Monday, February 18, 2008


" better with addicts who used opiates for two years or less, while methadone is preferred for long-term users." This is the statement in the Times-Tribune story of 13 Feb. entitled, "Treatment still facing hurdles in regulation." The quote reflects what is frequently heard and read. The question is: is there any evidence to support either the "better" effect of buprenorphine on relatively recent users, or the "better" outcomes of methadone with longer-term users of opiates? I don't think so - but would welcome citations on the point.

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At 7:40 AM, Blogger Joel Raupe said...

An excellent question. Interesting, isn't it. Sounds anecdotal, something said offhand cited as authoritative.

Interesting the differences between what dares to peek through the Media Cloud when the subject isn't "popular science." In the latter, there's sufficient fear of contradiction that reporters, generally burdened with a little bit of knowledge on a great number of subjects, vet their "facts." Not when the subject is controversial, in a seemingly strange twist. Then they are sure of a flurry of negative Email misfires, so they can easily move back to the Auto Show coverage. I'd rather be a sports reporter. Thanks for your work. - Joel Raupe -

At 7:42 PM, Anonymous Anonymous said...

I'm not sure who came up with this, but Ive been addicted to opiates for the better part of the last 17 years.
I was finally introduced to suboxone a little over 4 weeks ago, and I can say its the best thing thats ever happened to me. I realize its only been a little over a month but in this month I received a two week supply of suboxone and im still on the 2 week supply going into my fifth week I have absolutely no craving for opiates,
and dont even think about them and when you consider opiates were part of everything I did for the last 17 years thats saying a lot its so nice not having to worry about if I have enough pills and where and how i'll get them. Pills literally consumed my life I truly feel with Suboxone I have a real chance of beating the addiction this time, and the fact that this medication isnt readily available to other serious addicts like myself is a real crime!

At 5:11 AM, Blogger Joel Raupe said...

Amazing, isn't it?

In my own banal story of addiction, neither spectacular nor disqualifying, the success of this miracle drug, for me anyway, it's worked so well I've neglected to spend as much time as I should sharing what is my OWN experience with this regime.

Bill Wilson, as an illustration, was clear in his warning to those who profited from his and Dr. Bob's simple, effective method of surviving the once-terminal disease known as "dypsomania."

He wrote none of those in the future fellowship known today as Alcoholics Anonymous should be critical of anyone who recovered from that terrible condition by way of other methods.

Same thing here. For me, it works so well I'm obsessed with other things than the estimated 40 percent of my waking hours once spent counting pills and running out. With the dread of withdrawal.

Call me Rip Van Winkle.


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