GLP-1 for Drinkers?
The vast majority of those patients would eventually be discharged with no mention at all of the role alcohol played in their hospitalization. That’s stigma in action.
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Maintenance Dilemma
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
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Suboxone and Overdose
Naloxone is there to prevent someone from injecting Suboxone to get high.
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Methadone Maintenance and Crime
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
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In the News: Bupe Implants
A substantial number of patients will wind up taking these meds on a more or less permanent basis, so lifetime costs should be considered.
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Open the Buprenorphine Tap?
Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.
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Medication Assisted Treatment
In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.
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Opioid Medication Therapy and Continued Use
Everyone acknowledges the problem but accurate tracking seems to be a challenge.
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XR-Naltrexone: Too Expensive to Help?
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
Besides, your insurance company probably loves them. It’s cheaper than extended psychotherapy.
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Both Chronic, But Different: Addiction and Diabetes
We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.
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