Opiate Addiction and Treatment

At La Hacienda, we do not treat patients with long acting opioids from a maintenance standpoint, but we do utilize buprenorphine during the detox phase to reduce the intense physical discomfort associated with withdrawal. We are strong proponents of the usage of a specific opioid blocker, naltrexone, which is available in a once per day tablet form or once per month injection formula. Naltrexone has zero abuse potential, as it is not in the opiate family but blocks the opiate receptor, making it extremely difficult to relapse to opioids unless one actually stops taking the medication.

We recognize that opiate maintenance with methadone or buprenorphine is a valid option for many, but we also see many who have tried this option and returned to their drug of choice or used the drugs in an abusive fashion because they do stimulate the opiate receptor. Some of our patients also feel very strongly that they do not want to substitute a long acting opiate to treat their short acting opiate addiction.

At La Hacienda, we continue to feel strongly that addiction is a bio-psycho-social-spiritual disease and true treatment has to address all of these issues. As a 12 Step based treatment program, along with intensive counseling and medication management with daily physician visits, we strive to assist our opioid dependent patients to achieve a recovered state in addressing all of the components of their addiction. Medication assisted therapy, utilizing the opiate receptor blocker naltrexone for a minimum of 6 months, is strongly encouraged for our opioid dependent patients, along with an aggressive 12 Step based recovery program.

¹ – http://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates