expert type icon EXPERT

Dr. Carmen C. Vivero, M.D.

Addiction Medicine Specialist

Dr. Carmen Vivero is an Addiction Medicine Physician in Saint Augustine, FL. Dr. Vivero evaluates patients using many different procedures, in order to determine what treatments must be carried out in order to properly assess their symptoms. Addiction Medicine Physicians provide medical care in addition to consultation for each patient and their families.
36 years Experience
Dr. Carmen C. Vivero, M.D.
  • Saint Augustine, FL
  • Univ Auto De Santo Domingo (Uasd)
  • Accepting new patients

Went from pill addiction to suboxone addiction- what can I do?

Buprenorphine is addictive, but one important difference from full opiate agonists is that it does not create tolerance; meaning we can gradually taper you off it. The rate at READ MORE
Buprenorphine is addictive, but one important difference from full opiate agonists is that it does not create tolerance; meaning we can gradually taper you off it. The rate at which patients taper is different for each one. This medication is not meant to be prescribed by itself, it should be used in combination with either drug counseling or 12 step meetings, be it AA or NA.

Our patients are required to attend 90 meetings in the first 90 days, then at least a minimum of 3 meetings a week. We also give them a list of websites they can access for additional support and which all patients find very helpful. There are online meetings any time, every day. The medication also has a "ceiling effect" so that it may give some opioid-like effects at the beginning, it subsides and you do not get more of an euphoria, by using more medication. If you wish to have an appointment with us, please call (904)460-0707 and request an appointment for our Buprenorphine Program, Opioid Dependence Program.

Dr C. Vivero, MD. Institute of Internal Medicine