Conclusions: Unintentional exposure to buprenorphine can cause central nervous system depression, respiratory depression, and death in young children. Exposure rates to film formulations are significantly less than to tablet formulations. Package and storage deficiencies contribute to unintentional exposures in young children. (Source: The Journal of Pediatrics)

Abstract
CDC and NIDA Tout PrEP for HIV‐Negative Injecting Drug Users
Monitor Vendor Protocols when Signing up for Drug Testing
AAP OKs Breastfeeding on Methadone but Not Buprenorphine
ONDCP and SAMHSA Release Opioid Toolkit, Promote Naloxone
SAMHSA Releases Draft Outcome Measures, Gives 9/17 Deadline for Feedback
DOJ to Allow Marijuana Ballot Initiatives to Go Forward
Briefly Noted
In the States
Coming up (Source: Alcoholism and Drug Abuse Weekly)

Abstract
CDC and NIDA Tout PrEP for HIV‐Negative Injecting Drug Users
Monitor Vendor Protocols when Signing up for Drug Testing
AAP OKs Breastfeeding on Methadone but Not Buprenorphine
ONDCP and SAMHSA Release Opioid Toolkit, Promote Naloxone
SAMHSA Releases Draft Outcome Measures, Gives 9/17 Deadline for Feedback
DOJ to Allow Marijuana Ballot Initiatives to Go Forward
Briefly Noted
In the States
Coming up (Source: Alcoholism and Drug Abuse Weekly)

ConclusionsProvision of methadone appears to be associated with better retention in treatment for opioid dependence than buprenorphine, as does use of provision of higher doses of both medications. Provision of buprenorphine is associated with lower continued use of illicit opioids. (Source: Addiction)

ConclusionsProvision of methadone appears to be associated with better retention in treatment for opioid dependence than buprenorphine, as does use of provision of higher doses of both medications. Provision of buprenorphine is associated with lower continued use of illicit opioids. (Source: Addiction)

ConclusionsProvision of methadone appears to be associated with better retention in treatment for opioid dependence than buprenorphine, as does use of provision of higher doses of both medications. Provision of buprenorphine is associated with lower continued use of illicit opioids. (Source: Addiction)

ConclusionsCompared with placebo, buprenorphine implants result in significantly less frequent opioid use, and are non‐inferior to sublingual buprenorphine/naloxone tablets. (Source: Addiction)

ConclusionsCompared with placebo, buprenorphine implants result in significantly less frequent opioid use, and are non‐inferior to sublingual buprenorphine/naloxone tablets. (Source: Addiction)

Conclusions: Daily observed methadone or buprenorphine-naloxone are effective treatments for non-medical buprenorphine and other opioid use in the Republic of Georgia and likely to be useful for preventing HIV infection. (Source: Drug and Alcohol Dependence)

Author: Doober

Posted: Sun Aug 04, 2013 1:33 am

Thanks Amy. I’m doing much better, slept last night – everything. I agree 100% with everything you said, and my thoughts about getting off the meds were def exactly as you described. My doc goes to lengths to make sure I don’t have a surplus, sometimes even scheduling me for appointments on the day I have none left – but that’s only happened once or twice. I would have to take less for a while as you suggested to have an emergency back-up.

On the other hand, my doc (or his nurse) has been quite trusting of me. I go in for appointments every three months, and they prescribe a month with 2 refills each time. I hope this situation doesn’t affect me negatively in any way. Maybe I should look for a new doctor who’s would be more willing show some empathy if something like this ever happens again. Yet, I’m also afraid to look for a new doctor because I had a really hard time finding this one when I moved to Texas from California 9 years ago. And, since I’ve been seeing this one for so long now with no issues – until the other day of course. I felt like my life and livelihood was put in jeopardy and that it didn’t seem to bother them whatsoever. I even asked if there were ANY alternatives since he couldn’t do the early refill and, like I said before, I never got that second return phone call.

Maybe I should do with less over the next month, see how the next appointment goes because I’m going to want to talk to them about what happened. At the same time, I feel like I have to step carefully with my words b/c I’m always afraid of anything changing since I am so dependent on this program. I wish I had someone like Dr. Junig that I could go to. My doctor in California was much like him. He even let me continue to get refills in Texas and have them shipped to me for several months until I found a doctor here. He also really cared about my sobriety, I miss that, but still glad I found someone here that has worked out long-term.