Search found 15 matches

by crmark
Mon Apr 25, 2016 8:08 am
Forum: Clinical Use of Buprenorphine
Topic: update: the adequate maintenance "blocking dose"
Replies: 8
Views:

Would you consider IV use of Suboxone a relapse?
by crmark
Sun Mar 13, 2016 11:20 am
Forum: Clinical Use of Buprenorphine
Topic: Buprenorphine OD
Replies: 5
Views:

http://www.knoxnews.com/news/crime-courts/autopsy-infant-died-of-subutex-overdose-2e143a9b-d006-5b68-e053-0100007f5dd4-372111591.html?d=mobile http://www.knoxnews.com/news/crime-courts/study-drug-that-killed-girl-often-present-in-child-overdoses-2e1ac6ef-6332-6648-e053-0100007f9d11-372169821.html?d=...
by crmark
Sun Mar 13, 2016 11:20 am
Forum: Clinical Use of Buprenorphine
Topic: Buprenorphine OD
Replies: 5
Views:

The "reference" is a case report, true, in which a child died of an overdose where the tox screen showed the presence of only one substance: bupe. I clearly stated this wasn't regarding a typical patient who was being prescribed bupe for ORT. Was only countering the notion that someone could not die...
by crmark
Sun Mar 13, 2016 11:20 am
Forum: Clinical Use of Buprenorphine
Topic: Buprenorphine OD
Replies: 5
Views:

My facts in this case come from the local ME who is a friend, and from a neonatologist-friend at the local teaching hospital who says this sort of thing (kids getting hold of bupe and presenting to ED's in varying degrees of OD) happens quite frequently and aren't reported in the press. Once again I...
by crmark
Mon Apr 27, 2015 10:55 pm
Forum: Clinical Use of Buprenorphine
Topic: Induction
Replies: 30
Views:

Thank you, deegee, and hallelujah-someone else sees the disease as something other than a deficit in opiates- which it ain't!
by crmark
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

So, I am concluding that marijuana is safer for Bupe patients to continue to abuse than is cocaine-would that be accurate?
by crmark
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

Yep Dave, my question was actually rhetorical, and a little sarcastic. My contention is that marijuana abuse in an opioid addict is every bit as dangerous to one's long term recovery as is cocaine abuse!
by crmark
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

Good pun Dave! I had a "fling "with MJ as a member of the "older" generation-today's MJ is at least 100 times more potent and more dangerous than we realize. I have a patient right now in residential treatment who is exhibiting "unmasked schizophrenia" that we're increasingly seeing in young MJ smok...
by crmark
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Dr. Passer, I've followed your posts for several years now and you are obviously very knowledgeable and, it would seem, pretty successful. By successful I mean that since you've done 100's (if not in the 1000's) of inductions onto Bupe, I'm****uming that you have been able to taper most of your pati...
by crmark
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Once again thank you for your time and response Kevin. Doing some rough calculations, subtracting out the ones you've retained since 2009 and the remaining portion of your allotted 100 means ~900 or so are out there, but like the majority of my patients what does "out there" mean?: did they get off ...

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