Search found 90 matches

by kcairns
Wed Mar 30, 2016 5:57 am
Forum: Clinical Use of Buprenorphine
Topic: april 1 countdown
Replies: 1
Views:

Dave thanks, I s obviously you have been looking at the fine print in the cap lift to 200 in the federal registry and preparing to comment -- good , thanks....for they have tied it into such a mess of knots that it has not a chance of helping one of the people crying out to me for help, pregnant, yo...
by kcairns
Wed Mar 30, 2016 5:50 am
Forum: Clinical Use of Buprenorphine
Topic: buprenorphine levels
Replies: 23
Views:

more cost effective and treatment retention easier by rxing oxy etc for chronic pain where doc less under suspicion for failing to uncover and discharge suspected offenders and thus not nearly so much high power lab nec so as to not fail to detect them ...this am so far among others have seen a 60 y...
by kcairns
Sun Jan 17, 2016 4:58 pm
Forum: Clinical Use of Buprenorphine
Topic: abrupt methadone withdrawal
Replies: 7
Views:

for me , mtd 30 daily for 1 wk, omit one day, then bup 8 on day one, 12 on day 2 , if nec 16 on day 3 and try go no higher...almost always very seamless
by kcairns
Sun Jan 17, 2016 4:58 pm
Forum: Clinical Use of Buprenorphine
Topic: abrupt methadone withdrawal
Replies: 7
Views:

would stop mtd for one day and do bup induction for dx sud opioids, ortho could care for knee physically , I would not have any other docs rxing opioids for pain while she on bup, advise in advance that if doesn't work she will need transfer from bup to pain mgmt. if she can find someone but evidenc...
by kcairns
Fri Jan 08, 2016 1:48 pm
Forum: Clinical Use of Buprenorphine
Topic: Vivitrol adverse reactions
Replies: 8
Views:

had one case w abcess requiring I and d
by kcairns
Thu Dec 24, 2015 7:38 am
Forum: Clinical Use of Buprenorphine
Topic: Precipitated Withdrawal coming off Heroin
Replies: 2
Views:

personally I don't see much difference in above regard between big users of iv heroin and same iv pills..and I push induction vigorously,usually 8 at once and maybe another 4 in 1h and 2nd day 12 or 16 in am dose ...mostly all feeling much better than when entered rather than worse...to me this more...
by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

beautiful, thanks, Sylvia burwell close to tears yet saying, "the numbers still aren't going the right way
by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

musing on this...to some at top it has just dawned, omg this death/destruction rate and we have capped rx...how could we have allowed that to have happened and so grand late rush to reverse damages and damnability...yes aprns are big over rxers of bzd and methadone for pain but if they haven't stopp...
by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

MChaplin if those folks or loved ones had deadly sud I guess they would be ok w a doc cowboying up to work a little extra hard to save life but country better off to just get rid of 15000 per year stranger junkies... I guess they have no problems w docs working a little extra hard to get painkillers...
by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

I've got your back, NoDrugs4u, and all our backs as no reason to allow Authority to team-split us....note tho no talk of kicking out docs rather about which docs and opioid addicted Americans they will lift arbitrary caps off the backs of (or not) ...when Americans are dying at clip of 2/hr and frui...

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