I have one patient who has been on Subutex for several years. Now the boss says we must convert him to Suboxone, which he says he has tried in the past and it did not prevent his cravings or relapse. He says he will have to go back to the methadone clinic after all these years, something he regards ...

I have submitted my comment on the Federal Register objecting to the new restrictions on MAT providers****ociated with the 200 patient limit. There should be no more regulations on increasing the number of patients allowed. Any physician currently approved for MAT with buprenorphine should be allowe...

More regulations eliminating those physicians who do not take third party payments is just one of the problems with more regulations. The government should NOT be in the business of practicing medicine -- period.

NoDrugs, I agree with you about the "rapid detox" and non-physicians practicing medicine.

I've been treating people with Suboxone for 16 years and the only folks who died were those using multiple other depressive drugs. Bupe is notable for its high safety compared with methadone and other mu-agonist drugs. Of course some people will misuse it. You can't have a life saving program like t...

Bravo! Dr. Passer! It's about time someone pointed out that we are trying to help people, not worry about enforcing the laws. Of course we want people to follow the law, but our first consideration is helping people. Primum non nocere!

Kevin, I agree with the OTC Suboxone preferably in generic form. In fact I would go further with the legalization of all currently illegal drugs, which would empty out many of the jails, which are needed for real criminals who are dangerous to society. Alcohol is one of the most dangerous drugs and ...

I don't see much use for methadone clinics anymore. They seem to be merely legal substitutes for addicts who have trouble getting heroin. If there were enough bup docs around and the 100 patient limit were lifted, there would be no reason to continue methadone clinics. Why is it that these clinics d...

So methadone clinics are just a poor, but more expensive, substitute for simply making opiates legal and selling them like we do alcohol, a more dangerous drug for US. It might be good for people in the big cities to see the result of the worldwide epidemic of drug dependency. As it is now, most peo...

If M Kaylor's comments are true, I wonder why so many of my bupe patients tell me they would never under any circumstances go back to a methadone clinic. They tell me it is just like taking heroin and their mental obtundation is the same as with heroin. Not only people who came from methadone clinic...