I firmly believe in these medications as a nurse i have seen people who never thought they would get there lives back . Once they started these medications all hope is brought back. Great program we nee so manymore.

So glad I chose Suboxone. Took it for 16 years and now I'm Suboxone free for 102 days!

I was a trial patient for suboxone. When it came out, they called it the new miracle drug that doesn't make you sick. Lmao. It never worked. I wasn't feeling better, I was just sick the whole time. Methadone (and valium) saved my life. Keeps me functioning, not using illicit drugs, haven't gone backwards in 18 years. I'm a lifer, and I realize it. My new Dr wants to take me off of valium not because of anything I did. Because she doesn't agree that it's a psych med.. I don't know what to do to make her realize I'm far better off medicated. I haven't used or been in any trouble since 2011. I'm honestly afraid of losing my mind and relapse. I haven't had a craving in years. Any advice doc?

I have been on Suboxone and Subutex for years and it's caused a lot of health problems I think they are going to realize this pretty soon as far as a long study I know that methadone has been around for a long time it was invented by a German doctor during the war. I'm wondering if you can tell me if methadone has as many health risks I'm considering going back on it because I tried it for a bit and I do remember it helped me with the depression and withdrawal from people?

Great content doctor B! I have to agree, the system of methadone clinics in the US seems incredibly archaic and should be updated for sure. In Denmark and most of Europe as far as I know the situation is more or less as you've described in the case of France. I've been on methadone for 15 years now and it's not only saved my life (which it truly did - no exaggeration) but made it possible for me to rebuild it. Of course, with a lot of work on my part and tons of help by incredibly dedicated professionals I'll forever remain grateful to! You remind me of them, Dr. B. Anyhow, I really wanted to explain the system over here. I get methadone at my doctor's office, not at a methadone clinic. The place and the expert primarily responsible for my therapy however, is a psychiatric clinic for addiction and my psychiatrist, one of about a dozen of them working there - all addiction specialists. Currently I need to go to the clinic every 4 months for face to face talk and control, otherwise I can call anytime, as well as show up more frequently if I feel I need to. In the beginning of course, and I mean for years, I had to be there much more frequently. Over the years we've developed trust. I pick up the take home therapy at my primary care physician's office once a week, unless I need to travel for a longer period. Otherwise I technically could be picking it up every other week or about twice a month but a few years ago, when she suggested a change I actually asked my psychiatrist if she could leave me on a once a week schedule as it had been the case for many years prior at that point. I felt I still needed that structure I'd gotten used to and which worked for me. The switch to picking the therapy up twice as rare as before seemed too daunting to me and so she kept me on the old schedule. If I need to travel, I may get the take aways for up to a month. At any rate, this system does seem much more humane ans ultimately more effective.

They are both good and working. But the reason I eventually stopped methadone is because I didnt want to be shackled to a clinic wich at that time was in a different city. Methadone crushes cravings much better than sub

In the UK we use titration starting dose 40ml .. daily until clean test . Then pick up from the pharmacy.... Keep giving those clean test to only having to pick up 3days a week then once a week . Trust the process

I feel like fundamentally the whole addiction treatment in this country needs to change. I’m disabled with severe chronic pain with no addiction history or issues thank god but I’ve done a lot of research on the topic because doctors always bring up addiction when you need pain control. A couple months ago I thought we were 20-30 years behind Europe wirh addiction treatment. Mostly with lack of access to good addiction care and stigma of MAT and an over focus on rehab. After talking to some addicts in Europe I realize we’re more like 50 years behind the rest of the developed world when it comes to treating opiate addiction. In Europe they regularly give high dosages of morphine to addicts I think in long term Recovery the person I talked to was 5+ years sober. I don’t think they give other opiates like oxycodone was specifically banned for reasons. I mean heroin is a pro drug to morphine it makes sense. All opiates are similar in mechanism of action. Also talking with these addicts from Europe it was clear their was much more options available and more willingness by the system to try and adjust to the addict. Between morphine, traditional Mat which is a lot more free to pharmacy dispensed methadone where you skip the clinic to even experiments now being done of daily or multiple times a day controlled amounts of pure heroin being dispensed. Europe has an opiate crisis but compared to us it’s nothing per capita and it’s not because they don’t prescribe as much it’s because they have a better caring society but it’s that their addiction treatment is so much more advanced it’s like comparing how we treated aids in the 1980s to now. I hope to god the system changes. I’m sick and tired of people dying for no reason. If pains me to hear of so many dead for no reason. I also know as a chronic pain patient my life is gonna get harder and harder as the government cracks down more and more on legitimate prescriptions leaving more addicts to die and never addressing the root cause and making important fundamental changes to our medical addiction treatment system. I also feel like one day may come where I can no longer live on due to a crackdown in pain prescriptions and I refuse to go to the black market I’d rather die than do that. The crackdown on prescriptions is so bad. I mean maybe someone things I deserve to suffer in pain so excruciating it ranks higher than most types of cancer but it’s not just me. End of life patients, cancer patients who are middle aged can’t get enough pain treatment. People are going now to palliative care or methadone clinics pretending to be addicts to get pain treatment clogging up those systems of care more. And it’s not like we have enough pain management doctors much less enough willing to put patients first and not the dea and their license first and do their job properly not that I blame them it’s their passion and livelihood. This is also causing fewer and fewer physicians to go into pain management and a lot hear refuse to write opiates which they are the only doctors that can do so for chronic pain and those that do pretty much never do so enough to adequately treat pain.

Can't wait for this one!

I was referred by my pain management doctor for methadone. It has worked better than any other pain med they had given me (you name it). I had a pretty bad back surgery that has left me with chronic pain, I'm only 38. I'm still able to take my anxiety meds and antidepressants as with suboxone they can be contraindicated. These meds are very individualized. I don't have any addiction issues though, so this was a great option for me. I hope everyone finds what works for them whether it's for pain or otherwise. I should add that my methadone is over 400.00 a month out of pocket because my insurance does not cover it! 😪

Been on subs for 5 years and im living a normal life. Bills paid. I dont get sick. I make my appointments and on time. I spend quality time with my family. I can now live a normal life.

Dr. B, thank you for giving us all this addiction information. Is suboxone also used to treat crystal meth addiction?

I'm quitting subs going to the methadone clinic Wednesday for my intake appointment. My spine injuries, amoing other chronic pain has made me get desperate af

When will the US adopt the use of Slow Release Oral Morphine (SROM,) as an option, the way they do in Canada?

i get my buphenorphine from a pcp and yes it helps when Ive been sick or have a problem, the dr. prescribes me antibiotics or whatever to help at the same visit- very helpful to me and makes it so I don’t have to go to another dr and explain my whole situation being on this medication

Thanks for all your videos I've been off opiates 5 months

Methadone saved my life but that being said, it should really be your last resort because it’s easy to get stuck for a long time. I finished a taper 3 months ago and it was a rough detox but I’m finally starting to feel better.

Dr b i was on heroin and metherdone for well over 33 years im now 5 months clean iv not slept for nealy 4 weeks and im still withdrewing pluss im getting relly server hangsyety is it becouse i was on it for so long ?? All the best

I used to get my suboxane through a monthly telehealth appointment in my car, covered by Virginia Medicaid in an application called bicycle health I actually feel like I’m in treatment using methadone

Since I finished tampering Clonazepam 2 months ago I developed sensitivity to medications and foods. How do a person deal with this. Does it go away.

Dr B - do you have any experience utilizing Parkinsonian-type dopamine agonists for treatment of RLS during opiate withdrawal? Ropinrole?

Which is better for severe chronic pain without wanting to take an opioid? Thank you and God Bless!

I've been on methadone for 20 years.i have to collect once a week an appointment every2 months.it allowed me to get my life back well ,everything back havnt used heroin or ant other opiates for well over a year.i live in yhe u.k maybe it's something to,do with geographical location I don't know.but what I do know is that without it .I be dead.100%

Dr b, doesn't Methadone become a fatty alcohol. Alcohol in fat or tissue & slowly released in bloodstream. It's not ethanol tho. I think Heptanol, (also Methadol) right ?

Dr B will you make a video About Apomorphine ? How come it's no longer used for addiction? No longer used at all outside of parkinson's actually..

And one thing that my I’ve never taken a medication that has not been legitimately prescribed for me by Dr., time is changed?

I use an APP called Boulder Care it's all online and I've never met my physician in person. She prescribed me 3months at a time. I hated having to go to the clinic daily .

I'm from the U.K. & I'm on methadone (65ml) & it's so different over here! 1) We don't have a methadone clinic where everyone is given their meds. We get given prescriptions where we choose which chemist we will use (local to where you live) the script lasts 2 weeks & it can be anything from daily pick up to once a week, (ie take home a week's worth of meths) you have a drug/key worker who you see every now & again. Plus because of the NHS it's free. 👍. IF you need works or narcan/naltraxone you can get those too. Either from a chemist or drug worker. A few people are getting the injection now, which i m o sounds great! They are doing really well!

I mean psychologically it also helps that I am extremely accountable for every little bottle of methadone and I have never sold it or abused it like other medication’s to this day

Pardon the typos, Apple voice text is really horrendous. Why don’t they fix it?

I’ve been on suboxone for the whole time i have been clean. I love my monthly take homes, I’ve weaned wayyy down to only like 1/8th a day. It saved my life and i do hope they have learned that long term suboxone or methadone is not the answer. I’d say have a max of like 6-7yrs. I’m on year 12 n i do plan on getting the shots to get off of subs for good. Def life saving meds!

I was half of my life on opiates / opioids and been on on Buprenorphine for last 6 years, stable, no side effects, working, raising my family and feeling mostly good. I was offered methadone or Buprenorphine and after an online research and I chose Buprenorphine. Now I have control checkups once a month and getting my Buprenorphine for a week or two. I would like to ask you if I made a right choice cause most of the people I know on methadone are mostly lethargic, no jobs, family and spending their days mostly in bed while I'm active for 16 hours a day...

Hey Dr.B Would you recommend clonodine for suboxone withdrawal?

At first the accountability of driving there every single day really did help me out and they even found my urine temperature too high because I snuck in Bayonne proper urine, trying to beat the system for some blow

I have used suboxone for years. How do you handle major surgery while on suboxone? I have had back and neck surgery looking at another one. It’s really not much fun…..

When I started Suboxone I seen the Methadone users at the clinic and they looked SO intoxicated literally 12 people nodding in waiting chairs. Im so glad I made the right choice. On Sublocade now

I've been taking Suboxone for a year now and my cup pee test comes back positive but my lab test comes back negative for suboxone. Also when I take it I don't swallow none of the saliva after it dissolves because it gives me migraines would that be affecting the lab tests in any way.

I called a doctor in my area that is an addiction specialist that does the suboxone and the receptionist told me that they no longer take my insurance anymore i was so depressed when she told me that I just want help and I don't want to go on methadone I've heard bad things about getting off methadone it's just as bad as getting off h. what say you?

Ive been on methadone 110mg per day with 4 takeaways per week but i have been clean off all other opiates for 12years and due to pain i need to stay on it but its been a true life changing experience.

I have been taking methadone for 10 yrs and have been going only 2 times per month but I’m tired of taking it so now i switched to buprenorphine but I asked my doctor to prescribe me subutex which does not contain naloxone and can be taken as early as 6 hours after last use of fast acting opioids and 24 hours after last dose of methadone which removes the negative aspect of having to go into withdrawal for 2 to 3 days before taking Suboxone. I think every patient when transitioning from heroin or just opioids should be given Subutex which is buprenorphine without the drug naloxone and after 3 days on subutex should the patient be given suboxone. I don’t know why more clinics don’t do this takes away the much dreaded withdrawal symptoms that people don’t want to have to go through while waiting to take the first dose of suboxone

So what do ppl do when they’re out of town and can’t get to a clinic daily??

If possible talk to other people who have been to different clinics because they're not all the same. Some are very professional and really care about your well being, but some are run like the department of prisons. I had a counselor who was a nasty off duty prison guard and about as useless as something foul smelling you might get stuck on your shoe. Another clinic was extremely professional and eased me right through things with no problems at all. Be careful, patient and don't expect overnight results.

My sister was killed by her methadone clinic and my parents. The clinic gave her seven days of liquid all in one sitting - she was never a street drug or Rx-opiate user but she could talk anyone into literally anything. At home, she got so angry when my parents called 911, they decided not to call 911 that time. It was a “right to die” and a “we can’t take it anymore” situation. It helps to be White in a nice suburb, right? Or would a Black family get away with it, too?

My boyfriend his been clean for a year also two years. But at midnight on thanksgiving I drug test him and came back positive for buprenorphine so like I don’t know 🤷‍♂️ help me with this question.

I’m on 110 mg methadone been on for 3 years I’d be dead or in prison if it wasn’t for my dose😢 14:05

Part of me is of the opinion that because I’m on Medicare, I’m treated differently I’ve seen four doctors, my GP, the orthopedic doctor, emergency room doctor, not one doctor laid hands on me check my collarbone and try to move my arm to see how they can move or function. I really have no function in my left arm anymore, it hurts too much cause a huge bump in the middle of my collarbone. Is that how doctors treat patients now because of Covid are they talk or is it because I have Medicare that one doctor has even in a Physical I got no one doctor‘s check my glands done anything they just do blood tests check my blood pressure which because of the pain is a consistent 200 and something Over 170 or 60 when the pain was controlled it was almost normal but they’re not worried about that. They’d rather have a stroke out then treat me treat the pain why is this how dark doctors talk to treat patients in medical school now not to lay a hand on him of the three doctors I saw I thought it was four but three I timed it 12 minutes for three doctors, want to ask me what the problem was same doctor to give me the test results and say goodbye and I said doctor my blood pressure is kind of high and I need a new GP know there’s plenty down the road as he’s walking away find one he said

In Serbia, you can get a methadone prescription ( take home) in one city, than 50 km away in another, it is only clinic, daily. I haven't yet figured out how and why. Knowing my country, it's probably just a ordinary human mess.

Pacific time?

This is not true. Ive been on methadone for 5 years. Im on level 28 which means I get 28 take homes

Help me

And attorneys don’t think this is actionable I’m literally dying. This is no life to live. I know I’d hurt my kidney. My creatinine level is over three more information that I want to give if I turned my right eye, get the worst pain, my life in my kidney and like I said, I can’t even get the strength to get out of bed, except to put in the washroom and Try and get to the kitchen but I have very little appetite but they’re really good at making me sign something that says well I’m going to get some medical advice but then they send you the emergency room which I’ve been to and they humiliate you abuse you and do nothing for you and I told him that it would just be the same thing. Why would I go back to the emergency room? They know what my blood pressure is do you think they gave me any blood pressure medication? No they did. What makes you think going to emergency room is gonna be any different well they say yeah, no we don’t want to be liable if you should have a stroke instead of treating the stroke or the potential stroke believe in blood pressure medication they won’t even prescribe that and I do wonder is it because I’m on Medica

I was already more than 10 years into the opioid abuse disorder, and every time I got Suboxone and I sold them or share them while indulging them, and then would relapse almost monthly

I hate to say it never happened

This guy gets pay by suboxen

This man is beyond sexy.

These are drugs and it is a addiction🤷‍♀️ please someone tell me the difference … this is crazy but their getting rich as long as people fall for this bs

Doc, I work as a counselor at a Methadone clinic. Despite the ‘positives’ of the methadone clinics you mention here… With the ease and less regulated ability to obtain Suboxone, do you see the future of the Methadone clinics being phased out in the near future; and now you mention in Europe you can get methadone at the Doctors office. If that works its way here, we’re out of business, no? 😯

How about just GET SOBER!! Or don’t 🤷‍♀️

Spice it up too boring zzzzz

You can definitely get on Suboxone at my methadone program but for some crazy reason it cost more and people can you be using Medicaid to just telehealth it to Cvs once a month

I prefer subutex without suboxone,it is buprenorphine alone,-8mg tablets,very pleasant and easy to quit if not abused,(always the same lingering problem with these products) Dear Dr B,can you explain in a next video the difference between Buprenorphine with naloxone(suboxone) vs pure buprenorphine. My experience; pure buprenorphine,(temgesic 0.2 mg .or subutex 8mg buprenorphine alone) Is that I feel a pleasant high using a quarter of a tablet,(2mg)after one month abstinence of all medecine.(terrible cold turkey I admitt!) As an old 69 polytoxicomane, I assure you that they add naloxone to deprive us of a pleasant high,totally absent in suboxone. Tell me what you think,Thank you dr B.🙏

How soon can intake sub after my last perc I was clean off heroin for 7 years and I lost my mother two years ago this feb to cancer, my sister is currently dying from it , I live in mental hell with a bad relationship with my sons mother - I’m his sole provider and caretaker - I’m functionally ok financially and still living as I was sober - been taking 30mg a day of REAL percs for about two months. I feel like I failed cuz I let everything get to me - I want away from it now while my life is still in place . How soon can I take sub to avoid withdrawals for a few days without getting acute symptoms? I also have the buca strips that are minimal 2.5mcg should I use those instead since it doesnt hsve naloxone in it like subs? I’m desperate I don’t even crave them I try to withdrawal but taking care of my son full time makes it SO hard I find myself sitting up at night crying because i just want away from it all before I go to far . Someone please help - I have two sub pills and two buca strips I just want to take it long enough to bypass the severe withdrawals and then be done with the sub after a few days just scared to start it too soon after my last perc

I was prescribed suboxone 4mg/1 But i currently take 3mg klonopin everyday and im scared to take the suboxone but i need to make a decision soon before i start major withdrawals from oxy. I was taking 10mg oxy everyday. Ps i have a very very high benzo tolerance

Suboxone is just overall a better drug in terms of what's best for the addict. The longer time it has in the body without increasing dosages and having the associated side effects and the fact that it still works as a blocker and helps with cravings makes it superior in my opinion to Methadone. This is because if the person chooses to get off Suboxone they can simply taper down without having to worry about the withdrawl as much because it is only a partial agonist. I also believe because it's a partial agonist that it doesn't get you as high as a full agonist and therefore the associated side effects with those full agonists. I also believe it keeps people who are addicts seeking that "nod" they got from using heroin, which is something you can certaintly achieve on Methadone. For me personally I have been clean off Heroin and Meth Intravenous use for 5 years and Suboxone and medical marijuana has helped me curb all my cravings even on my worst days.

I take three suboxone 8s a day lol 4 if I stay up rly late