What type of treatment does a patient with opioid use disorder typically require?

Patients with opioid use disorder typically require long-term opioid agonist therapy, which has been demonstrated to be effective in managing the symptoms of opioid dependence and supporting recovery. This approach includes the use of medications such as methadone or buprenorphine, which work by reducing cravings and withdrawal symptoms, helping to stabilize the patient's condition.

Long-term opioid agonist therapy is centered around the principle that addiction is a chronic condition requiring ongoing management rather than a one-time fix. This model supports the patient in maintaining a more stable life, often integrating counseling and other psychosocial services into their treatment to address underlying issues and improve overall well-being.

The other treatment options mentioned do not align with the established best practices for addressing opioid use disorder. For instance, only counseling without medications may not sufficiently alleviate withdrawal symptoms or cravings, potentially leading to a higher risk of relapse. Short-term detoxification can often leave individuals without the support needed to maintain abstinence, and immediate opioid antagonist therapy, like naloxone, is primarily used for overdose emergencies rather than as a standalone treatment for opioid use disorder.