In the News: Opioid Windfall

July 9, 2018 by C. Scott McMillin

It does seem ironic that the industry most responsible for the creation and continuation of our current opioid epidemic could also be the main beneficiary of this next wave of treatment funding.

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The Business of Cures

May 7, 2018 by C. Scott McMillin

I’d feel better if I knew some in our brilliant science community were working hard on ways to taper patients, if just the most highly motivated, off the medications with a reduced risk of return to heroin.

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Two Perspectives on Pain

February 22, 2018 by C. Scott McMillin

We may be stuck relying on the soft stuff– therapy, support, behavior change, even spiritual growth– all those icky-squicky things that neuroscientists struggle to quantify.

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Searching for a Substitute

November 30, 2017 by C. Scott McMillin

If addiction really is a brain disorder based in complex adaptations to a substance, then who’s to say those adaptations won’t occur with a different drug?

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Naltrexone versus Opioids

November 27, 2017 by C. Scott McMillin

Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.

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Methadone Maintenance Plus

October 26, 2017 by C. Scott McMillin

It’s the basic unit of most drug-free approaches. What would happen if it could be incorporated into the OTP curriculum?

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In the News: Disasters and Opioid Treatment

September 25, 2017 by C. Scott McMillin

That’s why I’d welcome more research into the tapering process, with an eye to improving success rates.

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Is MAT Enough?

September 21, 2017 by C. Scott McMillin

Of course with additional treatment responsibilities, a counselor couldn’t be expected to manage a caseload of up to 75.

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Heroin Assisted Treatment

July 6, 2017 by C. Scott McMillin

The benefits of the program are framed mostly in terms of harm reduction– what doesn’t happen.

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The Cannabis Cure?

March 16, 2017 by C. Scott McMillin

An answer such as vigorous exercise or meditation or going to a meeting will never be as universally attractive to someone a few weeks sober as “well, here, why don’t you toke this?”

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