We are now offering Sublocade injections for Opioid Dependence and Vivitrol injections for Alcohol and Opioid Dependence in our office.
Consisting of extensive Substance Abuse Evaluation by the Addiction Psychiatrist, regular medication management appointments, treatment with oral medications or monthly injections as part of the medication-assisted treatment, therapy referrals and mandatory in-office urine toxicology screening.
Our office is following the guidelines established in Federal Health Insurance Portability and Accountability Act (HIPAA) regulations addressing the privacy of health care information, found at 45 CFR §§ 160 & 164, 42 CFR part 2 – Confidentiality of Substance Use Disorder Patient's records and Maryland's Confidentiality of Medical Records Act (MCMRA), codified at Health-General § 4-301 et seq. HIPAA and MCMRA both establish a general rule of confidentiality for health care information. MCMRA requires a health care provider to keep the medical record of the patient confidential and disclose information only as provided by the act itself or as otherwise provided by law. HIPAA enumerates permitted disclosures slightly more specifically by allowing disclosures: to the individual (patient); for treatment, payment, and health care operations; incident to a use or disclosure permitted by the act; and pursuant to authorizations, agreements, or certain public use exceptions. The 42 CFR Part 2 regulations serve to protect patient records created by federally assisted programs for the treatment of substance use disorders (SUD). Part 2 has been revised to further facilitate better coordination of care in response to the opioid epidemic while maintaining its confidentiality protections against unauthorized disclosure and use.
Information about Buprenorphine/Naloxone Treatment
Suboxone®, Zubsolv®, and Bunavail® (buprenorphine/naloxone) are FDA-approved medications (tablets, films) for the treatment of people with opioid addiction. A combination of Buprenorphine/Naloxone can be used for detoxification or for maintenance therapy. Maintenance therapy can continue as long as medically necessary. There are other treatments for opiate addiction, including methadone, naltrexone, and some treatments without medications that include counseling, groups, and meetings.
Sublocade®, Brixadi™, and Vivitrol® are FDA-approved injectable medications for the treatment of people with opioid addiction.