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…]
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…]
I’ve received several complaints from patients and readers about one of the current buprenorphine formulations. The primary complaint is that the tablet is ‘not ‘working as well as the other formulations;’ that it seems to wear off earlier, or that people feel compelled to take more than what is prescribed. My understanding, admittedly based only … [Read more…]
Every now and then I hear about a therapist or addiction doc who is doing such a disservice to the practice of addiction medicine as to deserve special mention. This week’s award goes to a certain counselor at a treatment program in Oshkosh, WI, who I’ll refer to as ‘This Jerk.’ I’ve made no secret, … [Read more…]
I’ll often joke with others who have histories of addiction over the ingenuity of addicts when it comes to finding or using drugs. If that amount of creativity and work ethic were ever harnessed for legitimate reasons, the opportunities would be limitless! I have similar thoughts when I read the story about several county inmates … [Read more…]
I am always impressed by how similar addiction progresses in one individual versus the next. The next reader’s comments and my comments afterward demonstrate a pattern that I have observed in one opioid addict after another. Throughout the book, comments that I receive from others will be italicized. I started on Suboxone in Feb 08 … [Read more…]
I often receive e-mails asking for advice on tapering Suboxone, or asking how long Suboxone withdrawal should last. People who read my blog know my approach to stopping Suboxone; I see it as an exercise in futility even in the rare cases where the person is successful, because of a relapse rate that verges on … [Read more…]
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…]