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Buprenorphine is utilized in what is referred to as medication assisted treatment (MAT) for individuals in Kalaupapa who are dependent to opoids such as heroin or prescription pain killers. Unlike Methadone which is also used in medication assisted treatment but is usually only dispensed in strictly controlled clinics, Buprenorphine can be prescribed and dispensed in doctor's offices which supplies easier access to this type of opiate treatment.
When Buprenorphine is utilized in recovery it can help someone who is experiencing the intense withdrawal symptoms and cravings brought on by opiate withdrawal. Buprenorphine helps to control and reduce these withdrawal symptoms so that the person can focus and stay off drugs as well as not engage in typical drug seeking behaviors. When the medication assisted treatment concept was first realized and put into action, it wasn't meant to be a stand-alone activity but rather only part of a "whole-patient" treatment plan that would ideally include actual therapy practices for opioid dependency and addiction recovery. Buprenorphine use would only be one part of a larger comprehensive plan.
Buprenorphine can also cause the euphoric "high" associated with other opiate narcotics so it is sometimes misused. This is another reason it is important for anyone thinking about medication assisted treatment as the treatment route they'd like to take, to also receive help from substance abuse counselors to incorporate other methods of behavioral therapy and self-help programs into their course of recovery to ensure they feel confident about recovery.
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