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Menzies Gets it Wrong

March 4, 2015 by admin Leave a Comment

In Opioid Addiction Treatment Should Not Last a Lifetime, Percy Menzies resurrects old theories  to tarnish buprenorphine-based addiction treatment.  Methadone maintenance withstood similar attacks over the decades, and remains the gold standard for the most important aspect of treating opioid dependence:  preventing death. Menzies begins by claiming that a number of ideas that never had the support of modern … [Read more…]

Posted in: Addiction, Buprenorphine, recovery, relapse, Suboxone, treatment Tagged: addiction lasts a lifetime, buprenorphine treatment, can addiction be cured, opioid dependence

Suboxone Detox is a Sucker’s Bet

November 20, 2014 by admin Leave a Comment

First Posted 10/6/2013 I attended the US Psychiatric and Mental Health Congress meeting last week and actually attended the meetings (the event was held in Las Vegas), but I was disappointed by the absence of lectures about addiction.  There are other mental health groups geared more toward addiction, but one would think that psychiatry would maintain … [Read more…]

Posted in: Addiction, Buprenorphine, relapse, Suboxone, treatment Tagged: buprenorphine detoxification, naltrexone treatment, opioid detox, short-term detox, suboxone detox, Vivitrol

Chipping Suboxone

November 16, 2014 by admin Leave a Comment

First Published 8/31/2013 One reply to my last post said I go ‘on and on’ about things that could be said with fewer words.  I asked the person to send me his/her version, and I hope he does—not to prove anything, but because I appreciate the chance to learn.  He wrote that his problem is … [Read more…]

Posted in: Buprenorphine, pharmacology, relapse, Suboxone, treatment Tagged: buprenorphine diversion, can you get high on suboxone, injecting suboxone, why do people inject suboxone

Addicted to Suboxone

November 9, 2014 by admin Leave a Comment

First Published 7/23/2013 I hear from the anti-buprenorphine people now and then, less than I used to.  I also hear from fans of this blog’s early days, when I routinely lost my temper in response to those people.  Their general line was that things on heroin weren’t all that bad, but now, on buprenorphine, things are … [Read more…]

Posted in: Addiction, Buprenorphine, Clean Enough, relapse, risks, Suboxone, terminal uniqueness Tagged: addicted to suboxone, buprenorphine treatment, can't stop suboxone, opioid dependence, Suboxone taper

An Addict's Story

August 19, 2012 by admin 1 Comment

I received the following email last week.  I considered trimming it down, but the story is well-written and describes a history that is similar to that of many of my patients.  As usual, I will write a follow-up post in a week or so. Dear Dr. J, I have read many of your posts over … [Read more…]

Posted in: Addiction, Buprenorphine, recovery, relapse, Suboxone, terminal uniqueness, treatment Tagged: Addiction, addiction treatment, Buprenorphine, heroin, opioid dependence, oxycodone, relapse, Suboxone, terminal uniqueness

Short-Timers

July 20, 2012 by admin 1 Comment

Another question from a reader: The current blog brings up the notion of long term use of Bupe or short term detox.  You say you are a fan of long term use, and that is clearly a good thing when the patient is one headed back to a drug culture of life of crime or … [Read more…]

Posted in: Addiction, Buprenorphine, Chronic pain, Methadone, Pharma, relapse, Suboxone, Subutex Tagged: Addiction, Buprenorphine, Chronic pain, opioids, short-term Suboxone, taper schedule, Withdrawal

Jerk Counselor

February 13, 2012 by admin 6 Comments

Every now and then I hear about a therapist or addiction doc who is doing such a disservice to the practice of addiction medicine as to deserve special mention.  This week’s award goes to a certain counselor at a treatment program in Oshkosh, WI, who I’ll refer to as ‘This Jerk.’ I’ve made no secret, … [Read more…]

Posted in: Addiction, Buprenorphine, Clean Enough, Legal, Public policy, relapse, Suboxone, Subutex, treatment, Withdrawal Tagged: addiction counselor, bad counselor, bad therapist, Buprenorphine, opioid, power trip, relapse, Suboxone, Withdrawal

Making People Stop

January 2, 2012 by admin 2 Comments

Below is an e-mail that I changed just enough to hide the person’s identity.  Every week, I receive messages that describe similar situations. My husband has struggled GREATLY with substance abuse since in his 20’s; he is now in his mid-40’s. He is the kindest sweetest man and he is the BEST husband and father. … [Read more…]

Posted in: 12 steps, Addiction, Buprenorphine, Public policy, relapse, Suboxone, Subutex Tagged: addiction treatment, Buprenorphine, maintenance, Methadone, opioid dependence, stopping suboxone
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