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 scandals involving ‘sober treatment programs’ that filled the Florida news 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 and kept a video log of their experiences. My own 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 about methadone because it shows the attitudes that can develop 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 overworked and understaffed, but the complaints I hear so often 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 might help them avoid spending their entire lives attached to Read more…
A forum reader wrote about concerns over a partner on buprenorphine. Her concerns pointed out a common misperception about the goals of treatment of opioid use disorder using buprenorphine, or using methadone for that matter. Her question, amended for privacy: I married the love of my life. He is still Read more…
HHS Secretary Sylvia Burwell announced yesterday that the cap on buprenorphine patients would be raised in the near future. Details were not released, but she emphasized that measures would be taken to increase availability of this life-saving treatment, while at the same time taking caution to prevent misuse of the medication. Read more…
In Opioid Addiction Treatment Should Not Last a Lifetime, Percy Menzies resurrects old theories to tarnish buprenorphine-based addiction treatment. Methadone maintenance withstood similar attacks over the decades, and remains the gold standard for the most important aspect of treating opioid dependence: preventing death. All over again, Menzies gets it wrong on Suboxone. Menzies begins Read more…
It has been awhile since I posted a give and take with a misguided reader. I’ve taken that interval as good news that education is winning over misinformation. But then I read this: a sad and crazy argument against Suboxone. I didn’t fix her typos, as I think they provide Read more…
First Posted 11/23/2013As fear of buprenorphine diversion sweeps the nation, some states have passed legislation adding more rules for practices that treat addiction using buprenorphine. Never mind that buprenorphine is linked to about 400 deaths over ten years, one tenth of the number of deaths from acetaminophen during that same Read more…
First Posted 8/11/2013 We’ve all read articles about the epidemic of opioid dependence during the past ten years. We’ve heard the concern over pain medications being overly-prescribed by some physicians. Some of us older docs even remember the claims, by the Joint Commission on Hospital Accreditation and other medical watchdogs, that Read more…
First Published 7/23/2013 I hear from the anti-buprenorphine people now and then, less than I used to. I also hear from fans of this blog’s early days, when I routinely lost my temper in response to those people. Their general line was that things on heroin weren’t all that bad, but Read more…