Today is the day.

Today is the big day. The day that he will stop using drugs. You know why? Because we are going to a doctor’s appointment today. And, at this appointment, what will hopefully happen is that the doctor will be nice, and will be sympathetic. And he/she will prescribe my husband the damn anti-opioid abuse medication that he needs. The following is a list of just a few anti-abuse medications that can be prescribed:

  • Naltrexone (Vivitrol)
  • Naloxone (Narcan)- typically used in an overdose situation.
  • Buprenorphine (Subutex)
  • Baclofen (Lioresal)- muscle relaxer. off label use for tx of addiction.
  • Gabapentin (Neurontin)- anticonvulsant. off label use for tx of addiciton.
  • Methadone (Dolophine, Methadose)- an opioid that helps with cravings but does not give the high.
  • Buprenorphine and naloxone (Suboxone)- Buprenorphine is an opioid and naloxone helps to inactivate the high. So this combination together helps with the cravings without giving the high.
  • Disulfiram (Antabuse)- generally used for alcohol addiction.
  • Acamprosate (Campral)- helps with alochol addiciton.
  • Topiramate (Topamax)- anticonvulsant. off label use for tx of addiction.
  • Methocarbamol (Robaxin)- muscle relaxant. off label use for tx of addiciton.
  • Clonidine (Catapres)- blood pressure medication. off label use for tx of addiction.
  • Chlorpromazine (Thorazine)- antipsychotic- off label use for tx of addiction.
  • Chlordiazepoxide- anxiolytic (anti-anxiety medication)- off label use for tx of addiction.

My question now becomes, if we have so many drugs available to help a person beat their addiction, why is it

  1. so hard to get a prescription for any of these medications?
  2. that many people do not know what is available to help them?
  3. that so few doctors even know there is such a big list to choose from?
  4. that a lot of insurance plans do not cover these medications for drug addiction?

That is all. That is my rant for the day. As always, I will keep you all updated.

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