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Maintenance: Short and Long Term Stabilisation

What is maintenance?

Methadone maintenance is a strategy to manage opioid dependence and achieve clinical stability during the recovery process. Methadone maintenance is achieved by substituting the opioid on which the patient has been dependent with medication, usually buprenorphine or methadone, prescribed by a specialist addictions doctor. This strategy is called Opioid Substitution Therapy (OST). OST is the first step to achieve long term stabilisation, and is available at our methadone maintenance clinic. Methadone maintenance through OST has many benefits:

  • Patients move away from the illicit market and illicit activities.

  • Reduced risk of overdose. You never know for sure the type of opioid you are taking (heroin,
    fentanyl, other), the dose and the substances it has been mixed with.

  • OST involves treatment with licensed medications prescribed by an addictions specialist and
    registered professionals that will strongly support your mental, physical and social recovery

  • OST will also reduce the risk of infections associated with the use of paraphernalia, and illicit
    manufacturing of taken drugs

Why choose a treatment of methadone based therapies? Methadone based therapies enable uninterrupted focus on the road to recovery without withdrawal symptoms hindering the mind and the body. This allows the individual to focus on important factors of recovery, including psychosocial aspects and thought patterns and behaviours related to drug addiction and cravings, among others.

As one of London’s leading drug addiction and methadone maintenance clinics specialising in substance use disorders, our methadone programme promises support and guidance during periods of opioid dependence and through stabilisation and recovery.


At The OAD Clinic we offer OST with Buvidal (buprenorphine subcutaneous injection), buprenorphine tablets and a methadone mixture.


The process starts with a comprehensive clinical assessment, history and nature of drug use, risk assessment, mental health assessment, physical examination and drug testing. Occasionally we may request some blood tests or other investigations.

Medications we prescribe for OST

Daily dose medications

There are two medications licensed for OST in the UK. These are buprenorphine and methadone. Buprenorphine is usually prescribed as sublingual tablets and methadone as a liquid formulation.

Whilst on oral buprenorphine or methadone, you need to undergo a titration (dose adjustment) period until you reach your optimal dose. This usually takes a few days with buprenorphine and a bit longer with methadone. It will also require an initial period of supervised doses and more frequent pick ups from the pharmacy.


Are you considering OST with methadone or buprenorphine?

Following a medical assessment, The OAD Clinic can provide treatment with methadone for those who require it as part of OST treatment. However, a sense of accountability and responsibility is required as these doses should be taken consistently on a daily basis.


Monthly Buprenorphine Dose

We also offer our patients a monthly buprenorphine subcutaneous (under the skin) injection (Buvidal). This is a perfect option for those who do not want to collect medication/tablets from the pharmacy every week, keep it at home or travel with it.


Learn more about Buvidal Monthly injection.

Countries We Serve

The OAD Clinic is an internationally recognised clinic providing OST methadone treatment for patients based in in Egypt, India, Kuwait, Saudi Arabia, and United Arab Emirates. Individuals from these countries are encouraged to contact our methadone maintenance clinic in London.

Start your journey to recovery today. Get in touch with us for more information.

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