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Methadone

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

Counseling Schmounseling

May 3, 2016 by admin Leave a Comment

I just noticed a couple of my recent posts….  these people have it wrong, and that person has it wrong.  One of these days I really need to print something positive and uplifting.  But not today. Excuse the self-flattery, but I like to think of myself as a physician scientist.  That concept motivated my PhD … [Read more…]

Posted in: Addiction, Buprenorphine, Public policy, Research, Suboxone, treatment Tagged: addiction counseling, heroin addiction, medication assisted treatment, Methadone, opioid dependence, Suboxone

The Downside of Methadone

January 28, 2012 by admin

An Article by Mike Berens and Ken Armstrong, Seattle Times, discusses some of the problems with using methadone as a first-line treatment for pain: When it comes to battling pain, Washington health officials have encouraged doctors to reach for methadone, a powerful and inexpensive prescription drug. For the past decade, the state has declared methadone … [Read more…]

Posted in: Acute Pain, Chronic pain, Methadone, pharmacology, receptor actions, risks, side effects Tagged: Chronic pain, health advisory, medication side effects, Methadone, morphine, oxycodone, pain, pain drugs

Making People Stop

January 2, 2012 by admin 2 Comments

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 the BEST husband and father. … [Read more…]

Posted in: 12 steps, Addiction, Buprenorphine, Public policy, relapse, Suboxone, Subutex Tagged: addiction treatment, Buprenorphine, maintenance, Methadone, opioid dependence, stopping suboxone

Do You Prescribe Buprenorphine?

January 10, 2011 by admin 6 Comments

I’m not sure about the make-up of readers of this blog.  I know that there are about 20,000 page views each month, but I don’t know how many are by people addicted to opioids, people taking buprenorphine, family members of addicts, or physicians who prescribe buprenorphine.  If you fall into that latter category– i.e. if … [Read more…]

Posted in: Addiction, Buprenorphine, Education, Induction, other blogs, Research, Suboxone, Suboxone Forum, Subutex Tagged: addiction medication, Methadone, opioid dependence treatment, prescibe buprenorphine, suboxone doctors, suboxone treatment program, Vivitrol

Withholding medication in jail

November 4, 2010 by admin 1 Comment

Much thanks to a reader for sharing a story out of Maine from several months ago. The story refers to a common situation that doesn’t really register unless one happens to look at things with a different frame of reference.  The story refers to a woman jailed for driving on a suspended license.  The local Sheriff … [Read more…]

Posted in: Addiction, Buprenorphine, Legal Tagged: Buprenorphine, jail, Methadone, methadone maintenance, opioid, opioid dependence

Buprenorphine safer than methadone for neonates born to opioid addicts

June 30, 2010 by admin 2 Comments

A presentation at a recent meeting of ACOG, the American College of Obstetricians and Gynecologists, compared the use of buprenorphine or methadone for treating opioid addiction during pregnancy.  I hear from pregnant women often, who write out of frustration that their OBs have never heard of buprenorphine or Suboxone and asking what they should do … [Read more…]

Posted in: Buprenorphine, Education, Methadone, pregnancy, Research, risks Tagged: addiction pregnancy, Buprenorphine, buprenorphine infants, infants, Methadone, methadone infants, neonatal, opiate addiction pregnancy, Suboxone

Buprenorphine for low-dose opioid use

June 24, 2010 by admin 9 Comments

A reader wrote with a question that I don’t think I’ve addressed on the blog. Do you have a threshold for how much narcotic a patient must be using before you will put them on buprenorphine? I am concerned about narcotic addicts that are using 6-10 Vicodin (hydrocodone) a day for example.  Many have very … [Read more…]

Posted in: Addiction, Buprenorphine, Suboxone, tolerance, Withdrawal Tagged: Buprenorphine, Methadone, oxycodone, potency, Suboxone, tolerance
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