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Tag: buprenorphine treatment

Does Buprenorphine Create a Psychological Dependency?

Posted on by cmarnew

Addiction to heroin, morphine, and other opioids is not easy to break without medical help. A successful addiction treatment program will include medication-assisted treatment (MAT) along with behavioral therapy that can help reduce your cravings and allow you to focus on your recovery. One medication that can help during this process is buprenorphine. If you’re beginning a treatment program, you might have questions about this medication.

At Colorado Medication Assisted Recovery, our medical staff will prescribe buprenorphine if it is determined during your evaluation that you can benefit from this medication to help with your recovery. Call 833.448.0127 today to learn how buprenorphine treatment can help you on the road to recovery.

Can You Develop a Dependency on Buprenorphine?

Buprenorphine is a partial opioid, and there is a potential for misuse. If someone without an opioid addiction takes buprenorphine, this can lead to them trying a full opioid once the limiting pleasurable effects of buprenorphine are no longer enough to give them the escape they are seeking.

If someone with an opioid addiction begins a buprenorphine treatment program through medication-assisted treatment and they follow the prescription precisely, there is minimal risk of forming a dependency on buprenorphine. Even when abusing buprenorphine, the side effects of opioid addiction will be less than if they are abusing a full agonist opioid, such as Methadone. Some of the side effects you may feel include:

  • Dizziness
  • Headache
  • Nausea and vomiting
  • Insomnia
  • Trouble concentrating

Despite the low risk of dependency, buprenorphine is still one of the top choices for medication-assisted treatment programs and has a high success rate when combined with behavioral therapy.

How Is Buprenorphine Useful in Treating Opioid Addiction?

The Federal Drug Administration has approved several drugs for reducing withdrawal symptoms and cravings for opioids. Buprenorphine is a partial opioid agonist that can ease painful withdrawal symptoms.

Buprenorphine attaches itself to the mu-opioid and kappa receptors in your brain that are responsible for the pleasurable effects that opioids can produce. It will block other opioids like morphine and heroin from creating an intense high and allow you to reduce your cravings and need for the drug over time. Buprenorphine treatment is one of the most successful partial agonists due to:

  • Low abuse rate
  • Lower levels of psychological dependence
  • Higher dosages do not increase euphoric feelings

A buprenorphine MAT program will closely monitor buprenorphine intake to ensure patients are not attempting to abuse the drug. If this happens, because buprenorphine is a partial opioid agonist, its limiting effect will prevent the fatal respiratory depression common in overdoses.

Choose Colorado Medication Assisted Recovery for Buprenorphine and Behavioral Therapy

At Colorado Medication Assisted Recovery, our medication-assisted treatment for opioid addiction uses buprenorphine along with other FDA-approved drugs like naltrexone, which blocks the pleasurable effects of opioids and alcohol. The combination of these drugs will give you the best chances for success in your addiction recovery.

During your initial evaluation, our medical staff and behavioral therapists will determine the best course of treatment based on your individual needs. Alongside your buprenorphine treatment, you will participate in behavioral therapy that will help you find the root cause behind your addiction. Behavioral therapy programs may include:

  • Cognitive-behavioral therapy
  • Dialectical behavior therapy
  • Group and individual therapy
  • Family counseling

We believe in a whole-person approach to your recovery. As you progress, we will continue to update your buprenorphine treatment program as you start forming positive coping skills instead of reaching for your substance of choice. If you or someone you know is thinking about buprenorphine to help with their opioid addiction, call 833.448.0127 today to speak with one of our supportive therapists about the risk of buprenorphine dependency and how this medication can benefit your opioid addiction recovery.

How Buprenorphine Is Used to Treat Heroin Addiction

Posted on by cmarnew

Heroin affects the brain and body in ways that can eventually lead to a serious addiction. It doesn’t discriminate, so people from any background can become vulnerable to its effects. Getting the right help can be key to overcoming heroin addiction. Buprenorphine treatment is one way that Colorado Medication Assisted Recovery helps individuals struggling with a dependency on heroin. It’s administered as part of our medication-assisted treatment program as an alternative to taking an abstinence-only approach.

What Is Buprenorphine?

Buprenorphine is a partial opioid agonist that produces an effect similar to taking heroin but at a lower level. It’s been approved by the Food and Drug Administration (FDA) for treating individuals diagnosed with an opioid use disorder. Clients at Colorado Medication Assisted Recovery typically receive buprenorphine treatment alongside other counseling and behavioral therapies as part of an overall treatment plan for heroin addiction.

Clients receive the medication in tablet form at the recommended dosage once per day. We try and make sure clients receive buprenorphine treatment at the same time each day for consistency. You should never take more than the recommended dosage of buprenorphine to avoid the potential of developing a dependency, similar to the one that you might form with heroin.

How Does Buprenorphine Help with Addiction?

Taking buprenorphine helps clients reduce their need for heroin and other opioids over time. It helps alleviate cravings and can reduce the risk of a client having an overdose. You should stop taking any kind of opioids around 12 to 24 hours before starting buprenorphine treatment. Clients are often in the early stages of withdrawal when they start taking the medication. Heroin withdrawal symptoms can include:

  • Cravings for heroin
  • Sweating
  • Nausea
  • Abdominal distress
  • Depression
  • Agitation
  • Muscle spasms

The discomfort caused by heroin withdrawal can dissuade people from trying to kick an addiction to heroin. That’s where buprenorphine treatment can make a real difference. Alleviating a client’s withdrawal symptoms can increase their desire to complete a rehab program and continue treatment while in recovery.

Clients work with our addiction specialists and doctors to gradually wean themselves off of buprenorphine treatment. One of the reasons that the drug is popular for use with MAT is that it doesn’t typically cause clients to develop a psychological dependency.

Because each client has different needs when it comes to heroin treatment, everyone should have a choice when it comes to care. While an abstinence-only approach to heroin addiction can work for some, it’s not the path forward for everyone. That’s why Colorado Medication Assisted Recovery provides a range of treatment options for clients.

What Are the Side Effects of Using Buprenorphine?

You should let your doctor know if you have known allergies to buprenorphine or ingredients used to make buprenorphine. Make sure you fully disclose other substances you may be taking, including vitamins, nutritional supplements, OTC medications, and prescriptions. Doctors need that information to make sure that you won’t have an adverse reaction to buprenorphine treatment.

People receiving buprenorphine treatment may experience the following side effects:

  • Sweating
  • Dry mouth
  • Fatigue
  • Dizziness
  • Constipation
  • Nausea
  • Vomiting
  • Tremors
  • Palpitations
  • Sleep issues
  • Muscle pain

Inform your doctor immediately if your symptoms worsen to include respiratory distress or signs that you are developing a dependency. Your physician may adjust your dosage or make other arrangements for treating your heroin addiction.

Receive Buprenorphine Treatment at Colorado Medication Assisted Recovery

Our facility offers other treatments and therapies to help clients with addiction issues, mental health disorders, or a combination of the two. Clients get the chance to educate themselves about their addiction and better understand how to manage situations that might cause them to relapse.

If you or a loved one need help to overcome a heroin addiction, reach out to Colorado Medication Assisted Recovery at 833.448.0127.

How Buprenorphine Is Used to Treat Opioid Use Disorder

Posted on by cmarnew

Addiction is an ongoing epidemic across the world. From illegal drugs and alcohol to food and even prescription drugs, it is possible to become addicted to many things. Whether a person is using with the intent to get high or becomes dependent on a prescription drug, addiction is real, and help is often needed to recover and lead a healthy life. Opioids are among the most widely abused drugs in America, causing over half of the overdose deaths. But recovery is possible. Buprenorphine treatment can be helpful for those who are struggling with opioid use disorder when used in tandem with therapy and counseling.

What Is Opioid Use Disorder?

If an individual uses opioids after surgery and becomes dependent on them, they can become addicted easily. While these medications help reduce pain and are often necessary, they are highly addictive even after a short period. Some people are also aware of the high opioids provide and turn to the drugs for this purpose, eventually becoming addicted.

Common opioids include:

Using Medication to Treat Opioid Addiction

While there are many approaches to treating opioid use disorder, such as counseling, this alone is not enough. Medicated OUD treatment is usually necessary. With some medications, clients can overcome their dependence on the drugs by reducing the withdrawal symptoms that often make it impossible to quit in the first place. Buprenorphine is one medication that can be used to manage chronic pain and help those addicted to opioids on their journey to long-term recovery.

Buprenorphine Treatment

Buprenorphine is a partially synthetic drug made in labs. It is used to treat severe, often chronic, pain. It is also effective at helping those with opioid use disorder avoid withdrawal symptoms. It is considered an opioid still because it has components derived from opium poppies.

When a client goes through buprenorphine treatment, they may take sublingual tablets, use patches, or get injections. It is often used to treat pain in those with known histories of opioid addiction because it is considered therapeutic. This is because it delays withdrawal symptoms while addressing cravings for more potent opioids.

Using buprenorphine is helpful because it can reduce the risk of overdose and other health issues related to drug use. It is more readily available and is the first medication to treat OUD that can be prescribed and given in physicians’ offices, which helps increase access to treatment.

Buprenorphine has been used for over two decades and is considered safe and effective. It is quickly replacing the more common methadone to treat OUD, so much so that it is also commonly used to treat babies born with opiates in their systems.

Buprenorphine Treatment Risks

Buprenorphine use must still be monitored because it can cause overdoses. Watching for these signs is important:

  • Dizziness
  • Feeling faint
  • Sedation
  • Respiratory distress

While addiction liability is low, it can become habit-forming. Signs of abuse include:

  • Compulsive thoughts regarding buprenorphine
  • Craving more when doses are lowered
  • Loss of control of use
  • Continuing use despite negative consequences

In addition, clients younger than 60 that have no other medical conditions and take no other medications are more likely to experience side effects. However, seniors, children, and those with pre-existing conditions will experience a broader range of side effects. Side effects include:

  • Difficulty breathing
  • Sleepiness, dizziness, and the inability to drive
  • Severe interactions with alcohol
  • Vertigo, nausea, or headache
  • Lowered blood pressure
  • Liver function issues

Buprenorphine Treatment at Colorado Medication Assisted Recovery

Effective treatment for opioid addiction can be found at Colorado Medication Assisted Recovery. Our clients can benefit from therapists who vary their treatment approach based on both proven techniques and medical intervention. Understanding the different ways to treat opioid addiction and how medication can help manage withdrawal symptoms means providing a complete recovery to clients. Contact us at 833.448.0127 or reach out online for more information.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.