Search found 15 matches

by DrBallester
Thu Apr 13, 2017 5:01 am
Forum: Clinical Use of Buprenorphine
Topic: patient information sheet on OTC analgesic regimen
Replies: 3
Views:

The recommended maximum dose for ibuprofen is 2400 mg, not 3200 mg, and that would be for "healthy subjects".
by DrBallester
Mon Dec 05, 2016 7:53 am
Forum: Clinical Use of Buprenorphine
Topic: Starting Suboxone to prevent relapse
Replies: 5
Views:

Is he on Vivitrol? That would block any benefit from buprenorphine.
by DrBallester
Fri Oct 14, 2016 7:23 am
Forum: Clinical Use of Buprenorphine
Topic: Poppy Seeds
Replies: 8
Views:

Quest has a nice webinar discussion, it is free
by DrBallester
Wed May 18, 2016 7:16 pm
Forum: Clinical Use of Buprenorphine
Topic: Buprenorphine Prescribing-to expand or not expand
Replies: 5
Views:

http://releases.jhu.edu/2015/06/18/tamper-resistant-pill-dispenser-aims-to-stamp-out-medication-misuse/
by DrBallester
Wed May 18, 2016 9:19 am
Forum: Clinical Use of Buprenorphine
Topic: How to handle an anonymous call regarding a patien
Replies: 13
Views:

I have discussed the situation with my patient and then verified compliance and toxicology reports from the lab. One time the Narcotics Officers came to my office because my ex-patient was recorded on the PBM call stating that she was waiting to get her prescription to sell it to an eagerly waiting ...
by DrBallester
Mon May 09, 2016 9:12 am
Forum: Clinical Use of Buprenorphine
Topic: Managing Constipation; Relistor
Replies: 15
Views:

Movantik would be a better treatment option, more likely to be covered for a patient on MAT.

Relistor is an injection, fewer patients will embrace that mode of therapy.
by DrBallester
Wed Apr 27, 2016 1:01 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol Question
Replies: 4
Views:

Consider sending the question to Dr. A. Bisaga

If you cannot do an oral naltrexone challenge, let the patient decide to take the risk of potential precipitated withdrawal.
by DrBallester
Mon Apr 11, 2016 10:02 am
Forum: Clinical Use of Buprenorphine
Topic: Tramadol has unique properties in buprenorphine to
Replies: 9
Views:

The original concern was additional therapy for analgesia if I am interpreting the post accurately. The history of buprenorphine is that it was first used IV in the hospital, usually by Anesthesia, later the sublingual dosing was used for MAT and analgesia. We should avoid combining opiate agonists ...
by DrBallester
Wed Mar 30, 2016 5:50 am
Forum: Clinical Use of Buprenorphine
Topic: buprenorphine levels
Replies: 23
Views:

<blockquote id="quote"><font size="1" face="Verdana, Arial, Helvetica" id="quote">quote:<hr height="1" noshade id="quote"><i>Originally posted by NoDrugs4u</i> <br />Related question - is there any way someone on 8mg daily could test <i>negative</i> for buprenorphine in a urine test? I have two pati...
by DrBallester
Fri Jan 22, 2016 10:52 am
Forum: Clinical Use of Buprenorphine
Topic: Dialysis and Buprenorphine
Replies: 1
Views:

Clin Pharmacokinet. 2005;44(7):661-80. Buprenorphine: clinical pharmacokinetics in the treatment of opioid dependence. Elkader A1, Sproule B. Author information Abstract Buprenorphine is a semi-synthetic opioid derived from thebaine, a naturally occurring alkaloid of the opium poppy, Papaver somnife...

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