Brightside is dedicated to not only treat people suffering from opiate addiction, but also to educate patient, family and friends. Our List of Opioids and Frequently Asked Questions section is dedicated to not only answer those key questions, but also to educate people about opiate drugs and addictions.
Below you will find answers to your key questions and a section titled List of Opiates. Brightside combed the internet and talked with our doctors to develop this unique resource on opioids. This section will give you about each opiate as well as brand name prescription drugs that contain the opiate and slang terms for each opiate.
We hope this section helps you better understand this addiction, the drugs, and Brightside.
This section is to provide people, friends, and family coping with their dependence and addiction a quick resource in learning about opioids. For each drug stated below, you will learn:
An opiate is a natural and synthetic narcotic analgesic that depresses the central nervous system. Collectively, natural and synthetic opiates are called opioids. Opioids are derived from opium which comes from the poppy plant. Opioids provide pain relief as well as extreme euphoria, if abused. The most common prescribed opioids are:
But, the most abused opioid is the illegal narcotic is heroin.
Heroin is a highly addictive drug that is processed from morphine. It comes in several forms and colors including powder, liquid, or solid. Heroin is typically snorted, smoked, or injected
Heroin has slang references such as:
Codeine is a short acting narcotic typically prescribed by physicians to treat mild to moderate pain. People who abuse codeine do so because it provides a feeling of calm and euphoria. Codeine is typically taken orally in pill form.
Brand name medicine with codeine as an active ingredient are*:
Codeine has slang references of
Morphine is a short acting narcotic typically prescribed by physicians to treat mild to moderate pain. People who abuse codeine do so because it provides a feeling of calm and euphoria.
Brand name medicine with morphine as an active ingredient are:
Morphine has slang references of:
Fentanyl is an opioid narcotic typically used as part of anesthesia that helps with pain management after surgery or other procedures. It is known for its lollipop form, but can also be injected, through a patch or injested by a film. People who abuse fentanyl do so because it provides a feeling of mellowness, lethargy, drowsiness, and euphoria.
Fentanyl is an active ingredient in the following medications:
Fentanylhas slang references of:
Oxycodone is a semi-synthetic opioid that is typically prescribed to treat moderate to severe acute and chronic pain. People who abuse oxycodone do so because it provides a stronger feeling of calm and euphoria then more mild opioids such as codeine.
Oxycodone is an active ingredient in the following medications:
Oxycodonehas slang references of:
Propoxyphene is a synthetic opioid that is typically prescribed to treat mild to moderate pain. Propoxyphene is no longer available in the US (stopped being supplied in the US as of November 19, 2010) due to clinical data from the FDA that demonstrated that propoxyphene puts patients at risk of potential serious or even fatal heart rhythm abnormalities. People who abuse propoxyphene do so because it provides a stronger feeling of calm and euphoria.
Propoxyphene is an active ingredient in the following medications:
Hydrocodone is a semi-synthetic opioid. It is commonly use for severe pain associated with disease or injury and as a cough suppressant for those with pneumonia or whooping cough. It effectively “blinds” the brain from pain instead of treating the pain directly.
Hyrdrocodone is an active ingredient in the following medications:
Hydrocodonehas slang references of:
Hyrdromorphone is a semi-synthetic morphine derivative which is typically prescribed in a hospital setting for moderate to severe pain management. Typically, it gets prescribed for treating pain associated with major burns, myocardial infarctions, non-remitting cancers, or bone injuries. People who abuse hydromorphone do so because it provides an extreme feeling of pleasure and euphoria.
Hydromorphone is an active ingredient in the following medications:
Hydromorphone has slang references of:
Meperidine is a synthetic opioid which is typically prescribed for pain for specific conditions such as child birth, myocardial infarctions, and non-remitting cancer pain. People who abuse meperidine do so because it provides an extreme feeling of pleasure and euphoria.
Meperidine is an active ingredient in the following medications:
Meperidine has slang references of:
Diphenoxylate is a synthetic opioid which is typically prescribed to treat diarrhea. People who abuse diphenoxylate do so because it provides a feeling of pleasure and euphoria.
Diphenoxylate is an active ingredient in the following medications
Meperidine has slang references of:
Diphenoxylatehas no slang references
Oxymorphone is a synthetic opioid which is typically used for around-the-clock moderate to severe pain. People who abuse oxymorphone do so because it provides an extreme feeling of pleasure and euphoria.
Oxymorphone is an active ingredient in the following medications:
Oxymorphone has slang references of:
Buprenorphine is a semi-synthetic opioid which is typically prescribed for addiction therapy. The most common form of buprenorphine is when it is combined with naloxone in medication such as Suboxone. Buprenorphine is classified as a partial opioid agonist, thus it has limited euphoria effects, a limiting opioid effect, and a relatively mild withdrawal profile. Typically, buprenorphine is ingested through a tablet or film form. If misused and injected, the combination with naloxone makes it very difficult to achieve a euphoria feeling. Thus, buprenorphine has a very low potential for misuse.
Buprenorphine is an active ingredient in the following medications:
Buprenorphine has slang references of:
Methadone is a semi-synthetic opioid which is typically prescribed for addiction therapy, but can be used for pain management. Methadone is only available from certified pharmacies and typically administered in front of a licensed and certified physician.Methadone is a longer lasting opioid so it can take longer than normal to be at a withdrawal stage to start administering other treatment alternatives such as Suboxone.
Methadone is an active ingredient in the following medications:
Methadone has slang references of:
Opiate addiction comes in several different forms. Typically it comes from someone abusing either prescription pain killers or heroin. At the initial stages of use, the body can produce similar chemicals to compensate for the lack of receiving the opioid externally, if stopped. Thus, people can take prescription opioids for pain management without becoming addicted. But, as the person increases their use to achieve the same euphoric effect, the body hits a point where it can no longer compensate for a lack of receiving this external input of opioids. At this point, the person is addicted to opioids and needs to seek help medically.
Opiate addicts use opiates to feel euphoria and/or control pain. But, as they continue to abuse opiates, their body becomes more and more tolerant to the effects. Thus, an addict will continue to take more and more of the opiate to achieve the same feeling of euphoria or pain control. Most people that overdose on opiates do so by taking too much of the opiate and overdose (typically, respiratory failure). If an overdose patient gets to the hospital in time, the effects of the overdose can be reversed with an injection of naltrexone. This blocks the neuroreceptors from getting the opiate and reversing the effects of the opiate overdose.
Some people can. Opioids are used on a regular basis for pain management either from an injury or surgery. These people are given a specific amount that allows them to control their pain and stop taking opioids. The reason is that the body can produce a similar chemical that can compensate for the opioid chemical up to a certain point. But, once someone starts abusing opioids and take more and more to reach or maintain the euphoric sensation, the body cannot produce enough compensating chemicals to match the same level as this external input. At that point, the body goes into withdrawal which can make the person have symptoms of anxiety, agitation, muscle aches, increased tearing, insomnia, runny nose, sweating, yawning, abdominal cramping, diarrhea, dilated pupils, goose bumps, nausea, and vomiting. While withdrawal is not life threatening, they can be very uncomfortable.
When the brain neuroreceptors stop receiving the same level of opioids, the body will start to feel withdrawal symptoms. The following are symptoms you should expect when going through opioid withdrawal:
Both Methadone and Suboxone, a buprenorphine treatment, are designed to provide the body the required level of opioids to eliminate withdrawal symptoms. But, they have very different effects. For example, Methadone is a long lasting opioid with psychoactive properties. It is necessary to have the drug administered on a daily basis to keep the proper opioid levels. Suboxone, or other forms of buprenorphine, is a short term opioid with no psycho activity and is self-administered at home. Traditionally, Methadone is a lifelong treatment, while Suboxone treatment can be reduced over time.
Yes. But, it depends on your dependence on opiates and your environment. Medical treatment will eliminate the withdrawal symptoms associated with opiate addiction. But, some people are coping with additional challenges beyond the withdrawal symptoms. This can range from challenging environments, psychological issues, or lingering pain from an accident or injury. Brightside will work with each patient to evaluate their challenges and create the best plan for your recovery.
This will all depend on your treatment program, but typical visits will be to start once a week initially and then move to once a month or less as a maintenance program for the rest of the treatment. If you defer from the program and need to be re-induced, then more visits will be needed to get you back on track. If you need or want counseling and cannot meet with one of ours while you are in for the medical treatment or prefer to go to another counselor outside of Brightside, we will help you with this.
Yes! In many cases, you can transition to stopping the medical treatment of the program. It will all depend on what opiate you were addicted to prior to coming to Brightside. But, understand that transition off the medication may take up to several months or even years. Some opiates, such as heroin, can have a lasting effect on the brain. To properly reduce the amount of medication during treatment, we will need to very slowly change the brain away from needing the external opiate. If too much is removed, withdrawal symptoms could return. Our goal at Brightside is to make sure that we build a program for you that will eliminate your need for addicting opiates and move you toward a drug free life.
There a couple different approaches to treatment. The following information is for information purposes only and is not meant to endorse any specific treatment option. In full disclosure, Brightside is an outpatient buprenorphine (Suboxone) clinic.
People can chose a couple different options when looking for treatment. Here is quick reference on the different options for treatment.
Once you decide to treat your addiction, you can either get treatment at a remote treatment facility (Inpatient or Residential Treatment) or at a medical office (Outpatient Treatment). At this initial level, the difference is that outpatient programs allow patients to come into a medical/counseling treatment center and then leave the same day. Inpatient programs, sometimes referred to as residential treatment programs, allow patients to visit a hospital or remote location for an extended period of time.
Once you have decided on what your life needs in terms of outpatient or inpatient support, you have different options on how you receive treatment. The main question you will need to decide is if and how you want to receive medical treatment. All programs recommend some form of counseling. At an inpatient treatment center, each one will have their own unique way of using or not using medicine for treatment. For outpatient, there are two main ways that medicine is administered during treatment. One method is with Methadone which is typically a daily treatment performed at a certified facility. The other is using a form of buprenorphine (Suboxone/Subutex), which is administered through prescription and is typically taken at home with weekly to monthly visits. Talk to your treatment center for more details on their treatments.
Yes. Patients looking to move from Methadone to buprenorphine treatment, such as Suboxone, can switch. At Brightside, we have a special program for this kind of conversion because of Methadone’s long lasting effects. Patients that switch from Methadone to Suboxone should expect a longer withdrawal time before starting Suboxone because Methadone takes longer to leave the system than other opiates.
Yes, but the type of buprenorphine may be changed. Buprenorphine has been clinically proven to be safe during pregnancy, but the other ingredient (Naloxone) has not. It does not mean that it will be harmful during pregnancy, but that there has not been any research that says it will be harmful or not. Typically, women whom are part of our program and become pregnant will be switched to a mono-therapy of only buprenorphine without Naloxone. You and your Brightside physician will decide what is best for you.
Some pain medication can be taken during treatment. You will need to consult a Brightside Physician prior to taking any other medications while in treatment.
The purpose of induction is to identify the correct level of medication for your treatment. If the level of medication is too low, you will continue to feel the pain and discomfort associated with withdrawal. If it is too much, the dosage can precipitate withdrawal and cost you more than is necessary. Constant contact during this induction phase with your Brightside Physician will help you avoid discomfort and find the dosage that is right for you.
During the Stabilization phase, we are always available to answer questions and we will monitor your progress in these initial stages to ensure you are getting the correct amount and that you are comfortable.
Once we have stabilized your dosage, we then move into the maintenance phase of the medical treatment. The goal during this phase is to stop the withdrawal symptoms and start treating the heart of the addiction. This phase can last anywhere from a couple months, to several years, or a life time based on the level of your addiction. If appropriate, we would start to reduce your dosage over time and complete your treatment.
Suboxone is mainly used for addiction treatment due to its ability to eliminate withdrawal symptoms without providing the euphoria associated with other opiates. It does have some limited pain therapy attributes and has been known to be prescribed for this purpose as well.
If you have an emergency associated with your addiction and need immediate attention, we would always recommend going to an emergency room or calling 911. We do not provide emergency refills on medicine. If you run out or lose your prescription medicine, you will need to schedule an appointment to see a doctor. We may require a urinalysis prior to coming in to get an unscheduled prescription.
We do not accept insurance nor do we file insurance claims, but we will provide you all the information you need to submit to your insurance on your own. We will do a pre-authorization of your insurance drug benefits to see if and how much of the prescriptions may be covered. It has been our experience that many patients do not want to use their insurance or that some insurance companies do not cover this type of treatment.
If you are required to provide us a urinalysis during your visit, we will conduct it at our office. But, if we require you to get a urinalysis outside of a visit, we will work with local labs near you. All charges for urinalysis samples will be billed directly from the lab.
The total treatment could last a couple months or several years. It will depend on your addiction. In terms of each visit, the induction portion could be 1 – 4 hours, but most visits last only about 10 – 15 minutes.
Yes. Suboxone does not inhibit your ability to drive a car. In fact, we may allow you to drive home in the middle of the induction visit to complete the induction at your home.
Having an addiction is a life changing disease. It is not only about using opiates, but you may have changed your life to feed your addiction. So you many need to change your environment, your interactions with enabling friends and colleagues, and change those activities that feed your addiction. This will all be discussed and identified during your medical visits and counseling, if needed.
The treatment however will not impact your daily life. Initially during induction, you may need to schedule a half or full day to start the treatment, but after that we will only have limited visits to get updates on your progress and provide counseling. The basis of our program is to treat your addiction, but not interrupt your normal daily life.
Our program at Brightside is broken up into 4 stages for the medical treatment.
During the intake phase, you will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status, a physical exam, and potentially a urine sample for medication compliance testing. You will also be presented the pros and cons of the buprenorphine medication, such as Suboxone or Suboxone equivalent. We will discuss the treatment expectations as well as issues involved with maintenance versus medically supervised withdrawal.
During induction, you will be switched from your current opioid (heroin, methadone or prescription painkillers) on to a buprenorphine medication. At the time of induction, you will be asked to provide a urine sample for medication compliance testing to confirm the presence of opioids and possibly other drugs. You must arrive for the first visit experiencing mild to moderate opioid withdrawal symptoms. Arrangements will be made for you to receive your first dose at the Brightside clinic. Your response to the initial dose will be monitored. You may receive additional medication, if necessary, to reduce withdrawal symptoms.
Since an individual’s tolerance and reactions to buprenorphine medication vary, daily appointments may be scheduled and medications will be adjusted until you no longer experience withdrawal symptoms or cravings. Urine drug screening is typically required for all patients at every visit during this phase.
Intake and Induction may both occur at the first visit, depending on your needs and your doctor’s evaluation.
Once the appropriate dose of buprenorphine medication is established, you will stay at this dose until steady blood levels are achieved. You and your doctor will discuss your treatment options from this point forward.
Treatment compliance and progress will be monitored. Participation in some form of behavioral counseling is strongly recommended to ensure best chance of treatment success. You are likely to have scheduled appointments on a weekly basis, however, if treatment progress is good and goals are met, monthly visits will eventually be considered sufficient. The Maintenance phase can last from weeks to years—the length of treatment will be determined by you and your doctor, and, possibly, your counselor. Your length of treatment may vary depending on your individual needs.
We pride ourselves on being available for treatment when you need it. You can reach us by two methods. You can call us and we schedule an appointment or you can use our state-of-the-art self-registration portal where you can schedule yourself at the earliest available appointment. Once you schedule an appointment, a doctor or staff member will contact you to conduct an initial assessment and confirm your appointment. If you do not see an available appointment on the schedule, please call us.
Yes. Just like any disease, there are different ways to cure them. Opiate addiction not only can cause psychological addiction, but chemically rewires the brain to crave the euphoria associated with opiates. If not treated medically, opiate addicts will go through excruciating pain when trying to quit. Thus, a very high percentage of patients will relapse when trying to do therapy alone. With medical treatment combined and counseling, patients have an extremely higher rate of success because they are able to suppress the withdrawal symptoms and work with counselors to get their life style back on track.
Brightside is an opiate addiction treatment center and focuses on only treating this chronic disease. If you are dealing with other addictions, you may use the services of our addiction physicians and counselors or we can recommend some alternative treatment centers or specialists for addictions to the following drugs or medications: