Blog

The Coleman Institute Blog

Switching from Suboxone® to Naltrexone

22

Feb 21

February 22, 2021

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.
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That Street Pill Might Be Fentanyl

16

Feb 21

February 16, 2021

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 often than not, there is no oxycodone, there are no benzos, but what is present is Fentanyl.

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Getting Off Opiates Quickly During a Pandemic

4

Jan 21

January 4, 2021

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 drug monitoring programs (PDMPs) and the National All Schedules Prescription Electronic Reporting Act (NASPER) have effectively contributed to the reduction in opioid prescriptions by 8% and prescription opioid overdose death rates by 12%.

Despite these substantial reductions in opioid prescriptions in the USA, deaths by opioid overdose continue to escalate at alarming rates: 64,000 people died from drug overdoses in 2016; over 42,000 of those were opioid deaths. This represents a 20% increase from the total of 52,000 drug overdose fatalities in 2015. Overdoses related to illegally manufactured fentanyl represent the greatest contribution to the increase, accounting for 20,000 deaths in total; heroin accounted for 15,000 deaths; and prescription drugs for less than 15,000. Source.

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What To Do If You Relapse Back Onto Fentanyl

14

Dec 20

December 14, 2020

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 trouble trusting Fred, caused him to get — in his own words — “a f__k-it attitude”. He found his old contacts easily, bought heroin and crack and, for the first time in weeks, ingested drugs into his body.

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Restoring Hope: The Gift of Detox

7

Dec 20

December 7, 2020

Restoring Hope: The Gift of Detox


It doesn’t happen like this all the time. But it did happen yesterday. Room to room, patient to patient, over and over---I heard one success story after another.

Mack, off fentanyl since mid-April. Sleeping well, doing home renovation projects he’d put off for years. He now has the time, the energy and the money to do so.

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