Suggest Ways To Wean Of Codeine

Brief Answer:
I've seen worse.

Detailed Answer:
First, realize that the withdrawal is very very unlikley to be fatal. And then, gauging the amount of dependence is an important first step on someone taking a low potency narcotic (codeine and tramadol are the only ons currently on the XXXXXXX market). There might not be major withdrawal. The withdrawal might be tolerable. This is important before going onto a narcotic based withdrawal therapy since THOSE narcotics might be more potent than the codine and result in even greater dependency!

Well... .if there is no withdrawal you are hardly any less addicted than the millions of fat people like myself. It's just that the addiction issues are entirely mental instead of just mainly mental. If you cannot come off of the drug due to withdrawal then a detox, suboxone, or (worst) methadone program is going to be important as a step to make the withdrawal symptoms possible to tolerate.

Then... the mental issues..... The base of the brain takes in all sensory input and passes it along a set of nerve fibers like a railroad (striatum). These go from the reward centers, to the immediate action center (amygdala) to emotion centers (basal medial area). And the connection to conscious abstract thought and decisions? None. Not a bit. These areas are lit up by narcotics. They have no connection to conscious will. They can only be changed by training NOT involving conscious will. First, AVOIDing the situations, people, drugs, emotions that trigger using drugs. Of course SUBSTITUTING drugs in a program will be helpful. But the suboxone is uniquely helpful by allowing a context in which to safely fail at coming off of it and learn what the triggers are. This puts failures into an entirely different context and TRANSCENDS the addiction process. You still have the cravings, but they get linked to realizing they are BAD. If the opening of Beethoven's Fifth were linked to feeling bad, then whenever it came up you'd have an aversion (bad feelings) triggered by it. Cravings can be linked to aversion and then it allows one to TRANSCEND the cravings. Also, if you have an abused dog that cannot have normal interactions, putting the dog into a pack of friendly normal dogs makes the pack instinct overcome the fear/abuse/aggression instincts. Likewise putting an addict into a pack/tribe of people coming off of drugs and having the addict get up in front of the pack and say he wants to come off of narcotics will trigger pack instincts to overcome the addiction craving. First, someone has to notice that the cravings/triggers/cues make one automatically seek and take drugs. Then be committed to being off of them entirely... and then there's the other 10 steps. (12 step program is important).

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Brief Answer:
Oh, it's around

Detailed Answer:
http://www.ths-biarritz.com/ths_8/comptes_rendus/ecrits_suite/Ecrit_atelier3_jeudi25_Dunlop.pdf
This is basically an advert for Dr. Dunlop disguised as crappy research if you are in his area, then you can find it there. Networking in NA meetings. Emergency rooms SHOULD know... but they might not to judge by the one in my area.
Large hospitals, especially large UNIVERSITY hospitals always have drug treatment programs. Furthermore some free standing drug treatment centers MIGHT handle suboxone. The free standing ones can be a problem. Typically they want money. Inpatient services. And not so much outreach and follow up.

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