One Comment

  1. tic

    In my experience, which is limited compared to Dr. J, chronic pain patients without addiction taper opiates without needing much help, and without needing buprenorphine. Patients who cannot taper opiates by gradual dosage reduction almost always turn out to have more addictive behavior than they report on initial evaluation. In either case, patients continue to need some opiate agonist or buprenorphine because medical interventions for chronic painful conditions do not ever seem to be 100% successful.

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