Search found 10 matches

by timbaldwin1
Mon Oct 12, 2015 1:37 pm
Forum: Clinical Use of Buprenorphine
Topic: cutting films in half
Replies: 9
Views:

I believe this discussion really stems from the desire of pharmacist to not reduce the package size of that Suboxone boxes rather than cutting the films. I too have been cutting films ever since I started eight years ago during induction's. Before that I was cutting pills. Manufactures concerns I be...
by timbaldwin1
Tue Oct 06, 2015 8:39 am
Forum: Clinical Use of Buprenorphine
Topic: Bunavail Question
Replies: 10
Views:

good idea. Its mucous membrane.Also lemon juice one drop helps.
by timbaldwin1
Fri Dec 05, 2014 11:03 am
Forum: Clinical Use of Buprenorphine
Topic: Pos THC a month after "last used"
Replies: 25
Views:

I don't use a positive THC for termination either. I would point out this is a long-term goal compared with the short-term goal of getting off of opiates. I do work for that goal. If you want to be nerdy about the whole issue you can get qualitative THC****essments month apart which should show a de...
by timbaldwin1
Fri Dec 05, 2014 11:03 am
Forum: Clinical Use of Buprenorphine
Topic: Pos THC a month after "last used"
Replies: 25
Views:

Quantitative****essments.
by timbaldwin1
Mon May 12, 2014 8:22 pm
Forum: Clinical Use of Buprenorphine
Topic: Selling bup
Replies: 35
Views:

My thoughts regarding injecting suboxone film.If patient is already on suboxone how will naloxone precipitate withdrawal? buprenorphine's clinical affinity for the receptors is greater than naloxone's I could see a little short lived (10-20 minutes of mild withdrawal), but then the suboxone which is...
by timbaldwin1
Thu Aug 16, 2012 7:41 am
Forum: Clinical Use of Buprenorphine
Topic: New Buprenorphine Preparations
Replies: 11
Views: 696

I found some veterinary anesthesia literature which studied this and found that at lower doses buprenorphine interefered more than did a higher dose. That is higher doses facilitate full agonists. I've had numerous spine surgeries in the past 15 years and employing this method has worked. I would go...
by timbaldwin1
Thu Jul 26, 2012 3:29 pm
Forum: Clinical Use of Buprenorphine
Topic: Neurologic side effects
Replies: 5
Views: 264

I've had two patients who developed leg edema joint pain and weight gain. both were on suboxone film and were reporteded as adverse reactions. The clinician at Reckitt Benkiser informed me that this has appeared as an aftermarket concern. When switched to subutex the symptoms promptly went away. Thi...
by timbaldwin1
Wed Jul 25, 2012 2:28 pm
Forum: Clinical Use of Buprenorphine
Topic: urine toxes
Replies: 17
Views: 617

A technique which I have found to be quite is as follows:I gently ask the pt "What will I find on this urine tox that I'm about to do ?
by timbaldwin1
Thu Sep 02, 2010 8:05 am
Forum: Clinical Use of Buprenorphine
Topic: Subutex
Replies: 4
Views: 189

I did that for a while until I was told by the Reckitt-Benkiser detail rep to check the insert which now states it's only foe witnessed administration. I also read about its misuse iv in Australia and France. Recently a patient in our town was found unconscious in his car outside the pharmacy. He ap...
by timbaldwin1
Tue May 18, 2010 12:33 pm
Forum: Clinical Use of Buprenorphine
Topic: Post-Withdrawal Syndrome
Replies: 45
Views: 1335

I keep a large magnifying glass in my desk and jokingly tell some patients we can keep halving the dose below 0.5 mg until it can no longer seen! This has worked for some.

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