Obsessed with Suboxone Diversion? Raise the Cap!

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 Read more…

An Addict's Story

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 Read more…

The Buprenorphine Ceiling Effect

This post is from a couple years ago;  I think it is important for people to have a basic understanding of how buprenorphine removes opioid cravings, so I’m republishing the post. Note that naloxone has NOTHING to do with the effects of Suboxone. In this video I explain why the ceiling effect Read more…

Weezer Ex-Bassist Dies, Suspected Overdose

Written by Daniel Gordon at ThirdAge.com: Former Weezer bassist Mikey Welsh was found dead in a Chicago hotel room Saturday afternoon, the Chicago Tribune reports. Raffaello Hotel staff reportedly found the 40-year-old ex-musician on the floor of his room around 1 p.m. Saturday. The Chicago Tribune reported that narcotics are Read more…

The REAL Future of Partial Agonist Treatment— Pharma are you Listening?

I just wrote a note to a friend who works in the molecular sciences– she has been studying opioid receptors since the early 1980’s, when things were just getting started on a molecular level.  I’m keeping her name to myself, but I’ll share a few thoughts about what is needed to Read more…

Winehouse

By now, everyone who knows of Amy Winehouse is aware of her tragic death. I’ve always liked her music. So much music these days has been digitally processed and reprocessed, and assaults the senses– I’m thinking of Lady Gaga, for example, whose ‘Edge of Glory’ would be pretty boring in Read more…

Unintended Consequences

I saw a patient from up north earlier today, and we tallked about the economy in his part of Wisconsin and in the Michigan Upper Peninsula.  From what he had to say, things are the ‘same old same old;’ i.e. jobs are few and far-between.  Seems as if it has been Read more…

Withdrawal in newborns: Lay off the guilt trip!!

I will share some thoughts that I left at a discussion at a ‘linked in’ group about addiction.  I was responding to someone who was equating addiction and physical dependence in a baby born to an opiate-addicted mother.  My feeling is that such women are given way too much of Read more…

Sharing Suboxone: W.W.Y.D?

Here is a ‘what would you do’ question: Today I saw a new patient who came in asking to start Suboxone.  She has a significant addiction to heroin– I don’t know heroin doses very well, but she said she uses ‘four bags per day’.  Incidentally, if anyone knows the conversion Read more…