Thoughts About Buprenorphine (Suboxone) Diversion

There is a balance of risk with any medical intervention, including buprenorphine treatment, where there are societal issues that fall under the domain of law enforcement and social workers.   I am frustrated by the desire of some physicians, particularly those associated with ASAM, to place more emphasis on the societal issues, than on the care of their personal, individual patients.    I can hear those doctors now…. ‘we have a duty to protect society.’   In response, I would say doctors FIRST have a duty to their patients…. NOT to ‘their patients’ as a whole, but to each separate, individual, complicated human being.

Period.

Making things worse, doctors have bought into the foolish media narrative about the dangers of buprenorphine.  I recently heard a doctor say that ‘buprenorphine is the same as heroin, the way people are using it.’     How frustrating that the people who are supposed to be ‘experts’— the people who could serve a role in educating the idiot narrative about ‘getting high from buprenorphine’— know so much less about the medication than their own patients!

Doctors:  How many people die from buprenorphine products?

http://www.rehabs.com/pro-talk-articles/the-buprenorphine-diversion-problem/)

Had to get that off my chest

 

Why So Few Suboxone Doctors?

Some parts of the country report a shortage of physicians who are DATA-2000 certified, i.e. able to prescribe Suboxone and other buprenorphine products. The shortage of buprenorphine-certified doctors parallels shortages of mental health practitioners in general, including psychiatrists and addictionologists. Larger cities and areas near the east and west coasts are less likely to have shortages of doctors than are smaller and more-rural parts of the country, particularly across the Midwest.

The shortage of Suboxone doctors is caused by a number of factors.  All doctors train in medical schools, which are primarily located in larger cities.  So by the end of training. most doctors have spent several years living in larger cities, establishing friends and business partners and sending their children to area school districts.  As with members of any profession, doctors are more likely to choose positions in areas they know than to move to unknown areas, unless the area holds special attractions like morning sunrises over the ocean or mountain views.  Even doctors who grew up in rural areas find it hard to move back, after living in more urban areas during the 12 years of college, medical school, and residency.

 

How to Use This Site

If you are searching for a doctor certified to prescribe buprenorphine, click on the third selection in the menu above– or simply click here, for ‘Doctor Directories.’  You will be taken to a page that lists a number of buprenorphine-certified doctor databases with comments about each database.  People are encouraged to list any database not mentioned here in the ‘comments’ section (as one reader has already done).

Again, the information is at Suboxone Doctor Locators

The menu contains links to several other resources.   Bupetube, for example, is a collection of YouTube videos about addiction and the use of buprenorphine to treat opioid dependence.  The link ‘Google-Results’ is a destination page for searches related to Suboxone .   To use the search on web sites about buprenorphine, opioid dependence, or addiction, simply enter your search term in the box at the right of the header labeled ‘Google Custom Search’ and click on ‘Search’.  If you leave the page that contains your search results, you can return to it by clicking on the link to ‘Google Results.’