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FDA: Dental Problems with Buprenorphine

January 17, 2022 by admin Leave a Comment

The FDA stated last week that transmucosal buprenorphine has been associated with dental problems, including tooth loss. The statement was based on 305 reports to the FDA Adverse Event Reporting System (FAERS) database since buprenorphine was approved 20- years ago. Many of my patients on buprenorphine medications have had dental problems, and the topic was … [Read more…]

Posted in: Buprenorphine, Chronic pain, pharmacology, side effects, Suboxone, Subutex Tagged: Buprenorphine

Buprenorphine Diversion: Beyond a Superficial Understanding

November 26, 2014 by admin 1 Comment

First Posted 11/19/2013 In ‘Addiction Treatment with a Dark Side’, Deborah Sontag of the New York Times shared her observations of the clinical use of buprenorphine for treating opioid dependence, warts and all.  Readers of the Talk Zone know my bias—that buprenorphine/Suboxone is one of the only effective treatments for opioid dependence, and many patients … [Read more…]

Posted in: Addiction, Buprenorphine, Education, Public policy, Suboxone, Subutex, treatment Tagged: buprenorphine diversion, opioid dependence treatment, risks of suboxone, suboxone abuse, Suboxone addiction

Pregnant Taking Suboxone: Should Social Services be Involved?

November 24, 2014 by admin 2 Comments

First Posted 11/4/2013 I recently saw a new patient who described treating her own opioid dependence with diverted Suboxone.  She sheepishly described reading everything she could find about buprenorphine and meticulously using half of her friend’s medication to avoid other opioids, without fail, for four years. She would likely be treating herself now, if she … [Read more…]

Posted in: Addiction, Buprenorphine, pregnancy, Public policy, Suboxone, Subutex, treatment Tagged: buprenorphine withdrawal of newborn, suboxone and child protective services, suboxone and pregnant, treating self with suboxone

Who Pays For Health Care? (Hint: We ALL Do)

November 7, 2014 by admin Leave a Comment

First Published 4/20/2013 I realize that practice patterns differ between practices, even those treating the same condition (opioid dependence) with the same medication (buprenorphine).  Differing patient characteristics result in different regional standards of care, for example.  And some areas have access to services (e.g. group treatments or laboratory testing) that may not be as available … [Read more…]

Posted in: Drug Testing, Public policy, Suboxone, Subutex, treatment Tagged: counseling for buprenorphine treatment, healthcare costs for addiction, quantitative drug testing, suboxone urine drug tests

Suboxone Makes Me Fat and Boring and Stupid

October 30, 2014 by admin Leave a Comment

Originally posted 3/6/2013 A late post tonight, since my new exercise program has pushed my blogging back by an hour or so each night.  My suspicions about exercise were correct, by the way; it is much easier to suggest exercise to other people than it is to actually exercise.  I’ve been at it since the … [Read more…]

Posted in: Buprenorphine, risks, side effects, Suboxone, Subutex, treatment Tagged: buprenorphine risks, opioid dependence, risks of suboxone, suboxone side effects, sweating from suboxone

Reckitt Benckiser Citizen Petition for Suboxone: DENIED

October 29, 2014 by admin Leave a Comment

Posted 2/23/2013 For those who missed my explanation, I’m adding these old posts to reconstruct the archive.  The site’s database was damaged by something, somehow… New posts coming soon. Find a copy of the response here, or at this url:www.suboxonetalkzone.com/cpresponse.pdf

Posted in: Buprenorphine, Legal, Public policy, Reckitt-Benckiser, Suboxone, Subutex Tagged: FDA response to Reckitt Benckiser, generic buprenorphine, Reckitt Benckiser citizen petition, suboxone film, Subutex

Suboxone Maker's Petition Denied by FDA

October 26, 2014 by admin Leave a Comment

Originally Posted 2/23/2013 I’ve written in detail about the bold move by Reckitt-Benckiser, maker of Suboxone, that few people outside the company saw coming.  In brief, the company has been cruising across the Atlantic for the past ten years, fueled by stellar growth of its flagship medication, even as the expiration of the patent on Suboxone loomed ahead … [Read more…]

Posted in: Buprenorphine, Pharma, Public policy, Reckitt-Benckiser, Suboxone, Subutex Tagged: FDA blocks Suboxone manufacturer, Reckitt Benckiser citizen petition, Reckitt-Benckiser and buprenorphine tablets, suboxone film

Urine Drug Testing on Suboxone

October 25, 2014 by admin 31 Comments

First Posted 2/15/2013 A recent exchange with a reader: I have been on buprenorphine for 5 yrs.  Recently my doctor stated that my u/a t looked like I have been ‘loading my meds.’  He said my levels where ‘backwards’ and that would happen if I took just a few doses just before my appt.   … [Read more…]

Posted in: Drug Testing, pharmacology, Suboxone, Subutex Tagged: buprenorphine treatment, quantitative drug testing, suboxone drug interactions, suboxone urine drug testing
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