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The opioid overdose epidemic has a new player on the block and its name is Paradigm
Fentanyl is a synthetic opioid developed in 1960. Its initial use was as an anesthesia adjunct in the operating room but over the years its use has broadened to acute post-operative analgesia and the management of chronic pain.  Fentanyl is highly potent with an estimated potency of 50-100 times that of morphine.  Paradigm is an excellent publication  by the Illinois Institute for  If you click on this link: Opioid Epidemic , you will get access to this wonderful publication with information so necessary in fighting addiction.  Please enjoy and intellectually prosper.  Save lives. 

Uppsala, Sweden, July 4, 2013.  Orexo Labs  announced it has received approval from the F.D.A. for Zubsolv™ (buprenorphine/naloxone) sublingual tablet CIII.  Zubsolv is formulated for treatment for people suffering from opioid dependence

Tom @ Recovery Help Desk talks about suboxone (subs) dos and don’ts and its controversy and a Mom agonized about finally supporting it for her son, presumably an opiate addict. Her blog is called “A Mom’s Serious Blunder”Check out the links and discussion.  Suboxone like any treatment is a tool.  It takes a commitment.  There are many stubborn young knucklehead addicts that use it as a crutch, take sub vacations and use other opiates intermittently.  They are the toughest to deal with and fuel the controversy.

Addicts prescribed opiate replacement drugs can ask about generics rather than relying on proprietary Subutex/Suboxone marketed by Reckitt Benckiser.  Suboxone is buprenorphine with added naloxone to block opioid receptors and helping to avoid abuse.  Subutex is just  buprenorphine.  It is sold generically, since Reckitt Benckiser’s patent expired. focuses on proper use.  Recovery Helpdesk is also good website.  Generics are available for $3.00 per 8mg pill or less.  View therapeutic drug replacement for heroin addiction.  Buprenorphine, used in replacement drug therapy and is still addictive but the best option for some.  Treatment professionals call  this replacement drug therapy,  harm reduction.  It stabilizes addicts and gets them off illegal street opiates.  Buprenorphine is safe  for those who can  follow medical directions.   The downside is that tapering  off the drug  is not easy, but the next step.  The blog: suboxone talk zone is a “in the trenches” source of information.

“Addiction experts say Suboxone is so effective in treating opiate addicts it can dramatically transform people in a matter of weeks”. In Doc’s Fight to Lift Restrictions, a good point is made on State’s ability to curb opiate addiction.  Most state backed low-cost or free prescription programs for suboxone in replacement drug therapy is severely limited, effectively missing an opportunity to drastically reduce the financial and social impact of opiate addiction.  Tucson Arizona’s COPE Community Services has stated that its use of suboxone is limited to 100 addicts, deferring many other addicts to the lower cost methadone which is not as effective.  Methadone, albeit, very effective at harm reduction when used properly,  is quite addictive and its users can be more prone to relapse back to street drugs.  Talk continues about Generic Suboxone drastically cutting the sale price of its active ingredient, buprenorphine, but people are still waiting.  The point is that readily accessible replacement drug therapy will put a large dent in the ugly business of opiate addiction. That’s something States can’t afford to ignore.

“Methadone Maintenace is disdained by many in the treatment industry as a therapy that simply replaces addiction to one drug for another… critics charge that methadone programs are mostly successful at controlling the social costs of opiate addiction, doing little to promote actual recovery from the disease”…  Ted Jackson, Treatment Magazine.  View the rest of Ted’s article here:  America’s Methadone King  With so many opiate addicts in the U.S., methadone is becoming a business magnet.  Buprenorphine is very likely to follow.  Ted Jackson’s article portrays CRC as controlling the largest number of clinics.  61 out of a total of 1050 clinics in the U.S receiving roughly 1.3 million dollars in annual revenue per clinic.  CMG is 2nd place with 50 clinics.  Using CRC’s revenue formula the potential for methadone sales in the U.S approaches a billion dollars.  Obviously, public funded facilities will not disappear tomorrow, but their tax base is something that states continue to cut.  Bain Capital’s CRC and… other big interests in methadone

RECOVERY HELPDESK – Harm Reduction causes uproar.

Methadone Information and Side Effects

“Known as “Methadone hydrochloride,” Methadone is a narcotic pain reliever, analgesic used to treat moderate to severe pain with people who have not responded to pain relievers. Its main uses also include being given to patients who are battling narcotic addiction or in maintenance treatment of narcotic drug addiction…” Article by Jesse Herman of –   see article HERE

Interesting article posted at,  RECOVERY HELPDESK bringing attention to the seriousness of detoxing off opiates while in jail and a wrongful death lawsuit.

Better put, Opiate Addiction is often treated with opiate based methadone and suboxone.  Now America is looking at treating heroin addiction with pure heroin.  This works elsewhere and takes the air out of the sails of the heroin cartels.  Opiate addiction often starts in the medicine cabinetWorldwide, the use of heroin is growing.  Braving the most brutal of withdrawals, opiate addicts will most likely give in to an equally powerful and enduring psychological craving if they are lucky enough to survive having their guts turned inside out for a week or more.  Quitting opiates is at the very least, difficult and destructive to families and communities.  Sooner or later, many addicts try and substitute their addiction to street heroin with illegal pills, alcohol or legally prescribed drug replacement therapy.  Here are some recent links:  • Time Magazine •  CNN HealthReuters • The New York Times • ABC News •  Links by Drew

Sad fact!  Suboxone is addictive and has withdrawal symptoms.  Quick detox programs like the Waismann Method and  Rapid Anesthesia Detox are out of reach financially for most addicts.  A more methodical approach of quitting suboxone is unfolding from the experience of many.  You won’t find anything good said about this wonder drug in a quick detox website, either.  The Suboxone Talk Zone is probably the most useful resource for describing suboxone and just how slow and deliberate suboxone tapering has to be when one is ready to quit.  Best to read the link. The alternative of  serious addicts remaining on their opiate of choice is far more devastating.  Suboxone is paradoxically a necessary evil and a wonder drug.  When managed, it can transform an addict into a contributing member of society, releasing the deadly impact that opiate addiction has on the addict, their families and communities.

“….The recovery period is a time to focus on repairing and rebuilding the body.  The healthier you become the greater is your ability to avoid relapses.  Also, many theories on relapse believe that associations, triggers, and cravings lead to the relapse…”  Read the entire detailed treatment plan right here.  For much more detailed information on the subject of heroin addiction, its effects and treatment, go to

Written by Ted Jackson of Treatment Magazine

There has been increasing talk over the past couple of years about how Suboxone, the hugely successful drug for the treatment of opiate addiction, is being abused.  Read more

Buprenorphine, An Alternative Addiction Therapy
From Soft Landing, Dr. A. Fahmy, Medical Director

Suboxone and Subutex, it is an FDA approved medication for office based treatment of opiate addiction. It reduces opiate withdrawal symptoms and cravings during the treatment of pain killer addiction.   Combined with appropriate behavioral counseling Buprenorphine, Suboxone and Subutex, can be very effective in treating dependence to opiates and other Pain killers addictions and abuse.

Suboxone is a combination of Buprenorphine and Naloxone. The former is a partial opiate and the euphoric effects are less than with full opiates; also the habit forming potential is lower and therefore it is much easier to stop taking this medicine than other full opiates, such as morphine and heroin. The latter component, naloxone, is an opiate antagonist that is mainly active if Suboxone is injected, hence it acts as a deterent to injecting those tablets.   For detailed and accurate information about Suboxone please visit the manufacturer website at

Also see other resources at this web site.   National Alliance of Advocates for Buprenorphine Treatment.

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