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Joined: Jun 1 2007
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<B>Hello,
My name is Jeff and I would like to share my story with anyone who does or knows of someone who suffers from "The Disease of Addiction to Opiates.

In the mid 90's I became addicted to Hydrocodone (Vicodin, Loritab). As time went by my addiction grew to the point that I was doing illegal things to feed my habit. I tried several ways to overcome and kick this addiction, while my life and my relationship with family and career was quickly going down the drain.

Admitting that I had a problem and my life now out of my control I wanted my life back and to be free of this addiction, so I turned to Methadone treatment. While I was in methadone treatment I felt like I was chained to a clinic (which I was) and although I wasn't doing illegal things to treat my Disease of Addiction to Opiates my life was like on hold. I was not doing anything for myself or my family or my career except existing. My life consisted of making sure I had the money to go to the clinic and that I could get there "EVERY DAY" during the 3 hours they were open! Taking a vacation or going out of town for the weekend was not possible because I was chained to the clinic.

My life was no longer "My Life" it was so controlled that I lived everyday for my trip the clinic and my career in the Music Industry was just a memory. I am a Entertainer (singer/songwriter/recording artist).

In late 2004 I had heard about Suboxone (Buprenorphine) through other patients at the methadone clinic. After hearing rumors through the clinic about this new found medicine I was ready for a change.

In Jan. 2005 I found a Doctor who had just started a Suboxone treatment program. I was the 2nd patient to join. I was so excited about this possible "New" treatment available, and the hope of maybe getting back control of my life and being free of Methadone or having to go to a Methadone clinic everyday sounded too good to be true!

January 2005 I started the Suboxone (Buprenorphine) Treatment. After going 3 days without methadone I was sick and wanted my methadone back.

My first day on Suboxone, (Buprenorphine) I was still sick and wanting my methadone back. On the second day before I took my second dose of Buprenorphine I had convinced myself I needed to stay on methadone (I was still not feeling well) but I hung in there.
After that 3rd day on Suboxone, methadone never entered my mind, except remembering all the time I had lost while in methadone treatment (5 years).

Within 2 month's of being free of methadone and now taking this "miracle pill", Suboxone I was back to my old self and pursuing my music career like never before, my family life was back like before and within 2 month's I had a recording contract and was now in song selection for my "New CD", "Livin' Like A Millionaire (ain't got a dime" with Grammy Award Winning Producer, Larry Butler (Kenny Rogers, Johnny Cash, Waylon Jennings, Willie Nelson, to name just a few).

After finishing what was to be a 10 song CD and reflecting on how my life had changed in such a short time for me (thanks to Buprenorphine) I went back in the studio and recorded a song, "First Hand" and I have committed 100% of this song to drug rehabilitation programs.

I would like to see Suboxone (Buprenorphine) a household name and readily available to anyone needing it.

I am and will be forever grateful for Suboxone (Buprenorphine).

For the record, with Suboxone YOU ARE NOT TRADING ONE HIGH FOR ANOTHER!

"Thank You Suboxone, you saved and gave me back my life!"

As I am no expert, just a testimonial. I will try to give you any advice and any information I have and share my experiences with you. Any and all conversations with me will be held in STRICT Confidence.

I highly recommend you visit www.naabt.org , They have a wealth of information available and a patient/doctor matching system to help you find a participating Doctor in your area.

I can be emailed here at Detroitcity.com or at

Jeff Tuttle ---- Monroe, MI/Nashville, TN"</B>


Related Links:
www.naabt.org
www.myspace.com/jefftuttle
www.recoverysolutionsmag.com
Joined: Aug 22 2006
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How much more are you going

You told us all of the above information in another thread, started by you. 

I have never heard of that magazine before, is it like Sports Illustrated?

Gtrplayer

Joined: Jan 31 2007
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I don't know really what you

I don't know really what you came here thinking, or if you thought that you would come on here and introduce everyone to your "miracle pill" and they would be grateful to you, but have you read anything on this site before posting? Did you search through previous posts for suboxone?

Your posts sound like an ad really, are you being paid by the makers of suboxone? Advertising for your cover and all just sounds sketchy. I don't mean to offend if your intentions are true and pure, however, coming on here and posting like this makes it sound like you are belittling everyone else who has posted experience with suboxone. 

like I said, sorry if you are being sincere, it just doesn't sound like you are. 

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

Joined: Jun 1 2007
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Recovery Solutions Magazine

 Recovery Solutions Magazine is a Medical Magazine produced by a team of seasoned professionals who are united with the singular purpose of bringing cutting-edge information from experts in the field of substance abuse to the substance abusers still in the throes of the disease of addiction, as well as those still struggling to achieve recovery and those who are already enjoying a sustained recovery lifestyle.

Dr. Simbo Olanousi-Babatope

Publisher of Recovery Solutions Magazine

www.recoverysolutionsmag.com

Joined: Jan 31 2007
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basically its made by

basically its made by doctors/professionals and is all about substance abuse, from the beginning to the end, right?

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

Joined: Jun 1 2007
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Recovery Solutions, what

Recovery Solutions, what would you expect it to focus on? 

I am curios why you post on here?

What do you hope to gain from or contribute to this site?

Joined: Jun 1 2007
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If you don't suffer from or

If you don't suffer from or know someone that suffers the Disease of Addiction the this post obviously wasn't intended for you.

I read several post from people who are addicted to opiates and were looking for answers and that is why I posted here and gave my personal email address that a serious person can contact me personally

No, this is not "an add" and I am not being paid one penny from the manufacture.

And it is not "my cover." I just found out about the magazine after they approached me and ask if they could publish my story and use my picture since a lot of people who suffer from this disease are reluctant to come forward and talk about their experience due to the stigma associated with this disease.

Grateful to me?

Belittling everyone (or anyone)?

I have read many post here and see how misinformed some people are or how against treating the disease of addiction with proven medicine.

When I see serious people post on any site, "Please Help", "Oxycontin Addiction" and "Suboxone Question" and I read some of the lame negative replies that I've seen, I feel obligated to post and to open a dialogue and to try to help them find the answers they are searching for and to direct them to places where they can get the answers that they need.

Joined: Jan 31 2007
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I would think that your post

I would think that your post is for almost every regular on this board because we have held conversations with many people who have gone through everything you can think of when it comes to addiction, withdraw, abuse, and the like. Many of our regulars have either gone through it themselves, or known someone who has. 

I like that you commented that you have read many posts here, that answers my question about it. But coming on here and saying that we give "lame negative replies" is not really helping you.

It is good that you feel obligated to come on here and help others who suffer like you have, we always welcome voices of experience, especially when it is experience with something that many of our regulars do not have. Yes, I do believe that people suffer from addiction, or as you phrase it "Disease of Addiction" (where did come up with that?), but there are also some others who do not need medicine to recover, but instead they need other methods that we try to help them with. As we all know, everyone is different, therefore different things will work for dif. people. So we are not always going to promote getting off pills by using another type of pill. that is why suboxone is not always advised. We have to remember that this site is first supposed to be about identifing pills. in the process we have people who give advice and dispense opinions based off their own experience and research.

I also agree with you about the stigma society has, and that it needs to change. You are right that a large portion of people who are addicted, physically and psychologically, to controlled substances (whether opiate narcotics or benzos) are afraid to come forward and ask for help. We need to find a way for them to not only get help and recover, but for them to not be afraid to ask for help. 

I am also glad that you are not trying to just advertise, or being paid to say what you are- you never know when there is a biased opinion saying to be neutral. This is just first impressions, so like I said previously,  sorry if you are being sincere (we just get defensive sometimes) and I don't mean to offend you. I'm sure many people will welcome your advice and helpSmile

 

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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hey, I'm not the one who

hey, I'm not the one who asked, but I'm sure gtrplayer asked just to be sure. We try not to make assumptions on here.

We all post on here for several different reasons. Many people started out just trying to identify a pill or ask a question, then ended up sticking around. I came for the same reason, and ended up telling my story and dispensing my own opinions and advice. It took awhile before I was recognized and taken as credible; now I even have people come to me personally to ask my opinion or ask for my advice on certain things.

I do believe I have contributed a great amount to this site, although not as much as the top posters like gtrplayer and phisher! LOL  If you must know or ask, all you need to do is look at my track and see what I have wrote to others. I love to help whenever I can, as you can tell since that is what most social workers do Wink

So, now I ask the same thing back- what do you hope to contribute or gain from being here? 

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

Joined: Jun 1 2007
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Didn't you read where I said

Didn't you read where I said that my post was intended for anyone who suffers from or knows someone who suffers from The Disease of Addiction to opiates?

And, I never said or insinuated that you (or as you said we) were giving lame negative replies. I don't know who is who on here and all I said is "I read some of the lame negative replies."

You are the one who came out attacking me for my post on your site. And wrote all of the negative insinuations with out having a clue who I was or what I was about.

That makes somene new here question your motives and I am being serious. If you are going to try to give anyone, any kind of advise about a serious topic like this, you should step back and take a look at what you wrote and why you wrote what you did and ak yourself, "what gives you any right to question anyone?

And, what makes you think you have all of the right answers?

("we" just get defensive sometimes)?

Disease of addiction:

"This bill is a small but important step towards stripping away the social stigma surrounding the treatment of diseases of addiction," said Sen. Biden

S1011: SEC. 2. FINDINGS.

Congress makes the following findings:

(1) Addiction is a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. It is considered a brain disease because drugs change the brain's structure and manner in which it functions. These brain changes can be long lasting, and can lead to the harmful behaviors seen in people who abuse drugs. The disease of addiction affects both brain and behavior, and scientists have identified many of the biological and environmental factors that contribute to the development and progression of the disease.

(2) The pejorative term `abuse' used in connection with diseases of addiction has the adverse effect of increasing social stigma and personal shame, both of which are so often barriers to an individual's decision to seek treatment.

A bill is winding its way through Congress which seeks to remove the term "abuse" from the name of two NIH institutes. The goal is to attribute addiction as a disease and not as abuse. The two institutes would be renamed as follows:

1. National Institute on Drug Abuse (NIDA) would be renamed National Institute on Disease of Addiction (NIDA)
2. National Institute on Alcohol Abuse and Alcoholism would be renamed National Institute on Alcohol Disorders and Health (NIADH)

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yes, I read the part of it

yes, I read the part of it being intended for those who have or know someone who has suffered- I thought you were saying that statement at first to disclude us, or saying don't comment if you don't know- I was just saying that we all probably know or have experience- sorry, I keep giving really long explanations. basically i was saying everyone on here probably knows something about it. lol

 i keep saying "we" as in all the regular posters on here. "we" all talk to each other, or reply to each other on a regular basis. "We" also could mean pharmer as a group since it is a large group of people who are members. Eventually you may even be included in the "we" I keep refering to Smile. I know you weren't talking to me directly, I know, i keep getting confusing refering to "we" and "me" and regulars and such, so I will just stop LOL!

I am sorry if you felt I was attacking you, I tried to explain why I questioned you since it felt like you had alterior motives. That's why I said sorry if your intentions are real or true. I have been on here for I would say at least a little while now, so yes I do think I can question people if it is not clear what their motives are.  There are some regulars on here who have more clout than others, and that gives them a reason to ask questions.

But like I said before, I don't think and have never said that I have all the answers. In fact, I wouldn't really have alot to give about a topic such as suboxone since I do not have personal experience with it. The most I had was what others have posted, at least until I started doing my own research since many people did not know alot about this topic. 

I thank you for the information about "Disease of Addiction". That is also good that you actually have a source (as alot of people do just give opinion and try to pass it as fact). This is something that I have not seen on here previously so it will be much appreciated!

I hope you do not take too much offense to what I have said, as you said i came off strong, but when I first read your post, you came off strong as well. I'm sure many others would have got defensive too if they had been on here at the time. Even now the high posters are asked to explain themselves as well, so please dont feel like you are being singled out.

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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"We try not to make

"We try not to make assumptions on here."

If you try hard not to make assumptions, why did you make so many?

1) I don't know (is that an assumption?) really what you came here thinking, or if you thought that you would come on here and introduce everyone to your "miracle pill" and they would be grateful to you,

2) are you being paid by the makers of suboxone?

3) Advertising for your cover

 

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No, asking questions is not

No, asking questions is not making assumptions-that is why they are questions. Instead of just assuming something, like just saying I know you came here for -----, I asked you instead. saying I don't know if you thought this or this or this but have you ----? is a question so I can find out why you did stuff. The way you were talking about suboxone as a "Miracle Pill" and how much it changed your life sounds like a testimonial that would be on a commercial, so yes, I am going to ask if you are being paid instead of just assuming.

 

Quote:
"Jeff Tuttle will appear on the front cover of Recovery Solutions Magazine's and will be the feature story in the 2007 summer issue that will be available June 1, 2007."
  

Is this not a cover that you will be on that you wrote about on the top of your other post?

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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"I don't know really what

"I don't know really what you came here thinking, or if you thought that you would come on here and introduce everyone to your "miracle pill" and they would be grateful to you"

These were the first word you typed.

No assumptions? LOL

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If I were assuming I would

If I were assuming I would have said something like "I dont like that you came on here thinking everyone would love you. I know you didn't look at anything else", etc. I wouldn't have asked you all those questions if I were assuming- I guess I just come on too strong when I ask questions. (My man says that all the time at home! LOL) 

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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I am glad suboxone worked so

I am glad suboxone worked so well for you.  I wish the DEA would lift the restrictions on who can prescribe it and how many patient a prescriber can have so it is available to more people.  Until about six months ago, it was thirty patients a month per doctor or per practice or clinic, now it is 100, but even that is not enough in large metropolitain areas.  Most of the suboxone certified doctors in my area do not take insurance and charge a lot for suboxone treatment.  Every doctor who prescribes strong narcotic pain medications should be able to use suboxone to wean people off safely and without withdrawl. 

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Thank you, I am so thankful &

Thank you.

I am so thankful & fortunate that suboxone worked for me.

I don't understand or accept the 100 patient limit either.

I have encountered the same problem with Dr's not excepting insurance and charging an exuberant fee for treatment with suboxone.

The two biggest complaints I hear are the doctor's fee's and the cost of suboxone.

I have seen 8mg suboxone priced from $4.35 to $14.75 per pill.

I have also heard (and witnessed) horror stories about the amount some are charging suboxone patients. One in particular that I witnessed myself.

I called a Dr that I found on the patient/doctor locator's. I called and he receptionist told me that Doctor charges $400.00 to start and then only prescribes suboxone a week at a time and you have to pay $80.00 a week. And that is just the Doctor fees.

And then there are compassionate Dr's like the one I was fortunate to find that charges $75.00 for your initial visit and then $50.00 a month thereafter.

And I couldn't agree with you more that more doctors should be able to prescribe suboxone. I think may be a stigma issue?

I had a doctor tell me that he was concerned about "having a heroin addict" sitting in his waiting room next to a patient that is there with high blood pressure issues.

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I think the DEA is leary

I think the DEA is leary about allowing doctors to prescribe any narcotics to people with narcotic addiction.  However, most people I see are addicted to prescription narcotics that they started for a legitimate pain issue.  I don't see a lot of heroin addicts, and where I live, they don't look or act like what you think of when someone says "heroin addict."  That type of prejudice is shameful. 

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I agree 100% and the

I agree 100% and the prejudice is very shameful.

I had a Dr prescribing me 150 Vicodin Es (7.5) with 6 refills a month and a pharmacy that would fill them ALL at one time.

My hometown which is 30 miles south of Detroit has become infested with heroin and Oxycontin, Vicodin, etc. And I use to think it was a local problem. Traveling the country I find out it is everywhere!!

So here is my next question.:

In the past 10 years how is it that there are so many Oxycontin and Vicodin available (on the street)? I thought the only way that the amounts that are available on the street was, that someone was bringing them from the factory straight to the streets.

Doesn't a red flag pop up at the doctors offices? Is everyone and there brothers and sisters suffering from chronic pain?

Didn't the pharmacies notice an overwhelming increase in prescriptions for pain pills? Didn't the manufactures notice a MAJOR and extremely abnormal increase in sales? That leaves only one answer, "The all American dollar".

While I take full responsibility for my own actions. How is it that society blames the addict?

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Jeff Tuttle wrote: Is

Jeff Tuttle wrote:
Is everyone and there brothers and sisters suffering from chronic pain?

No, not everybody. But, there are millions of legitimate chronic pain patients, and many of them require the use of opioid therapy. My guess would be that there are some patients who have a legit reason for the medication, but choose to divert the medication for whatever reason he/she may have.

JeffTuttle wrote:
How is it that society blames the addict?

In my opinion, society blames the addict because, although it may be a disease, it is one that has to be triggered. Unlike say, juvenile diabetes, where there is nothing the patient can do to avoid the condition, an addiction begins when a patient begins taking a drug (medically, or otherwise) of their own free will. Addiction begins when the patient no longer has the condition that required the medication, yet the patient continues to take the medication. Often times, the patient goes from taking 1 or 2 tablets PRN, to taking 3 or 4 tablets every 2-4 hrs.

Before everyone gets into an uproar, you have to remember, too, that addiction and dependent are not interchangeable terms. So, for chronic pain patients who need their medications to live a normal & productive life, they may be dependent on their medications. But someone who is addicted to the drug will begin taking massive quantities, or taking doses more frequently than prescribed.

Gtrplayer

 

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25% of all Americans have

25% of all Americans have chronic pain.  Most of these are probably managed without or with just occasional narcotic use. 

As for the cause of addiction, I really believe that some people are geneticly predisposed.  As long as they never experiment with narcotics, or need to take strong narcotics long term, they are fine.  When they experiment with narcotics or are prescribed strong narcotics over a longer period of time, their brain reacts differently than it would in most other people.  The narcotic gives them an elevated sense of well-being.  If they have some underlying psychologic disorder like depression or chronic anxiety, the elevated sense of well-being is even more notable.   The immediacy of the effect of the narcotic on mood is immediate and so it is self-reinforcing, unlike the antidepressants which can take weeks to start working.  Add a chronic pain component, and a  natural desire to be pain-free which encourages the use of more than the prescribed amount , or a doctor who undertreats chronic pain, and physical tolerance, then you get addiction.

I, like many people who have participated in the discussions here, just don't get it.  Narcotics don't elevate my mood.  So I might develop physcial dependance, but not addiction.  I remember a conversation I had with a narcotic addict.  Her drug of choice, hydrocodone.  I asked her how it made her feel when she took it.  She said it made her feel  confident and powerful, like she could do anything.  It almost sounded like someone describing hypomania. 

A couple of the chronic pain patients I have voluntarily go through a period of mild withdrawl when I change their medications, because they don't want to take really high doses.  One patient was a little paniced because he thought that 100mcg/hour of Fentanyl TD was the highest he could be prescribed and if he was feeling OK, would ask for a downward dosage adjustment so he would have something in reserve when the pain increased again. 

Prescription narcotic addiction is a "white collar" addiction.  A lot of narcotics are used by addicted chronic pain patients themselves.  Sometimes prescription narcotics are used as a last resort by people who are financially destitute.  Either sell your narcotics or turn tricks.  Debilitated senior citizens have been known to sell their narcotics and are usually not suspected of being drug dealers by their physicians.  Some narcotics reach the streets through theft (lock up your medication and never tell anyone you are on narcotics or benzodiazapines).  The other source is overseas mail order.  You can never be sure of the quality of identity of what you are getting, but it will be cleaner than heroin.

I would be interested in knowing what other people think.  

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Dr. Lois,    I agree

Dr. Lois,

    I agree completely with what you stated.  Being a CPP myself, I do not understand the "elevated mood" theory.  It helps to lessen the symptoms of the pain, so in that sense, it does make you feel more normal/pain free.  However, I have heard others say that they experience a euphoric feeling when they take the medication.  I can say that when I was first put on my medications, I had to be encouraged to continue to take them.  They made me sweat, they made me nauseous, and they made me feel very lethargic.  After time, those side effects began to wear off, but the pain relief continued.  Maybe there was a very low sense of well-being, but I think in someone who has true pain, that feeling is a combination of the opiate itself, as well as being in a state with reduced pain.  In short, it feels good not to hurt.

I am also glad that you mentioned the difference between a physically dependent patient, and an addicted patient.  As you stated, the body can eventually get used to the medication, and as such, the dosage will need to be escalated, or the medication changed.  I would also second the notion that meds be locked up and not be made public as to your having them.  I know that I would never suspect an elderly person as a drug dealer, but that's just me.  

Good post, and one that should generate an interesting discussion if anyone cares to weigh in on the issue.

Gtrplayer 

 

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Another Suboxone Post

I think this is a wonderful drug for some. Although I wasn't too succesful with it. I know a number of people whom I attend NA meetings that take it and brag about thier success with it. Im not really sure if I can really consider the use of this drug as "real" recovery. It's a hot topic in the NA rooms around my area. I do however agree that Suboxone is a better alternative to Methadone. I wouldn't wish Methadone treatment on my worst enemy! I done the Methadone treatment and it made me worse when I relapsed on Oxycontin 3 days after discontinuing the dose treatment. The best treatment is abstinance from opiates totally and not other medications to treat the addiction. Im not trying to act like an expert when telling someone how to go about recovery. I can quit but I seem to have a problem staying quit. Ive had up to 2 years clean time without the use of Suboxone or Methadone and went out and relapsed....However, I have learned that relapse is a process and not a spur of the moment thing. I still struggle with Oxycodone addiction from day to day. Recovery is a wonderful thing but at the same time we as Opiate addicts must be optimistic and realistic at the same time.

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Satyricon wrote:The best

Satyricon wrote:
The best treatment is abstinance from opiates totally and not other medications to treat the addiction

I have never been involved firsthand with opiate addiction/detox/etc. However, from some of the threads I have read about opiate addiction and withdrawal from OpiateDetoxRecovery.com, that seems like the harshest way of going about withdrawing from a drug. I guess I feel different about pain, whether it be physical due to injury, or pain due to w/d. I don't like it when people have to be in pain. If there is a drug (SuboxoneTM) that can help an opiate abuser kick their habit, so be it. Why not use it? It makes absolutely no sense, considering all of the addiction studies that our tax dollars have paid for, to say, "well, you have an addiction, so stop". If it were that easy, I don't think there would be a whole subsection of medical specialists who treat this very ailment.

Abstinence may be the strictest way to discourage relapse if you think along the lines of, "Make the patient experience the horrible withdrawal symptoms so that they are less likely to put themselves in this position again". Also, nobody is saying that a Suboxone patient has to be on this medication for the rest of their lives. If there is a Recovery Plan, then it should also include a goal day of "quitting", much like with ChantixTM and smokers.

Gtrplayer

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Dr. Lois, when you were

Dr. Lois, when you were describing how someone can be predisposed to become addicted, and then what they go through, it sounded like you were talking directly about me! I have always told people that I have an "addictive personality". Some laugh, but all the women in my family are this way. whether it is a drug, a lifestyle, or a relationship with another person, we all have a tendency to become addicted very quickly.

It's like when you first get in a relationship, and you're together for say, about three weeks. You split up, but you just can't get over them. It feels like you're not right w/out them, they were always meant to be there, and you don't know what ot do with out them. It's like you get addicted to that person, understand?

that's why when I was growing up as a teenager, and everyone offers all the illegal drugs that you know have a high addiction rate, but everyone always at least trys- I would stay five feet away from it all! i was so afraid to try anything because if I liked it once, I could get addicted. but of course, it all may have just been in my head.

When I first started taking vic's they gave me extra energy. I took one and felt like I could do anything! After my injury and i was prescribed them all the time, that feeling changed. Of course, I started building a tolerance and had to take more, but i've always been afraid of "self-medicating" because I'd run out. I've been on them for over three years now, I started at 1 5/500 every couple hours, now you all know I am at 3 10/325 Norco's every couple hours. But they don't last as long anymore either.

Vic's (hydrocodone) used to take up to 45 minutes to kick in after taking them, now it takes about 10-20 minutes at the most. It lasts for at the most 2 hours, then I am in pain again. I can't really describe what it does, but at the end I get tired. It seems alot of things make me tired now though- even caffeine does!

You are so right about how pills get in the street! There are alot of older people who are prescribed medications for chronic pain, but weigh their pain over need for money, and the need for $ always outweighs. I can't tell you how many times I have had friends live with me for awhile and my meds would come up missing- one time a bottle of 60! Even family has been at my house and I've had them missing- I try to go to extra measures to make sure they are up, like spliting my whole script into different old bottles around the house,and locking them up when ANYONE is at my house. I hate having to do this with even my family- but when you get alot I guess some people think 5-10 extra pills won't be missed.

Sorry this is so long- it just feels like you were talking about me!!

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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Dr. Lois, Here is a

Dr. Lois,

Here is a question I can not find an answer to, but have been told the answer during a doctor's appointment.

I might as well tell the abbreviated story so as to show why I even care about Suboxone and it's uses. My pain management group consists of a large group of doctors, from psychiatrists & internists, to surgeons and psychiatrists. Anyhow, my initial visit was with the internist, who started the Norco therapy 3 X day, with an anti-inflammatory & muscle relaxant. This was fine for about a year, until this doctor took a new position. I was then told that his physician's assistant would take over the prescribing and medicine maintenance for the doctor. I should also mention that, after about 9 months, he changed me from 3 to 4 X daily. Anyhow, my first visit with this PA, she said that my chart indicated that I did not want to be put on a long acting med (schedule II) because of the stigma associated with it. The PA then told me that a new drug was on the market, called Suboxone, and it could be used for pain, was non-addicting, and would eliminate the need to come and see them every month or every 3 months. She asked me to look up the information on Suboxone, form an opinion, and come back in a month and let her know what I wanted to do. (I knew what it was, but played dumb just to hear her side of the Suboxone story). That same day I was to meet with the surgeon to discuss an IDET procedure, and more epidurals/nerve blocks. The surgeon told me absolutely "No" when I asked if I should be on Suboxone, as he looked at my MRI. I ended up going on a LA med, as well as Norco to be taken every 8 hours (twice a day), with a third "floater" dose if needed.

So, my question is this, can Suboxone be written with refills if used for chronic pain?

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I've always been under the

I've always been under the impression that suboxone is not to be used for pain management, but is instead used more for those who are just opiate dependent. 

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.

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You're right, it is

You're right, it is indicated for opiate addiction, not pain management.  However, there was one PA who was promoting it's use as a pain medication.  It struck me as odd, so I wanted to find out more particulars on the medcine.

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Suboxone is a CIII which

Suboxone is a CIII which means that under federal law you can write for up to 5 refills in a 6 month period.  CII's can only be written for one month at a time with no refills permitted.  However, even with CII's you can write multiple separate scripts, date them the day of the office visit, and write on the script that it may not be filled until such and such a date.   I think this bypasses the intent of the law so I do not do it.  Scripts are also easy to loose.  I think a script with refills that was in the hands of the pharmacist would be more secure, than a patient having say three written scripts for three months.  Even if the pharmacy looses the record of refills being allowed, they can confirm whether or not they dispensed a medication.   State laws vary and may be stricter than federal regulations. 

I think the big advantage of Suboxone is in people with a history of addictive behavior.  If you don't have the euphoric psychologic reaction to narcotics you are much less likely to become addicted to regular agonist only narcotics.  Regular narcotic agonists are often less expensive and have more flexible dosing options, so I don't think Suboxone will ever take over the market. 

   

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Thanks, Dr. Lois.I knew that

Thanks, Dr. Lois.

I knew that Suboxone was CIII, however, I didn't know if there may be stipulations that come with this medication since it's only approved use is for opiate addiction.

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I think you're right js57gifts

I think you're right!  Not just pain relief which in itself makes you feel better, but a separate sense of euphoria, well-being,  energy, optimism, confidence...who wouldn't become addicted to feeling that way.  Maybe people who have the tendancy to addiction don't have normal levels of well-being, so narcotics just brings them up to average.  In that case you are treating a clinical syndrome (hypothymia) and except for needing more and more of the drug to get the same effect, narcotics are an effective treatment. 

Suboxone on the other hand, prevents misuse of agonist only narcotics because it blocks the euphoric effect.   It also has a rapid effect on improving depression symptoms, so it may help improve the addiction prone person's sense of well-being without tachyphalaxis or tolerance.  Some people on this site who have taken suboxone praise it for making them feel more clear headed and alert than when they are on narcotics. 

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As far as I know, if it is

As far as I know, if it is used for chronic pain, it is just like any other CIII.  From what I have read, even when used for withdrawl or maintenance it can be prescibed like any other CIII, except that who can prescribe it is regulated.

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subs and pain control

 

I am a long term opiate user (320 mg oxy's a day for over a year), plus lots of others previously, having switched to Subutex in Sept. '06. I have been watching different posts over the months, but this is my first communication.  The reason I decided to jump in just now, was that I saw the subject of "Bupe" as a prescribed pain control, and that triggered a question that I have not seen covered very much.

I believe that I have read that Bupe is available as pain meds, i.e. Temgesic, and not just for treatment of withdrawal; and also at high doses as a pain med in surgery.  This might explain why I am now feeling pain that has been masked thru my taper. My lingering question somewhat relates to this, as I recall an addictions Dr.'s comment to me when I met with him while considering getting away from the oxy. I believe he told me that " I can start you on Sub. right away, but you can never take opiates again" My response : "never?", his response:"NEVER".

I left wishing I had asked him why, but figured he must have meant that I would be instantly back where I was, or could he have meant that the opiates wouldn't work any more? I later came across a post from a Dr. with Reckitt Benckiser describing the "general principles" of pain management in the buprenorphine maintenanced patient. In this, there is one option presented, which is to " increase the buprenorphine to obtain an anelgesic effect".

I have over the past nine months read various posts, but havn't seen much concern about what happens if you end up in the E.R. with a partial agonist in your system (blocking the effect of other opioids.) I have been in the E.R. twice for migraines, and they were able to control the pain with Toridol and Compazine. I still wonder what experience other Bupe patients have had with acute pain management. 

As an aside, I will mention that I am now on .05mg Subutex per day, having extreme fatigue, and motivation problems. I've read some very helpful posts on other sites regarding the end of Subs, and the associated difficulties. Would like to know more also. Please ask and I'll share what I know.  Reference this please: I don't know where this will end, but for all of the challenges, I am satisfied that "Bupe" is a gift we are still learning about, and  I would clearly recommend it. I know, I'm not off it yet, so I'd be more credible if I were a couple of months clean.