Comments of I’m a doctor who wants to treat addiction, but the rules won’t let me
I’m a doctor who wants to treat addiction, but the rules won’t let me
Originally Published: 01/14/2017
Post Date: 01/15/2017 by
Douglas Jacobs
in Addiction Law, History and Public Policy Articles
The way the law is written, any doctor can prescribe Buprenorphine for...
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The way the law is written, any doctor can prescribe Buprenorphine for treating pain, however the FDA has not granted approval for Buprenorphine to be used for pain, so it would be an off-label prescription.”
“Buprenorphine has been singled out for regulation because it is the first addiction treatment that is safe enough to be prescribed at a regular doctor’s appointment. The United States has always placed strict rules on addiction treatment, partly because past addiction medications such as methadone could lead to overdose or illicit sale on the black market.”
You imply that there are no problems with buprenorphine.
Buprenorphine
July 2013
DEA/OD/ODEIllicit Uses:
Like other opioids commonly abused, buprenorphine is capable of producing significant euphoria. Data from other countries indicate that buprenorphine has been abused by various routes of administration (sublingual, intranasal and injection) and has gained popularity as a heroin substitute and as a primary drug of abuse. Large percentages of the drug abusing populations in some areas of France, Ireland, Scotland, India, Nepal, Bangladesh, Pakistan, and New Zealand have reported abusing buprenorphine by injection and in combination with a benzodiazepine.
The National Forensic Laboratory Information System (NFLIS) is a DEA database that collects scientifically verified data on drug items and cases submitted to and analyzed by state and local forensic laboratories. The System to Retrieve Information from Drug Evidence (STRIDE) provides information on drug seizures reported to and analyzed by DEA laboratories. In 2012, federal, state and local forensic laboratories identified 10,804. In the first quarter of 2013, 1,905 buprenorphine exhibits were identified.
According to the Drug Abuse Warning Network (DAWN ED), an estimated 21,483 emergency department visits were associated with nonmedical use of buprenorphine in 2011, nearly five times the estimated number of buprenorphine ED visits in 2006. The American Association of Poison Control Centers Annual Report indicates that U.S. poison centers recorded 3,625 case mentions and three deaths involving toxic exposure from buprenorphine in 2011.
by Nancy Parker
Salem MA
01/23/2017 - 07:23 pm