed to lessen the severity of withdrawal symptoms from the Suboxone (or subutex) for 7-10 days.
6. It is strongly recommended that you follow this treatment with the injection of a naltrexone pellet.