XR-Naltrexone: Too Expensive to Help?

April 20, 2015 by C. Scott McMillin

Naltrexone maintenance is a lot cheaper than prison. But it’s a lot more expensive than methadone maintenance, which dulls some of its luster.

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Pills by Default

April 13, 2015 by C. Scott McMillin

Besides, your insurance company probably loves them. It’s cheaper than extended psychotherapy.

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Both Chronic, But Different: Addiction and Diabetes

March 9, 2015 by C. Scott McMillin

We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.

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To Maintain or Not to Maintain?

November 24, 2014 by C. Scott McMillin

You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.

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Drug Epidemics, Part 2

September 22, 2014 by C. Scott McMillin

We might have been making things more difficult for the patients we wanted to help. This is not unknown in healthcare.

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Alcoholism Medications– and Alcoholics

June 26, 2014 by C. Scott McMillin

An alcoholic can self-regulate consumption for periods given the support from a research project, but when that support ends, a return to previous behavior is likely.

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Why We Can’t Trust the Healthcare System to Regulate Itself

June 9, 2014 by C. Scott McMillin

Big investors are… interested in buying low and selling high, in driving up the share price so they can turn around and place bets on how fast it will go down once the bad publicity hits.

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New Approaches for Chronic Pain

May 19, 2014 by C. Scott McMillin

Mood and motivation are, of course, a big part of the discomfort associated with having chronic pain.

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Methadone for Chronic Pain?

May 12, 2014 by C. Scott McMillin

Diversion to abuse has been significant. Currently methadone represents only some two percent of all opioid prescriptions, but it’s been implicated in an astounding one-third of all opioid fatalities.

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Modern Medicine(s)

March 13, 2014 by C. Scott McMillin

Many treatment programs moved away from medication precisely because it wasn’t helping.

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