Do You Prescribe Buprenorphine?

I’m not sure about the make-up of readers of this blog.  I know that there are about 20,000 page views each month, but I don’t know how many are by people addicted to opioids, people taking buprenorphine, family members of addicts, or physicians who prescribe buprenorphine.  If you fall into that latter category– i.e. if you prescribe buprenorphine, or if you prescribe other medications to treat opioid dependence such as Vivitrol or methadone– consider joining the group at linkedin.com called ‘Buprenorphine and other medication-assisted treatment of opiate dependence.’  If you already belong to LinkedIn, you can simply follow this link to join: http://www.linkedin.com/groupRegistration?gid=2710529
I have always resisted separating those who prescribe buprenorphine from those who are prescribed the medication.  I have avoided, for example, placing a ‘doctors’ section’ at SuboxForum, as I don’t want there to be two separate discussions.  Clearly, each group would benefit from the wisdom of the other.  But there are some physicians who want to discuss prescribing habits, techniques, and science with other docs, who are not comfortable discussing some topics in the ‘presence’ of their patients.
Non-docs, please don’t flame me for this decision;  I’ve wrestled with it, and have made this decision, at least for now.   Frankly, the discussions at SuboxForum are far more interesting than anything that has come up so far at the linked in site!    But some docs who prescribe buprenorphine are isolated out there, perhaps even looked down on by their peers for working with addiction– and that is a crying shame.    I want to get those docs some support.  My goal ultimately is to bring the two sides together, so that docs can talk to addicts and realize that they are the same species as the rest of their patients!
Thanks all,
JJ

Can't Find Long-Term Suboxone Doctor

An e-mail:
I’m stuck in methadone-land, no one will write long term for Suboxone.  I feel trapped and utterly helpless. I’ve been on methadone for a year and a half, and just see no real end in sight.  I am tired all the time, and my friend said that he got on Suboxone and it changed his life.  I’ve been reading about it and trying to find someone in my city to do it but they all only do 90 day detox programs.  What if anything can I do?  I’m out of options short of driving several hours to doctors in other big cities.  I’m in Wichita Ks and the next closest is OKC or KC.
My reply:
I assume you have tried the physician-finder web sites;  in case you haven’t, one is here at Suboxone.com, and the other here at naabt.com.  If you haven’t investigated the local practices lately, I encourage you to check them out again;  practices have changed, and more and more docs are realizing that Suboxone is best used long term.  A few years ago 70% of scripts were for detox/short-term;  now 70% are for long-term use.
Consider posting at SuboxForum.com and maybe someone from your part of the country will have some ideas about docs in your area.
SD