Frequently
Asked
Questions

Opioid use disorder (OUD) and Medication-Assisted Recovery (MAR) can be complicated at first, but we’re here to walk you through it. Here are some of the most commonly asked questions people have when they first start treatment.

Frequently
Asked
Questions

Opioid use disorder (OUD) and Medication-Assisted Recovery (MAR) can be complicated at first, but we’re here to walk you through it. Here are some of the most commonly asked questions people have when they first start treatment.

What Is Opioid Use Disorder?

Opioid use disorder (OUD) is a problematic pattern of opioid use that leads to a physical or mental reliance on opioids. It is informally referred to as “addiction,” and can describe use of opioids like heroin, fentanyl, or oxycodone.

Examples of behaviors by someone with OUD include:

  • Repeated attempts or desires to reduce use without success
  • Cravings for more opioids (of any kind)
  • Experiencing withdrawal
  • Continuing to use even when it causes challenges at home, work, or in relationships

What Is MAR?

Overcoming problems with opioid use is challenging, but there is something that can help you: Medication-Assisted Recovery (MAR).

Medication-Assisted Recovery (MAR) is a type of treatment for OUD where medications and recovery services such as behavioral counseling are used to sustain recovery. Medications work to reduce your cravings and most help your withdrawal symptoms. MAR can help you move past your OUD and take back the power in your life.

Is It Like Switching One Addiction Out For Another?

No, using medications to reduce your cravings and withdrawal symptoms is not the same. It's an evidence-based tool to help you reduce your cravings and allow you to focus on your recovery.

Many patients may require their medication for long periods of time, similar to the way a person with diabetes requires insulin. However, this is not a symptom of a substance use disorder or addiction.

Who Can Treat Someone With An Opioid Use Disorder?

Treating OUD is best done under the supervision of a medical professional, but depending on your level of recovery this can be a weekly or monthly checkup.

Isn’t It Better To Choose Abstinence Instead?

MAR is the most scientifically proven way to treat OUD. Studies show that treatment with MAR medications has a success rate of up to 80%. While quitting cold turkey may work for some people, MAR works to ease the path to recovery by reducing opioid cravings.

How Long Will Someone Need To Use MAR?

Treatment is unique to each individual person. Some people use MAR for several months, others in remission can continue for years. Because OUD is a chronic disease like diabetes or asthma, the need to continue MAR is re-evaluated periodically by your medical provider to best fit your needs. The longer patients take medication, the less likely they are to ever return to opioid use.

What Are The Medications Used To Treat OUD?

There are three FDA-approved medications used in MAR. Each is proven effective, and the process and experience of each one is different. You may find that one works better for you than others—your care is individually determined. Find the one that works best for you.

  • Methadone: This is the most well-known medication for OUD, and has been around the longest.
  • Buprenorphine (Suboxone®, Subutex®, Zubsolv®): Buprenorphine can be taken at home and be prescribed by a primary care doctor.
  • Naltrexone (Vivitrol®): Naltrexone reduces cravings for both opioids and alcohol.

Why Is MAR An Important Tool For Overcoming OUD?

Taking opioids, including heroin and fentanyl, “teaches” your brain to want more to make it feel good. Quitting cold turkey is especially difficult with opioids because your brain has learned to expect more. The medications for MAR act on your opioid receptors, providing you with major help in reducing your desire to use.

Are These Medications Covered By Insurance?

Medicaid insurance in Illinois covers all three medications, and many private insurances cover them as well. Overall, MAR is the most cost-effective form of OUD treatment.

What Is The First Step To MAR?

The first step is talking to a doctor about your options. They will either be able to prescribe MAR during your office visit or refer you to the appropriate services for your individual needs. There is no commitment by asking about your options, and there are no legal risks sharing details of your use with a medical provider.

Depending on the medication, you may need to be in some level of withdrawal to start. Your medical team can support you.