Search found 55 matches

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

Much in the news lately is the story of the radical Islamic terrorist who murdered about 50 people in Orlando. This is big national news since it's the biggest terrorist attack since 9/11. But this story pales next to the drug deaths that people simply accept as "normal" or everyday stuff and go abo...
by Dave
Fri Jun 10, 2016 10:27 am
Forum: Clinical Use of Buprenorphine
Topic: Senators support 500 pt limit
Replies: 14
Views:

"Satanic" as in evil. You don't have to believe in the Big D to know that the battle between good and evil continues. What is lacking in the drug battle is an understanding of the causes. Many cases are the result of poor medical decisions that lead to long term opiate therapy. Other cases are a res...
by Dave
Fri Jun 10, 2016 10:27 am
Forum: Clinical Use of Buprenorphine
Topic: Senators support 500 pt limit
Replies: 14
Views:

I have read and re-read what I wrote 11 days ago, and I fail to see that what I said was "polarizing". As far as "preachy" is concerned, the only way I can see that is the mention of good and evil somehow offends those who don't believe such things exist. I cannot apologize for this. I am completely...
by Dave
Mon May 09, 2016 9:12 am
Forum: Clinical Use of Buprenorphine
Topic: Managing Constipation; Relistor
Replies: 15
Views:

I have not used methylnaltrexone, but I have used Amitiza (lubiprostone) in one patient, who said he had tried everything else without success. He was afraid to try methylnaltrexone because of the possibility of withdrawal. Amitiza worked well for him.
by Dave
Mon May 09, 2016 9:12 am
Forum: Clinical Use of Buprenorphine
Topic: Managing Constipation; Relistor
Replies: 15
Views:

I've heard about the squatting position before, but I don't see the difference between that and sitting on the toilet while bending forward as far as the thighs will allow.
by Dave
Tue May 03, 2016 7:12 am
Forum: Clinical Use of Buprenorphine
Topic: Setting to prescribe Suboxone
Replies: 8
Views:

kcairns, we are dealing with evil in the world. The battle between good and evil seems to have been an ongoing war since the beginning of the human race. I suspect the government, instead of helping us do good, is involved too much on the dark side.
by Dave
Mon Apr 25, 2016 8:08 am
Forum: Clinical Use of Buprenorphine
Topic: update: the adequate maintenance "blocking dose"
Replies: 8
Views:

"I do not want the users of this site to come away with the message, that all pts should be started on 16 mgs/day-which in my opinion, is absolutely just wrong." I find it difficult to be so sure in treating bupe patients that any reasonable dose is "absolutely" just wrong. I would be interested to ...
by Dave
Wed Apr 06, 2016 8:11 am
Forum: Clinical Use of Buprenorphine
Topic: opioids and alcohol
Replies: 10
Views:

I recall an elderly lady who was taking Suboxone for several years and who finally admitted to me that she spent the whole day in bed drinking scotch while she worked at home with a laptop computer. She said she was just killing herself with alcohol and wanted help with that. We sent her to a rehab ...
by Dave
Wed Mar 30, 2016 5:57 am
Forum: Clinical Use of Buprenorphine
Topic: april 1 countdown
Replies: 1
Views:

kcairns, your comment about Congress worrying more about bup expanded therapy causing more diversion than the diversion and deaths related to oxycontin makes a very good talking point for those of us who will correspond with Congress. They also need to know more deaths are caused by opiate overdoses...
by Dave
Wed Mar 30, 2016 5:50 am
Forum: Clinical Use of Buprenorphine
Topic: buprenorphine levels
Replies: 23
Views:

NoDrugs, I have never seen any person who tested negative for buprenorphine on a urine test who insisted he was taking the bupe. I think your two patients are good liars. I know some of them are very convincing. The only possible exception I can imagine is your control urine test being faulty. I hav...

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