Posted by europerep on October 22, 2011, at 7:19:07
In reply to Re: opiates and major depression » europerep, posted by Chairman_MAO on October 21, 2011, at 18:22:37
> It matters more to drug-warriors and their sycophants, as well as physicians, because they have to live in fear of having their careers destroyed for prescribing opioids.
They can have their careers destroyed regardless of whether they can rationally explain in front of an investigative panel the reasons for giving buprenorphine to TRD patients.
> It is very much like prescribing morphine or heroin.
Not according to the people who have done research on this for years and years. I trust them more than internet people.
> Risk to who? Overdose is difficult; TCAs are more dangerous.
Ever heard of that pesky addiction thing? Buprenorphine is a drug with abuse potential, like all other opiates. (The hypocrisy about giving Adderall to anyone with ADHD but not giving buprenorphine to TRD patients is a different story.) I agree that a risk-benefit assessment for bupe in TRD can be positive, but buprenorphine is not Prozac.
poster:europerep
thread:81414
URL: http://www.dr-bob.org/babble/20111016/msgs/1000474.html