I'm confused about what medications I can take

Medication decisions in recovery can be complex and emotionally charged. You may fear that any medication use compromises your sobriety, while also needing treatment for legitimate medical or mental health conditions. Understanding the difference between medication-assisted treatment, necessary medical care, and problematic substance use is crucial for your health and recovery.

Medication-Assisted Treatment (MAT):

• Methadone, buprenorphine (Suboxone), naltrexone for opioid addiction
• Naltrexone (Vivitrol) for alcohol addiction
• These are evidence-based treatments, not substituting one addiction for another
• Can be used short-term or long-term depending on individual needs

Psychiatric medications in recovery:

• Antidepressants, anti-anxiety medications, mood stabilizers can be safely used
• Some anxiety medications (benzodiazepines) require special caution due to addiction potential
• Work with psychiatrists who understand addiction and recovery
• Don't stop psychiatric medications without medical supervision

Pain management considerations:

• Inform all medical providers about your addiction history
• Non-addictive pain relief options should be tried first
• If opioids are medically necessary, strict protocols can minimize risk
• Alternative pain management: physical therapy, nerve blocks, non-opioid medications

Red flags and safety guidelines:

• Avoid providers who dismiss your addiction history
• Be wary of "pill mills" or providers who seem too eager to prescribe
• Always inform your recovery support team about prescribed medications
• Never share, sell, or misuse prescribed medications

1. Find addiction-informed providers: Seek doctors, psychiatrists, and dentists who understand addiction and recovery principles

1. Be transparent about your history: Always disclose your addiction history to any prescribing provider

1. Involve your recovery team: Discuss medication decisions with your sponsor, therapist, or recovery coach

1. Create medication safety plans: Store medications securely, take as prescribed, and have accountability measures in place

1. Regular monitoring: Schedule frequent check-ins with prescribing providers to assess effectiveness and safety

You may encounter providers who are either overly cautious (refusing to treat legitimate conditions) or not cautious enough (prescribing potentially addictive medications too readily). Finding the right balance takes time. Some people in recovery have strong opinions about any medication use—focus on medical evidence and professional guidance rather than well-meaning but uninformed advice.

East Point Behavioral Health: (855) 887-6237 - MAT programs and medication management in recovery

SAMHSA Provider Locator: Find addiction-informed medical and psychiatric providers

American Society of Addiction Medicine (ASAM): Provider directory for addiction medicine specialists

Substance Abuse Professional (SAP) Programs: Specialized providers for people in recovery