Search found 166 matches

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

This is very helpful. Thanks. I also educate patients that opioids have both an analgesic (pain killing) and euphoric (high feeling) effect. They are used to experiencing both together and therefore when they don't experience the euphoria there is a tendency to think the medication is "not working"....
by MChaplin
Thu Mar 16, 2017 6:44 am
Forum: Clinical Use of Buprenorphine
Topic: Random Drug Screen Generator
Replies: 3
Views:

I read somewhere that After a patient provides a urine you can roll dice to determine when the next one should be. Put the date on the schedule but don't inform the patient until day of or say before or whatever your office protocol is. I struggle with making stable patients come in randomly because...
by MChaplin
Mon Feb 13, 2017 10:01 am
Forum: Clinical Use of Buprenorphine
Topic: Revisiting generics
Replies: 6
Views:

In my community prices are a moving target. When my patients have to self pay we call around to several pharmacies and ask them what the best priced option is. Laborious but sometimes can find a better price..
by MChaplin
Tue Dec 20, 2016 2:54 am
Forum: Clinical Use of Buprenorphine
Topic: But Discontinuation Syndrome ??? Studies
Replies: 7
Views:

two observations- getting down to a daily dose of 2mg does not seem to be difficult for most motivated patients- but coming off that last 2mg can take months and lots of patience- I recommend 2mg every other day then every third day then every fourth etc Also- once off, tolerance is LOW and small am...
by MChaplin
Wed Dec 07, 2016 7:08 am
Forum: Clinical Use of Buprenorphine
Topic: Buprineorpine Injection???
Replies: 5
Views:

from what I read it will be available as a weekly injection and a monthly- I will try to locate the reference- it sounds like a great idea to me!
by MChaplin
Fri Dec 02, 2016 5:15 am
Forum: Clinical Use of Buprenorphine
Topic: Was there a data dump?
Replies: 4
Views:

me too. I am quite frustrated with this discussion board as posts are not appearing in a timely basis- If this doesn't post promptly, I will probably disengage, the new webboard doesn't seem to have these issues though it is less "friendly". I have enjoyed my discussions with all of you and am hopef...
by MChaplin
Fri Dec 02, 2016 5:15 am
Forum: Clinical Use of Buprenorphine
Topic: Was there a data dump?
Replies: 4
Views:

the "new" web board is through pccs- the website is http://pcss.invisionzone.com/ - all the answers are provided by "mentors" who are experts in the field and are more scientifically based than clinical experience based though there is some of that. i can't remember exactly how to sign up for it- bu...
by MChaplin
Fri Oct 14, 2016 11:26 am
Forum: Clinical Use of Buprenorphine
Topic: naloxone and naloxone metabolite on uds
Replies: 2
Views:

could they be swallowing much of the medication and absorbing naloxone that way?
by MChaplin
Fri Oct 14, 2016 7:23 am
Forum: Clinical Use of Buprenorphine
Topic: Poppy Seeds
Replies: 8
Views:

that is heroin- poppy seeds shows up as morphine- because they have morphine in them- heroin is diacetylmorphine which is broken down very rapidly to 6 monoacetylmorphine (6MAM) which is broken down fairly quickly- 6-12 hours to morphine- SO if she is morphine postive you can't be sure- but if you h...
by MChaplin
Fri Oct 14, 2016 7:23 am
Forum: Clinical Use of Buprenorphine
Topic: Poppy Seeds
Replies: 8
Views:

robertsonjon- with all due respect, i am confused by your post- poppy seeds contain morphine so how does your lab distinguish between oral ingestion of poppy seeds and use of heroin?? both show up in the urine as morphine. i beleive the claim by your lab to be able to tell the difference (to have no...

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