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addiction treatment

Buprenorphine, Not Subbies

April 8, 2018 by admin 20 Comments

I’ve been writing longer and longer posts on SuboxForum so maybe I need to write more here.  This blog archives twelve years of frustration over the ignorance toward buprenorphine, at least until I ran out of steam a year ago.  I grew used doctors refusing to treat people addicted to heroin and other opioids.  I became … [Read more…]

Posted in: Addiction, Buprenorphine, recovery, Suboxone, treatment Tagged: addiction treatment, Buprenorphine, stigma, Suboxone, subs

Help for Heroin Addiction

March 27, 2018 by admin 10 Comments

A couple comments for regular readers…  first, watch for an upcoming change to a new name.  For years I’ve debated whether to adopt a name centered on ‘buprenorphine’, rather than the more-recognizable ‘Suboxone’.  I believe that time has come.   Second, I’m going to ‘reset’ with some introductory comments about the proper approach to treating heroin … [Read more…]

Posted in: Addiction, Clean Enough, treatment Tagged: addiction treatment, Buprenorphine, heroin addiction, medication assisted treatment, Methadone

Clearbrook President Gets it Wrong

March 3, 2016 by admin Leave a Comment

A blurb in the buprenorphine newsfeed (see the bupe news link in the header of this page), has the headline ‘Suboxone challenged by Clearbrook President’.  I followed the link, and after reading the ‘article’ I wanted to comment to that president but the person’s name wasn’t included, let alone an email address or comment section.  … [Read more…]

Posted in: 12 steps, Addiction, Buprenorphine, recovery, Suboxone, treatment Tagged: abstinence, addiction treatment, medication based treatment, opioid dependence, Suboxone

Obsessed with Suboxone Diversion? Raise the Cap!

September 27, 2015 by admin Leave a Comment

Last week, HHS Secretary Sylvia Burwell announced that the cap on buprenorphine patients will be raised above the current limit of 100 patients per doctor.  This move, should it actually occur, will potentially save tens of thousands of young lives per year, given that over 30,000 people die from narcotic overdose each year.  But instead … [Read more…]

Posted in: Addiction, Buprenorphine, Public policy, Suboxone Tagged: addiction treatment, cap on buprenorphine, heroin, HHS raises cap, overdose deaths, suboxone diversion, suboxone treatment

Health Privacy at the Pharmacy

December 4, 2014 by admin Leave a Comment

First Posted 12/20/2013 In the middle of an already-hectic schedule, my office received a call from a pharmacist at Roundy’s Pharmacy, Sheboygan WI saying that he couldn’t fill a script for oxycodone without the patient’s ICD-9 number.  The ICD-9 is soon to be replaced by ICD-10, a system that applies numbers to every medical illness … [Read more…]

Posted in: Public policy, treatment Tagged: addiction treatment, privacy at pharmacy, privacy of healthcare information

Bangor to Maine: Too Much Suboxone Treatment!

November 28, 2014 by admin Leave a Comment

First Posted 11/26/2013 As I read about the moratorium on buprenorphine treatment programs in Bangor, Maine, I thought about the scene from the movie Titanic where the people who found safety in lifeboats struggled to keep those in the water from climbing aboard. The Bangor city council recently voted to impose a moratorium on expanding buprenorphine treatment … [Read more…]

Posted in: Addiction, Buprenorphine, Public policy, Suboxone, treatment Tagged: addiction treatment, ban on buprenorphine treatment, opioid overdose deaths, suboxone limits

Should Addiction Treatment Include 'Shame'?

November 4, 2014 by admin Leave a Comment

Originally Posted 3/23/2013 I generally write positive articles about the use of buprenorphine for treating opioid dependence, and my articles have been reflective of my attitude toward the medication. The field of psychiatry encompasses more conditions than it does effective treatments for those conditions, and my initial experiences treating people with buprenorphine were strikingly positive. … [Read more…]

Posted in: Addiction, Psychodynamics, recovery, treatment Tagged: addiction treatment, cycle of shame, opioid addiction, shame and addiction

An Addict's Story

August 19, 2012 by admin 1 Comment

I received the following email last week.  I considered trimming it down, but the story is well-written and describes a history that is similar to that of many of my patients.  As usual, I will write a follow-up post in a week or so. Dear Dr. J, I have read many of your posts over … [Read more…]

Posted in: Addiction, Buprenorphine, recovery, relapse, Suboxone, terminal uniqueness, treatment Tagged: Addiction, addiction treatment, Buprenorphine, heroin, opioid dependence, oxycodone, relapse, Suboxone, terminal uniqueness
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