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Unread 03-18-2007, 04:32 PM   #15
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Replacement therapy or Substitution therapy

Problem with the term: This implies equality to street drugs like heroin and treatment medications like buprenorphine. The term suggests a lateral move from illegal addiction to legal addiction and this does not accurately characterize the true nature of the treatment.

The essence of addiction is uncontrollable compulsive behavior, that results in physical harm, ruined relationships, and many more problems we associate with this disease. The first goal of addiction treatment is to stop this dangerous addictive behavior. With successful buprenorphine therapy, as part of a comprehensive treatment plan, the dangerous addictive behavior is stopped not replaced with an equally dangerous uncontrollable compulsion to take the treatment medication. Instead, patients tend to return to a more normal state of being. That is not replacement it is treatment.

Preferred terminology: Treatment, medication assisted treatment, medication

Also see: Am I just switching one addiction for another?
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