What is Suboxone?

Suboxone is a combination of buprenorphine and naloxone. Naloxone is an opioid antagonist, meaning that it blocks the effects of opioids in the body; for this reason, it is often used clinically to reverse opioid overdoses. Naloxone is used in conjunction with buprenorphine in order to act as a deterrent for misuse. Naloxone is inactive when it is swallowed, but active when injected. If the user injects the Suboxone instead of taking it as prescribed, the naloxone will cause precipitated withdrawal, making the user sick and discouraging them from abusing again.

A doctor writing a Suboxone prescription

What type of Suboxone treatment does Two Dreams offer?

Access to buprenorphine and probuphine is available through the Two Dreams admissions department. Our Chicago or New Orleans programs include induction, written prescriptions, and counseling sessions with the on-staff psychiatrist. The initial visit includes a detailed medical/addiction history, urine drug testing, and office visits for the first month of treatment. We do not accept insurance for the first month of treatment, however we will work with the patient to draw up a payment plan if necessary.

Subsequent treatment is scheduled on a monthly basis; for patients with medical insurance we will make contact with your insurance company to determine coverage eligibility. We do not accept Medicare or Medicaid. All patients will be given a prescription for their Suboxone, which will need to be filled by a pharmacy of the patient’s choice. Two Dreams does not provide any medications.

Patients admitted to the Outer Banks may start or continue Suboxone as appropriate if indicated by our professional healthcare team

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Our Suboxone Treatment Locations

We offer Suboxone or Buprenorphine services in Chicago, Illinois, New Orleans, Louisiana, and on the Outer Banks, North Carolina.

Two Dreams Chicago Addiction Treatment Logo

Two Dreams Chicago

Outpatient Treatment and Psychiatric Services

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Two Dreams New Orleans Addiction Treatment Logo

Two Dreams New Orleans

Outpatient Treatment and Psychiatric Services

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Two Dreams Outer Banks - Addiction Treatment Rehab in North Carolina

Two Dreams Outer Banks

Luxury Drug and Alcohol Treatment

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Frequently Asked Questions

Many questions arise when seeking treatment for drug and alcohol abuse and addiction, and the other co-occurring conditions we treat. Some of the most common questions we hear from our clients and their families are as follows.

If you have any other questions, contact us to speak to our caring staff.

When starting in medication-assisted treatment for an opioid dependence, patients often express fear and anxiety due to preconceived notions or previous bad experiences. It is not uncommon for patients to know someone who had a bad outcome in this type of treatment, and this sometimes prevents patients from seeking care themselves. It is our intention at Two Dreams to make the experience as open and stress-free as possible. It may be difficult to believe that taking a prescribed medication can keep someone free from the debilitating effects of opioid withdrawal, but that’s what we’re here for.

On the first visit, a considerable amount of time will be spent on education. We will talk about buprenorphine’s ability to prevent withdrawal and “dope sickness,” which will help keep you functional throughout the day. We will explain the benefits and the limitations of the medication in detail, emphasizing that even though Suboxone is very useful, it is not a “miracle” drug. We will provide both written and verbal explanations of the desired medication effects, as well an explanation of the unwanted or undesirable side effects of Suboxone. We’ll provide written materials on the safe use of Suboxone with instructions on how to safely manage, store, and take responsibility for the medication.

We ask that you carefully read and sign a treatment consent that clearly spells out what we expect from you and what you can expect from us. The treatment goal is very clear and unambiguous: STOP USING. We treat patients 18 years old and older. We welcome pregnant women to our practice. If you have a private physician we ask that you allow us to communicate with that doctor so that all of your treatment providers are aware of your decision to enroll in Suboxone treatment. Your total health and welfare are our main concerns.

Methadone and buprenorphine are both approved for opioid maintenance therapy and detoxification. They have slightly different mechanisms of action. Both drugs are synthetic opioids, meaning that when taken they can effectively prevent opioid withdrawal symptoms by stimulating opioid receptors. Methadone is a “full” opioid agonist, whereas buprenorphine is a “partial” opioid agonist. This difference is significant at the receptor or molecular level, however clinically there is little or no difference felt by the patient.

Studies have shown that buprenorphine is better tolerated than methadone in terms of side effects and causes only mild withdrawal symptoms long-term. Methadone may cause moderate/severe withdrawal symptoms over a prolonged period of time.

Prescriptions for these medications are given on a case-by-case basis after taking into consideration individual patient factors. For example, patients with mild-moderate dependence might consider buprenorphine because of its lower abuse potential. Patients with a move severe dependence might need the structure that methadone clinics provide. Patients with a history of injectable drug abuse may be better served taking methadone. Buprenorphine is a moderately expensive drug, whereas methadone is inexpensive and available from methadone maintenance clinics, so socioeconomics should be taken into consideration before choosing as well.

Neither choice is objectively “better,” therefore the decision about which drug to take must take into account patient medical history, patient preference, and physician recommendations.

We do not accept insurance for the first month of treatment, however we will work with the patient to draw up a payment plan if necessary. Subsequent treatment is scheduled on a monthly basis; for patients with medical insurance we will make contact with your insurance company to determine coverage eligibility. We do not accept Medicare or Medicaid.

All patients will be given a prescription for their Suboxone, which will need to be filled by a pharmacy of the patient’s choice. Two Dreams does not provide any medications.

What makes Two Dreams unique?

We believe in individualized drug addiction care here at Two Dreams.

Our comprehensive treatment model sets us apart from other programs in that we consider each individual holistically. In order to ensure that all areas of life are examined, we use a "3-7-3 Model" composed of Three Phases, Seven Dimensions, and Three Outcomes. This all-encompassing plan helps clients gain insight into the pervasive nature of addiction and decreases the likelihood of relapse.

Learn more about our unique "3-7-3 Model" approach to treatment.

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Call us at (708) 613-4750

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Light regulates circadian rhythms

Why and How We Live Rhythmically at Two Dreams

The chains of habit are generally too small to be felt until they are too strong to be broken

- Samuel Johnson

Every living organism has a natural rhythm. These rhythms are disrupted by illness, particularly drug and alcohol use. A drug can create false sleep. A drug can stimulate alertness. A drug can suppress appetite. Another can stimulate appetite.

The science behind living rhythmically, strategies that promote and restore natural rhythms, and the role of sleep, nutrition, meditation, and exercise in the 21st century approach to healing oneself in recovery are all important aspects of your journey at Two Dreams.

At Two Dreams the concept of living in the NOW (No Other Way) is central to living a life in recovery. Similarly, mindfulness is a state of active, open, non-judgmental attention on the present. Many treatment programs and practitioners are employing mindfulness in the care and management of patients with mood, anxiety, and substance use disorders- diseases and symptoms which tend to cluster together.

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