Search found 19 matches

by deegee
Tue Jul 12, 2016 12:25 pm
Forum: Clinical Use of Buprenorphine
Topic: Probuphine
Replies: 13
Views:

I've been to the training for rx'ing and implanting. I've reviewed the studies and they are reasonably convincing. I like the idea of no diversion and no pediatric exposure. I worry if behavioral medicine will be neglected as well as followup appointments. Also, after implanting both arms and a year...
by deegee
Fri Jan 08, 2016 1:48 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol adverse reactions
Replies: 8
Views:

This should not happen with IM injection. Local reactions usually are a result of a superficial injection, i.e. not deep enough, maybe in adipose. I use the 2" needle in all but the thinnest patients.
by deegee
Fri Jan 08, 2016 1:48 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol adverse reactions
Replies: 8
Views:

Hmm, agree that doesn't sound like a subcutaneous reaction. This is one of your patients? Do you have more info on the clinical course so that people can offer thoughts?
by deegee
Wed Nov 25, 2015 6:08 pm
Forum: Clinical Use of Buprenorphine
Topic: Implant training
Replies: 7
Views:

I'll be taking it in Boston in March if it goes through.
by deegee
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

I would not put naloxone on the allergy list. This has potential issues when another provider gets your records. Soon it will be written in stone and the patient has a free ride for buprenorphine mono product.
Offering bunavail is a good option to lessen the swallowed naloxone.
by deegee
Tue May 26, 2015 11:57 am
Forum: Clinical Use of Buprenorphine
Topic: what is enough "behavioral medicine"
Replies: 20
Views:

Thanks to all for contributing more to this topic. I don't think it's an issue of whether or not we "man up". I'm sure we all do counseling in our own way. Unfortunately, if we want to be around to help patients, we also need to know what is expected of us. Often, the hoops we jump through don't do ...
by deegee
Tue May 26, 2015 11:57 am
Forum: Clinical Use of Buprenorphine
Topic: what is enough "behavioral medicine"
Replies: 20
Views:

I must say, this is the most civil discussion board I've ever participated in.
by deegee
Tue May 26, 2015 11:57 am
Forum: Clinical Use of Buprenorphine
Topic: what is enough "behavioral medicine"
Replies: 20
Views:

Hi entjwb, Maybe I wasn't clear in my post. You referred above to "1-5 people a month completing the program". Are you referring to patients? Or are you talking about docs becoming drug counselors? It sounds like you send your patients to an outside counselor, but in your state, you have the option ...
by deegee
Tue May 26, 2015 11:57 am
Forum: Clinical Use of Buprenorphine
Topic: what is enough "behavioral medicine"
Replies: 20
Views:

Still, would be interested in knowing what people are doing in their respective practices, whether or not the dea agent cares.
by deegee
Mon Apr 27, 2015 10:55 pm
Forum: Clinical Use of Buprenorphine
Topic: Induction
Replies: 30
Views:

I don't do in office induction. My new patient protocol is similar to most. Weekly visits x 4 and gradually increase to 28 days once urine tox is appropriate, pt is in regular counseling, and pt LOOKS better. agree that we need to work around work as much as we can. If you do in office inductions, h...

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