Search found 1350 matches

by suboxdoc
Fri Mar 21, 2008 5:47 pm
Forum: Induction Discussion
Topic: Opioid Receptor Queston?
Replies: 11
Views: 12141

Receptors, probability theory. down-regulation... yuck!

It is important to understand that we have models to describe things, so that our brains can make sense of what is going on... but in reality the model is a simplification of what is going on. For example, I present receptors during lectures as locks, and neurotransmitters as keys. We get an image o...
by suboxdoc
Fri Mar 21, 2008 5:09 pm
Forum: Legal Issues and Suboxone
Topic: Parole Officer makes stable patient stop taking Suboxone
Replies: 10
Views: 19060

Parole Officer makes stable patient stop taking Suboxone

This type of thing really bothers me... a patient is doing great, working, getting his life back in order, and the PO from a year-old case wants him off suboxone. Read what I wrote to the PO, and comment if you with. Any similar experiences? Read On: I treat XXXXX for opiate dependence. He and I hav...
by suboxdoc
Sun Mar 09, 2008 8:42 pm
Forum: Induction Discussion
Topic: Restarting suboxone
Replies: 2
Views: 3153

Enough already

Toad, I seriously recommend that you pull things together-- you are at a point with the using where bad things sometimes happen. Relapses tend to have less 'order' than the original use had. During relapses the use is more impulsive-- the addict will hold things together as the pressure builds, and ...
by suboxdoc
Sun Mar 09, 2008 8:01 pm
Forum: Induction Discussion
Topic: Restarting suboxone
Replies: 2
Views: 3153

Restarting suboxone

Again, a post from Toad-- moved to hear from a different area. Do you think it would be ok tomorrow - 24hours after my last opiate to start up the suboxone again? I will probably start on a very low dose. I am always sick in the mornings since I stopped the suboxone and cant do anything until I take...
by suboxdoc
Thu Mar 06, 2008 12:47 pm
Forum: Suboxone and pregnancy
Topic: I'm pregnant!
Replies: 3
Views: 4072

I'm pregnant!

Over the past year I have had 4 patients on suboxone who have become pregnant. So far, one has delivered and the other three are doing fine. The patient who has delivered stayed on suboxone throughout her pregnancy, and is still taking it. Of the other three, two plan to stay on suboxone, and one pl...
by suboxdoc
Thu Mar 06, 2008 10:17 am
Forum: My Addiction Story
Topic: My Addiction Story: From Recreation to Requirement
Replies: 3
Views: 4303

Negative aspects of suboxone

Hi All, Thank you to those who have taken the time to tell your story. I noticed that Paradox alludes to the negative aspects of suboxone, and would like to just say something about that. I encourage people to discuss the side effects that they are having in that part of the forum-- suboxone is far ...
by suboxdoc
Fri Feb 29, 2008 4:32 pm
Forum: My Addiction Story
Topic: Falling asleep
Replies: 5
Views: 6176

Sleepy

Hi Bently-- I don't have a clear answer to your question, although I think I am likely correct by answering 'yes'. Opiates are generally thought of as having sedative effects, and for most people that is the case. Other people though will have the opposite reaction to opiates-- they will feel energi...
by suboxdoc
Thu Feb 28, 2008 5:33 pm
Forum: Buprenorphine Side Effects
Topic: Insomnia
Replies: 6
Views: 4676

Insomnia

Some people have insomnia, others feel too sleepy. The first thing is time-- a person's tolerance needs to adjust to the suboxone, and that will take a week or two. If it is still a problem after that period of time, the first thing to do is 'sleep hygiene'-- including avoiding naps (completely!), a...
by suboxdoc
Thu Feb 28, 2008 5:23 pm
Forum: Help Me/My Friend/Sibling/Child/Parent
Topic: Reccomendations???
Replies: 9
Views: 6008

Another way to go

Sorry for the delay-- Another way for her to go would be to stop the methadone, say taking her last dose on Monday. I would prescribe clonidine, which greatly reduces withdrawal symptoms, and ativan, to help her sleep, and she would put up with the withdrawal for three days. A person's tolerance dro...
by suboxdoc
Mon Feb 25, 2008 9:20 pm
Forum: Help Me/My Friend/Sibling/Child/Parent
Topic: Reccomendations???
Replies: 9
Views: 6008

Tapering methadone/starting subox

Thank you for writing. There a couple ways to do things, depending mostly on patient preference. The 'book way' would be to taper the methadone down until she gets to a dose of about 30-40 mg methadone per day-- that dose of methadone is about equivalent in opiate potency to the effect of suboxone. ...