Search found 1345 matches

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: 257

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: 1338

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: 924

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: 1246

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: 11
Views: 2493

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: 1720

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: 2575

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: 829

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: 1010

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: 1359

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: 2694

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...
by suboxdoc
Mon Jan 13, 2020 8:10 am
Forum: Misc. Suboxone Issues
Topic: Just being difficult...
Replies: 2
Views: 694

Re: Just being difficult...

Sounds like you were put into a miserable position. Sometimes when I'm contacted between appointments, if I don't write it down, I forget that I changed the plan - so I try to write 'interval notes' whenever I'm contacted like that so I remember at the next visit. Most of my patients know me well en...
by suboxdoc
Fri Jan 10, 2020 1:18 pm
Forum: Miscellanea
Topic: Addiction to "attention"???
Replies: 1
Views: 595

Re: Addiction to "attention"???

There sure is some weird stuff out there! The new manual of psychiatric diagnoses includes internet addiction but I think it is more geared toward gamers, rather than highlighting the 'attention' aspect. Being in need of attention is part of other disorders though, such as histrionic or narcissistic...
by suboxdoc
Wed Jan 01, 2020 1:24 pm
Forum: Videos about Buprenorphine
Topic: Where in the World is Doctor Jeff Junig?
Replies: 26
Views: 4124

Re: Where in the World is Doctor Jeff Junig?

Thanks for sharing your approach. I too have had patients who use illicit amphetamines, who say that they use them because they can't function without them. If a patient is employed and appears to be trying to make positive changes, I'll sometimes enter into a contract where they can be prescribed V...
by suboxdoc
Tue Dec 31, 2019 4:42 pm
Forum: Buprenorphine Q and A
Topic: Weight gain
Replies: 6
Views: 1382

Re: Weight gain

I can't speak to your experience, chummy. I see that with methadone, but I almost never hear that complaint in my 250 buprenorphine patients. From the article linked above: Opiate antagonists, like naltrexone, are not associated with such weight gain and glycemic dysregulation. Further research may ...
by suboxdoc
Tue Dec 31, 2019 4:34 pm
Forum: Buprenorphine Side Effects
Topic: Important New Research about Side Effects
Replies: 6
Views: 1859

Re: Important New Research about Side Effects

I removed the link to rehab centers in the last post. For the posting person, please respect our policies against posting promotional content. For people who are not aware, there are a number of web sites that charge for listings from rehab centers, almost always programs that are abstinence-based. ...
by suboxdoc
Tue Dec 31, 2019 4:10 pm
Forum: Misc. Suboxone Issues
Topic: Back again dr are horrible just enjoy suffering
Replies: 4
Views: 946

Re: Back again dr are horrible just enjoy suffering

That's simply horrible. I hope that most doctors aren't like that, but I guess I wouldn't bet on it. I really hope you'll do something when you feel better, as it might help make it better for the next person. Consider finding the web site for your medical licensing board, and filing a complaint. Mo...
by suboxdoc
Thu Dec 26, 2019 8:30 am
Forum: Videos about Buprenorphine
Topic: Where in the World is Doctor Jeff Junig?
Replies: 26
Views: 4124

Re: Where in the World is Doctor Jeff Junig?

I'm interested in hearing what others do, but yes, Jenn, I hear your point. And the approach of jeffg's doc is unique - so unique that a medical board might call the approach into question. Buprenorphine is indicated for treating opioid addictions (opioid use disorder, to get the terms right!). Why ...
by suboxdoc
Wed Dec 25, 2019 10:01 pm
Forum: Suboxone and pregnancy
Topic: Giving birth soon
Replies: 15
Views: 2937

Re: Giving birth soon

Good luck Ash, and hang in there. My opinion mattered more ten years ago than it does now, and there were often nice responses when readers here had me send a letter to their area CPS office. Now, most CPS agencies have a better understanding of opioid use and buprenorphine treatments. But if I can ...
by suboxdoc
Wed Dec 25, 2019 9:50 pm
Forum: Videos about Buprenorphine
Topic: Where in the World is Doctor Jeff Junig?
Replies: 26
Views: 4124

Re: Where in the World is Doctor Jeff Junig?

Jeffg, your doctor's approach sounds similar to mine. I've changed a bit in recent years though. Ten years ago, there was nobody else in my area who would take anyone who I discharged. A hospital program operated then (and still now) such that any mistake warrants discharge. Patients must be in the ...