Search found 9 matches

by gordon2441
Thu Oct 27, 2016 1:08 pm
Forum: Clinical Use of Buprenorphine
Topic: Written documentation of when XR number is needed.
Replies: 7
Views:

I have only been doing this for a couple of years, but would advise you to keep your pharmacists happy. Many are reluctant to carry buprenorphine at all... (the DEA "visits" them too). It's little enough to ask you to put the numbers on scripts. I would also indicate "Patient is pregnant, or breastf...
by gordon2441
Mon Jul 11, 2016 6:27 am
Forum: Clinical Use of Buprenorphine
Topic: FINALLY!!!
Replies: 13
Views:

What does it take to become certified in addiction medicine? And how much does it cost?

Gordon
by gordon2441
Fri Jun 10, 2016 10:27 am
Forum: Clinical Use of Buprenorphine
Topic: Senators support 500 pt limit
Replies: 14
Views:

I wouldn't hold my breath. It's been 45 years since the War on Drugs was declared... Dismal failure, yet no repeal. What makes you think that a sensible plan to increase patient numbers for MAT would pass?? Also, see "Fentanyl, we have a problem", below. Increased potency of drugs to avoid detection...
by gordon2441
Mon Apr 25, 2016 8:08 am
Forum: Clinical Use of Buprenorphine
Topic: update: the adequate maintenance "blocking dose"
Replies: 8
Views:

A naive question from a newbie (me): Which is best? Start low and work your way up or start high and taper? Right now I start with a higher starting dose to make sure that the patient has relief from his misery right away. Taper later after he/she has realized how much better his life is now compare...
by gordon2441
Wed Apr 06, 2016 8:11 am
Forum: Clinical Use of Buprenorphine
Topic: opioids and alcohol
Replies: 10
Views:

Many thanks for your responses. Sslonim, I would say that my patients have stopped drinking when their opoid addiction started, and continues with bup therapy, that is, no ETOH relapses. It may sound perverse, but in many ways alcohol addiction is worse than opiate addiction, if, for no other reason...
by gordon2441
Wed Apr 06, 2016 8:11 am
Forum: Clinical Use of Buprenorphine
Topic: opioids and alcohol
Replies: 10
Views:

How many hoops would we have to jump through to get approval for clinical trials using bup to treat alcoholism??

It certainly would be a worthwhile study, but I can't see it happening in this political/legal climate..

Gordon
by gordon2441
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Rick, It is fascinating that you haven't a single patient who has been completely weaned off Bup. I haven't been in this business long enough to confirm your finding, but if those on this forum agree with you, it is possible that "getting off" bup may be an unrealistic goal. (The majority of my pati...
by gordon2441
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

My patients always complain about lack of money, but I try to explain to them that the only shortage they really have is time. Bup buys them the time they have lost being sick, stoned, or in jail, as well as some of the money they spent buying drugs and risking their lives on the street. With their ...
by gordon2441
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Brand new at this (just over 1 year). I have been suggesting to my highly motivated patients to decrease the dose by 1/4-1/2 film on their own (only on relatively stress-free days), and tell me how they are doing on the next visit. I always prescribe the dose that makes them symptom-free, and let th...

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