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The effectiveness of any treatment, including for heroin or other opioid dependency (addiction), is more likely to be successful if it is part of a comprehensive treatment program.
Often, a range of factors contribute to an individual’s use of drugs. Thus, it is strongly recommended that those wanting to remain free of heroin engage in a treatment program that addresses the physical (the body), psychological (the mind) and environmental issues relating to the person’s drug use. This may involve combining several treatment approaches, such as buprenorphine maintenance, counselling, alternative or holistic therapies such as massage and naturopathic treatment; and developing a positive support network including peers, family and friends and support groups.
As with any type of treatment or approach to heroin dependency, buprenorphine maintenance may be effective for some people but will not suit everyone. A doctor or drug counsellor who spends time assessing the person’s specific situation and explaining different options will recommend an approach that is appropriate for that individual.
There are many benefits of being on buprenorphine maintenance, when compared with continuing the use of heroin:
Buprenorphine is generally well tolerated; however, some side effects have been reported. Most of these symptoms occur very early in treatment—in the first week or so. Side effects may be due to the combined experience of withdrawal from opioids and taking buprenorphine. It is important to report any side effects to a health professional.
The most common side effects are similar to those listed under the section ‘Buprenorphine withdrawal’.
Before a person commences any drug treatment program, it is important that all the relevant information has been explained to them by a qualified health professional and, where appropriate, to carers such as family, friends etc. This includes the length of the program, how much it costs, what other supports are included or recommended, all the risks and side effects, and any other health issues to consider. When deciding on the suitability of buprenorphine maintenance, the following issues should also be discussed with a health professional:
A Subutex tablet must be placed under the tongue and allowed to dissolve. Chewing or swallowing the tablet will make it ineffective. Injecting Subutex is dangerous, and can lead to severe vein damage, blood clots and