Monday, December 11, 2006

LIFTING BUPRENORPHINE LIMITS: What will it mean?

It's expected that a congressional bill to raise per-physician limit on number of buprenorphine patients from 30 to 100 will be lifted shortly. The question is: what impact will it have? If anyone has data oin the impact of lifting the (seemingly more important) per-GROUP limit a few years ago, those data have received little if any attention. The need for office-based practitioners to keep records and monitor the number of individuals treated with a particular medication and scrupulously avoid exceeding a legal limit seems likely to continue damping enthusiasm to "get invlved." We'll see - assuming anyone follows and publicizes the experience this time around. One can only applaud anything that offers a glimmer of hope of getting more help to those who want and need it and might benefit from it.

4 Comments:

At 8:23 PM, Anonymous gledwood said...

Do you have any connexion with Lord Rothschild's Drug Dependency website? Your url just v. similar. Re buprenorphine, why should doctors be limited to the # of patients they prescibe to?? When it comes to drugs especially drug addiction treatment so many things bemuse me.
I'm keeping a blog as an addict. I've found hardly anyone blogging who uses (don't ask me why!)
Feel free to drop by: http://gledwood.tripod.com/blog

 
At 5:27 AM, Anonymous Anonymous said...

hello Gledwood - I overlooked your comment and thus the delay - sorries! You're 100% right.Patient limits are not imposed in any other field of medicine - none! - why indeed should they exist when addiction is being treated? It can't be some overwhelming problem with the patients, since no doc is limited to X number of "addicted patients" receiving treatment for asthma, or hypertension, or epilepsy, or HIV/AIDS, or anything else. So . . . it's stigma and stereotyping, and gives a strong message to doctors and the world at large: addiction treatment is something you want to avoid. And we wonder why so few patients find treatment with buprenorphine in office-based practices, and why NIMBY plagues the proposed establishment of methadone providers. THANKS FOR COMMENT - will visit your blog site. rgn

 
At 6:55 PM, Anonymous Anonymous said...

No now come on doctor. It's because they see how doctors are profiting off of methadone and they are putting an x number of paitents per doctor to cut down on the harm doctors are causing by thinking of money before people.

 
At 4:13 AM, Anonymous Anonymous said...

The need to limit caseloads is most benficial to the addicted individual. Anology: Large classroom less individual attention. The process of learnig to use a medication that blocks the urge to use (Opiates)is about education.

 

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