Switching from Suboxone® to Naltrexone
Claire (not her real name) juggles a lot in her life. She is a full-time college student. She works part-time. She is getting married over Thanksgiving. She has an opioid addiction. How Claire Got Here Her first attempt to complete college failed when she started...
That Street Pill Might Be Fentanyl
We see it almost daily. A patient comes in for a detox with us stating that they are buying pills, like opiates or benzodiazepines, on the street. They say their dealer is “trustworthy” and that the pills are “legit.” When we test their urine for substances, more...
Getting Off Opiates Quickly During a Pandemic
As of October 16, 2017, the US Government declared the opioid epidemic a public health emergency. The medical community, and particularly pain medicine practitioners, have been active participants and fully aware of the development of the current state. Prescription...
What To Do If You Relapse Back Onto Fentanyl
Fred came for an implant yesterday. He detoxed off of street fentanyl 10 weeks ago. He was about a week late for his scheduled naltrexone implant and as the time drew closer to his return visit, he was getting antsy. An argument with his wife, who is rightfully having...
