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...
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...
While its very important to make sure the pain is not
related to some serious organic issue such as cancer or
infection and while most
and other physicians are good at finding such causes, what many
physicians are not good about is pain.
Those who have read my
(background) blog essay will remember that I found out I had
prostate cancer because I initially consulted my urologist about a
severe pain I had in my testicles. This turned out to be unrelated
to the prostate cancer (which was diagnosed separately), but the
pain was extremely upsetting to me. The urologist said I had
epididymitis (definition: inflammation of the epididymis, a thin
tube that runs from the testes to the prostate gland).
But it turned out that my urologist, who had seen epididymitis
many times didnt understand just how painful it was. Nor did
he (or my internist) have the slightest idea how to deal with it.
Warm baths. Aspirin. Ibuprofen. All were prescribed. None ha...
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