Search found 8 matches

by tstinson
Fri Oct 14, 2016 9:14 am
Forum: Clinical Use of Buprenorphine
Topic: Increase to 275
Replies: 6
Views:

It took about 2 weeks for them to approve me. I am ASAM certified
by tstinson
Wed Apr 06, 2016 8:11 am
Forum: Clinical Use of Buprenorphine
Topic: opioids and alcohol
Replies: 10
Views:

This is a well-known phenomenon and was relied upon by late 19th and early 20th century physicians as a treatment for alcohol abuse, since oral opiates were perceived (IMHO correctly) as being less harmful to the body than alcohol. This practice ceased after enforcement of the Harrison Act and the U...
by tstinson
Fri Jan 08, 2016 1:48 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol adverse reactions
Replies: 8
Views:

I don't think that injecting into the gluteus maximus, medius or minimus would protect against these complications. The most recent complication involved myositis of the buttock muscles (myoglobinuria and greatly increased CPK). This would be an unlikely sequel to a subcutaneous injection.
by tstinson
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Although I can fathom additional regulations on expanded buprenorphine prescribing, those regulations should be clear and unambiguous. Simply requiring compliance with "good medical practice" according to several, and possibly shifting privately-written documents does not constitute legitimate rule-...
by tstinson
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

How many people would support the TREAT Act, which allows physicians (after a year of practice) to prescribe buprenorphine to 500 patients and allows mid-level practitioners (PAs and NPs) to prescribe to 100? Apparently this bill has a decent chance of passing the Senate but almost no chance of pass...
by tstinson
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

The 2006 Congressional action that raised the cap to 100 also allowed the Secretary of HHS to increase the cap administratively; however, extending buprenorphine prescribing to non-MD/DO would require Congrssional action, which, given the AMAs likely objections is very improbable. In almost 10 years...
by tstinson
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

I will be extremely surprised if this comes about in the foreseeable future. I have some guesses asto who may oppose this obvious change, namely everybody who "trying" to ameliorate the heroin epidemic with any means other than buprenorphine. Busp is simple and effective enough to kibosh all other m...
by tstinson
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

I'm surprised that no one has commented on the Final Rule that will allow certain physician's to treat 275 patients. Of course, the time line for this to be implemented is uncertain. The Rule doesn't become effective for over 3 weeks. The the OMB must review and give final approval to the form to be...

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