There is plenty of nonsense on the internet, but nonsense is most-annoying when it comes from ‘experts’. I’m referring to nonsense from American Addiction Centers about Suboxone. If you go to their heavily-advertised site there is no mention of the Read more…
In the last post we discussed some of the misconceptions about tapering off opioids. Today we will discuss a couple basic principles, and then describe the approach I recommend for my patients tapering off buprenorphine. Presenting how to stop buprenorphine Read more…
Why am I ornery? I get that alot. When I’m not writing this blog I’m in a pretty-good mood. This blog was very popular up until about 2013 when it was featured in a NYT story. My dad passed away Read more…
Here’s a surprise… patient’s who were addicted to opioids from the age of 15 and seek help at age 30 sometimes have issues. Some pharmacists seem to think that every patient should be perfect. Those of us who work in Read more…
Many patients taking buprenorphine live in fear of a dark world around the corner where they will have to taper off the medication. They see horror stories on YouTube posted by people who, for some reason, abruptly stopped the medication Read more…
I found this old post from ten years ago that I never got around to publishing it. A person doesn’t like taking Suboxone and blames the drug for the lack of change in his life. It plays into the discussion Read more…
Can a person get high from Suboxone or buprenorphine, the active part of that medication? I suspect most pharmacists, police officers, and legislators would answer ‘yes!’, but the answer is more complicated. The people who serve patients who take Suboxone Read more…
This is a ‘bone to pick’ post. Yesterday a patient who has done well on buprenorphine for the past 6 years shared his pharmacy experience. His experience is typical of whatI hear far too often. I understand that pharmacists are Read more…
In the first part of this series I described my experiences working in methadone-assisted treatment, including aspects of that industry that, in my opinion, warrant serious consideration. In the second part I described steps that potential patients can take that Read more…
I described how seeking methadone-assisted treatment for OUD can lead to a lifetime dependency. Informed patients can take steps to reduce that risk of life-defeating attachment. Clinics could do the same, although doing so may harm the business model of Read more…
I know. Nothing brings out the boo-birds like a negative story about methadone. For the record I agree that methadone treatment, properly provided, is a vital and life-sustaining weapon against opioid overdose deaths. But too often, methadone treatment can become Read more…
I’ve spent 15 years treating addiction, mostly to opioids. I’ve worked in residential treatments, methadone programs. I have testified in cases related to overdose deaths. I know the harm that is possible from excess opioid precribing or use. But I Read more…