Buprenorphine: A Reality Check
The following excellent two article series published in 2013 give an in-depth view of the drug culture using Suboxone/buprenorphine, along with a history of the development of the drug. It is an eye opening account that shows the drug is approximately 1/6 as deadly as methadone, and that the death rate is not zero from buprenorphine. Of those dying from buprenorphine, approximately half have other drugs on board, 20% are suicides, and 15% are NAS babies....
Buprenorphine: A Reality Check (Source: Student Doctor Network)
Source: Student Doctor Network - December 25, 2017 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
Methadone Rx
Hi everyone,
There's a patient who has been filling methadone (~12 tabs/day= 120 mg) and klonopin at the pharmacy for almost 3 years. Upon review of the state's PDMP report, that's 369 mgEq/day. Per the dr's office the diagnosis code is M54.5 for chronic low back pain. I am relatively new to the pharmacy, and am not feeling comfortable filling the script. Under what circumstances, if any, would you fill the Rx? What if I don't fill it and the patient ends up going through withdrawal...? Any...
Methadone Rx (Source: Student Doctor Network)
Source: Student Doctor Network - November 13, 2017 Category: Universities & Medical Training Authors: mimi06bg Source Type: forums
Phencyclidine (PCP) and elective surgeries
Thoughts?
Go ahead? Postpone?
Are you ok with any drugs outside of prescribed pain meds and methadone for elective cases? (Source: Student Doctor Network)
Source: Student Doctor Network - October 12, 2017 Category: Universities & Medical Training Authors: sigrhoillusion Source Type: forums
Naturopaths petition to become Medicare providers
Naturopathic Physicians and Medicare
Sign the Petition
In Oregon they are already permitted to RX methadone... and some are hospital employed...
Loch Stephen Chandler, ND, MPA:HA, MSOM, LAc | Providence Oregon (Source: Student Doctor Network)
Source: Student Doctor Network - September 8, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
DEA schedule drugs
Hi I will be working as CL psychiatrist. Need to finish DEA application, which schedule drugs should I choose from 1-5?
Definitely have no experience with buprenorphine and methadone. Thanks for your input!! (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2017 Category: Universities & Medical Training Authors: sujalneuro Source Type: forums
Would you fill these rxs?
Hi everyone,
Would you question/fill these rxs?
Scenario 1: Only medications on file are ambien cr 12.5 mg (#90), norco 10 mg (#180) and soma 350 mg (#120). They are all written by the same doctor.
Scenario 2: Is prescribed soma 250mg and oxycodone 15 mg (#120) from the same doctor, who is a visiting physician (i.e sees patients at their homes.)
Scenario 3: Fills methadone 10 mg (#320)- prn dosing and klonopin 1 mg monthly. They're both written by the same doctor, an internist. (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2017 Category: Universities & Medical Training Authors: mimi06bg Source Type: forums
Methadone & Norco 4 neuropathy?
Has anyone seen methadone and Norco by the same doctor for peripheral neuropathy? Would you fill that? (Source: Student Doctor Network)
Source: Student Doctor Network - July 4, 2017 Category: Universities & Medical Training Authors: Mambo#5 Source Type: forums
The risk for all cause and overdose mortality in people with opioid dependence during and after substitution treatment with methadone or buprenorphine
(Source: BMJ Comments)
Source: BMJ Comments - May 9, 2017 Category: Journals (General) Source Type: forums
Do you do much as an addiction psychiatrist?
I write this not to be disparaging, but just because I am a clueless intern with little experience.
A little background: One of our rotations as interns (probably the best, in terms of hours certainly, but also cool attendings) is at the VA substance abuse program. It's basically an intensive outpatient program that meets within the hospital. Anyway, besides prescribing some naltrexone or methadone, I didn't really see us doing much. I mean, sure, we'll talk to the patients and see them...
Do you do much as an addiction psychiatrist? (Source: Student Doctor Network)
Source: Student Doctor Network - May 4, 2017 Category: Universities & Medical Training Authors: ExcaliburPrime1 Source Type: forums
holding doctors accountable
I am very annoyed with other pain clinics in the area who are very lax on their prescription habits, e.g. very high MEDs (high doses of roxies, dilaudid, opana, fentanyl, methadone etc.) in a non-cancer pain setting and commonly without profound severe pathology of non-CA origin, and with other risky medications combinations (xanax, ambien, soma, etc.). Also, over and over I have noticed some of this patients to have very busy PMP (ER visits, different pharmacies, date overlaps),...
holding doctors accountable (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2016 Category: Universities & Medical Training Authors: metadr Source Type: forums
Random sharp, stabbing vaginal pains???
Discussion Boards)
Source: MD Health Forum - Medical Discussion Boards - March 30, 2013 Category: Consumer Health Advice Authors: roxjust Tags: Women's Health Source Type: forums
