Archives for July, 2012

Addiction

Tolerate THIS, Part II

I have been struggling with Part II, primarily because there are no easy answers to the situation.  I realize that I could easily criticize whichever path a doctor suggests for our imaginary patient.

As an aside, I believe that a major reason for the lack of sufficient prescribers of buprenorphine in some parts of the country is the ‘damned if I do, or damned if I don’t’ scenario.  All docs are aware...
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Addiction

Tolerate THIS

I recently accepted a young man as a patient who was addicted to hydrocodone (the opioid in Vicodin), prompting a discussion about treatment options for someone who hasn’t been using very long, and who hasn’t pushed his tolerance all that high.  Perhaps it will be informative to share my thought process when recommending or planning treatment in such cases.

In part one I’ll provide some background, and in a couple days I’ll follow up with...
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