Hydrocodone (Vicodin) Addiction and Buprenorphine

I recently accepted a young man as a patient who was addicted to hydrocodone (the opioid in Vicodin), prompting a discussion about treatment options for someone who hasn’t been using very long, and who hasn’t pushed his tolerance all that high. Perhaps it will be informative to share my thought Read more…

Wow (!) in Taipei, Taiwan

I often talk to my patients on buprenorphine (aka Suboxone) about the need to fill their minds with new ideas, plans, and experiences.  For years, those of us with addictions were focused on one thing– finding a way to avoid being sick for the next few hours.  That one issue became Read more…

Making People Stop

Below is an e-mail that I changed just enough to hide the person’s identity.  Every week, I receive messages that describe similar situations. My husband has struggled GREATLY with substance abuse since in his 20’s; he is now in his mid-40’s. He is the kindest sweetest man and he is Read more…

A hazard for kids?

Need a Suboxone Doctor? Cap Problems? ACT!

There are ongoing efforts to eliminate the cap on treating people for opioid dependence with buprenorphine or Suboxone.  I don’t know what the odds of success are, but the efforts would benefit from public demand.  If you have had difficulty finding a doctor with room under the cap, write a letter Read more…

Buprenorphine for Treatment of Cocaine Dependence

This is not all that new, but it was just pointed out to me recently and I figure many of you will find it interesting.  As most readers know, the receptors that mediate the actions of cocaine are completely different than the receptors that are activated during use of opioids.  Read more…

Scam City

When Suboxone first became an option for treating addiction to pain pills back in 2003, some people were excited about having a cure for opioid dependence. Those people were mistaken. It is true that Suboxone has been a huge benefit for treating opioid dependence, but the medication cannot cause the Read more…

Demanding Total Abstinence Misses the Point of Addiction Treatment

I worked for several years as the medical director of a residential treatment center in Wisconsin, leaving the position several weeks ago because they were angry about my support for buprenorphine. On my last evening in the place I took a moment to look around and think about how addiction treatment Read more…

Opioid overdose deaths

Opioid dependence treatment options

Below is one chapter of my long, long book– the one that I will probably never finish.  I wrote this chapter about two years ago, and have not published it anywhere else, at least not that I can remember.  It is LONG, but if you are addicted to opiates and Read more…

My ebook guide to Buprenorphine/Suboxone

I have talked about the book I am working on– I decided at some point to come out with two things. I receive so many questions about Suboxone– apparently many doctors don’t come up with suggestions for dealing with surgery, pain, etc. So I have produced an e-book that describes Read more…

Suboxone Practice Guidelines

I receive monthly updates from Reckitt Benckiser in regards to best practices  using buprenorphine.  I figure that all of you should be as aware of the information as I am, so here it is (also see link below post).   Please note, in particular, the material on page 5 regarding Read more…

New Findings About Buprenorphine

Be sure to take a look at ‘buprenorphine news’ halfway down in the right column–  there are new things popping up lately about buprenorphine.  The top two studies are particularly interesting;  the first looked at patients wearing low-dose buprenorphine patches (yes, they are coming folks!) in pain patients to see Read more…

Parole Officer demands stopping subox

This is irritating– a person is stable on suboxone, employed, turning their life around… and their PO from the case over a year ago wants them off ‘that drug suboxone’. Un-F-ing-believable. My letter to the PO: I treat XXXXXXX for opiate dependence. He and I have arrived at a taper Read more…