Search found 16 matches

by adavid
Wed May 18, 2016 7:16 pm
Forum: Clinical Use of Buprenorphine
Topic: Buprenorphine Prescribing-to expand or not expand
Replies: 5
Views:

Can you tell us more about the electronic medicine dispenser that you mention in your eloquent note.
by adavid
Tue May 03, 2016 9:24 am
Forum: Clinical Use of Buprenorphine
Topic: brain zaps
Replies: 5
Views:

I am not a psychiatrist and I also never heard of the "Bain Zaps" expression. Wold someone please define it.
by adavid
Mon Apr 11, 2016 7:55 am
Forum: Clinical Use of Buprenorphine
Topic: "high" produced in a 2 film patient by 4 films
Replies: 2
Views:

I had a 40-something average weight, lowish dose opiate user lament that she felt "Quite high" on just Suboxone 8mg.
by adavid
Wed Mar 30, 2016 5:50 am
Forum: Clinical Use of Buprenorphine
Topic: buprenorphine levels
Replies: 23
Views:

It is possible for the patients to be taking bup daily and the specimen they submit to have no bup in it. This is common if they submit a friend's urine. We often see this and we request a second specimen, this time OBSERVED and magically there is now bup but also benzos or cocaine or even opiates. ...
by adavid
Fri Mar 04, 2016 10:44 am
Forum: Clinical Use of Buprenorphine
Topic: Diversion potential for Suboxone
Replies: 2
Views:

Buprenorphine in all its forms can be a drug of abuse. Yes, people can get high by taking excess Suboxone Film sublingually but that can be expensive. The preferred method of getting high on bup is to crush and snort the Subutex or the generic Suboxone tablets. With a half life of only 30 min and on...
by adavid
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Lifting the 100 or limit will have no effect on OD rates. For several years there has been an overabundance of Bup prescribers in SW PA. There are offices that have same day appointments. The only pt who are still having a little delay in finding a spot is those on welfare who cannot afford a cash c...
by adavid
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

People on Methadone are supposed to be high. People can get high by injecting or snorting both Subutx and Suboxone(pills or strips). Bunavail is the least abusable.
by adavid
Fri Aug 07, 2015 12:28 pm
Forum: Clinical Use of Buprenorphine
Topic: How do you order Suboxone for dispensing?
Replies: 18
Views:

I dose all new patients in he office, now exclusively with Bunavail. To get it I just all my friendly local pharmacist who delivers it with a receipt. The requirements that to keep this stuff in your office are: 1) It must be stored under "substantial security". I bought a 200lb Money Safe(not "docu...
by adavid
Fri Aug 07, 2015 12:28 pm
Forum: Clinical Use of Buprenorphine
Topic: How do you order Suboxone for dispensing?
Replies: 18
Views:

Hi NoDrugs4u, there appears to have been a misunderstanding regarding the words "dispensing" and "dosing". What I meant by "dosing" is that on the patient's first day, and only on the first day do I dose the patient in the office. Subsequently only prescriptions are given. PS. These "rapid detox" sc...
by adavid
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Your observation that many people are now preferring Subutex is disturbing. It is self evident that buprenorphine in all its form has become a big drug of abuse. The preferred method of abusing bup is snorting Subutex. Multiple patients have told me that subutex sells for $30 to $50 each on some str...

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