Do Interventions Work?

It has been a while, it seems, since I’ve checked in.  I’m at the point in the life cycle of a ‘blogger’ where I feel like I’ve said most of what I came here to say… so help me out by sending your questions, particularly those with broad implications, and 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…

My Lousy Bedside Manner

I receive about a dozen e-mails each day asking for advice; some are quite long, and while I would love to be more helpful there are days when I don’t have time to even read them, let alone answer– so please understand if I have not gotten back to you. Read more…

Suboxone film

It IS Hard to Stop Suboxone. Here is why.

Yes, you heard it here fir…. fourth…  it is hard to stop Suboxone.  As anyone pausing at this website knows, it is hard to stop ANY opiate.  There are many forces at work against you when you are tapering off opiates; physical withdrawal, mental withdrawal, cravings for opiates, and the Read more…