Search found 1354 matches

by suboxdoc
Wed Nov 04, 2020 12:24 pm
Forum: Misc. Suboxone Issues
Topic: Strange Occurances on Buprenorphine
Replies: 8
Views: 746

Re: Strange Occurances on Buprenorphine

This may be TMI... But I developed prostatitis after driving from WI to Arizona earlier this year. Symptoms were similar to a UTI, but then that went away and I was left with pressure 'down there' in the perineum. I took antibiotics for 2 weeks with a little improvement, but then the symptoms return...
by suboxdoc
Wed Nov 04, 2020 11:02 am
Forum: General Comments from Subox Doc
Topic: NXIVM, The Vow, and Seduced
Replies: 0
Views: 517

NXIVM, The Vow, and Seduced

I posted this on the Synanon thread, but the crazy cult NXIVM deserves a thread of its own. Some amazing stories out there about the NXIVM cult. Another charismatic leader -- looks like a nerdy 8th grader, but created a harem of women who even branded each other to show their devotion to him. The Vo...
by suboxdoc
Wed Nov 04, 2020 11:00 am
Forum: General Comments from Subox Doc
Topic: Taking new patients
Replies: 3
Views: 689

Re: Taking new patients

Thanks guys!
by suboxdoc
Wed Nov 04, 2020 10:58 am
Forum: Other Addiction Support Programs
Topic: Synanon - the first ever rehab that morphed into a cult
Replies: 3
Views: 2198

NXIVM, The Vow, and Seduced

Some amazing stories out there about the NXIVM cult. Another charismatic leader -- looks like a nerdy 8th grader, but created a harem of women who even branded each other to show their devotion to him. The Vow is on a premium channel - HBO I think. It shows NXIVM mostly through the eyes of a man who...
by suboxdoc
Wed Oct 28, 2020 4:08 pm
Forum: Opioids and Chronic Pain
Topic: Controlled Chronic Pain
Replies: 2
Views: 625

Re: Controlled Chronic Pain

Glad you're doing well! The dark urine is probably unrelated to buprenorphine and more related to fluid intake. I would suggest that you drink more water, but that would get you up more often in the night, and may not be good if you have certain health issues (like congestive heart failure). As for ...
by suboxdoc
Wed Oct 28, 2020 12:36 pm
Forum: Introductions
Topic: New here and pregnant
Replies: 3
Views: 605

Re: New here and pregnant

All high-dose buprenorphine medications (Suboxone, Zubsolv, generic buprenorphine, etc -- NOT the pain formulations like dermal buprenorphine patches) have package insert instructions to take them once per day. I usually tell patients to ignore that, and dose twice per day. But practice patterns gen...
by suboxdoc
Wed Oct 28, 2020 11:11 am
Forum: Introductions
Topic: How do I support someone I love when I don’t understand
Replies: 3
Views: 535

Re: How do I support someone I love when I don’t understand

Another great comment -- I think lillyval meant clonazepam or diazepam when she referred to longer-acting benzos. But yes, stopping all of those things at once will create quite a mess. Lillyval refers to 'tolerance mismatch' and precipitated withdrawal... those things are miserable, and usually cau...
by suboxdoc
Wed Oct 28, 2020 11:02 am
Forum: General Comments from Subox Doc
Topic: Taking new patients
Replies: 3
Views: 689

Taking new patients

Hi everyone! I've been working at a methadone program for the past 5-6 years, which kept me way too busy along with my own practice. I have been closed to new patients for a few years as a result. At this point I'm back to focusing on my practice, and on my blog and this forum. I'm also taking new p...
by suboxdoc
Wed Oct 28, 2020 10:57 am
Forum: Misc. Suboxone Issues
Topic: Strange Occurances on Buprenorphine
Replies: 8
Views: 746

Re: Strange Occurances on Buprenorphine

I have to agree with lillyval - that it is likely something unrelated to buprenorphine. Understand that getting relief from increasing the dose does not mean buprenorphine was the problem. All opioids, including buprenorphine, will mask the symptoms of many bowel disorders. Most GI disorders have th...
by suboxdoc
Wed Sep 09, 2020 10:17 am
Forum: Buprenorphine Q and A
Topic: Urgent Need Help...I jumped @ 4 mg but
Replies: 4
Views: 698

Re: Urgent Need Help...I jumped @ 4 mg but

Do you have access to more methadone? Is it liquid or pills?

In general it is easier to taper using methadone, as the dose/effect relationship is linear (not so with buprenorphine).
by suboxdoc
Tue Apr 28, 2020 10:52 am
Forum: Damn Pharmacist/Doctor Stories
Topic: Old member new name
Replies: 6
Views: 1612

Re: Old member new name

AZVET, I'm very sorry about your daughter. I don't think I've ever forced a patient to go without buprenorphine after they overtook or lost medication. When it happens repeatedly, I've made patients use smaller amounts, for example giving 10 doses for ten days, rather than 20 doses. My goal with tha...
by suboxdoc
Tue Feb 11, 2020 8:35 am
Forum: Stopping Suboxone
Topic: 11 years on 24MG's
Replies: 3
Views: 1063

Re: 11 years on 24MG's

I would suggest that you stop blaming 'this drug' and open your mind. Many things can cause 'stomach issues'. I had abdominal pain for years and years and thought that's just how my body worked. They I developed an odd rash on my elbows. The doc took one look at it and said it was from gluten allerg...
by suboxdoc
Tue Feb 04, 2020 10:02 am
Forum: Methadone Maintenance
Topic: Sick of the Lies
Replies: 6
Views: 1511

Re: Sick of the Lies

Treatments using methadone or buprenorphine have more similarities than differences. Most of the former methadone-assisted treatment programs in my area now offer methadone, buprenorphine, or Vivitrol. The courts and law enforcement favor Vivitrol, even though it is my least-favorite option. I work ...
by suboxdoc
Thu Jan 30, 2020 11:13 am
Forum: Why the Anger toward Suboxone?
Topic: Why I'm angry towards Suboxone.
Replies: 12
Views: 3265

Re: Why I'm angry towards Suboxone.

Ugh- I hear you Tee-Jay! Pharmacists in northern WI and in the UP refuse to carry plain buprenorphine because 'it doesn't have the blocker', so 'it doesn't have the ceiling effect and is more addictive.'

I used to try to explain it to pharmacists. Now I just do my best to avoid them!
by suboxdoc
Tue Jan 21, 2020 3:21 pm
Forum: Buprenorphine in the Rear-view Mirror
Topic: Im in PAWS HELL
Replies: 7
Views: 2023

Re: Im in PAWS HELL

This post and thread point out, believe it or not, why buprenorphine is such a valuable treatment. I don't mean to pick on the original post, but rather to point out things that all of us have gone through at some point. I often hear patients on methadone or buprenorphine say the same - that 'I shou...
by suboxdoc
Sun Jan 19, 2020 11:18 am
Forum: Induction Discussion
Topic: Suboxone For Research Chem Opiates With Clean Urine Test?
Replies: 11
Views: 2937

Re: Suboxone For Research Chem Opiates With Clean Urine Test?

Yes you will need to be off Kratom Long enough to be in Moderat withdraw before starting Suboxone, just like any other opioid. Kratom is just another opioid from your receptors' perspective.
by suboxdoc
Wed Jan 15, 2020 9:51 am
Forum: Buprenorphine Side Effects
Topic: Can Dizziness or vertigo be a side effect?
Replies: 3
Views: 984

Re: Can Dizziness or vertigo be a side effect?

People can mean different things by 'vertigo' or 'dizziness', but you said that it feels like the room is moving, which sounds like true vertigo. That sense comes from the inner ear, where we have structures called 'semicircular canals' that detect movement in different planes, including rotational ...
by suboxdoc
Wed Jan 15, 2020 9:21 am
Forum: Introductions
Topic: Matthew - intro
Replies: 3
Views: 1214

Re: Matthew - intro

Welcome Matthew! You may be more similar than you think to other people here. There seems to be an impression out there that people addicted to opioids use them to 'party'. I'll often hear new patients say things like 'I never took them for the euphoria; I just took them to feel normal'. But I almos...
by suboxdoc
Mon Jan 13, 2020 8:26 am
Forum: Stopping Suboxone
Topic: Tapering question
Replies: 5
Views: 1549

Re: Tapering question

I think that yes, you're dragging it out by waiting a few days then dosing again. The most common mistake people make is reducing a dose when they haven't fully adjusted to the last reduction. I tell patients to wait at LEAST 2 weeks after any dose reduction, and if they are still having withdrawal ...
by suboxdoc
Mon Jan 13, 2020 8:16 am
Forum: Legal Issues and Suboxone
Topic: Can my employer fire me for suboxone
Replies: 10
Views: 3082

Re: Can my employer fire me for suboxone

Yes, Rowdy - I sometimes fill out that same form. The wording is, I think, deliberately confusing. It says that the person can't use schedule I substances OR narcotics like heroin, morphine.... just as you wrote. So I guess if there is an accident, injury, and lawsuit, lawyers can argue whether bupr...