1. cward1983

    Although I understand your stance on how suboxone should never be shared between friends or with someone who is not under the direct supervision of a doctor I must ask what would you do in this situation?
    A year ago I was seeing a psychiastrist whom my sister had seen before me for other issues who I went to see due to my opiate addiction. He started me on suboxone and we formulated out a plan to start with 3 months of treatment to stop the opiate cravings and get my life back on track and if neccasary, stay on suboxone longer if needed.
    2 months into treatment my doctor lost his license to legal issues which I had no prior knowledge of and he could no longer treat me or prescribe suboxone to me. There was NO protection from this. I was on my own and there were no suboxone doctors in the entire area which could even see me for a good 3 weeks time for an appointment to get started. I had no choice but to suffer the w/d or ask friends for help for the time being until I found a new doctor. I eventually found a doctor i was comforable with and who didnt charge an outrageous price to restart treatment and I’ve just this last week come off of suboxone (day 8 without it)after a gradual taper. My point is that during the time it took me to get the money for another doctor downpayment to restart treatment (this ended up taking about 2 months) I was on my own and my friends were my only source of staying on course or falling back into opiate use.
    I would just like to know, what steps could someone take to prevent a similar situation taking place with a doctor? I know you can never condone the sharing of suboxone between friends because of your position as a doctor and the need to protect yourself and your patients but other than sharing for the time I would almost assuredly have suffered through W/D and fell back into use during that time (and asking a addict who has been through opiate W/D to go through it again is like asking someone to take a hammer to their hand and repeatedly bash their bones, it really can be that painful. So my question is how would you deal with such a situation?

  2. Yes, that is a horrible situation- I received a somewhat similar note from a person who was recently kicked out of a program for a positive UA for Ambien. I will write a bit about that in tonight’s post– but as far as how I would deal with your situation, I would likely do whatever I needed to do to stay clean… and I will leave my comment at that.
    My comments about sharing were not in response to a situation like yours, but rather a response to the many requests for advice that I get from people who have never been to a doctor at all. There are people out there who use ‘subs’ like they would use any other opiate, but thinking that going on Suboxone will somehow help them get off opiates for good! I want people to realize that it doesn’t work that way; Suboxone is a tool that is one part of getting away from opiate dependence. If you just borrow 4 from a friend and write and say ‘how should I use these to kick opiates’, I have no advice for you accept to toss them in the toilet and make an appointment from someone who has treated patients with Suboxone for awhile, who knows what he/she is doing.
    As for this writer– the one thing I would say is to avoid being ‘penny wise and pound foolish’. You mention looking for a doc who had reasonable fees– I have had several patients who came back to my practice after dropping out a year earlier because they ‘couldn’t afford treatment’. I asked them to try to total up what they had spent on opiates since dropping out of treatment… and in all cases, they would have saved a ton of money by sticking around!

  3. Wade72

    I work for a residential drug and alcohol rehabilitation centre in Thailand. Several years ago in Thailand, the news story was not totally truthful I am sure, a young man purchased Suboxone on the street level and died from it. Being this is Thailand there was no full report and truthful information is not always easily acquired here. Regardless, the young mans father happened to be a government minister and due to the incident Suboxone is now an illegal drug in Thailand.
    Or so that is the story I have heard on why it is un-available. Unfortunately it is a blanket policy so even the people it could help can not get it now. As I mentioned above we never get the full story in English so I am not 100% sure of my information. Reading the doctors comments I would imagine there were other factors involved, but this does stress the point about not taking any medications except under the strict supervision of an appropriately qualified physician.

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