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opioids

Leadership on Opioids

December 19, 2015 by admin Leave a Comment

Anyone who proposes an easy solution to the overdose epidemic is either a simpleton or a politician.  But far too many people entrusted with the power and responsibility to set priorities decry the number of overdose deaths, then stigmatize and demonize every effort to save lives.   “Suboxone can be diverted.”   “Someone might drive impaired after methadone.”  “Needle … [Read more…]

Posted in: Buprenorphine, Education, Public policy, Suboxone, treatment Tagged: Addiction, heroin addiction. Obama and opioids, opioids, overdose deaths, overdose epidemic

Short-Timers

July 20, 2012 by admin 1 Comment

Another question from a reader: The current blog brings up the notion of long term use of Bupe or short term detox.  You say you are a fan of long term use, and that is clearly a good thing when the patient is one headed back to a drug culture of life of crime or … [Read more…]

Posted in: Addiction, Buprenorphine, Chronic pain, Methadone, Pharma, relapse, Suboxone, Subutex Tagged: Addiction, Buprenorphine, Chronic pain, opioids, short-term Suboxone, taper schedule, Withdrawal

Mean Streak

February 25, 2012 by admin 3 Comments

I guess I do get irritable sometimes…  but I’m getting better at controlling my anger as I get older.  One cool thing about a blog is that I can go back and see what I wrote years ago.  In this case, I was looking for a post about telling the difference  between opioid toxicity (from taking too much) … [Read more…]

Posted in: Addiction, Buprenorphine, Public policy, recovery, Suboxone Tagged: abres los ojos, anti-Suboxone, Buprenorphine, opiate, opioids, penelope cruz, Suboxone, Withdrawal

Brattleboro Vermont To Addicts: Stay Stoned!

December 20, 2011 by admin 3 Comments

I was stunned to see this story about the town of Brattleboro, a town in Vermont with a name famous for the rats that grew up there. As an aside, my PhD thesis involved working with vasopressin receptors in the brain, and that is why I’m familiar with Brattleboro rats– a species of rat that … [Read more…]

Posted in: Addiction, Buprenorphine, Legal, Public policy, Suboxone Tagged: brattleboro, Brattleboro drug treatment, opioids, Suboxone, treatment clinic

Consequences Section

September 18, 2011 by admin Leave a Comment

Weeks ago I posted a few new ideas—things like a memorial wall for victims of opioid dependence, and a ‘wall of shame’ for doctors who are known for reckless prescribing of opioids.  I mentioned these ideas over at SuboxForum as well. I received good feedback from readers here, and from members there.  Sometimes the best … [Read more…]

Posted in: Addiction, Education, Legal, Methadone, Public policy, receptor actions, relapse, risks, side effects Tagged: Buprenorphine, consequences, death, heroin addiction, opioids, overdose, overdose death, oxycontin, sober thinking, Suboxone, treatment

Endorphin Deficiency Syndrome and Buprenorphine

January 17, 2011 by admin 1 Comment

Every now and then I receive an e-mail  or comment that is sufficiently long to warrant a post of it’s own.  Below is the comment without interruption;  a bit lower I repeat parts of the comment, interspersed with my own responses.  I hope you find it interesting. The comment: I am a strange case: vegetarian, … [Read more…]

Posted in: Addiction, Buprenorphine, Mood, other blogs, pharmacology, Research, side effects, Suboxone Tagged: Buprenorphine, depression, endorphin deficiency, endorphins, opioids, Suboxone

Clean Enough: An Educational Process

November 28, 2010 by admin 2 Comments

Clean Enough continues: An Educational Process I was able to stop using codeine after returning home and to my job in the operating room.  I dodged a bullet– or so it seemed.  I continued to drink wine, beer, and the occasional margarita, but I had convinced myself that drinking was an isolated vice that was … [Read more…]

Posted in: Addiction, My book, recovery, relapse Tagged: opioids, relapse, residential treatment, Withdrawal

Unintended Consequences

November 15, 2010 by admin 2 Comments

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 that way for a long … [Read more…]

Posted in: Addiction, Legal, Pharma, Public policy Tagged: Addiction, heroin, intravenous drug abuse, opioid dependence, opioids, oxycontin, REMS
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