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Withdrawal

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

Size Matters?

February 17, 2012 by admin 27 Comments

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…]

Posted in: Addiction, Buprenorphine, Pharma, pharmacology, Psychodynamics, treatment Tagged: Buprenorphine, generic formulation, small tablet, Suboxone, Subutex, Withdrawal

Jerk Counselor

February 13, 2012 by admin 6 Comments

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…]

Posted in: Addiction, Buprenorphine, Clean Enough, Legal, Public policy, relapse, Suboxone, Subutex, treatment, Withdrawal Tagged: addiction counselor, bad counselor, bad therapist, Buprenorphine, opioid, power trip, relapse, Suboxone, Withdrawal

Cinderella and Snow White Smuggle Suboxone

April 30, 2011 by admin 1 Comment

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…]

Posted in: Addiction, Buprenorphine, Legal, receptor actions, Suboxone Tagged: Buprenorphine, cartoon, Cinderella, jail, prison, smuggle, smuggler, Suboxone, Withdrawal

Chapter 4, Pt 2: Stages of Addiction

January 14, 2011 by admin 2 Comments

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…]

Posted in: Addiction, Buprenorphine, Clean Enough, My book, recovery, Suboxone Tagged: addict, opioid, opioid dependence, sick and tired, Suboxone, Withdrawal

Withdrawal from Suboxone

December 31, 2010 by admin 27 Comments

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…]

Posted in: Addiction, Buprenorphine, Suboxone, Subutex, Withdrawal Tagged: agonist, Buprenorphine, opioid withdrawal, Suboxone, Suboxone taper, Suboxone withdrawal, Withdrawal

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
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