Search found 52 matches

by entjwb
Tue Jan 26, 2016 9:02 am
Forum: Clinical Use of Buprenorphine
Topic: what doses are being used?
Replies: 11
Views:

Most of my patients are maintained at 8-12 mg. I frequently check regarding possible diversion and haven't found it to be a problem. This can be depending on your patient population. My patients pay out of pocket for office visits and have a definite desire t be cured.
by entjwb
Sun Jan 17, 2016 4:58 pm
Forum: Clinical Use of Buprenorphine
Topic: abrupt methadone withdrawal
Replies: 7
Views:

Jmosley, that may be a good thing. If after a period of time if she wants to go back to Suboxone the transition will be much easier.
by entjwb
Fri Jan 08, 2016 1:48 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol adverse reactions
Replies: 8
Views:

I do a slide technique for the injection. When needle is about half way in, I slide the tissue by pulling downward and medially. That way the needle tract is not straight and should keep the injected suspension in the muscle.
by entjwb
Wed Nov 25, 2015 6:08 pm
Forum: Clinical Use of Buprenorphine
Topic: Implant training
Replies: 7
Views:

I would be interested. I haven't received any info on locations yet. If someone gets it post and people can chose.
by entjwb
Wed Oct 28, 2015 11:54 am
Forum: Clinical Use of Buprenorphine
Topic: Belbuca
Replies: 8
Views:

MChaplin, it is illegal to use any no approved med to treat addiction. It is frowned upon to use Suboxone, etc. for pain but not illegal. Any physician should be able to write Rx for Belbuca it doesn't require the X number because it is approved for pain and not for addiction. So cannot use to treat...
by entjwb
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

I'm not board certified but have taken the required CME to take the exam which I took on Oct 17th. Hopefully I passed. I would like to see everyone put forth the effort to become more knowledgeable regarding the treatment of addiction. We have too many physicians who are seeing dollars not patients ...
by entjwb
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Just got Email from ASAM stating they administration is wanting a rush on this issue. Will be interested in how quickly and how they proceed with this.
by entjwb
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Dr Paser, this may not affect everyone. There are stipulated conditions about who will be granted an increase and you will have to apply to get approved.
by entjwb
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

NoDrugs4U, it my understanding the DOs have a pathway for board certification also. I may b mistaken. As far as nurse practioners and PS prescribing, I think that will be at the state level. The state's regulate their practice and not federal.
by entjwb
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

In Ohio there is a 16mg limit but can be over ridden with approval by a Certified Addictionist. As far as Subutex, I would only Rx to patient referred to me already on it. If we started weaning in 4 weeks. That gives them a chance to find someone else. I never record allergic to Naloxone. Then could...

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