What is B2-NTX™?
B2-NTX™ is an acronym for Buprenorphine (or any opioid) to Naltrexone-assisted Treatment (TX is short for treatment). It’s a new protocol* specifically for battling opioid use disorder. B2-NTX consists of three distinct phases of treatment, management and recovery that can, in many cases, reduce opioid withdrawal misery, provide a level of overdose protection**, followed by Cognitive Behavioral Therapy (CBT) and recovery support for opioid use disorder (heroin, prescription painkillers). Naltrexone is an opioid antagonist that has been around for decades. It is not a controlled substance. See FAQ page for more details on naltrexone.
Medication-assisted treatment (MAT) is becoming more popular in the fight against opioid and alcohol addictions. MAT refers to the use of medications and therapy to treat addiction. Within MAT, there are three medications commonly used. Those are methadone, buprenorphine (Suboxone is brand that uses buprenorphine), and naltrexone (Revia, Vivitrol, Naltrexone implants). Buprenorphine is the most popular MAT medication used currently and it has benefits in certain patient populations, but it is also an opioid and many patients eventually want to stop taking it. Getting off of buprenorphine, methadone, or any opioids can be very difficult due to the need for detox prior to getting on an opioid blocker such as naltrexone. Many times, the fear of opioid withdrawals alone can deter individuals from seeking treatment to wean from opioids completely. This is where the B2-NTX protocol can help many who wish to transition to naltrexone-assisted treatment. B2-NTX uses no addictive medications and includes essential Cognitive Behavioral Therapy (CBT) which is often needed for stable, lasting recovery from opioid addiction coupled with long term peer recovery support. Below are the three general phases of B2-NTX in more detail.
*B2-NTX is a protocol that must be supervised by medical doctors and is a decision between patient and physician. There may be other medications and treatment regimens used by the treating physician. Each addiction case is different and B2-NTX is not a cure or panacea. Please consult with your doctor about this or any other treatment protocol.
**It is important to note that one can overdose while receiving naltrexone treatment if enough opioids are used to overcome the opioid receptor blockade provided by naltrexone, especially once naltrexone levels begin to decrease over time from administration. Please consult with a physician experienced in administering naltrexone about the risks associated with naltrexone treatment for opioid use disorder.
1. Detox Devices**
A small electronic device about the size of a half-dollar, which is worn behind the ear, delivers tiny electrical signals into the cranial nerves which modulate the transmission of pain signals sent from the spine and brain. It is usually worn during the initial few days of someone’s attempt to detox when the patient’s withdrawal pain and symptoms are most severe. Several devices exist, but one device in particular seems to be more widely used and utilizes Dr. Arturo Taca, M.D. ‘s Insynergy Bridge Protocol to “bridge” the patient over the painful period which is typically associated with opioid detoxification to naltrexone specific medication-assisted treatment. This specific device is best explained by watching these videos:
**The Bridge is an FDA cleared device pioneered by Innovative Health Solutions, Inc. (www.I-H-S.com) to help target acute and chronic pain. It is designed to be used in association with physician-guided programs and placed by licensed clinicians according to individual state guidelines. The device is pending clearance from the FDA for opioid detoxification. BioCorRx doesn’t have an agreement with this particular device or any other at this time.
2. Naltrexone (Sustained Release):
The non-addictive, FDA approved medication naltrexone has been shown to significantly reduce cravings for both alcohol and opioids in oral and injectable form. The B2-NTX protocol includes the use of naltrexone in two forms: injectable and implantable. There are several types of naltrexone implants available in the U.S. See FAQs for more information on naltrexone implants. Each form of naltrexone has its advantages and disadvantages and the decision should be made between patient and treating physician.
The BioCorRx® Recovery Program currently includes a long lasting naltrexone implant. During a simple 30-minute outpatient procedure, naltrexone pellets, which are prepared by compounding pharmacies upon individual patient prescription, are inserted just beneath the patient’s skin, typically in the lower abdominal area. The naltrexone pellets then dissolve over time, releasing naltrexone into the bloodstream, which can curb cravings for alcohol and effects of opioids in many patients for several months, depending on individual metabolism rates. See animation video of the naltrexone implant procedure here.
3. Proprietary CBT/Peer Support Program:
The third component of the protocol, developed by BioCorRx for patients receiving long-term naltrexone treatment, is a naltrexone specific proprietary CBT program written by addiction professionals with years of experience treating individuals on long term naltrexone therapy. The CBT program is currently being used by independent addiction counselors for patients on naltrexone treatment in implant form. Overlapping and extending beyond the CBT, is a peer recovery support system which include specialists that are many years sober and some of which whom have received naltrexone implant therapy. The program also includes an algorithmic software tracking program designed to detect potential for relapse. The peer support program assists individuals in their recovery for at least 6 months. Patients are encouraged to participate in any, and all, community programs at their disposal for life. This phase of the protocol is where the real work begins, and perhaps, never ends. Videos pertaining to this phase can be found here.
Where is B2-NTX Available Now?
B2-NTX is a new protocol and few locations across the U.S. offer all three main components from one location. The immediate list below includes independent treatment providers who offer all phases of B2-NTX (The Bridge device and BioCorRx Recovery Program) at their location. The immediate list below includes independent treatment providers who offer all phases of B2-NTX (A detox device and BioCorRx Recovery Program) at their location. For updated information, it’s best to call 888-993-1099 as the list may change before the website is updated.
Below is a list of locations that offer The Bridge device and sustained release naltrexone in injectable form and not the BioCorRx Recovery Program which includes the naltrexone implant coupled with the proprietary CBT program and peer recovery support. Those seeking treatment can ask the practitioners below to contact BioCorRx to include all phases into their practice by calling 888-993-1099. The B2-NTX protocol can also be completed by using other treatment providers that offer counseling and peer support outside of BioCorRx.