What do you recommend when patients continue to relapse while taking buprenorphine?
I recognize that opioid addiction is an illness, so I increase the intensity of treatment if a patient should relapse. However, repeated relapses signify a major problem. Medication-assisted treatment with buprenorphine requires a great deal of self-monitoring (self-policing). Patients who are unable to self-monitor are still in need of treatment, but at a higher intensity level. Options include treatment at an Opioid Treatment Program (methadone maintenance clinic) or Rehabilitation. We do not abandon the patient.
Will treatment with buprenorphine continue?
I believe so, but there are concerns. The DEA is now reporting increased abuse of buprenorphine through …show more content…
Historically, in the field of mental health and substance abuse, a few medications stand out as groundbreaking: Thorazine®, Tofranil®, Dolophine® (methadone), Prozac®, Clozaril®, Ability®, and now Suboxone®.
What is on the horizon for the treatment of opioid addiction?
Research into the treatment of opioid addiction is ongoing. One of the most promising options is immunotherapy, where antibodies bind to the opioid before it can enter the brain, rendering the opioid inactive and, therefore, ineffective (http://bit.ly/1NK1NEt).
Research also shows that adding clonidine to buprenorphine improves outcomes (http://bit.ly/1SEKghi). Many other improvements are forthcoming, such as a buprenorphine implant under the skin that slowly releases buprenorphine over several months (http://wb.md/1FFQgzi). Also, a naltrexone implant under the skin that dissolves slowly over several months is under study (http://bit.ly/1OawPjf).
Where can I learn more about recommendations to physicians on how best to treat opioid …show more content…
Califano Jr., 2014, Simon and Schuster
• “Moments of Clarity,” Christopher Lawford, 2009, HarperCollins Publishers
• “They Can 't Be Loved Into Sobriety: A Father 's Guide for Parents of Teens and Young Adults with Substance Use Disorders,” Luis Velarde, PhD, 2014 (http://amzn.to/1QxWPIA)
• “Jack Bruce, Composing Himself: The Authorised Biography,” Harry Shapiro, 2010, Jawbone Press
• “This Force of Memory: A Surgeon 's Story of Addiction,” Noah Paine, MD, 2012
• “How to Be a Man (and Other Illusions),” Duff McKagan (cofounder of Guns N’ Roses), 2015
• “Confessions of an English Opium-Eater,” Thomas De Quincey, originally published 1818, newly published by Enhanced Media Publishing, 2015
• The online website www.drugfree.org: “7 Truths About My Addict That Took 5 years to Learn” (http://bit.ly/1zB9zdR; over 600 comments)
• The online website www.drugfree.org: “What I Wish I Had Done Differently with My Addicted Son” (http://bit.ly/1M26RQ5; over 400 comments)
• “We Are Creating a Nation of Addicts,” Bob Beckel, CNN commentary, November 2, 2015 (http://cnn.it/1NMvHVS)
Can you recommend movies or TV programs that accurately portray the image of the opioid
I recognize that opioid addiction is an illness, so I increase the intensity of treatment if a patient should relapse. However, repeated relapses signify a major problem. Medication-assisted treatment with buprenorphine requires a great deal of self-monitoring (self-policing). Patients who are unable to self-monitor are still in need of treatment, but at a higher intensity level. Options include treatment at an Opioid Treatment Program (methadone maintenance clinic) or Rehabilitation. We do not abandon the patient.
Will treatment with buprenorphine continue?
I believe so, but there are concerns. The DEA is now reporting increased abuse of buprenorphine through …show more content…
Historically, in the field of mental health and substance abuse, a few medications stand out as groundbreaking: Thorazine®, Tofranil®, Dolophine® (methadone), Prozac®, Clozaril®, Ability®, and now Suboxone®.
What is on the horizon for the treatment of opioid addiction?
Research into the treatment of opioid addiction is ongoing. One of the most promising options is immunotherapy, where antibodies bind to the opioid before it can enter the brain, rendering the opioid inactive and, therefore, ineffective (http://bit.ly/1NK1NEt).
Research also shows that adding clonidine to buprenorphine improves outcomes (http://bit.ly/1SEKghi). Many other improvements are forthcoming, such as a buprenorphine implant under the skin that slowly releases buprenorphine over several months (http://wb.md/1FFQgzi). Also, a naltrexone implant under the skin that dissolves slowly over several months is under study (http://bit.ly/1OawPjf).
Where can I learn more about recommendations to physicians on how best to treat opioid …show more content…
Califano Jr., 2014, Simon and Schuster
• “Moments of Clarity,” Christopher Lawford, 2009, HarperCollins Publishers
• “They Can 't Be Loved Into Sobriety: A Father 's Guide for Parents of Teens and Young Adults with Substance Use Disorders,” Luis Velarde, PhD, 2014 (http://amzn.to/1QxWPIA)
• “Jack Bruce, Composing Himself: The Authorised Biography,” Harry Shapiro, 2010, Jawbone Press
• “This Force of Memory: A Surgeon 's Story of Addiction,” Noah Paine, MD, 2012
• “How to Be a Man (and Other Illusions),” Duff McKagan (cofounder of Guns N’ Roses), 2015
• “Confessions of an English Opium-Eater,” Thomas De Quincey, originally published 1818, newly published by Enhanced Media Publishing, 2015
• The online website www.drugfree.org: “7 Truths About My Addict That Took 5 years to Learn” (http://bit.ly/1zB9zdR; over 600 comments)
• The online website www.drugfree.org: “What I Wish I Had Done Differently with My Addicted Son” (http://bit.ly/1M26RQ5; over 400 comments)
• “We Are Creating a Nation of Addicts,” Bob Beckel, CNN commentary, November 2, 2015 (http://cnn.it/1NMvHVS)
Can you recommend movies or TV programs that accurately portray the image of the opioid