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Methadone vs. Suboxone

August 3, 2008 by admin Leave a Comment

In response to the comments about methadone… I am not aware of the idea that a person’s choice of Suboxone vs methadone should be dictated by their tolerance level, and I certainly do not agree with that idea.  I also do not see any advantages of methadone over Suboxone when it comes to maintenance treatment … [Read more…]

Posted in: Addiction, Methadone, Suboxone Tagged: difference between suboxone and methadone, methadone versus suboxone, risks of suboxone

Why Not Just Take Narcotics for my Chronic Pain?

March 23, 2008 by admin 2 Comments

I received a letter today– a person discussing the use of opiates by a family member with chronic pain.  I was not sure if the letter was asking questions about my opinions, or was instead arguing that my ideas were off-base.  In either case it is worth publishing, as several topics are discussed.  As per … [Read more…]

Posted in: Addiction, Chronic pain, Education, pharmacology, Suboxone, tolerance Tagged: Chronic pain, narcotic pain treatment, nonmalignant pain, pain, tolerance, tolerance to pain medication, using pain pills

Suboxone Use by a Health Professional

February 16, 2008 by admin 7 Comments

A reader writes: I have been taking Suboxone for 2 months now and it has changed my life! I finally feel a freedom I haven’t felt in over 30 years! I am a nurse and am able to work around and administer narcotics with absolutely no thoughts, urges, or cravings…a miracle for me. BUT, the … [Read more…]

Posted in: Addiction, Buprenorphine, Legal, Public policy, Suboxone, treatment Tagged: addicted nurse, addiction treatment, disability, healthcare workers and buprenorphine, nurse on suboxone

Long-Term Effects of Suboxone

February 14, 2008 by admin 4 Comments

A note from a reader with a question about Suboxone: Suboxone has really worked for me in getting off vicodin.But I have been unable to stop taking Suboxone.It occurred to me recently that this may turn into a lifelong dependency.If so, what are the long-term side effects of Suboxone? Thanks so much, My Answer: Suboxone … [Read more…]

Posted in: risks, side effects, Suboxone, treatment Tagged: constipation, long term suboxone, side effects, suboxone and testosterone

Is Suboxone At Odds With Traditional Recovery?

February 12, 2008 by admin Leave a Comment

By now almost every opiate addict has heard of Suboxone, a medication for opiate dependence that has been around for about ten years. I admit to mixed feelings about Suboxone based on what I have seen and heard while treating well over 100 patients over the past two years. I also acknowledge that my opinions … [Read more…]

Posted in: 12 steps, Addiction, Buprenorphine, Clean Enough, Psychodynamics, recovery, Suboxone, treatment Tagged: 12 steps, character defects, recovery, Suboxone and recovery, treatment opiate addiction

Question From Anonymous

February 12, 2008 by admin Leave a Comment

I am going to move this question to a new post so that everyone can read it: hi, i am in recoverery and was injured, was on percocets for about three months. i kinds detoxed with a lower dose of opiates but then took a few days worth again after a hard weekend. a few … [Read more…]

Posted in: Addiction, Buprenorphine, Suboxone, treatment, Withdrawal Tagged: pain treatment, relapse, should I take Suboxone, Suboxone certification

Runny Nose, Back Pain, Withdrawal in New Patient

February 12, 2008 by admin 3 Comments

This new patient has been on suboxone for two weeks, and reports having low back pain and a runny nose. He also feels that the 16 mg dose of Suboxone that he takes in the morning wears off by the end of the day. You can read my answer, and feel free to add your … [Read more…]

Posted in: Buprenorphine, Chronic pain, Induction, side effects, Suboxone Tagged: pain on suboxone, runny nose from suboxone, suboxone side effects, Withdrawal

New Patient Having Nausea

February 12, 2008 by admin Leave a Comment

Nausea is not uncommon in patients starting Suboxone. Please read what I wrote to this patient: Nausea usually comes about if the opiate effect of the suboxone is stronger than what you were used to. Reduce the dose to half a pill per day– that will be enough to prevent withdrawal (even a quarter of … [Read more…]

Posted in: Buprenorphine, side effects, Suboxone Tagged: low opioid tolerance, nausea from Suboxone, suboxone induction, vomiting from suboxone
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