Methadone can carry risks such as dependency and strict clinic requirements, for this reason Bridgeway Recovery Center does not approve or offer this treatment option.
Who Benefits?
- Adults and adolescents with opioid or alcohol use disorders
- People looking to reduce cravings and withdrawal symptoms
- Pregnant individuals with opioid use disorder: Buprenorphine or Methadone are first-line.
FDA‑Approved MAT Medications (for Substance Use Disorders – SUD)
Opioid Use Disorder (OUD)
Medication How It Works Notes & Side Effects Buprenorphine (Suboxone, Subutex, Sublocade) Partial opioid agonist – reduces cravings and withdrawal; has a “ceiling effect” that lowers overdose risk. Started after mild withdrawal; taken daily or longer-acting forms available. Side effects: headache, nausea, constipation. MethadoneFull agonist – fully activates opioid receptors to prevent withdrawal and cravings. Must be dispensed at certified opioid treatment programs. Side effects: constipation, sweating, possible cardiac issues. Naltrexone(Vivitrol) Opioid antagonist – blocks effects of opioids, preventing misuse. Requires detox and 7–10 days opioid-free. Monthly injection. Side effects: variable; some may experience headaches.
Alcohol Use Disorder (AUD)
- Naltrexone: Reduces cravings and relapse risk
- Acamprosate and Disulfiram: Help maintain alcohol abstinence.
Why MAT Works
- Effectively reduces cravings and withdrawal
- Improves treatment retention and reduces overdose risk
- Boosts daily functioning, employment, and relationships]
- Safe for pregnant and breastfeeding people, when used as prescribed
What to Expect During Treatment
- Regular visits with a healthcare provider
- Participation in counseling or behavioral therapy
- Individualized treatment plans—treatment duration varies (months to years)
Making the Right Choice
- Buprenorphine: Flexible settings; begins quickly after mild withdrawal; may need daily dosing structure
- Methadone: Effective but requires clinic visits and stricter rules
- Naltrexone: Useful after detox and for those wanting to avoid opioids; monthly dosing
Your Rights & Confidentiality
You have the right to receive MAT without discrimination. Treatment records are protected under federal law. Providers must respect your privacy and dignity.
Next Steps
- Talk openly with a doctor about MAT options.
- Find a provider:
- Buprenorphine prescribers
- Certified opioid treatment programs
- Alcohol use disorder treatment providers.
- Ensure support: counseling, peer groups, case management can boost recovery success.
- Stay connected: consistent dosing and follow-up care are vital.
Quick FAQs
- Can MAT be stopped? Yes—but tapering safely is key. Let your provider help with the plan.
- Is MAT replacing one drug with another? No. When used correctly, MAT stabilizes brain function, helping you take steps toward recovery.
- Is MAT lifelong? Some may use medications long-term; others may taper when ready under medical guidance.
If you or someone you know is struggling with substance use, MAT offers a safe, evidence-based way forward. Speak with a trusted provider to start your journey to recovery—it works, and you’re not alone
