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Archives for February, 2014

Addiction

Buprenorphine’s Relationship with Traditional Recovery

Regular readers of my blog know that I believe buprenorphine is the most important development for treating addiction during my lifetime.  At the same time, my own recovery from opioid dependence began over 20 years ago, long before the use of buprenorphine.  I am grateful for the change in my perspective that occurred one desperate afternoon, when I first recognized the uselessness of ‘will power’ for stopping opioids.  I was one of the lucky...
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Pharmacology

Psych Treatment Gray Areas

I recently heard parts of a lecture by a healthcare provider (not a psychiatrist), who was speaking to a group of general practitioners about psychiatry.  She answered questions about the best approach for treating depression, anxiety, and other psychiatric disorders by relating anecdotes from her own experience and suggested by her favorite mentor.  “Add a little of this, and if that doesn’t work, try adding some of that” she said.  “Psych is all a gray area. ...
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Buprenorphine

What Standard of Care for Mothers on Suboxone?

Newborn abstinence syndrome from buprenorphine provokes strong emotions.  Expectant patients rightly anticipate harsh attitudes from doctors and nurses. They read in forums and chat rooms about experiences of women who say that CPS was called after delivery, or about babies who were kept on opioid tapers, in the hospital, for weeks or even months after mom’s discharge.  And in the absence of appropriate support from the medical profession, they worry that their use of buprenorphine...
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