Medically-Assisted Detox with an Onsite Addictionologist
What is Medicated-Assisted Detox? Medicated-Assisted Detox is the use of medications under supervision of an addictionologist to help treat the symptoms of detoxification from substance use disorders including opioids, alcohol abuse and more. Detoxification is often the most uncomfortable and most feared process of recovery. Cliffside Malibu takes great care in ensuring that this process is as comfortable and stress-free as possible. Detoxing is one of the very first steps in the recovery process. Once the body has become dependent on a substance for a long period of time, their brain can become chemically altered to requi...
Source: Cliffside Malibu - August 24, 2018 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcohol Rehab Information Alcoholism Detox Resources for Alcohol and Drugs/Opiates Drinking Drug Rehab Information Drug Treatment Medic Source Type: blogs

Tapering off Buprenorphine or Suboxone, Pt 2
In the last post we discussed some of the misconceptions about tapering off opioids.  Today we will discuss a couple basic principles, and then describe the approach I recommend for my patients tapering off buprenorphine. Opioids act at receptors that normally bind endorphins, which are released by neurons in response to a range of stimuli including trauma and rewarding behaviors such as eating a good meal or using addictive drugs.  Endorphin pathways elevate mood, reduce sensation of pain, and impact urine production, immune function, intestinal motility, and other bodily functions.  Endorphin pathways have a certain b...
Source: Suboxone Talk Zone - August 15, 2018 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine pharmacology receptor actions Suboxone Withdrawal opioid tolerance stopping suboxone suboxone detox Suboxone taper tapering off buprenorphine Source Type: blogs

Tapering off Buprenorphine or Suboxone, Pt 2
In the last post we discussed some of the misconceptions about tapering off opioids.  Today we will discuss a couple basic principles, and then describe the approach I recommend for my patients tapering off buprenorphine. Opioids act at receptors that normally bind endorphins, which are released by neurons in response to a range of stimuli including trauma and rewarding behaviors such as eating a good meal or using addictive drugs.  Endorphin pathways elevate mood, reduce sensation of pain, and impact urine production, immune function, intestinal motility, and other bodily functions.  Endorphin pathways have a certain b...
Source: Suboxone Talk Zone - August 15, 2018 Category: Addiction Authors: admin Tags: Addiction Buprenorphine pharmacology receptor actions Suboxone Withdrawal opioid tolerance stopping suboxone suboxone detox Suboxone taper tapering off buprenorphine Source Type: blogs

Tapering off Buprenorphine or Suboxone, Pt 2
In the last post we discussed some of the misconceptions about tapering off opioids.  Today we will discuss a couple basic principles, and then describe the approach I recommend for my patients tapering off buprenorphine. Opioids act at receptors that normally bind endorphins, which are released by neurons in response to a range of stimuli including trauma and rewarding behaviors such as eating a good meal or using addictive drugs.  Endorphin pathways elevate mood, reduce sensation of pain, and impact urine production, immune function, intestinal motility, and other bodily functions.  Endorphin pathways have a certain b...
Source: Suboxone Talk Zone - August 15, 2018 Category: Addiction Authors: admin Tags: Addiction Buprenorphine pharmacology receptor actions Suboxone Withdrawal opioid tolerance stopping suboxone suboxone detox Suboxone taper tapering off buprenorphine Source Type: blogs

Tapering Off Buprenorphine or Suboxone pt. 1
Many patients taking buprenorphine live in fear of a dark world around the corner where they will have to taper off the medication.  They see horror stories on YouTube posted by people who, for some reason, abruptly stopped the medication and kept a video log of their experiences.   My own patients sometimes ask, nervously, if I plan to retire some day.  Some have asked what they should do if I ever, say, drop dead. It needn’t be all that bad.  Yes, sudden discontinuation of a typical dose of buprenorphine will result in withdrawal symptoms.  But if you taper correctly, your body will slowly reset your toleranc...
Source: Suboxone Talk Zone - August 8, 2018 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Buprenorphine receptor actions Suboxone Withdrawal buprenorphine treatment opioid taper stopping suboxone Suboxone withdrawal Source Type: blogs

Tapering Off Buprenorphine or Suboxone pt. 1
Many patients taking buprenorphine live in fear of a dark world around the corner where they will have to taper off the medication.  They see horror stories on YouTube posted by people who, for some reason, abruptly stopped the medication and kept a video log of their experiences.   My own patients sometimes ask, nervously, if I plan to retire some day.  Some have asked what they should do if I ever, say, drop dead. It needn’t be all that bad.  Yes, sudden discontinuation of a typical dose of buprenorphine will result in withdrawal symptoms.  But if you taper correctly, your body will slowly reset your toleranc...
Source: Suboxone Talk Zone - August 8, 2018 Category: Addiction Authors: admin Tags: Buprenorphine receptor actions Suboxone Withdrawal buprenorphine treatment opioid taper stopping suboxone Suboxone withdrawal Source Type: blogs

Tapering Off Buprenorphine or Suboxone pt. 1
Many patients taking buprenorphine live in fear of a dark world around the corner where they will have to taper off the medication.  They see horror stories on YouTube posted by people who, for some reason, abruptly stopped the medication and kept a video log of their experiences.   My own patients sometimes ask, nervously, if I plan to retire some day.  Some have asked what they should do if I ever, say, drop dead. It needn’t be all that bad.  Yes, sudden discontinuation of a typical dose of buprenorphine will result in withdrawal symptoms.  But if you taper correctly, your body will slowly reset your toleranc...
Source: Suboxone Talk Zone - August 8, 2018 Category: Addiction Authors: admin Tags: Buprenorphine receptor actions Suboxone Withdrawal buprenorphine treatment opioid taper stopping suboxone Suboxone withdrawal Source Type: blogs

Americans Fighting the Opioid Crisis in Their Own Backyards
Credit: New York Times article, Jan. 19, 2016. The United States is in the midst of an opioid overdose epidemic. The rates of opioid addiction, babies born addicted to opioids, and overdoses have skyrocketed in the past decade. No population has been hit harder than rural communities. Many of these communities are in states with historically low levels of funding from the National Institutes of Health (NIH). NIGMS’ Institutional Development Award (IDeA) program builds research capacities in these states by supporting basic, clinical, and translational research, as well as faculty development and infrastructure improveme...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - August 1, 2018 Category: Research Authors: Chris Palmer Tags: Pharmacology Medicines Opioids Pain Source Type: blogs

The other side of Suboxone
A lot has been written about Suboxone, the buprenorphine treatment drug. For many, Suboxone acts as an effective medication to treat opioid addiction. For others, it’s a highly-valued street drug that is commonly diverted and misused. To understand and acknowledge the darker side of Suboxone we have to look back at its history over the past 16 years. History of Suboxone Suboxone was first approved by the FDA in 2002 to treat opioid addiction in office-based opioid treatment programs. Prior to Suboxone, the only opioid treatment drug available was methadone, which could only be obtained from an opioid treatment program or...
Source: Kevin, M.D. - Medical Weblog - July 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/dennis-wichern" rel="tag" > Dennis Wichern < /a > Tags: Meds Pain Management Psychiatry Source Type: blogs

The satisfaction of Suboxone treatment
My second foray into Suboxone treatment has evolved in a way I had not expected, but I think I have stumbled onto something profound. Almost six months into our in-house clinic’s existence, I have found myself prescribing and adjusting treatment for about half of my medication-assisted treatment (MAT) patients for co-occurring anxiety, depression, bipolar disease and ADHD as well as restless leg syndrome, asthma, and various infectious diseases. Years ago, working in a mental health clinic, we had strict rules to defer everything to each patient’s primary care provider that wasn’t strictly related to Suboxone treatme...
Source: Kevin, M.D. - Medical Weblog - July 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Pain Management Primary Care Psychiatry Source Type: blogs

My Triple Aim of Medication Assisted Treatment for Opioid Addicted Patients
by HANS DUVEFELT, MD My second foray into Suboxone treatment has evolved in a way I had not expected, but I think I have stumbled onto something profound: Almost six months into our in-house clinic’s existence, I have found myself prescribing and adjusting treatment for about half of my MAT patients for co-occurring anxiety, depression, bipolar disease and ADHD as well as restless leg syndrome, asthma and various infectious diseases. Years ago, working in a mental health clinic, we had strict rules to defer everything to each patient’s primary care provider that wasn’t strictly related to Suboxone treatment. One prob...
Source: The Health Care Blog - July 11, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Small Practice Opioid Addiction Opioid crisis Treatment Source Type: blogs

ResQ is Using Games to Fight Opioid Addiction: Interview with Dr. Paul Glimcher
Earlier this year at the Health 2.0 WinterTech Conference, the Robert Wood Johnson Foundation (RWJF) and Catalyst @ Health 2.0 launched the RWJF Opioid Challenge, an initiative aimed at bringing together healthcare and technology innovators to solve a growing epidemic of addiction in the United States. A panel of 19 judges evaluated 97 initial submissions based on innovation, scalability, and overall design and intuitiveness of the solution, resulting in five semifinalists. Resilience IQ (ResQ) Hey, Charlie Luceo/Canary App Sober Grid HashTag Preparation for Phase 2 of the competition is underway with final submission...
Source: Medgadget - June 14, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Medicine Net News Pain Management Psychiatry Public Health Rehab Source Type: blogs

HEAL Initiative | National Institutes of Health (NIH)
In April 2018, NIH launched the HEAL (Helping to End Addiction Long-term) Initiative, an aggressive, trans-agency effort to speed scientific solutions to stem the national opioid public health crisis. This Initiative will build on extensive, well-established NIH research, including basic science of the complex neurological pathways involved in pain and addiction, implementation science to develop and test treatment models, and research to integrate behavioral interventions with Medication-Assisted Treatment (MAT) for opioid use disorder (OUD). Successes from this research include the development of the nasal form of naloxo...
Source: Psychology of Pain - June 12, 2018 Category: Anesthesiology Source Type: blogs

Addiction Treatment, Science, and Dead Rats
In my last post I teased that I would write about fake science.  I’ll try to make it interesting. The internet allows everyone to do research about symptoms and treatments for any condition. If not for need for prescriptions, people could act as their own doctors.  But a huge dose of caution is necessary before anyone takes that path. Realize first that doctors don’t treat themselves or even their family members.  The saying that ‘a person representing himself in court has a fool for a lawyer’ applies double in healthcare.  Treating someone close to one’s self introduces a bias that is har...
Source: Suboxone Talk Zone - May 23, 2018 Category: Addiction Authors: admin Tags: Education Pharma pharmacology Research treatment alcohol treatment fake science FDA approval nutritional supplements Source Type: blogs

Addiction Treatment 'Science' and Dead Rats
In my last post I teased that I would write about fake science.  I’ll try to make it interesting. The internet allows everyone to do research about symptoms and treatments for any condition. If not for need for prescriptions, people could act as their own doctors.  But a huge dose of caution is necessary before anyone takes that path. Realize first that doctors don’t treat themselves or even their family members.  The saying that ‘a person representing himself in court has a fool for a lawyer’ applies double in healthcare.  Treating someone close to one’s self introduces a bias that is har...
Source: Suboxone Talk Zone - May 23, 2018 Category: Addiction Authors: admin Tags: Education Pharma pharmacology Research treatment alcohol treatment fake science FDA approval nutritional supplements Source Type: blogs