Search found 4 matches

by BrianPierce
Thu Mar 16, 2017 6:44 am
Forum: Clinical Use of Buprenorphine
Topic: Random Drug Screen Generator
Replies: 3
Views:

I generally test my addiction patients at each visit but for my chronic scheduled med patients, we keep it simple and simply select a random integer within a small range and test anyone who 'rolls' the number. We have dice at the front desk but it's easier just to use one of the many online random n...
by BrianPierce
Fri Oct 14, 2016 11:26 am
Forum: Clinical Use of Buprenorphine
Topic: naloxone and naloxone metabolite on uds
Replies: 2
Views:

I had the same issue here last month. I corresponded with an addiction specialist who explained that it is possible (but clearly not common) to absorb some naloxone and get a positive for naloxone metabolites via appropriate dosing and routes with buprenorphine/naloxone. However, remember that norox...
by BrianPierce
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

@kcairns- "methadone maintenance is much less expensive than bup" ? Here in Maine we currently have several legislative proposals concerning addiction treatment and costs are a big part of the debate so this would be useful information. However, I've also recently spent a lot of time estimating labo...
by BrianPierce
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

As a direct primary care physician, it's frustrating to see third party payment listed as a requirement of a qualified practice setting. Given the harm that third party payment has done to primary care and psychiatry, the burden should be on insurance oriented practices to show that they are qualifi...

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