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Today I met with representatives from Alkermes who were promoting Vivitrol, a long-acting mu opioid antagonist that is indicated for treatment of alcoholism and opioid dependence. I admit to some pre- existing...
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It has been a while, it seems, since I’ve checked in. I’m at the point in the life cycle of a ‘blogger’ where I feel like I’ve said most of what I came here to say& hellip...
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An Article by Mike Berens and Ken Armstrong, Seattle Times, discusses some of the problems with using methadone as a first-line treatment for pain: When it comes to battling pain, Washington health of ficials...
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Wow. I just read an email about a story that I was vaguely aware of– about a doctor in Kansas and his wife, who were together linked to scores of overdose deaths. But that is just the beginning. The...
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Below is an e-mail that I changed just enough to hide the person’s identity. Every week, I receive messages that describe similar situations. My husband has struggled GREATLY with substanc e...
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I was stunned to see this story about the town of Brattleboro, a town in Vermont with a name famous for the rats that grew up there. As an aside, my PhD thesis involved working with vasopressin recept ors...
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A recent experience with a patient helped me realize some of the dramatic differences in the treatment of opioid dependence, in an era of buprenorphine. I drug-test patients who are treated with bupre norphine...
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As a solo-practice psychiatrist, I am more connected to the cost/value equation of my services than the typical system-employed physician. I’ve also written in prior posts about my concern s...
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There are ongoing efforts to eliminate the cap on treating people for opioid dependence with buprenorphine or Suboxone. I don’t know what the odds of success are, but the efforts woul d...
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There are ongoing efforts to eliminate the cap on treating people for opioid dependence with buprenorphine or Suboxone. I don’t know what the odds of success are, but the efforts woul d...
» Read more