Had an otherwise healthy person collapse from #overdose 5 wks post #sublocade 100 mg (stable for months). UDS positive #fentanyl and cocaine on immunoassay (limited panel, often false neg for benzos). If episode was due to opioid, I would have thought this would be prevented by the depo #buprenorphine even if 7d late (am I too optimistic?). I’m waiting for GCMS, querying benzos +/- #xylaxine . Any experiences like this from others out there? #addiction

wow. what sad statistics (but really great we have this data!) #buprenorphine saves lives!
---
RT @kaopingchua
New @JAMA_current: using 2016-2022 data, we show that buprenorphine initiation rates have been flat since late 2018. Only ~20% of people were retained in therapy for >180 days. Opportunities to prevent opioid overdose deaths are being missed. @UM_IHPI
https://jamanetwork.com/journals/jama/fullarticle/2804078
https://twitter.com/kaopingchua/status/1650906953714106368

Referenced link: https://medicalxpress.com/news/2023-03-buprenorphine-er-safe-effective-individuals.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2023-03-buprenorphine-er-safe-effective-individuals.html

Originally posted by Phys.org / @physorg_com: http://nitter.platypush.tech/medical_xpress/status/1641455279697977345#m

RT by @physorg_com: #Buprenorphine initiation in the ER found safe and effective for individuals with #opioidusedisorder who use fentanyl @NIHforHealth @jamanetworkopen https://medicalxpress.com/news/2023-03-buprenorphine-er-safe-effective-individuals.html

Government allows more
But access remains too limited
Where are the solutions?

#opioidcrisis #buprenorphine #governmentregulation #haiku #poetry

https://www.nytimes.com/2023/03/03/us/politics/buprenorphine-opioid-addiction-treatment.html

We JUST x’ed the #xwaiver and now the admin is putting up new barriers to get #buprenorphine?!! COME ON! https://www.statnews.com/2023/03/02/advocates-lawmakers-warn-that-biden-telehealth-rule-will-worsen-opioid-crisis/

'eliminates the so-called X-waiver that physicians had long needed to prescribe #buprenorphine, a medication that curbs #opioid cravings, reduces drug use, and prevents deaths among people who use opioids.'

The X-waiver for buprenorphine prescribing is gone. It’s time to spread the word https://www.statnews.com/2023/02/14/x-waiver-buprenorphine-prescribing-gone-spread-the-word/

RT @syndemicslab
The removal of the #xwavier requirement to prescribe #buprenorphine for #OUD is a huge step forward in addressing the #opioidoverdose crisis. Read more about this policy change in an article in @statnews by @BenjaminLinas @bethlinas https://www.statnews.com/2023/02/14/x-waiver-buprenorphine-prescribing-gone-spread-the-word/

The removal of the #xwavier requirement to prescribe #buprenorphine for #OUD is a huge step forward in addressing the #opioidoverdose crisis. Read more about this policy change in an article in STAT news by Dr. Ben Linas and Dr. Beth Linas: https://www.statnews.com/2023/02/14/x-waiver-buprenorphine-prescribing-gone-spread-the-word/

This podcast is a gift to all researchers interested in addiction: two experienced physicians discussing new papers & their impact on clinical practice 👏
---
RT @AddictionMedJC
Episode 15 reviews an article about buprenorphine vs methadone in pregnancy in @NEJM. #buprenorphine #methadone #AMJC #addictionmedicine #pregnancy https://www.nejm.org/doi/full/10.1056/NEJMoa2203318
https://cms.megaphone.fm/channel/FPMN8381140203
https://twitter.com/AddictionMedJC/status/1621683398333939713

RT @jefbratberg@twitter.com

We did a thing! #TwitteRx #buprenorphine @pharmacists@twitter.com @RIpharmacists@twitter.com https://urldefense.proofpoint.com/v2/url?u=https-3A__www.brown.edu_news_2023-2D01-2D11_pharmacy-2Daddiction-2Dtreatment&d=DwMFaQ&c=dWz0sRZOjEnYSN4E4J0dug&r=Rw4khC2g3LdsA22ewzpWHSu_rTDv1q1nSpJKQEPe4bM&m=VUWKL3RdGd5-cYP4LWR_hfD_6hTopPDcdgFa9Vhl4NakTyY0kgsr0XUp6RNg3EW8&s=DJtXgV-qV1ltYVrt9RsotvwkZwfuLwgub-W1oefgo8M&e=

I’m excited to see the x-waiver gone. It looks like we won’t know what that really looks like until SAMSHA decides how to implement that. The training was needlessly long. I didn’t fully understand #buprenorphine until I started prescribing it. We still need better succinct buprenorphine training as I don’t think it’s something anyone can randomly prescribe without some support. #harmreduction https://www.acsh.org/news/2022/12/28/congress-made-it-easier-treat-addiction-harder-treat-pain-16767

"#Buprenorphine/#naloxone versus #methadone #opioid rotation in patients with prescription opioid use disorder and #chronic #pain: study protocol for a randomized controlled trial"

#MedMastodon

https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-022-00326-1

Addiction treatment got easier during Covid. A new proposal would keep it that way

"Federal regulators on Tuesday announced a proposal to take the emergency policies enacted in 2020, in response to the emerging pandemic, and make them permanent. In particular, the changes would preserve patients’ expanded access to two key medications used to treat opioid addiction: #methadone and #buprenorphine "

https://www.statnews.com/2022/12/13/addiction-treatment-expanded-access/

#HarmReduction

For those desiring to get off opiates this works. I can personally attest to it’s effectiveness.

“The #MAT Act would eliminate the special #DrugEnforcementAdministration waiver that doctors must apply for in order to prescribe #buprenorphine (a medication that helps reduce the craving for #opioids). It would enable community health aides to dispense this medication as long as it’s prescribed by a doctor through #telemedicine”

THE EDITORIAL BOARD #NYTIMES

As Overdose Deaths Rise, Few Emergency Rooms Offer Addiction Help

According to a recent study conducted by the University of Michigan, only 8.5% of 149,000 drug-related visits to emergency departments between August 2019 and April 2021 resulted in a prescription for buprenorphine or the overdose reversal drug naloxone for future emergencies. — Christine Vestal, Stateline

https://bit.ly/3VVb2Hg
#opioids
#emergencymedicine #buprenorphine

Important study about #buprenorphine in #pregnancy. 👇🏽

Use of buprenorphine during pregnancy better for infants than methadone.

https://med.stanford.edu/news/all-news/2022/11/buprenorphine-pregnancy-opioid.html

Referenced link: https://medicalxpress.com/news/2022-12-buprenorphine-methadone-safer-treatment-opioid-use.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2022-12-buprenorphine-methadone-safer-treatment-opioid-use.html

Originally posted by Phys.org / @physorg_com@twitter.com: https://twitter.com/medical_xpress/status/1598235036658147329#m

RT by @physorg_com: #Buprenorphine, not #methadone, may be safer treatment for opioid-use disorder during pregnancy @RutgersU @nejm https://www.nejm.org/doi/10.1056/NEJMoa2203318 https://medicalxpress.com/news/2022-12-buprenorphine-methadone-safer-treatment-opioid-use.html

As overdoses soar in rural America, more clinicians are prescribing addiction medications

#buprenorphine #Addiction #Suboxone

https://www.nbcnews.com/health/health-news/overdoses-soar-rural-america-clinicians-are-prescribing-addiction-medi-rcna59225

As overdoses soar in rural America, more clinicians are prescribing addiction medications

#opioidcrisis #ruralamerica #buprenorphine
https://www.nbcnews.com/health/health-news/overdoses-soar-rural-america-clinicians-are-prescribing-addiction-medi-rcna59225

Among the many problems with #fentanyl, it is making it harder to start treatment such as #buprenorphine. Time to deregulate #methadone. Like yesterday.
https://t.co/uXsJmw1Exi