Magazine article Addiction Professional

Addiction Medicine Specialist Prefers Opioid-Free Treatments

Magazine article Addiction Professional

Addiction Medicine Specialist Prefers Opioid-Free Treatments

Article excerpt

We receive 53% of all Bay Area chemical dependency patients and have referrals from all over California for detoxification from alcohol and opioids and for chronic pain patients. A typical patient is a chronic pain patient on Suboxone, high-dose opioids, oxycodone, or morphine, with multiple surgeries and pain management referrals. We do not use Suboxone, Subutex or methadone (November/December 2013 issue) for any of our patients, and they leave in four or five days with less pain or the same amount of pain while off the drugs than they were when they came in.

We take all corners and do not pick and choose. Approximately 99% leave improved. We have very few patients leaving AMA. If they do, they are 20 to 25 years old and were driven in by their demanding parents.

We used to use Suboxone and it was essentially worthless when it came to ensured sobriety. What we found happening is this: Suboxone is a nasty detox because the drug stays in the system for five or six days and once the patient leaves the detox unit he suddenly will go into acute withdrawal around the fifth to 10th day and will relapse on opioids again. …

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