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Tapering off Buprenorphine or Suboxone, Pt 2

August 15, 2018 by admin 10 Comments

In the last post we discussed some of the misconceptions about tapering off opioids.  Today we will discuss a couple basic principles, and then describe the approach I recommend for my patients tapering off buprenorphine. Opioids act at receptors that normally bind endorphins, which are released by neurons in response to a range of stimuli … [Read more…]

Posted in: Addiction, Buprenorphine, pharmacology, receptor actions, Suboxone, Withdrawal Tagged: opioid tolerance, stopping suboxone, suboxone detox, Suboxone taper, tapering off buprenorphine

Rapid Opioid Detox from Suboxone

December 27, 2014 by admin Leave a Comment

First Posted 1/26/2014 I recently answered a post at SuboxForum by a member who asked what to expect from rapid detox from opioids, and specifically from buprenorphine. My reply: Several of my current buprenorphine patients have been through rapid detox at some point in their past.  Their stories are so similar that it becomes difficult … [Read more…]

Posted in: Addiction, Buprenorphine, Suboxone, treatment Tagged: buprenorphine addiction, help stopping suboxone, rapid opioid detox, suboxone detox

Short Term Suboxone

December 13, 2014 by admin Leave a Comment

Firsted Posted 1/8/2014 I received an email today containing an angry comment about Suboxone/buprenorphine that I’ve read a number of times before on forums about addiction.  The essence of the comment was that Suboxone has caused tons of problems, including diversion, people stuck on the medication, and buprenorphine abuse. He wrote that the reason for … [Read more…]

Posted in: Addiction, Buprenorphine, Education, Suboxone, treatment Tagged: buprenorphine maintenance, how long to take suboxone, suboxone detox, suboxone treatment

Suboxone Detox is a Sucker’s Bet

November 20, 2014 by admin Leave a Comment

First Posted 10/6/2013 I attended the US Psychiatric and Mental Health Congress meeting last week and actually attended the meetings (the event was held in Las Vegas), but I was disappointed by the absence of lectures about addiction.  There are other mental health groups geared more toward addiction, but one would think that psychiatry would maintain … [Read more…]

Posted in: Addiction, Buprenorphine, relapse, Suboxone, treatment Tagged: buprenorphine detoxification, naltrexone treatment, opioid detox, short-term detox, suboxone detox, Vivitrol

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