Search found 55 matches

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

Kcairns, Thanks for the information about your personal experiences. I have never heard any of my former methadone patients say anything positive about their experiences at the meth clinics. Perhaps you are right that the quality of meth clinics varies a lot. Around the tri-state area where I work, ...
by Dave
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Fishdoc, thanks for sharing your experience with both methadone clinic and OBOT. I can believe everything you said because it is what patients have told me in my OBOT and my experience with bupe. The former methadone patients said they did not function well in the methadone clinics and their lives c...
by Dave
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Kcairns, I appreciate your kind words and I know you are doing what is right given the world we live in. Yes, I know "meth" is often used for methamphetamine, and I wouldn't want to confuse anyone that might have thought I was talking about meth labs, instead of methadone clincis. :-)
by Dave
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

If finkelmd's advice were to become law, there would be even less OBT available than there is now. Not a good idea. Never trust the "powers that be", who are the ones who got us all into this predicament.
by Dave
Mon Apr 13, 2015 6:18 am
Forum: Clinical Use of Buprenorphine
Topic: marijuana/adhd
Replies: 10
Views:

I was not aware that THC effects resembled ADHD. If these symptoms occur only after smoking THC, then you would know it was THC. On the other hand, if she had symptoms of ADHD all the time, perhaps she does have it. You could require her to see a psychiatrist for evaluation for ADHD. Or you could te...
by Dave
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

I disagree with the harsh punishment of those who would withhold bup from anyone unable to stop smoking tobacco or marijuana, or to stop drinking alcohol. Stopping these addictions should be an ongoing process for the physician who treats opioid addiction.
by Dave
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

One would think so from the answers here.
by Dave
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

crmark, you may be right. I wonder if the tendency to accept marijuana but not cocaine has anything to do with the younger generations of physicians who have had their fling with the weed and found it not too bad. Or is it the fact that so many opiate addicts also use the weed and that would reduce ...
by Dave
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

I tell my patients that people who die in house fires usually are not dying by roasting but by smoke inhalation. Smoke, whether tobacco or MJ, is harmful to the respiratory system and the rest of the body. It seems that my patients have a more difficult time stopping tobacco smoking than MJ. In any ...
by Dave
Mon Dec 15, 2014 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: question re patient
Replies: 27
Views:

Well, the edible THC is healthier than inhaling its smoke, but it will still cause a job loss when the employer unexpectedly requires urine sampling. I rather doubt it is more dangerous than alcohol, which, according to some new research, is unhealthy at any dose. I am not aware of statistics showin...

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