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Archives for April, 2011

Addiction

Saving ALL The Starfish

I have several blogs and forums, all part of the mission to educate people about opioid dependence and buprenorphine.  Because of my online presence I am frequently contacted by reporters or journalists, and asked to provide my opinion about some aspect of opioid dependence.  The requests have become more frequent over the past year, suggesting that either my name recognition has increased, or that there is greater awareness—finally—that an epidemic of opioid dependence...
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Addiction

Clean Enough?

Yesterday I received the following e-mail:

Hi Dr. Junig,



Please let me first say - Suboxone SAVED MY LIFE. I was down and out until 2 years ago, when I began using Suboxone. Now, having completed all the pre-req's for medical school with nothing less than straight A's, I find myself on track to apply to medical school.



But here's the problem. I'm still taking Suboxone and have no desire to stop....
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Addiction

If A Tree Falls…

In my last post I mentioned that one of my patients on buprenorphine had relapsed. Relapse on buprenorphine reminds me of the philosophical cliché, ‘if a tree falls in a forest and nobody hears it, did it make a sound?’ For those not familiar with the cliché, the question and the answers--from standpoints of science, art, and metaphysics—are discussed in great depth, I just discovered, on Wikipedia. I...
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Addiction

An Open Door

One of my patients taking buprenorphine relapsed last week. He worked in a healthcare facility that stocked potent opioids, and he somehow came across an unlocked door. By the end of his shift he had consumed several hundred milligrams of oxycodone—enough to provide a mild buzz for a person taking buprenorphine. Several hours later the mood effects were gone—and so was the job. Relapse has always been a...
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