Opioid Induced Hyperalgesia Prevented by Buprenorphine?
“Buprenorphine is a kappa receptor antagonist. For these reasons, buprenorphine might be unique in its ability to treat chronic pain and possibly OIH.”
The opioid crisis has been fueled by the use of opioids to treat chronic pain. Practice patterns have changed, but doctors are still criticized for their roles in the overuse of opioids. I’ve sat through community ‘heroin forums’ (sometimes on stage) as sheriffs, politicians, and ‘recovered addicts’ firmly pointed fingers at health professionals. I, meanwhile, kept my finger under the table, but had the thought that some of the people pointing ...
Source: Suboxone Talk Zone - February 5, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Acute Pain Buprenorphine Chronic pain Suboxone treatment buprenorphine treats chronic pain chronic pain treatment opioid induced hyperalgesia opioid pain relief pain vs. addiction Source Type: blogs
Repealing The ACA Could Worsen The Opioid Epidemic
As our country grapples with an “unprecedented opioid epidemic,” Congress is taking steps to take away an important tool to fight it — the Affordable Care Act (ACA). The annual cost of the epidemic is estimated to be $78.5 billion. In 2014, there were more deaths from opioid and other drug overdose than any other year; 60.9 percent of those overdoses involved an opioid. Every day, an average of 78 Americans die from opioid abuse. The coverage expansions and protections under the ACA can help lessen the epidemic and save lives.
The ACA Provides Coverage to People with Substance Use Disorders
Because of the ACA, a...
Source: Health Affairs Blog - January 30, 2017 Category: Health Management Authors: Lisa Clemans-Cope, Dania Palanker and Jane Wishner Tags: Following the ACA Medicaid and CHIP Public Health Essential Health Benefits Medicaid expansion opioid epidemic opioids Section 1115 Demonstration Waiver Substance Use Disorders Source Type: blogs
Benzos and Buprenorphine
The high safety of buprenorphine, except when combined with a benzodiazepine, has been twisted in comments about the drug (and in the minds of regulators) to buprenorphine being uniquely dangerous when combined with benzodiazepines, which is not true.
I’ve heard more and more from insurers, regulators, and well-meaning agencies about the dangers of combining buprenorphine and benzodiazepines. Some insurers protest paying for buprenorphine if patients are taking benzodiazepines. Medicaid recently sent a letter that described a ‘severe risk’ of using benzodiazepines in patients on buprenorphine. And...
Source: Suboxone Talk Zone - January 27, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Benzos Buprenorphine pharmacology risks Suboxone tolerance buprenorphine and benzodiazepines suboxone overdose xanax and suboxone Source Type: blogs
A 7-Pound Premature Baby Died After Receiving 8 Vaccine Doses, Her Death Was Blamed On Co-Sleeping Instead Of The Toxic Vaccines
Conclusion
Medical examiners are putting the blame on parents for co-sleeping, while completely ignoring the vaccines given to the child hours or days before, when investigating these infant deaths. They will also relate an infant’s death to poisoning of the body due to something the child ingested or inhaled, but not from the poisons injected through the vaccines. [29]
In the state of Louisiana, health officials have been applauded for having fairly high vaccination rates, but at the same time, Louisiana has consistently been ranked one of the worst states in the nation for having high infant mortality rates, but nowher...
Source: vactruth.com - January 19, 2017 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Case Reports on Vaccine Injury Human Recent Articles Top Picks Top Stories Aysia Hope Clark Lafayette General Medical Center National Vaccine Injury Compensation Program Recombivax Source Type: blogs
Cannabinoid Hyperemesis: How Rare?
Marijuana might cause pain and vomiting in the people who value the drug the most. Doctors should learn more about cannabinoid hyperemesis syndrome.
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Source: Cannabinoid Hyperemesis: How Rare? (Source: Suboxone Talk Zone)
Source: Suboxone Talk Zone - January 4, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Source Type: blogs
Cannabinoid Hyperemesis: How Rare?
I recently read a CBS news story about CHS, or Cannabinoid Hyperemesis Syndrome, describing a 100% increase in cases in Colorado since the legalization of marijuana there. A search for ‘THC’ and ‘CHS’ pulls stories from a range of sources including High Times, Wikipedia, Fusion.net, and Current Psychiatry. A broader search reveals articles calling the disorder ‘fake news‘.
Most articles about CHS describe the condition as ‘rare’, but becoming less rare as the legalization movement takes root and grows (like a weed). The syndrome occurs in heavy, long-time users of marij...
Source: Suboxone Talk Zone - January 4, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Acute Pain Chronic pain pharmacology receptor actions abdominal pain and THC cannabinoid hyperemesis syndrome CHS marijuana nausea and THC Source Type: blogs
Buprenorphine: One way works. One doesn ’t.
Buprenorphine was a fantastic drug in the emergency department. Patients would come to our ED feeling awful from opiate withdrawal, and we made them feel so much better. We can recall so many patients coming in vomiting, anxious, sweaty, dehydrated, and looking awful — and with one or two shots of buprenorphine, we made them feel well enough to take on the task of beating opiate addiction. A clinic in our community could see these patients in a day or so and start the process of treating their opiate addiction with oral Suboxone (buprenorphine and naloxone). The system worked. We ED docs loved it, and our patients ...
Source: Kevin, M.D. - Medical Weblog - December 6, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/reb-j-close-and-casey-grover" rel="tag" > Reb J. Close, MD and Casey Grover, MD < /a > Tags: Physician Emergency Source Type: blogs
Make Sleep Meds Work For You
I’ve been busier than I like, and haven’t had as much time for posting. But I spend a lot of time answering emails from my patients, and some of my responses may be useful for others. Below I’ll share my answer to a patient who has been unable to get quality sleep. Next week I’ll find another answer to share with readers.
This patient asked whether her insurance would cover Lunesta. She wrote at 2 AM that she is up most of the night tossing and turning. She now takes 10 mg of Ambien, and wrote that it ‘stopped working’. She doesn’t think 20 mg of Ambien would be covered b...
Source: Suboxone Talk Zone - November 27, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: pharmacology Research ambien best sleep medication insomnia treatments lunesta sleep medication no working sleeping pills Source Type: blogs
A Few Days Later
It was a bad week. I know a lot of other people who felt the same. I happen to be fortunate enough to live in an area where the vast majority of the population shared my dismay, but it was still difficult. Not much sleep. No appetite. Hard to concentrate. Anhedonia.
Calls for “healing” and “moving on” didn’t help. I feel assaulted, and it’s just too soon to try forgiving my attackers.
I had to keep going, though, so this morning I went downtown to work at one of my side gigs. Actually, I was there last week, but someone called out so they asked me to fill in this week as well. So I went....
Source: Musings of a Dinosaur - November 13, 2016 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Politics Source Type: blogs
Not Everyone Wants to Ban Kratom: Here Are Some Issues to Consider
Never heard of kratom? The media has been so focused on the ongoing opioid epidemic that it’s easy to miss a less frequently used or abused substance, like kratom. But a movement to ban or restrict the sale of kratom in cafes, at head shops and on the internet is gaining momentum across the country and states are taking legal action to curtail the public’s use of this drug. So what exactly is kratom, and why are people divided about its use?
Common in the United States for almost ten years before catching the attention of the federal government, kratom is a plant grown in Southeast Asia and cultivated as a kin...
Source: Cliffside Malibu - September 21, 2016 Category: Addiction Authors: Constance Scharff, PhD Tags: Abuse Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcoholism Behavioral Addictions Current Events Drug Rehab Information Drug Treatment Mental Health drug addiction drug treatment center Source Type: blogs
Finding Pain Relief When There ’ s Potential for Addiction
I am a woman with a family history of addiction who is also in chronic pain. What if someday I need opioids to manage that pain?
First, two discs in my lower spine degenerated. Then, they herniated, both bulging out and impinging nerves, inciting an excruciating, sciatica-like pain that affected me around the clock. More than a year since my discs were damaged, pain has become my daily reality. I wake up stiff and sore as though I’ve just been hit by a car (having been hit by a car as a kid, I actually know what that feels like). The only thing I struggle with as much as the pain itself is finding the best way to treat i...
Source: World of Psychology - August 14, 2016 Category: Psychiatry & Psychology Authors: Psych Central Staff Tags: Addiction Health-related Personal Publishers The Fix Chronic Pain Drug Addiction drug counseling Epidemic Family History Laura Kiesel Medication Methadone opiods opioid addiction overdoses Pain Relief prescription drug ab Source Type: blogs
Congress Acts on Opioid Dependence (ugh)
I won’t weigh in on the upcoming election, for fear of being barraged with insulting tweets by one candidate or ‘offed’ by the other. But the current opioid dependence crisis provides a great chance to learn whether you stand on the side of ‘limited government’ or the alternative.
The TREAT Act takes 5 minutes to read, that would have increased the cap on buprenorphine patients. President Obama undermined the TREAT Act by announcing his own plans to raise the cap soon after the TREAT Act was presented in the Senate. After 7 years without mentioning heroin or opioid addiction, it’s ...
Source: Suboxone Talk Zone - July 21, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine Public policy Suboxone treatment buprenorphine cap nurse practitioners prescribe suboxone opioid legislation Source Type: blogs
Do Your Research! Three Ways to Approach Addiction Treatment that Change Outcomes
Did you know that people spend more time looking for a new car than they do researching the addiction treatment center they intend to send their loved on to? This is a terrible mistake, because not all treatment centers or their programs are the same. How a rehab understands addiction will have a tremendous impact on how it treats the problem, along with the kind of results it gets from that treatment. Here are three treatment frameworks you should consider and ask about when you’re researching addiction treatment centers.
Is the problem a spiritual malady? Treatment facilities that view addiction as a spiritual proble...
Source: Cliffside Malibu - July 6, 2016 Category: Addiction Authors: Constance Scharff, PhD Tags: Abuse Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcoholism Behavioral Addictions Current Events Drug Rehab Information Drug Treatment Mental Health addiction treatment center alcohol ab Source Type: blogs
Three Reasons to Reconsider Medication Assisted (Addiction) Treatment
If someone you love is considering entering recovery from opioid addiction, know that their first few months without using their drug of choice will be a time of serious transition. As they begin to re-imagine and create a life for themselves outside of addiction, identifying effective support systems to maintain their recovery is essential. Many people consider incorporating medication assisted treatment (MAT), often using the drug Suboxone, as a part of their recovery maintenance plan, but not everyone entering recovery is aware of the serious risks that accompany consistent use of this drug. Here are three reasons why ...
Source: Cliffside Malibu - July 1, 2016 Category: Addiction Authors: sheilas Tags: Abuse Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcoholism Behavioral Addictions Current Events Drug Rehab Information Drug Treatment Mental Health addiction treatment center alcohol ab Source Type: blogs
