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 / Substance Misuse We Treat

Types of Substances

What types of substance misuse can be treated with medication?

Ideal Option specializes in the treatment of addiction to opioids, such as heroin, pain pills, and fentanyl, but we also treat individuals who have developed an addiction to alcohol, benzodiazepines, marijuana, kratom, and tobacco. 

Ideal Option uses FDA-approved medications plus psychosocial services (counseling, social services, housing, etc.) to treat opioid use disorder (OUD). This is called Medication-Assisted Treatment and is considered to be the gold standard for OUD. Medications we use for the treatment of OUD include buprenorphine (Suboxone®, Subutex®), and naltrexone (Vivitrol®).

We work with patients on long-term tapering from these substances. Ideal Option can prescribe these tapering doses.   

Current available evidence-based treatment includes specialized counseling and inpatient treatment. There are currently no medications with a robust amount of evidence for the treatment of cocaine addiction.    

We can help patients quit smoking, smokeless tobacco, and vaping with medication like varenicline (Chantix®) and nicotine replacement therapy (NRT) such as nicotine gum, patches, or nasal spray. We also refer patients to 1-800-QUIT-NOW for free phone-based counseling and other support services.

Although there are no FDA-approved medications for marijuana addiction, there are some medications such as N-acetylcysteine that are showing promise and that are prescribed by Ideal Option. N-acetylcysteine has shown to be helpful, especially in younger patients. Targeted referrals to individualized counseling is also provided.  

Recent evidence shows that kratom is addictive and fatal overdoses are possible. We treat kratom use disorder like we do opioid use disorder with medications like buprenorphine and naltrexone along with targeted psychosocial services.  

Alcohol addiction can be managed with medications such as naltrexone (Vivitrol®), acamprosate, and/or disulfiram (Antabuse®). We also make referrals and encourage our patients to participate in 12-Step programs, counseling, and other evidence-based services.

Current available evidence-based treatment includes specialized counseling and inpatient treatment. There are currently no medications with a robust amount of evidence.  

It's quite common for our patients to be misusing multiple substances. Every patient has a unique situation, and therefore requires a highly personalized treatment plan. Our goal is harm reduction vs. strict abstinence, so we prioritize treating patients for opioid use disorder even if they continue to struggle with other substances.

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