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Addiction Treatment

Long Term Use of Methadone & Suboxone

Answered by Jim LaPierre, LCSW, CCS

Question

Ive been an opiate addict over 15 yrs ....Off "pills" oxy ect...about 7 on suboxone or methadone instead...So over this my state Wa made pot legal i also have a med pot card and my methadone clinic counts it as "dirty" so i lost my 'carries" i now after yrs of only going 1 day a week to now i have to go daily..SUX!!! Where is this implant available is it prescribed in Wa?

Hi there and thanks for your question. I get that having to dose daily is a huge inconvenience. To the best of my knowledge the implant you speak of continues to be delayed by the FDA and may not be available for some time now. You seem surprised/disappointed to have your Methadone provider considers marijuana use a violation. I would encourage you to consider that they are subject to federal laws as well as state laws.

I'm thinking that with seven years of opiate replacement therapy that maybe it's time to be titrated down? I'm guessing that using pot is helpful to you and I'm wondering if life beyond opiate replacement therapy is something that is an option for you/something you're open to? It sounds like you'll need to make a choice between marijuana and methadone. I wish you well and encourage you to consider what other options may exist for your needs and your quality of life

About the Expert

Jim LaPierre

LCSW, CCS

Brewer, Maine

Specialties

Anger Management, Gay Lesbian Issues, Spirituality, Divorce, Compulsive Disorders, Trauma and PTSD, Life Coaching, Addiction or Substance Abuse, OCD, Mood Disorders, Parenting, Domestic Abuse or Domestic Violence, Anxiety or Fears, ADHD, Impulse Control Disorders, Relationship Issues, Women, Loss or Grief, Eating Disorders, Depression, Finding Your Purpose in Life

License

my_license #LC9830