threatening depression of the central nervous and respiratory systems caused by an overdose (Rhode Island Medical Society, 2013, p. 49). Narcan can now be prescribed to a family member or friend of someone who is at risk of an opioid overdose. Educating the client and a family member on how to use narcan could potentially save their life. Methadone can be used as a maintenance treatment option. Methadone is a drug similar to heroin which lasts longer in the body and is prescribed by a physician. The benefits of methadone include taking a drug which is clean of contaminants, is controlled by a physician and the client is able to remove himself from the street drug scene (Denning & Little, 2012). Buprenorphine, also known as suboxone, can be used in the treatment of opioid addiction. Buprenorphine suppresses cravings and withdrawal symptoms for opioids while not requiring participation in a highly federally regulated program such as methadone clinics require. A study done by (Sittambalam, Vij, & Ferfuson, 2014), showed how Suboxone is a viable treatment option. Advantages to using Suboxone include lower dependence, milder withdrawal symptoms, and a lower risk of fatal overdosing. The study reported a treatment plan tailored to each individual and counseling are key components to success with Suboxone. Implementation of Harm Reduction Implementing harm reduction with a client during one on one therapy or group work would first start with establishing a trusting relationship.…
become of this drug in the early 2000s, is a new drug by the name of buprenorphine. This drug was widely under utilized instead for methadone, being as methadone had been used for far longer with relatively positive results as it relates to harm reduction. Harm reduction is defined as, “a set of practical strategies and ideas aimed at reducing the negative consequences associated with drug use” (Marlatt 592). The theory of harm reduction when discussing methadone, has run into pitfalls because…
Fentanyl According to Susan Robertson, the drug fentanyl which is an opiate agonist, has been around since the 1960s and created by Dr. Paul Jansen. "The use of fentanyl as a pain reliever and anesthetic was quickly adopted in the medical setting. In the 1960s, the agent was introduced as an intravenous anesthetic under the brand name Sublimaze"(S.Robertson)pg.1. In the 90s fentanyl was turned into a patch which breaks down into the blood stream through a period of 72 hours. Fentanyl…
The effort to define a problem by identifying its causes rests on a certain conception of cause. Causes are objective and can be proved by scientific. For example, as Dr. Adams to answer the question of Mr. Murphy, he said “it is a significant problem in parts of our state, and that is why we need to have a larger conversant about medication-assisted treatment and what it can and cannot do” (pg.22) In this case, handle buprenorphine is the key cause to lead this problem. Because of the Drug…
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…
Medication-assisted treatment with buprenorphine is the newest evidence-based treatment for recovery from opioid addiction. I utilize buprenorphine extensively in my medical practice treating opioid addiction. As with methadone, medication-assisted treatment with buprenorphine is an outpatient treatment, but with several important and valuable differences from medication-assisted treatment with methadone: • Medication-assisted treatment with buprenorphine is approved for office-based treatment,…
he object of the review was to compare the effectiveness and side effects of both Kratom and Buprenorphine. The reviewers found that Kratom cessation is associated with mild withdrawal symptoms. All the articles stated a lack of understanding of the benefits and effects of Kratom and that further knowledge is needed to draw a conclusive conclusion, but that Kratom is considered dangerous due to the small amount of research associated with the drug. When Kratom was not mixed with other drugs,…
This essay illustrates the classification of antagonists according to their characteristics. The classification of antagonists is divided into two main categories, receptor antagonists and non-receptor antagonists. In receptor antagonists, it would be divided into competitive antagonists and non-competitive antagonists. In non-receptor antagonists, divided into chemical antagonists and physiological antagonists. In different categories, there are different examples to support the feature of the…
Narcan is the brand name, and most commonly known and used name, for the drug Naloxone. It works by reversing the effects of opioids, particularly during an overdose. It is administered by injection into a person experiencing an overdose. Narcan works specifically against opioids and does not counter the effects of other types of drugs, alcohol, or other sedatives or stimulants. Opioids include heroin and prescription drugs such as oxycodone, fentanyl, hydrocodone, codeine, and methadone.…
Buprenorphine sublingual tablets are made with or without naloxone. Buprenorphine has a poor gastrointestinal (GI) bioavailability, therefore, it does not have oral formulation. Comparing with other formulation, sublingual tablet buprenorphine has less bioavailability. The Sublingual tablet has 29% bioavailability relative to intravenous buprenorphine, and the sublingual solution has 49% bioavailability relative to intravenous buprenorphine. Since sublingual tablet buprenorphine has low…