Wasting Resources on Suboxone

Readers of this blog know that I have often questioned whether there is any clinical difference between Suboxone and generic buprenorphine.  Naloxone is an opioid-blocking chemical added to buprenorphine, supposedly in order to reduce intravenous diversion of the medication.  The combination of buprenorphine plus naloxone is branded as Suboxone. I’ve pointed out over the years […]

Does Suboxone Cause SIDS?

In a recent Google search about Suboxone and pregnancy, one of the top links included the frightening statement that Suboxone and buprenorphine have been linked to SIDS or sudden infant death syndrome, commonly called ‘crib death.’ The statement was from a health forum where a woman wrote about taking Suboxone during pregnancy.  She wrote that her […]

Suboxone Side Effects pt. 2

We can now leave naloxone out of the discussion, and focus on the side effects of Suboxone that are caused by buprenorphine. Side effects are symptoms caused by a given medication that are not part of the therapeutic benefit of that medication.  Whether a symptom is a side effect depends on the reason for taking […]

Suboxone Side Effects pt 1

Side Effects pt. 1: Impact of Naloxone It has been a while since I’ve written about the more basic aspects of Suboxone treatment for opioid dependence.  I used to check the phrases used to search for Suboxone, and cover those topics one by one.  In that spirit, I’ll spend a little time talking about side […]

Treating Addiction with Brain Surgery

Today I read about the stereotactic brain surgery used to treat opioid dependence in China over the past ten years.   The procedure is relatively straightforward; the patient’s skull is clamped in place while small holes are drilled, guided by computerized, 3-dimensional maps of the brain.  Probes are inserted deeply through brain tissue to the nucleus accumbens, where […]

Take Action!

People who read this blog are aware of the shortage of physicians who can prescribe buprenorphine to treat people addicted to pain pills, even as an epidemic of addiction to heroin and pain pills devastates the heartland of the country.  In order to prescribe buprenorphine, physicians take a short course and obtain special certification.  To obtain certification, […]

Post-Operative Pain in Suboxone Patients

I’ve written about this topic a number of times, but I continue to receive emails from people on buprenorphine who describe inadequate pain control following surgery.  I have prepared a document for my own patients to provide to surgeons, dentists, and ER staff to be used in the case of injury or surgery.  A copy of that document can be found […]

Europe Dumps Meprobamate

The European Medications Agency is banning meprobamate and meprobamate-containing medications from the sale in Europe, after concluding that the risks from the medication exceed the therapeutic benefit. The removal comes six months after a decision by the same agency to suspend authorization for all marketing for the medication.  I have not read of any similar […]

Xanax for Anxiety? Think Again!

Anxiety is one of the most common presenting complaints for people who come to my psychiatric practice. By the time people with anxiety visit a psychiatrist, they have usually discussed their symptoms with friends and family members, and some have been to their family care physician. And as a result of these initial ‘consultations’, they […]

Buprenorphine Guide

I have a couple pages around the web that offer a guide to buprenorphine for a small charge.   People who are interested can get a free copy simply by visiting the forum at this link.  The link takes you to a page at SuboxForum where the guide can be downloaded;  note the instructions on that page about the […]