Pubdate: Mon, 14 Jun 2004
Source: Daily Times, The (TN)
Copyright: 2004 Horvitz Newspapers
Contact:  http://www.thedailytimes.com/
Details: http://www.mapinc.org/media/1455
Author: Melanie Tucker

NEW MEDICATION EASES WITHDRAWAL

The process wasn't pretty.

For those addicted to drugs like Oxycontin, methadone or other opiate-based 
narcotics who sought out recovery, withdrawal was like fighting a war they 
couldn't win.

The physical symptoms -- vomiting, diarrhea, chills, fever, fatigue and 
sleeplessness were enough to make them raise the white flag.

Today, however, there is a new drug being offered around the country, 
including at Cornerstone of Recovery in Louisville, that brings withdrawal 
into a comfort zone easier to tolerate. Buprenex, which is approved by the 
U.S. Food and Drug Administration, stops those withdrawal symptoms.

According to Dr. Gary O'Shaughnessy, medical director at Cornerstone, a 
different version of Buprenex was offered several years ago, but had to be 
injected quite frequently. Now the new form can be placed under the tongue, 
once a day.

``It is convenient for the patient and convenient for the staff,'' 
O'Shaughnessy said. ``That makes it easier to keep up with.''

As the medical director explained, Buprenex takes the edge off -- the 
anxiety associated with withdrawal. The new drug actually occupies the same 
receptors in the brain as drugs like heroin or Oxycontin, which tells the 
brain it is getting opiates. That translates into the body not having to 
suffer through intense withdrawal.

``I hate to say it's a comfortable withdrawal but it's pretty darn 
comfortable,'' O'Shaughnessy said.

Common symptoms with Buprenex include mild muscle aches and mild stomach 
ache, he said. O'Shaughnessy said he has talked to those who have gone 
through withdrawal with other drugs and Buprenex. They have told him the 
new drug makes the process much easier.

Typically, withdrawal takes about five days.

Cornerstone, an inpatient and outpatient treatment facility, has three 
programs to help individuals with recovery. One is for adults going through 
drug dependency for the first time or who have been sober for many years. 
There is also the Residential Relapse Treatment Program for addicts who 
have tried numerous treatment programs in the past, and the Young Adult 
Treatment Program for young adults ages 17 to 26. This is the age group 
where the problem of drug addiction is increasing, O'Shaughnessy said.

Heroin is part of the reason. There is a new, cheaper, purer form of heroin 
that is starting to show up here, the medical director said, and it's 
making it's way across the country.

Typically, about 50 percent of patients at Cornerstone leave before 
successfully detoxing, O'Shaughnessy said. They leave for two reasons -- 
either the withdrawal is too painful or they like their drugs too much. 
With Buprenex, the medical director said that figure is being reduced to 
about 10 percent.

O'Shaughnessy is optimistic this treatment will help drug abusers with 
their journey to recovery. He stressed this is only one step in a long 
recovery process.

``Detox is a good first step that has to be done,'' he said. ``Then there's 
follow-up treatment that will help change what was wrong inside in the 
first place. You have to change what was wrong or you will go back to 
using, be it alcohol or hydrocodone.''
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MAP posted-by: Keith Brilhart