New Prescriptions for Addiction Treatment

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New Prescriptions for Addiction Treatment Shortly after radio talk-show host Rush Limbaugh publicly admitted addiction to prescription painkillers, he made a beeline for treatment. But coming to the decision to get that care -- much like for the more than 20 million Americans addicted to a wide variety of substances -- took a lot longer.

Indeed, experts say most people with substance abuse problems put off or even avoid treatment, not only because of the stigma attached to drug treatment programs, but also because many believe quitting drugs or alcohol will be nearly as difficult as living with the addiction. And for a long time, that was at least partially true.

"It's not like you could just go to your local doctor's office and get a prescription to help you get off drugs. You had to go to a drug clinic, and for many there was lots of embarrassment and sometimes certain difficulties associated with the treatment itself," says Gopal K. Upadhya, MD, a psychiatrist and medical director of New York's Areba Casriel Institute, the nation's oldest private drug and alcohol treatment center.

Now, however, much about the treatment of addiction has changed. Not only has the entire issue of substance abuse been reclassified from a social condition to a medical one -- thus removing a lot of the stigma -- but new medications are also making it possible to actually get a prescription for addiction right from your primary care doctor.

Among the drugs most frequently prescribed is Suboxone, which is used to treat addiction to painkillers like OxyContin (what hooked Rush Limbaugh) as well as heroin, and last year doctors wrote some 80,000 prescriptions.

"This medication is one of the most exciting things to happen in the world of drug treatment, not only because it works so well, but because you don't have to go to a drug treatment center or clinic to get it -- any psychiatrist or even a regular family doctor can prescribe it, and that alone helps to bring in a lot of people who might not ordinarily go for treatment," Upadhya tells WebMD.
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