buprenorphine or methadone associated with reductions in overdose *

Here's the conclusion of an interesting new paper: Treatment with buprenorphine or methadone was associated with reductions in overdose and serious opioid-related acute care use compared with other treatments. Strategies to address the underuse of MOUD are needed. Seems pretty straightforward, right? Buprenorphine and methadone protect patients from OD. But, I added an asterisk. Why? … Continue reading buprenorphine or methadone associated with reductions in overdose *

Recovery Celebrities?

Bill White has a great post on anonymity and advocacy. He examines the changing cultural context for anonymity and the different functions of anonymity. On anonymity as a spiritual principle: When AA literature speaks of anonymity as a “spiritual principle,” it does so out of a profound understanding of the importance of self-transcendence as the […]

One more thought on addiction as a terminal illness

Yesterday's post included some discussion of a NEJM piece on treating addiction as a terminal illness. The article prevented the very sad case of a woman with a long history of addiction, multiple treatment episodes, and a current case of endocarditis. The patient declined surgery and opted for hospice. The author presented this as a … Continue reading One more thought on addiction as a terminal illness

Marketing Marijuana to Children: Meet Stinky Steve, the Joe Camel of Cannabis

We need to be really careful as medical marijuana and legalization of cannabis becomes more prevalent. We must protect our children from marketing efforts that encourage them to use drugs, including cannabis. Before I start, I want to emphasize that I do not believe that cannabis is a demon drug and will readily acknowledge that … Continue reading Marketing Marijuana to Children: Meet Stinky Steve, the Joe Camel of Cannabis