A giant step toward sobriety
A giant step toward sobriety
Medically Assisted Abstinence Protocol (MAAP)
MAAP treatment enables people with serious alcoholic and stimulant problems to rapidly complete detoxification and stabilization. You will have greater mental clarity than traditional methods of detoxification, although this clarity does not deliver or ensure sobriety. Our physicians and therapist will advise and guide you to begin your journey to recovery with a profound improvement in purpose and direction.
We currently manage outpatient detoxification, when medically appropriate, for alcohol and opiates through our office in Burlingame.
Detoxification is only the first small step toward sobriety, and is the easiest. It is best undertaken along with a commitment to some type of rehab program, or you risk wasting your time and money.
The program includes 3 hours of 1:1 counseling focused on relapse prevention, and several infusions of intravenous flumazenil, which was developed as an antagonist for the treatment of overdoses of benzodiazepines and to reverse sedation in the operating room. It has been safely used for addiction treatment in Europe and the United States for over 15 years.
Treatment time is approximately 1 – 2 hours per infusion. After the infusion, you will be safe to go home. You will be given a non-habit forming medication for sleep, if needed.
Although this is a safe treatment when done under a physician’s supervision, it is potentially dangerous if patients are currently using Benzodiazepines.
Below is a list of benzodiazepines and similar agents that could be problematic. You must be off these medications for 2 weeks prior to the first infusion. If you are on any of these medications, do not stop without medical supervision.
- Ambien (Zolpidem)
- Ativan (Lorazepam)
- Centrax (Prazepam)
- Dalmane (Flurazepam)
- Halcion (Triazolam)
- Klonopin (Clonazepam)
- Librium (Chlordiazepoxide)
- Lunesta (Eszopiclone)
- Paxipam (Halazepam)
- Restoril (Temazepam)
- Rohypnol (Flunitrazepam)
- Serax (Oxazepam)
- Sonata (Zaleplon)
- Tranxene (Chlorazepate)
- Valium (Diazepam)
- Xanax (Alprazolam)
If you decide to pursue this method, laboratory studies will be required to confirm that you are a candidate. These will include a complete blood count, a chemistry panel and a urine drug screen. Pregnancy tests will be done when appropriate.
There will be IV infusions of Flumazenil on three consecutive days during week one, and two additional treatments in weeks three and five. The cost of the five infusions for alcohol users is payable in advance of the first scheduled infusion. Cash, money order or credit cards are acceptable for payment. Checks are not acceptable for payment.
There will be IV infusions of Flumazenil on three consecutive days during week one, and two additional treatments in weeks three and five. The cost of five infusions for stimulant users is payable at the time of the first treatment. Cash, money order or credit cards are acceptable for payment. Checks are not acceptable for payment.
All records of procedures done through our office or the Coleman Institute are kept in paper charts and not shared with anyone.