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Suboxone Treatment for Opioid Use Disorder

Suboxone (buprenorphine combined with naloxone) is one of the most important medications in modern addiction medicine. It blunts opioid cravings, prevents withdrawal, and dramatically reduces overdose risk. This page explains how it works, when it makes sense, and how we use it at BetterChoice.

What to Expect

Suboxone treatment starts with careful induction — usually after 12-24 hours of opioid abstinence (longer for fentanyl) to avoid precipitated withdrawal. Once you are induced, the medication is taken daily. Many clients stay on Suboxone long-term as maintenance; others use it briefly during detox and then taper off.

Our Approach

We are pro-MAT. The evidence is overwhelming: Suboxone reduces overdose death rates by roughly 50%. We respect clients who want to come off all medications eventually, but we are honest that maintenance Suboxone is the most evidence-based long-term recovery support for many opioid users.

Why BetterChoice?

  • • Medical monitoring during detox
  • • Private luxury estate setting
  • • Evidence-based therapeutic protocols
  • • Master's level clinical staff
  • • Joint Commission accredited

Frequently Asked Questions

Both are evidence-based MAT options with strong outcomes data. Suboxone has a lower overdose risk profile due to the partial agonist ceiling effect, can be prescribed in office-based settings (rather than only specialized methadone clinics), and is generally easier to start and maintain. Methadone may be preferred for patients with very high opioid tolerance or specific clinical situations.

It varies. Some patients use Suboxone for 6–12 months while building recovery; others stay on it for years; some remain on it indefinitely. The clinical data is clear that staying on MAT longer is associated with better outcomes — there is no rush to taper off.

Standard 5- or 10-panel drug tests do not screen for buprenorphine. A test specifically designed to detect buprenorphine (sometimes used by employers, drug courts, or MAT programs to verify compliance) will detect it.

Yes — most commercial PPO plans cover Suboxone treatment, both the medication itself and the medical visits required to prescribe it. Verification takes a few minutes — call (725) 550-5655.

That is a reasonable goal for many patients, but the timeline matters less than your stability. When the time is right, your prescriber will design a slow taper — typically over months. Stopping abruptly or prematurely is a major risk factor for relapse and overdose.

Suboxone causes physical dependence — meaning if you stop suddenly, you will go through withdrawal — but addiction in the clinical sense (loss of control, craving, continued use despite consequences) is distinct from physical dependence. Many people take medications they are physically dependent on (insulin, antidepressants, blood pressure medications) without being "addicted" to them.

Suboxone can precipitate severe withdrawal if started while full opioid agonists (heroin, fentanyl, oxycodone) are still active. Our physicians use validated withdrawal scales (COWS) to time the induction safely.

Most modern AA, NA, and CA meetings welcome members on MAT. A few groups have historically been resistant; if you encounter that, find a different home group. Many cities have explicitly MAT-friendly meetings.

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Contact admissions with questions. We can help check your benefits; verification is not a guarantee of coverage.

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Quick Answer

Suboxone treatment is medication-assisted treatment (MAT) for opioid use disorder using buprenorphine combined with naloxone — dramatically reducing cravings, preventing withdrawal, and lowering overdose mortality by 50–60%. BetterChoice Treatment Center provides Suboxone induction during medical detox, continuation throughout residential treatment, and aftercare connection with long-term prescribers. Call (725) 550-5655.

What Suboxone Actually Is

Suboxone is the brand name for a combination medication containing buprenorphine (a partial opioid agonist) and naloxone (an opioid blocker). Buprenorphine attaches to the same opioid receptors that heroin, fentanyl, and prescription pain medications target — but produces a much weaker effect, with a built-in ceiling. The result: cravings drop dramatically, withdrawal stops, and the high you would get from continuing to use other opioids is largely blocked.

The naloxone component is included to prevent misuse of the medication itself (if Suboxone is injected rather than taken sublingually as directed, the naloxone blocks the buprenorphine).

How Suboxone Treatment Works in Stages

  1. Induction (Day 1–3) — once you have early withdrawal symptoms (so the medication is safe to start), a physician initiates buprenorphine at a starting dose, then titrates upward over the next 24–72 hours. Timing is critical — starting too early can precipitate severe withdrawal.
  2. Stabilization (Day 4–14) — dose is fine-tuned to the level that fully suppresses cravings without sedation. Daily check-ins with the medical team.
  3. Maintenance (ongoing) — once stable, the question becomes how long to continue. The honest clinical answer for many patients: months to years; sometimes indefinitely. Some patients eventually taper off; many remain on Suboxone permanently.
  4. Optional taper — when the patient and prescriber decide the time is right, a slow taper is designed (typically over months). Premature or rushed tapering is a major risk factor for relapse.

Why MAT Matters

The clinical evidence on MAT for opioid use disorder is overwhelming. Patients on Suboxone (or methadone, or naltrexone) have:

  • 50–60% lower overdose mortality
  • Significantly higher treatment retention
  • Lower rates of return to active opioid use
  • Better employment, housing, and family outcomes
  • Reduced infectious disease transmission risk

We offer MAT openly, without stigma, and frequently recommend it as part of long-term recovery.

Common Misconceptions

"Suboxone is just substituting one drug for another." Suboxone is a medication, not a drug of abuse. Patients on a stable Suboxone dose are not high; they are medically managed. The same logic that says insulin is "substituting one drug for another" for diabetes would apply.

"You need to be ready to stop all medications to be in recovery." Modern addiction medicine does not agree. Recovery includes patients on indefinite MAT. Stopping MAT prematurely is a major risk factor for relapse and overdose.

"Suboxone is hard to get off of." It is — but the timeline matters less than staying alive and stable. Tapering, when it is the right call, is done slowly under medical supervision.

"It is for people who cannot do real recovery." No clinical data supports this. MAT is consistent with the strongest possible recovery; many patients do AA or NA while on Suboxone.

Suboxone vs Methadone vs Vivitrol

Medication Type How Taken Best For
Suboxone (buprenorphine + naloxone) Partial agonist Daily sublingual Most patients with opioid use disorder
Methadone Full agonist Daily liquid at clinic Patients with very high tolerance, longer addiction history
Vivitrol (extended-release naltrexone) Opioid blocker Monthly injection Patients who want to be on a non-opioid medication; require 7–10 day opioid-free period before starting

Each has tradeoffs. Our prescribers help each patient choose the right option.

Suboxone at BetterChoice

We integrate Suboxone treatment fully into our residential and aftercare programming. For Las Vegas-specific information, see our Suboxone treatment in Las Vegas page.

Many people use commercial insurance toward treatment when their plan includes eligible benefits. Admissions can check benefits with carriers such as Aetna, Cigna, Anthem, Blue Cross Blue Shield, UnitedHealthcare, Humana, Magellan and TRICARE; network status and any single case agreement depend on the specific plan and are not guaranteed. To learn what your plan may cover, verify your benefits with no obligation to admit. Ask admissions about private-pay rates and any payment arrangements currently offered.

BetterChoice Treatment Center is licensed in Nevada and located at 198 Ebb Tide Cir, Las Vegas, NV 89123. Call admissions at (725) 550-5655.