Search found 52 matches

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

I have used that regimin for two patients who had full mouth extractions very successfully.
by entjwb
Mon Feb 13, 2017 10:01 am
Forum: Clinical Use of Buprenorphine
Topic: Revisiting generics
Replies: 6
Views:

I have some patients who prefer the tablets. Until about 6 months ago there were no problems. Now there is one pill that is giving problems with dissolving speed. Two factors important in sublingual tablets are: grade of lactose for filler and the hardness of compression. Patients say the tablets mo...
by entjwb
Mon Feb 13, 2017 10:01 am
Forum: Clinical Use of Buprenorphine
Topic: Revisiting generics
Replies: 6
Views:

I help my patients look on Good Rx app for best price in the area. I also give them different discount coupons for them to try. I have found Good Rx very helpful. I also try to get them on the program from manufacturer for free med for one year. I am hopefull the injectable Bup will be reasonably pr...
by entjwb
Wed Dec 07, 2016 7:08 am
Forum: Clinical Use of Buprenorphine
Topic: Buprineorpine Injection???
Replies: 5
Views:

It might but I would use in patients I am concerned about. Might be good for use in court ordered cases. If they were clean and life has changed in positive way for 6-12 months they might be stimulated to continue to desire a changed life. If there were a concern about diversion.
by entjwb
Fri Oct 14, 2016 11:26 am
Forum: Clinical Use of Buprenorphine
Topic: naloxone and naloxone metabolite on uds
Replies: 2
Views:

I would discuss with the lab toxicologist.
by entjwb
Fri Oct 14, 2016 8:11 am
Forum: Clinical Use of Buprenorphine
Topic: Max Dose Suboxone
Replies: 9
Views:

I think the chain has been pulled. First where did the diagnosis of trigeminal neuralgia come from? Is he being treated with other Meds for that condition. Next, as far as the dental issue I had a patient that underwent a full mouth extraction. I increased from 16mg to 20mg. She used 1/2 film 5 time...
by entjwb
Fri Oct 14, 2016 8:06 am
Forum: Clinical Use of Buprenorphine
Topic: Guidelines for Extended Take Home Doses
Replies: 9
Views:

In my opinion you can't have specifics. In my practice they are started with a 2 week supply. If I have any questions I will have medication count once or twice. My treatment agreement covers that issue. I am particular about accepting patients and they are starting as trustworthy until they prove t...
by entjwb
Fri Oct 14, 2016 7:21 am
Forum: Clinical Use of Buprenorphine
Topic: Induction Advice
Replies: 6
Views:

I had this happen in one patient they were adamant the last dose of heroin was 24hrs before office visit. I had them wait for 8 hrs before second dose. The next day they were fine. Patient admitted they lied about last dose of heroin. They also exaggerated their symptoms.
by entjwb
Wed Jul 13, 2016 2:27 pm
Forum: Clinical Use of Buprenorphine
Topic: Buprenophine Taper
Replies: 5
Views:

I never want my patient to taper faster than 2mg every 2 weeks. I also allow them to progress as they can. I think it is important for the patient to be in control of the process with my direction.
by entjwb
Fri Jun 10, 2016 10:27 am
Forum: Clinical Use of Buprenorphine
Topic: Senators support 500 pt limit
Replies: 14
Views:

The biggest problem is they have used the same battle plan unsuccessfully. If they find a physician over prescribing and just shut them down. They have just turned the addicted patients over to street drug dealers. They need to have physicians who will do the addiction treatment in the correct manne...

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