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long-term buprenorphine » Declan

Posted by pseudoname on June 18, 2006, at 20:43:58

In reply to Re: again: buprenorphine is different » pseudoname, posted by Declan on June 18, 2006, at 18:52:00

> We know the long term effects of natural opiates.

What are they? By long-term, you mean 5, 10 years?

> PN, what do you know about the long term effects of bupe?

AFAIK, there's no published data on long-term bupe use at the doses I've been taking it. The studies with opiate addicts are at 8 mg/day or more. (That's also the case with the admittedly few personal accounts I've seen on other forums, which have mostly seemed to be NON-NAIVE and comorbid users.)

And, as with SSRI studies, "long-term" for bupe researchers seems to mean 6 months to a year! It's frustrating. No one can make good projections on the basis of that sort of data.

I would really like to know what happened to the people in Bodkins' 1995 study. Actually, I seriously think I'll contact him about that.

> How long has it been around?

First synthesized in 1969 and used clinically as a parenteral analgesic in 1978. The addiction treatment started in the mid-1990s in Europe, I think.

The first report on its use in depression was published in 1982; the second in 1995; the third in 2005. This is a very slow collection of data.

> I mean, if it was helping *me*, I'd place a bet that it wouldn't be *that* good long term

  [Bursts of laughter]

Always nice to hear a word of encouragement.

  [More laughter ;-) ]

> OTOH I have had friends say 'I don't want to feel clearer. Why do you think I take opiates in the first place?'

You people sure have a lot more friends than I do.


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