Very interesting stuff!
I have noticed similar effects with OB patients continuing their buprenorphine while receiving narcotics during and after delivery.
I don't specifically treat pain patients, but as you note, many have episodes of acute pain, and it never works well to stop the bup for even a short course of opiates. It is interesting that it blocks the euphoria, but not the analgesia- probably different receptors (or receptor subtypes)?
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