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Re: Buprenorphine, My experience » sally green

Posted by Elizabeth on June 13, 2002, at 20:39:31

In reply to Re: Buprenorphine, My experience » DianeD, posted by sally green on June 11, 2002, at 7:29:51

> The problem that I see is, first, doctors are not allowed to arbitrarily prescribe Buprenex for opiate detox. They must be in a state that has approved this treatment or has been issued an Investigational New Drug Certificate for those clinics that want to use Buprenex for detox.

I think the FDA has to approve it before it can be used for treatment of addiction (detoxification or maintenance), and the practitioner must have a special license to treat addiction with narcotics (these doctors mainly are found at hospitals or methadone clinics).

> Subject at hand, I have started and have friends attending a clinic that is illegally promoting their detox program, prescribing Buprenex, never detoxing anyone, not following their promised protocals and eventually and very quickly getting patients addicted to Buprenex.

How did you hear about it? And why do you say the patients are addicted to Buprenex?

> When I found this info on the web, I was very excited and so were my friends, many who had long histories of addiction due to recreational drug use, not pain or injuries.

People who take opioids for pain rarely become addicted.

> It is important to talk about your problems and get involved with people who have similar.

That's what this board is here for! :-)

> Try to find a caring doctor who will start you slowly and continue to monitor your progress. I have read many articles on the successful use of Buprenex for depression.

Many? I've only seen a few mentions of it in the literature. Can you point me to these articles?

> You may have overdosed yourself. If you used an entire ampul of Buprenex, at one time, you probably used tooooo much and could have let that one ampul last you 2 or 3 days.

I don't think so. One ampule is 1 mL of solution, which contains 0.3 mg buprenorphine. This is a reasonable amount for an adult to take in a single dose, although for an opioid-naive person who's just starting on buprenorphine I might suggest starting out with 0.5 mL to minimize side effects (especially vomiting). Addicts may actually need to take more than depressed people who aren't addicts, but addicts only seem to need to take it once a day; in my experience (and according to all the case reports I've read), depressed people need to take it several times a day, the same as if they were using it for pain.

-elizabeth


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poster:Elizabeth thread:17065
URL: http://www.dr-bob.org/babble/20020609/msgs/109734.html