Search found 16 matches

by adavid
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Methodone clinics serve a very important but very different purpose from bup treatment. The purpose of Methadone clinics is risk reduction. When addicts use bup properly they feel normal and must function normally in the world. Unfortunately many addicts are not ready for normality and if you put th...
by adavid
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

I am certified to do CDL medical exams. Recently the feds came out with lengthy new criteria under which drivers can be certified fit for duty. They have listed a litany of medical conditions with often lengthy descriptions of the criteria under which the drivers can be certified. There is a reasona...
by adavid
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:


Dismiss pt at once. Give her numbers of rehab facilities. She is not a candidate for In-Office treatment. In-Office treatment is for highly motivated individuals who want to work hard at recovery. She obviously is not and is playing you for a patsy.
by adavid
Fri Oct 24, 2014 8:08 am
Forum: Clinical Use of Buprenorphine
Topic: Coverage for vacation, illness, etc
Replies: 10
Views:

Thank you all for your thoughtful responses. However they are all workaround to an untenable situation. For over 100 years medicine has been practiced in the civilized world with the requirement that physicians cover for each other. Coverage is an absolute necessity. Patients need medical care even ...
by adavid
Sat Jul 12, 2014 7:03 am
Forum: Clinical Use of Buprenorphine
Topic: Bunavail
Replies: 4
Views:

What tastes bad in Suboxone is the bup itself. The Bunavail patch has the bup painted on only one side - the side that goes against the cheek. The inert backing prevents the bup from getting on the tast buds on the tongue. The pt does not taste the bup. Bunavail has been my product of choice for som...
by adavid
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Pts you treat for pain with bup do not count towards your 100.The problem with putting your X number on your Rx is that the pharmacist will so submitted and make it look like these patients are part of your 100.

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