Monday, July 11, 2005

PHENOBARB FOR OPIATE WITHDRAWAL RX???

J Addict Dis 2005; 24(2):135 has an abstract from the Betty Ford Center describing a comparison trial of inpatient detox using buprenorphine vs. "a standard phenobarbital protocol." Anyone out there know of any current theoretical, pharmacological or empirical basis for using phenobarb for the "standard" detoxification of opiate-dependent individuals?

8 Comments:

At 12:19 PM, Anonymous Anonymous said...

Yes, my nephew entered rehab voluntarily 8/2/05 and they are using phenobarb to treat his addition to "street" methadone. I am his mother figure, as his mother is in another state taking care of her quadraplegic 20 yr old son. AS of last night, he had slept quite a bit and they were going to start tapering off the phenobarb. Family mtg is today and 3pm.

 
At 11:35 AM, Anonymous Anonymous said...

I'VE TRIED BARBS (SECONAL - 100 MG.). IT DOESN'T WORK. I'M ON METHADONE NOW AND WOULD LOVE TO FIND A WAY TO GET OFF OF IT, THAT I COULD AFFORD AND THAT RELIEVES SOME OF THE WITHDRAWALS, TO MAKE IT BEARABLE. GETTING OFF METHADONE IS THE HARDEST THING I'VE EVER DONE. WHAT'S SAD IS THE FACT THAT I KEEP PUTTING MYSELF IN THE SAME SITUATION. INSANITY! DOING THE SAME THING OVER AND OVER AGAIN, EXPECTING DIFFERENT RESULTS. ANY SUGGESTIONS?

 
At 2:53 AM, Anonymous Anonymous said...

I went through detox and did a 7 day phenobarb taper. I was coming off alcohol, pure codiene, and zopiclone (A hypnotic sleep agent..which produces euphoria if you take large amounts), also, they were giving me a Bach Remedy called 'Rescue Remedy' which has 27% grape alcohol solution to help with the withdrawls. That combination (Along with my desire to really get off the booze and drugs for good, as this was my 12th attempt at getting sober) really helped. Im still sober. I live in vancouver bc canada and the detoxes and hospitals are using phenobarb moreso these days, as a pose to ativan.

 
At 11:51 AM, Anonymous Anonymous said...

Yes methadone is hard to get off. But if it is working for you maybe its not time to get off. I work in a treatment center where I work closly with addicts. I tell them that if them had bad sugar they would need insuline, or if they had cancer or another disease. Any disease you have you would need a proper treatment with medication. Well addiction is a disease and methadone is a good treatment for it.
It saved my life. I never thought I could live a drug-free life. I thought I would be in jail or dead. I didn't care about anything except getting high.If you would have told me 8 years ago I would be where I am today I would of said you was dreaming. Its not a dream it's reality, and I wouldn't trade it for anything.
Methadone has a very low success rate. There are more people that use it as a legal way to still use. Some may even say methadone is not being clean. For the people that say that they have no idea what they are talking about.I am currently on a MSW to come down off my dose. I come down 2mg per week. If at some point I feel that it is danderous to come down so low I will wait or increase me dose. If I can complete my treatment great. If for some reason I have to stay on methadone I am content with that. I have a illness and that is a tool to cure my illness. There is nothing wrong with being on methadone maintence. Some people will be judgemental towards you so be careful about your treatment. Your treatment is yours, and noone can take that away from you.

 
At 11:14 AM, Anonymous Inpatient Rehabilitation said...

Rapid Opiate Detoxification (ROD) is humane, fast, and efficient. It is also cost-effective, and would allow more of the health-care dollars spent on opiate addiction to go to programs that alter the social milieu and encourage sustained abstinence. The techniques involved in ROD require expertise and monitoring, but the patients are not critically ill and are detoxified electively; this detoxification would be best effected in centers for ROD and not in beds borrowed from the critical-care system.

 
At 1:19 PM, Anonymous Anonymous said...

I was prescribed Phenobarb 2x a day and Clonidine at night. I just told my doctor today that I have been using percocet all day every day for 6 months. I was too scared to withdraw on my own so he gave me those and said it should only take 2 weeks. I start later today, I really hope I will be okay and that I will not be dependant anymore.

 
At 5:28 PM, Anonymous Anonymous said...

I've been through 18 DETOX centers for Fentanyl WD. Pheno works better than anything i found out. Im a Cancer patient with severe chronic pain problems. I still have to be on Fentanyl today for chronic pain but i don't abuse it. I strongly suggest

 
At 5:33 PM, Anonymous Anonymous said...

That people don't use Methadone or Suboxone. They are just as hard to get off. Now i understand if people have a chronic pain prob and thay are addicts. Then i could understand the use of those to meds. Goodluck to u all. God Bless

 

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