To me, the most important line in the NY Times Suboxone series was this one, "[Dr. Sullivan] considered opioid addiction "a hopeless disease'". We believe that maintenance approaches are rooted in the belief that most opiate addicts are not capable of recovering in the same manner that doctors recover. Most of the arguments for maintenance treatments … Continue reading no hint of opinion here
From an article about a new report on medications for opiate treatment: The report also examined studies that evaluated buprenorphine, methadone, injectable naltrexone, and oral naltrexone and concluded a benefit in patient outcomes as well as costs. "I can say with no hint of opinion here, it's simple fact, they are all effective," McLellan said. … Continue reading no hint of opinion here
Another study finds no benefit from cognitive behavioral therapy and contingency management with opiate replacement treatment. [CORRECTED: See below] Background and aims The Controlled Substances Act requires physicians in the United States to provide or refer to behavioral treatment when treating opioid-dependent individuals with buprenorphine; however no research has examined the combination of buprenorphine with … Continue reading Not available?
I blogged before about the availability of opiates for pain management and the need to try to limit their diversion. While others have complained about draconian limitations on the prescribing of opiates and being too afraid to treat pain, I pointed out the explosion in opiate prescriptions and overdoses. It's a complex problem that demands a solution that balances the … Continue reading Balancing pain management and public health
I seem to have noticed an uptick in book, news and blog references to heroin addiction among returning Vietnam vets. (A Google news search suggests that this perception is accurate. I suspect it's because it offers a narrative that's consistent with the current monoculture.) It's claimed that this offers important lessons about addiction and behavior … Continue reading 2012′s most popular posts #9 – What Vietnam taught us
First, DEATHS among drug users have hit a record high in Scotland, increasing by a fifth in 2011, the latest government figures reveal. Last year 584 people died from drug use, which means that drugs now account for one in every 100 deaths in Scotland. The heroin substitute, methadone, was at the heart of the … Continue reading Two stories on methadone