Search found 1345 matches

by suboxdoc
Fri Nov 29, 2019 4:59 pm
Forum: Buprenorphine Side Effects
Topic: Attn men with sex drive/ED issues.
Replies: 24
Views: 5303

Re: Attn men with sex drive/ED issues.

Tough call whether to leave this post here. A couple comments from this PhD in neurochemistry: There are dozens of neurotransmitters that carry impulses across receptors. Dopamine and serotonin are two of them. Dopamine is primarily located in several pathways - and one is the mesolimbic pathway tha...
by suboxdoc
Fri Nov 29, 2019 4:41 pm
Forum: Still Messing Around with Opioids and Other Drugs
Topic: Lyrica
Replies: 7
Views: 1626

Re: Lyrica

I'm convinced that any joy that comes from a pill is only borrowing happiness from the future. Good luck - we're rooting for you!
by suboxdoc
Thu Nov 28, 2019 9:16 pm
Forum: Still Messing Around with Opioids and Other Drugs
Topic: Lyrica
Replies: 7
Views: 1626

Re: Lyrica

Hi Ryan, Your description of the effects of Lyrica aren't typical. If there are others out there who have had similar experiences, correct me - but the medication doesn't create euphoria in most people. I'm not sure what the other things you described represent - for example feeling that things are ...
by suboxdoc
Mon Nov 25, 2019 11:04 am
Forum: Videos about Buprenorphine
Topic: Where in the World is Doctor Jeff Junig?
Replies: 26
Views: 4539

Re: Where in the World is Doctor Jeff Junig?

I probably should put a different title on this thread, but I don't know if that's possible without losing posts... Jenn, we work in similar worlds. I agree completely on the meth issue, and similarly with cocaine. We can stop illicit opioid use very quickly with methadone, and heroin is usually the...
by suboxdoc
Mon Nov 25, 2019 10:49 am
Forum: Misc. Suboxone Issues
Topic: Could kissing my bf transfer suboxone to my system??
Replies: 14
Views: 21741

Re: Could kissing my bf transfer suboxone to my system??

A dose of buprenorphine dissolves in saliva, then buprenorphine adheres to cells that line the oral mucosa. Molecules of buprenorphine pass through surface cells and diffuse into capillaries, and are distributed throughout the body. 'Pharmacokinetics' describe how the buprenorphine is distributed. F...
by suboxdoc
Mon Nov 25, 2019 9:46 am
Forum: Buprenorphine Q and A
Topic: Dose adjusting for cardio?
Replies: 2
Views: 942

Re: Dose adjusting for cardio?

Running a marathon is very taxing on the body (as you know better than I do!!). But I don't know of any connection between exercise, even super-intensive exercise, and buprenorphine metabolism. I work in a methadone-assisted treatment program, and many patients there think that working hard and swea...
by suboxdoc
Mon Nov 25, 2019 9:06 am
Forum: Freestyle
Topic: Sublocade now that it's been out for awhile
Replies: 14
Views: 3298

Re: Sublocade now that it's been out for awhile

TeeJay, I should know this because you've been on this forum for many years, off and on- where are you writing from? I don't think we have Buvidal in the US.
by suboxdoc
Mon Nov 25, 2019 9:03 am
Forum: Buprenorphine Side Effects
Topic: Suboxone and sperm quality
Replies: 6
Views: 2224

Re: Suboxone and sperm quality

Good comments all around. And there's always my opinion... https://www.suboxonetalk.com/withdrawal ... uilt-trip/
by suboxdoc
Fri Nov 22, 2019 4:54 pm
Forum: Freestyle
Topic: Sublocade now that it's been out for awhile
Replies: 14
Views: 3298

Re: Sublocade now that it's been out for awhile

Funny Dan.... I wasn't sure where you got the idea that the post above yours was spam, but I got a post from the same person on one of my other sites, www.suboxdocs.com, that definitely WAS spam.

You must have a sense for those things!!
by suboxdoc
Fri Nov 22, 2019 2:30 pm
Forum: Freestyle
Topic: Sublocade now that it's been out for awhile
Replies: 14
Views: 3298

Re: Sublocade now that it's been out for awhile

Hopefully others will respond too.... but I can guarantee we have no 'marketing bots' here. We have moderators, some who work in the addiction field. But I started this forum on my own, with no input or money from any company. Reckitt Benckiser, the company that had Suboxone before spinning off Indi...
by suboxdoc
Thu Nov 21, 2019 4:25 pm
Forum: Damn Pharmacist/Doctor Stories
Topic: New 28 day prescription rule?
Replies: 7
Views: 1860

Re: New 28 day prescription rule?

I certainly remember you from those days. Nice to see you again, and I wish you had a better situation. I often hear things that doctors told patients that aren't true, claiming laws or rules are forcing them to do things rather than just telling patients the truth. Maybe there are better options in...
by suboxdoc
Thu Nov 21, 2019 9:02 am
Forum: Videos about Buprenorphine
Topic: Where in the World is Doctor Jeff Junig?
Replies: 26
Views: 4539

Re: Where in the World is Doctor Jeff Junig?

Yes, in a couple ways... I used to think that I could treat anyone addicted to opioids using buprenorphine, and I took anyone who called my office. Part of that was because there weren't any other good options out there. I came from working in abstinence-based programs, and I was disgusted by what I...
by suboxdoc
Thu Nov 21, 2019 7:58 am
Forum: Misc. Suboxone Issues
Topic: abusing subs with h and having a hard time getting stable
Replies: 43
Views: 6777

Re: abusing subs with h and having a hard time getting stable

I don't know your whole history, but I've had many patients, over the years, go through a stage where they tried to go back and forth between buprenorphine and heroin. Usually, things are OK at first, as long as they are careful to avoid precipitated withdrawal. But for reasons that aren't clear, pe...
by suboxdoc
Wed Nov 20, 2019 9:50 pm
Forum: Damn Pharmacist/Doctor Stories
Topic: New 28 day prescription rule?
Replies: 7
Views: 1860

Re: New 28 day prescription rule?

Wow. Are you in Tennessee? I know that they have some crazy laws... You're showing how these types of rules push doctors out of practicing in the addiction field, and keep patients from getting help. Ten years ago nobody understood buprenorphine so I could understand the crazy things that politician...
by suboxdoc
Tue Nov 19, 2019 7:57 am
Forum: Videos about Buprenorphine
Topic: Would anyone be interested...
Replies: 3
Views: 894

Re: Would anyone be interested...

Hi Jonathan! Funny, I was just about to message you. Not sure if you've seen my posts recently... I'm in the process of creating a sitemap of the forum, and so far about 100,000 pages have been logged. Every now and then I'll peak at the page being processed and read the content. I just read one fro...
by suboxdoc
Mon Nov 18, 2019 9:27 pm
Forum: Buprenorphine in the Rear-view Mirror
Topic: Going on Six years!
Replies: 5
Views: 1264

Re: Going on Six years!

So ironic to read this post. I just wrote a post in another thread - people interested in following this story can check it out. I have been looking back through this forum, at posts over the past 13 years. The busy days here were in 2013 and 2014, for some reason... and that business led to a NYT s...
by suboxdoc
Mon Nov 18, 2019 9:12 pm
Forum: Help Me/My Friend/Sibling/Child/Parent
Topic: My Stubborn Boyfriend
Replies: 8
Views: 4264

Re: My Stubborn Boyfriend

I've been taking steps to revive things here. I decided to submit a new sitemap to search engines (sitemaps show the depth and structure of web sites). I am using a service that reviews contents of large databases. I used the same service to create a site-map of my blog, which contains about 400 pos...
by suboxdoc
Sat Nov 16, 2019 12:51 pm
Forum: Buprenorphine Side Effects
Topic: Dizziness,nausea,ears ringing after dosing
Replies: 2
Views: 789

Re: Dizziness,nausea,ears ringing after dosing

The only known actions of buprenorphine are through actions at opioid receptors, so the actions are straight-forward and predictable (for many medications the mechanism of action is unknown). We don't know of any dose-related toxicity caused by buprenorphine. The cluster of dizziness, tinnitus, and ...
by suboxdoc
Fri Nov 15, 2019 1:30 pm
Forum: Surgery on Suboxone
Topic: Articles to take to the doctor
Replies: 2
Views: 812

Re: Articles to take to the doctor

Here is what I give my patients to take to the surgeon: https://suboxforum.com/surgery.pdf

If you email me at admin@suboxforum.com, I will send you a copy of the 'users guide'. It is a little outdated, but still mostly good.
by suboxdoc
Mon Nov 11, 2019 11:19 am
Forum: Surgery on Suboxone
Topic: An Anesthesiologist's Perspective
Replies: 11
Views: 3342

Re: An Anesthesiologist's Perspective

I was at Penn in the 1980's under (sp?) Longnekker, Those were the golden years, with Frank Murphy and the younger Eckenhoff managing the OB service. 200 micrograms of fentanyl doesn't 'add' with 4 mg of Dilaudid. That's my point - that docs seem to think that a couple of subtherapeutic doses add up...