Opioid Addictions

ReMedica helps those who made a circumstantial and inadvertent entrance to mood modifying substances. We are able to help the sufferers enjoy a normal life again.
Methadone and Suboxone (Buprenorphine-Naloxone) are opioid medications that do not cause intoxication at the correct doses. When they are prescribed, they eliminate a person’s withdrawal symptoms, which may help them stabilize their life.


To Further Reduce Harm and help patients reach recovery goals, patients need:
- A strong support system, in addition to their family and friends.
- Counselling sessions and\or intensive substance use treatment programs (frequency depends on patient)
- Mutual help groups (ex. PAARC peer support, group programs)


New Approaches to Treatment
Suboxone Induction (Bernese Method)
- Use of microdoses for induction with full opioid agonist use (Patient remains on Methadone)
- Repetitive administration of very small buprenorphine doses with sufficient dosing intervals should not precipitate opioid withdrawal
- Long receptor binding time allows buprenorphine to accumulate at the opioid receptor
- Over time, an increasing amount of a full mu - agonist will be replaced by buprenorphine at the opioid receptor
- Can be used for patients not in withdrawal and on Methadone, Fentanyl, etc.

Consideration of Risks and Benefits (opioid agonist therapy): In prescribing opioid agonists, physicians must make sure that patients are fully informed of the risks and benefits.
Benefits - There is consistent evidence that while in treatment, heroin addicts are at a lower risk of death, are less involved in crime, and feel and function better than while using heroin
Risks vs. Perceived risks
Perceived risks - - Perception that methadone/suboxone treatment may maintain people in an addicted lifestyle (not supported by literature) Risks
- Risk of death during induction into treatment (managed by Physicians following guidelines)
- Risks of diversion of drugs to the black market (managed by pharmacies and physicians working together ex. recalling carry bottles, mandatory witness dosing, UDS)

Treatment Summary:
The most commonly used treatment is opioid agonist therapy ( methadone/buprenorphine), which is more effective when combined with addiction treatment counselling