Search found 55 matches

by Dave
Thu Apr 24, 2014 6:31 am
Forum: Clinical Use of Buprenorphine
Topic: My first Kratom pt
Replies: 7
Views:

Never heard of Kratom.
by Dave
Thu Apr 24, 2014 6:21 am
Forum: Clinical Use of Buprenorphine
Topic: 100 years of solitude/opioid public health crisis
Replies: 8
Views:

JeremyK, you are my kind of guy, and I think Ken is also on board. I agree with everything you wrote, including the fact that what is needed will not be done. All that I can add is that I think too many people in power have a great deal to gain from keeping drugs illegal. It is easy for these people...
by Dave
Thu Apr 24, 2014 6:21 am
Forum: Clinical Use of Buprenorphine
Topic: 100 years of solitude/opioid public health crisis
Replies: 8
Views:

peterorrin, you are quite correct. The only reason I can imagine the War on Drugs continues, is because some people in government are making lots of money from it. I leave it to your imagination as to how that is happening. Government again is creating more problems by cutting the supply, as you hav...
by Dave
Thu Apr 24, 2014 6:21 am
Forum: Clinical Use of Buprenorphine
Topic: 100 years of solitude/opioid public health crisis
Replies: 8
Views:

Do you need help?
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

A heavy handed taper won't work. Some patients may have to remain on bup all their life. At least that is better than a taper that leads only to relapse and possible overdose when the patient takes his "usual" dose of heroin or whatever and has no more tolerance to the high dose.
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

In the long run we are all dead. "Kicking the can down the road" is better than an early death. Even the proper treatment of moderately severe diabetes mellitus does not prevent death from complications eventually, hopefully far down the road. Bupe is well known by most of us to stabilize most patie...
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

rickbennettmd, I agree completely with this point of view. It is what I do too.
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Dr. Passer, A long time ago you mentioned Welbutrin as the only antidepressant that increases dopamine in the brain, which may help the patient who has gone through withdrawal and now still does not feel "normal". Have you actually tried Welbutrin for this purpose and does it really work to improve ...
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Dr. Passer, thank you very much for your detailed reply. I was thinking only of using bupropion in those people who succeeded in getting past the withdrawal phase with clonidine, yet still have a feeling of being unwell or not normal.
by Dave
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Kevin, Thanks for the additional info on the max dose of bupropion. I hope to be able to help some people with that. It would be nice to have something to prevent relapse that so often occurs weeks or months after rehab or cold turkey.

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