Dr El Nesr is a specialist in treatment of Addiction. He is board certified in Addiction Psychiatry by American Board of Psychiatry. We provide Suboxone treatment for opiate dependence. Our office-based practice offers private and confidential Suboxone treatment. Your personal information will be not be accessed by anyone (except the dispensing pharmacist, as necessary).Our practice is not a provider for any insurance panel, and does not accept Mass Health or other insurance. Office fees are due at the time of service. However, if you wish, you may be able to submit your treatment receipts to your insurance for partial out-of-network reimbursement. If you plan to do this, please contact your insurance company first, to find out how much they will reimburse you and whether this will work for your financially. Buprenorphine (Suboxone/ Subutex) is a first-line option for detoxification. Considered a highly potent partial agonist at the mu receptor and an antagonist at the kappa receptor. It is sometimes given orally in combination with the opioid antagonist naloxone (suboxone). This decreases the likelihood of intravenous abuse of buprenorphine (where users inject oral buprenorphine tablets), as administration of buprenorphine with naloxone parenterally can precipitate withdrawal in opioid addicts. Initiation of buprenorphine therapy differs from initiation of methadone in that buprenorphine therapy can precipitate withdrawal symptoms if given too soon after an opioid agonist. Appearance of withdrawal symptoms (usually about 12 hours after last dose of heroin) should be observed before starting treatment. Advantages: it has a long duration of action, and withdrawal symptoms are relatively mild and less severe than those of methadone.
10 Winthrop Street Suite 302, Worcester, Massachusetts 01604
508-757-1514