People experiencing early sobriety, whether from opioids or other substances, describe symptoms including mood swings, anxiety, stress, or racing thoughts. The often blame these ‘symptoms’ on post-acute withdrawal causing ‘chemical imbalances’ in their brains. In reality, brain chemistry is likely very close to normal after several months. But patients are now experiencing all of the […]
Questions posted to my channel will be answered by video; this video discusses hot flashes, and the effects of buprenorphine on alcoholism. If you would like your question and answer featured in a similar post, either comment with ‘question’ in the subject line, or send me an email at drj at fdlpsych dot com.
Overdose deaths now surpass deaths from diseases and automobile accidents in young adults across the US. The final pathway common to almost all sedative and opioid overdose deaths is respiratory arrest. This video describes the science behind opioid overdose deaths, and explains why some opioids are more dangerous than others.
Visitors to my forum often complain that Suboxone withdrawal is the worst withdrawal that they have ever experienced, including withdrawal from pain medications and heroin. After caring for many patients going through pain pill and Suboxone withdrawal, I see a different pattern. People coming off agonists are confined to bed, far from the computer, whereas […]
Forums about opioid dependence and treatment with Suboxone or buprenorphine often contain posts describing horrific withdrawal from stopping Suboxone. People write that the symptoms from stopping buprenorphine are even worse than the symptoms they experienced when stopping their drug of choice, whether it be heroin, oxycodone, or methadone. I’ve supported literally hundreds of patients as […]
Buprenorphine has been around for a long time; for at least 30 years. The medication has been used to treat pain, administered intravenously in microgram dosages. A dose of 400 micrograms (0.4 mg) is about a potent as ten mg of intramuscular morphine, according to Goodman and Gilman. Buprenorphine has a somewhat unique, non-linear dose/response […]