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Do me a small favor…
2008-11-05 22:48:02
I just checked my stats– I like to see the numbers go up, as it provides more impetus for me to write. In the ’shameless plug’ department… I have a couple harmless requests: -First, look to the top of the right column, just above the PayPal seal, and click to ‘tell your friends about Suboxone [...]
Read more: favor

Suboxone Forum
2008-11-05 22:08:11
Hi all– just want to put in a quick plug for the Suboxone forum– many people will post questions here and I don’t get to all of them, so consider going to my forum, registering (free), and posting your question.  Better yet, if you see a question you can answer, fire away and help another [...]
Read more: Forum

A very illustrative example of how s@#& happens.
2008-11-05 22:01:24
This is a response to Melanie, who hopefully will be a good sport and not take the discussion personally.  I will post the entire e-mail first– something I assume is OK, since she posted it herself in the comment section.  Then I will post sections in order, associated with my comments.  Melanie, If you want [...]


Acupuncture, withdrawal, and other comments
2008-11-04 22:33:39
I approved several comments a few minutes ago. I have some ambivalence about the acupuncture post… on one hand I do not personally believe that acupuncture– something I do happen to ‘believe in’– has any promise for treating addiction. On the other hand I learned long ago that there is nothing to [...]
Read more: withdrawal

Cured of Addiction!
2008-11-04 11:51:31
If only!  I’m sorry about the headline– but did it catch your attention?  We all wish we could be cured– and headlines like this one appeal to that wish.  We are easy marks for a person looking to make a buck.  I want to use that fact as a springboard to discuss a couple things. I [...]


A Controversial Topic
2008-10-31 19:49:11
I am considering whether to go forward with this post even as I type this sentence– the comments on depression and Suboxone by Kimmie and ‘Bottlecappie’ are quite thought-provoking and I thank them for their contributions.  I am going to post the one by Kimmie ‘up here’;  I first want to say though before everyone [...]
Read more: Controversial

Anesthesia and Suboxone, revisited…
2008-10-29 23:27:25
Important enough to move to the front page: HELP!!!!! I’m so confused. I am having surgery on Friday and have been told to stop suboxone(8mg twice a day) 24hrs prior. I’ve taken it for a little over 2 years and it has really changed my life-for the good. Now I’m scared after reading everything. I do [...]


Suboxone– nobody’s business.
2008-10-29 23:04:12
There are plenty of people out there who ‘take issue’ with Suboxone.  Isn’t it odd, when you really think about it?  I mean, we don’t have people arguing about whether someone else should take medicine for their diabetes;  we don’t have people get in the face of cancer patients, and tell them that ‘the chemo [...]


New Audio
2008-10-27 23:07:44
I have recorded my thoughts on sobriety-based Recovery for patients on Suboxone: when is the time right, who should just stay on Suboxone, how to know if you are ready to go off Suboxone, etc. There are not yet formal guidelines for the process of transition from Suboxone to sobriety-based Recovery, and so [...]
Read more: Audio , New Audio

Personal questions answered; Fee schedule for certain response.
2008-10-26 19:57:25
I really do enjoy keeping this blog, and I love to help out if I can. I am sometimes pressed for time though, and I feel bad when a person is waiting for a response from an e-mail. I have heard comments like ‘I wish my doc had told me that!’– and [...]
Read more: certain , Personal , questions

Does Suboxone Rot Your Teeth?
2008-11-25 23:39:47
This is tonight’s question from the ’search phrases’. The answer:  No. But there must be more to the story. I’ve always wondered why methamphetamine addicts tend to have teeth missing, and the teeth still present look like they ought to be pulled.  I assume it comes from poor diet and no brushing… but they are so nasty [...]


Thanksgiving and Suboxone… Is My Surgeon A Turkey?
2008-11-24 18:10:34
Thanks to Mike for this question: I’m having surgery the day before Thanksgiving .I take 24-32mg a day for the past year,and I’m a little worried about surgery.I told my surgeon I take suboxone and I’m a recovering addict,and I don’t take pain medication. But he told me he will treat me as a normal patient,and with [...]
Read more: Surgeon , Turkey

How To Deal With Ultram Withdrawal?
2008-11-23 19:34:10
A question about addiction to Ultram (tramadol).  I see tramadol addiction now and then;  usually by the time the person seeks my help he/she has had a few seizures from taking too much of the drug: I saw your web page and was reading up on these drugs.  My sister is “addicted” to Ultram/Ultracet for about [...]


Getting off Suboxone, Continued…
2008-11-22 19:27:13
Thanks BC for this post and discussion point: I often wonder what’s up with the people who say that Suboxone w/d is the Worst! Thing! Ever! Maybe they never really went through w/d’s before, so they don’t have much to compare it to? It seems that some people carp on how long it takes to feel “normal” [...]


Getting Off Suboxone!
2008-11-20 21:44:05
If you subscribe to Google Alerts or spend much time reading message boards about Suboxone you will see this headline frequently. Today a person who read my blog wrote to me and said, in consideration of starting Suboxone: ‘I know that Suboxone is a substitution for vicodin, but my concern is, what is the substitute [...]


Suboxone’s complicated relationship with traditional recovery
2008-11-17 20:32:07
Some of my thoughts on this issue- also published on Subox.info with some minor tweaking: By now almost every opiate addict has heard of Suboxone, the amazing medication for opiate dependence that has taken the using world by storm.  I initially had mixed feelings about Suboxone, my opinion likely influenced by my own experiences as an [...]
Read more: complicated

Hot Flashes, Cold Sweats on Suboxone
2008-11-16 15:28:13
The following comment/question from a reader on Suboxone asks about hot flashes since starting Suboxone and also takes issue with the practices of her prescriber: I’m New here. My Dr is just herding in people for suboxone. I saw him once and can’t get back in to see him, either he is out or busy. He [...]


Buprenorphine, Suboxone, and Chronic Pain, Attitudes…
2008-11-16 15:07:10
In my last post I mentioned some of the other blogs out there… one such blog is ’subsux’.  First let me say that I find the name funny– I waste money buying interesting domain names, and that one is certainly catchy.  But beyond that compliment, I don’t agree with anything there– I visited and read [...]


Registration
2008-11-16 14:19:33
People who try to post have noticed that I now ask for registration in order to post.  I hate to do this, but the world of Suboxone treatment is pretty crazy… and I want to have some measure of control over the information that comes through my blog.  I want to clarify my thoughts on [...]
Read more: Registration

As If!
2008-11-15 17:34:19
A comment and question from a reader: How’s it going people thanks for the education dr. I’ve been on Suboxone for 3 months now and am down to 2 mgs a day, I have found that getting physical exercise is such a key to my over sense of well being. I believe that it is [...]


Health Blogger Award
2009-01-12 22:59:03
To the right of this post you will see the ‘vote for SuboxDoc’ link for the ‘top health blogger award’ at Wellsphere.  I thought the ‘contest’ was over, but today I received an e-mail saying that I was in 30th place, and to keep trying…  so c’mon folks, click on me!! What do I win, you [...]
Read more: Health , Blogger , Award

Physical Dependence vs. Addiction in Chronic Pain Patients
2009-01-12 22:13:34
A question from a reader about taking Suboxone for chronic pain, and about physical dependence vs. addiction: Thanks for the web page. It gave me a lot of information that I had been searching for. Most of your blog deals with addiction. Will Suboxone work for dependence? I have been on Oxycontin [...]
Read more: Dependence

Newer Recovery Programs?
2009-01-09 19:07:00
Addiction is a chronic relapsing condition;  opiate addiction in particular is characterized by cycles of dependence, withdrawal, and relapse.  Treatments to date can be separated into the ‘detox’ stage, the ‘treatment’ stage, and the ‘maintenance’ or ‘relapse prevention’ stage (not to be confused with the term ‘maintenance therapy’ as
Read more: Recovery , Programs

It’s the Paradigm, Silly!
2009-01-05 20:50:51
I talk quite a bit about the letters from ‘flamers’, but don’t often mention the messages of support from grateful people on Suboxone, and the nice comments from my patients.  I enjoy speaking to patients on Suboxone about the things said for example by the silly pharmacist in the last post, and as I try [...]
Read more: Paradigm , Silly

The Foolish Pharmacist
2009-01-05 19:38:04
Today I had a follow-up visit with a patient who takes Suboxone.  She is a 55-y-o married woman;  I remember when I first ‘met’ her during a frantic telephone call to my practice about 5 months ago.  At the time, she was on a high dose of pain medication from her doctor for a variety [...]
Read more: Foolish , Pharmacist

Surgery Preparations for a Suboxone Patient
2009-01-04 23:36:44
The questions: I am having surgery and my doc was unaware of some things and I thought that you could confirm them for him?  Could you advise him to take me off the Suboxone 10-14 days prior to surgery?  I have been researching this religously and I have come to the conclusion that it would take [...]
Read more: Surgery

Sick When Starting Suboxone: Abres Los Ojos!
2009-01-01 20:19:51
An interesting case from a reader: Thanks Doc for your efforts. I appreciate you. I am a four year hydrocodone addict 55 years old. I became addicted when I used the drug for an injured cervical disc. A couple of years ago I found out about suboxone and got in touch with a Dr. in Tulsa who prescribed [...]


Darn That Suboxone!
2009-01-01 13:14:14
This guy doesn’t like Suboxone– or the horse it rode in on.  He has been trying to write angry posts under my youtube videos, but I have been blocking them– His feelings about Suboxone popped up on one of the health sites out there this morning, catching my attention through ‘Google alerts’ for Suboxone.  It [...]


Suboxone: a Drug for a Drug?
2008-12-31 21:02:46
A common refrain of the anti-Suboxone crowd is that ‘Suboxone is just replacing one drug for another.’  I have one question for the people who write those angry messages:  why do you care so much about people using Suboxone? Here is my next youtube submission:


Help– I Can’t Stop Suboxone!
2008-12-29 22:54:17
I am still experimenting a bit with youtube.  They tell me that video is the future of the internet, and who am I to argue?  Tonight’s ten minute video deals with a common video title at youtube, and the title of this post. So… why is it hard to stop Suboxone?  I resisted the urge to [...]


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