In June I told you about the FDA developing “Risk Evaluation and Mitigation Strategies” (REMS) to put tighter controls on the use of opioid medications. (See URGENT: FDA May Remove or Limit Access to Opioid Pain Medications ) One of the strategies being considered is requiring doctors to have special education and certification in order to prescribe each type of opioid medication. One medication that is already being treated this way is Suboxone. Suboxone is a combination of buprenorphine and naloxone and is used to treat opioid dependence and/or addiction. Buprenorphine is an opiod medication similar to other opioids such as morphine, however, it produces less euphoric effects. Naloxone blocks the effects of opioids – although when taken under the tongue as directed, it does not affect the action of the buprenorphine. Currently, physicians who want to prescribe Suboxone are required to receive special training in how to...
Generic Name: BUPRENORPHINE/NALOXONE - SUBLINGUAL Pronounced: (BUE-pre-NOR-feen/nal-OX-one) Suboxone SL Uses
This medication contains 2 medicines: buprenorphine and
naloxone. It is used to treat narcotic (opioid) dependence/addiction.
Buprenorphine belongs to a class of drugs called mixed narcotic
agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by
stopping other opiate-type narcotics.
Naloxone is a narcotic antagonist that blocks the effect
of narcotics and can cause severe narcotic withdrawal when injected. Withdrawal
is less likely when naloxone is taken by mouth or dissolved under the tongue.
It is combined with buprenorphine to prevent abuse and misuse (injection) of
this medication. This combination medication is used as part of a complete
treatment program for drug abuse (such as compliance monitoring, counseling,
behavioral contract, lifestyle changes).
This medication should not be used for pain r...
Suboxone can be a good exit strategy if the pain medications start to force life out of control. Pain medications are not meant to cause a downward spiral. The goal of using pain medications is to regain enough control over pain to become more active. Unfortunately, pain medication use can sometimes do just the opposite of improving function; sometimes someone can lose control and function by using chemicals. Chemical dependency then becomes a larger problem than chronic pain as chemical dependency slips towards addiction. Chemical addiction can destroy marriages, friendships, and careers. Recently, the manufacturers of Suboxone launched a new program called Here To Help: Supporting You Through Treatment . Their motto for the program is: "Self Encouragement Starts Here".
Taking the leap to Suboxone treatment can be frightening. Staying with the Suboxone treatment program can get discouraging. The Here to Help Program connects people with physicians and "Care Coaches" while provi...
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