Services

3 Appointment Program using Buprenorphine
(Suboxone or Subutex)
For all opiates (Vicodin®, Percocet®, Oxycontin® etc.)

(This plan is not for patients coming off methadone )

On day one, the patient comes for a history and physical examination.

The patient begins detoxification on day one. Medication is adjusted on an individual basis during follow-up phone calls with Dr. Nathan.

The patient returns at two week intervals for a total of 3 visits over 6 weeks. At week 6, if indicated, an opiate blocker is started (Naltrexone) that decreases opiate craving. If a patient slips and uses an opiate while on Naltrexone, they will not become re-addicted because they will not feel the effect of their opiate.

If needed, further visits would be at a per visit rate.

7 Appointment Program
For tranquilizer, nicotine, alcohol, cocaine, methamphetamine and methadone detoxifications

On day one, the patient comes for a history and physical examination.

The patient begins detoxification on day one. Medication is adjusted on an individual basis during follow-up phone calls with Dr. Nathan.

Visits are on day 1, then every two weeks for 5 more visits. If needed, further visits would be at a per visit rate.

Buprenorphine Maintenance

Maintenance is reserved for only a small percentage of patients in this practice.

In this case the patient will have or go through the initial 3 visit program with Dr. Nathan. The patient would then visit Dr. Nathan on a regular 28 day basis for buprenorphine refills while recovery is monitored by the patient's documented individual therapist or recovery group.

Medical Pain Management Services

At the practice of Dr. Nathan, we address and treat chronic pain in the patient with addiction issues.

We evaluate for early signs of substance abuse and use both narcotics as well as additional non-narcotic medications to treat pain.

In addition, referral to psycho-social pain treatment modalities is available.

In many cases, your pain is being made worse by the daily withdrawal you are having from your narcotic pain medications. Once you begin to detoxify, your pain will be much less because your prescribed detoxification medications are decreasing the stress of withdrawal.

When detoxification is complete, you will either be off opiates entirely or be on a significantly less dosage of narcotic pain medications.

Certified by the American Board of Addiction Medicine, Dr. Joel Nathan has over 30 years of experience providing a wide range of detoxification programs for patients at his Manhattan practice.

With fellowship training in substance abuse in addition to his medical training, Dr. Nathan is internationally renowned for his substance abuse treatment programs, and also provides pain management and relapse prevention services to ensure successful results.

Dr. Nathan has been in Addiction Medicine practice since 1990, and was the founding medical director of the Addiction Recovery Institute, located in New Rochelle and New York City as well as the founder of NABU Medical Services, PC, his current detoxification practice.