Tolerance is an Important Consideration

It is nice to see the growing number of buprenorphine prescribers on the ASAM forums. There are many APNP’s getting involved, and many of them will probably be better at the job than physicians. One concern I have, though, is whether those prescribers fully understand that tolerance is an important Read more…

Where’s the Buprenorphine asked Mr. Obvious? Thanks, CDC!

I’ve been frustrated by the people behind the Wisconsin PDMP, or Prescription Drug Monitoring Program, for their mistakes related to buprenorphine. Whoever came up with the numbers made a rookie error when calculating the equivalent morphine dose of patients taking buprenorphine products. The error is easy to notice by anyone Read more…

Bathtub Tragedy

I was never a huge Whitney fan, but nobody can debate the beauty and power of her voice.  Also beyond debate is that she deserved a better ending than the one she found, alone in a bathtub, while ‘friends’ were partying a few floors away.  Xanax and other benzodiazepines, combined Read more…

Are you ANXIOUS? Are you SURE?

I’ve been posting more lately, but I’m hoping to slow down by the end of the holidays to let everyone catch up.   I’ve also mentioned ‘my book’ several times in the past year, promising to myself and to others deadline that comes and go.  I wish I could take a month Read more…