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Re: Need Buprenorpine Help » Rudiger

Posted by Elizabeth on November 9, 2001, at 13:23:11

In reply to Re: Elizabeth - Need Buprenorpine Help » JeffH, posted by Rudiger on November 9, 2001, at 2:40:58

> Unfortunately, I'm quickly coming to the conclusion that virtually every pdoc would rather lose a limb (or two) before they would even consider prescribing what they ignorantly assume to be little more than a gateway drug to heroin. (These are supposed to be rational scientists?)

Doctors *aren't* generally scientists, as a rule. But anyway, I wonder if they realize that heroin won't work (except at obscenely high doses) for a person who's on buprenorphine. I also wonder whether it's occurred to them that people who need opioids to treat a medical condition but can't get them from legitimate sources are more likely to try to get them from, well, illegitimate sources.

> I'm discovering that most pdocs' practice of medicine is influenced much more by self-interest and paranoid fear (fear of litigation and the DEA) than it is by consideration of the well-being of their patients.

Yup.

> "Maybe you should try ECT," is the standard refrain.

This from doctors who supposedly fear litigation???

> And if you don't bring up the option of buprenorphine yourself it's a pretty safe bet that your pdoc won't either. But if you do bring it up, you are usually rewarded with some suspicious looks and are almost immediately suspected of being a "drug-seeker." A rather lovely Catch-22.

Yeah, the "you know too much" reaction. Jeez. The best thing to do is bring in peer-reviewed medical articles. There's nothing more "legit" than that, right?

> I am beginning to fear that Elizabeth is one of the very few that will ever get a chance see if buprenorphine can give them back their lives.

Yeah, it always bothers me when people who need it can't get it. I think it may be easier to get once the sublingual formulation is approved, FWIW.

-elizabeth


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