The Canyon

It is estimated that there are almost 1,000,000 heroin addicts in the United States, but that of these, only about 20 percent will ever get treatment. Every year, almost 4500 people die of heroin-related issues including HIV, heroin overdose and Hepatitis C.

Angela Cornelius is the director of the Ohio Department of Alcohol and Drug Addiction Services. She says, “Addiction is a chemical change that occurs in the brain. Addiction isn’t about bad choices. Once addiction takes over, the individual can no longer make responsible choices. Addiction controls that person’s actions.”

And how do you treat heroin addiction? One way is methadone maintenance.

What is Methadone Maintenance?

Methadone is a synthetic opiate that works by blocking the opiate receptor in the brain and blocking cravings for heroin for up to 36 hours. If you take a high enough dose, it also blocks the effects of heroin should you attempt to use both simultaneously.

Methadone maintenance is a form of opiate addiction detox and treatment that allows you to immediately stop taking heroin and start taking methadone in its place. You’ll avoid the bulk of the withdrawal symptoms associated with detox and come into a methadone clinic daily to take your dose of liquid methadone. Over time and as long as you show up every day and turn in clean drug tests, you’ll begin to earn the privilege to take home more and more of your doses.

Who Uses Methadone Maintenance

People you wouldn’t expect and people you would. Everyone from those who are in drug rehab to those who have been heroin free for years with 9 to 5 jobs as lawyers and teachers. All creeds, all colors, all ethnicities and socio-economic backgrounds. Heroin addiction knows no limits and so neither does methadone maintenance.

How Long Methadone Maintenance Lasts

This is a highly individual choice. According to Joanne Huist Smith at the Dayton Daily News:

“The weaning process is done on an individual basis. Federal regulations require yearly evaluations to determine whether patients should continue. It’s not unusual for clients to drop out — or get kicked out — and come back, sometimes more than once. Some patients stay on methadone for more than a decade, and even for the rest of their lives.”

Is Methadone Maintenance for You?

That, too, is a highly personal choice. It’s also not the only choice for heroin addiction or opiate addiction treatment. Buprenorphine in the form of Suboxone and Subutex is another maintenance treatment that does not require you to go into a clinic each day. You may also opt for a cold turkey detox in which you stop taking heroin or prescription painkillers without any maintenance medication and treat the withdrawal symptoms individually as they arise. Whatever you choose, it is recommended that you do it under the supervision of medical professionals, preferably at a heroin rehab facility like The Canyon.

It used to be that heroin addiction was found mostly in inner cities. Maybe there was some use in the high schools but not much to speak of and usually those who indulged didn’t stay in school long. Rather, the typical heroin addict was a white male between the ages of 20 and 35. Though this still describes the average heroin addict who enrolls in heroin rehab (though the age range changes from 25 to 45), it is no longer the average when it comes to who may or may not be struggling with heroin addiction out on the street.

Heroin Addiction is in Farm Country

Even in parts of the country where there are few hardcore addicts, where there is little more than suburbs and small towns and fields and fields of growing crops, there is now heroin addiction. And in these areas, the people most likely to be struggling with the issue are not middle aged white men but teenagers, high school kids who experiment with the drug at parties. From a Mexican cartel to big cities like LA, Chicago and Atlanta, from there the heroin is continually cut and distributed until it makes it out here to the suburbs. Busts of more than $1 million in heroin and $1 million in cash are increasingly common in small towns that previously have not been the focus of anti-drug actions.

Heroin Addiction Prejudice and Stereotypes in the Suburbs

If you think it’s hard to move on after drug addiction in a big city where people don’t necessarily know about your past, imagine how much more difficult it is in a small town. Those who are busted for heroin addiction, even those who enter drug rehab often return home to find themselves with a scarlet letter on their chests. It’s hard to find a job, to find a landlord who will rent to you. It’s hard to get credit to buy a car. There should be hope when you are no longer addicted to heroin, but in these small towns, there often isn’t and the only route left open to the people who have worked so hard to break their addiction to heroin: more of the same.

Heroin Addiction Treatment

Dr. Eugene Somoza is a psychiatry professor at the University of Cincinnati and director of the Cincinnati Addiction Research Center. He says, “Heroin addiction is a chronic disease just like high blood pressure or diabetes. We don’t have a cure, but we do have treatments.”