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Buprenorphine

FDA: Dental Problems with Buprenorphine

January 17, 2022 by admin Leave a Comment

The FDA stated last week that transmucosal buprenorphine has been associated with dental problems, including tooth loss. The statement was based on 305 reports to the FDA Adverse Event Reporting System (FAERS) database since buprenorphine was approved 20- years ago. Many of my patients on buprenorphine medications have had dental problems, and the topic was … [Read more…]

Posted in: Buprenorphine, Chronic pain, pharmacology, side effects, Suboxone, Subutex Tagged: Buprenorphine

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

Brandeis and CDC Wrong on Buprenorphine PDMP Data

April 27, 2017 by admin 9 Comments

I’ll share an interesting story about the data used for the prescription drug database in Wisconsin and other states.  I’ve been holding back on writing about this issue in hopes that the reason for the story would be corrected, and I would have no story to tell.  But that hasn’t happened. A new law in … [Read more…]

Posted in: Addiction, Buprenorphine, pharmacology, Public policy, risks Tagged: Brandeis University, Buprenorphine, CDC, drug database, PDMP

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

March 21, 2017 by admin 17 Comments

A quick note tonight, hopefully with a longer post to follow this weekend… 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. … [Read more…]

Posted in: Benzos, Buprenorphine, pharmacology, Public policy, risks Tagged: benzodiazepines, Buprenorphine, CDC, PDMP

This Suboxone Doesn’t Work!

June 16, 2016 by admin 12 Comments

Today on SuboxForum people were writing about their experiences with different buprenorphine formulations.  Doctors occasionally have patients who prefer brand medications over generics, but buprenorphine patients push brand-loyalty to a different level.  The current thread includes references to povidone and crospovidone, compounds included in most medications to improve bioavailability.  Some forum members suggested that their … [Read more…]

Posted in: Addiction, Buprenorphine, pharmacology, Psychodynamics, side effects, Suboxone, Withdrawal Tagged: Buprenorphine, exipient, opioid dependence, povidone, Suboxone, zubsolv

Obama’s Lousy Suboxone Offer

May 15, 2016 by admin Leave a Comment

I was reading more about Obama’s executive order over at Dr. Burson’s blog.  I guess she is a ‘competitor’ in the blogging world, but I have to admit that her blog has a lot more detail about the issue than I do.  If you haven’t been there yet, check it out.  Keep coming back here … [Read more…]

Posted in: Addiction, Buprenorphine, Public policy, Suboxone, treatment Tagged: Buprenorphine, heroin addiction, obama suboxone treatment, Suboxone treatment cap, TREAT Act

Obama and the TREAT Act

May 12, 2016 by admin Leave a Comment

I just read an article in the Daily Beast that reads like a better version of something I would write about the value of medication-assisted treatment of opioid dependence.  I appreciate Christopher Moraff telling a story that has been untold far too long, and I hope the story raises questions across the country. But I … [Read more…]

Posted in: Addiction, Buprenorphine, Legal, Public policy, Suboxone, treatment Tagged: Buprenorphine, heroin addiction, Obama, patient cap, Suboxone, TREAT Act
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