The socialolgy of addiction !!!! Well put and short simply explains a lot I often wandered during my active addiction and even more so now being on MATS and in recovery for 4 years..there is so much more for me the patient to learn. As well as the treating physician
My sister steals my medication and lies about it, there's obviously different grades of addiction and personality types. I've cut her out of my life now as stealing a chronic pain patients medication is Deplorable
@@DrBAddictionRecoveryhey I got 15 Days off Fentanyl and was addicted to opiates for 11 Yr I tryed methadone but I couldn’t get off So I stop It For Fentanyl didn’t know It was fentanyl I thought it was herion anyways I can’t sleep go no energy sill have the runs And Anxiety I don’t want suboxone What can I do
@@jeffmatts2919 suboxone if i been clean for over 100 days already? Do you really....really.... want to get back on an opiate as strong as buprenorphine? suboxone after being clean from opiates for 100 days? that is ridiculous and dangerous, and you may literally never come off it for life, because of the very long half-life and pain of withdrawal from buprenorphine is extremely underexplained, heroin,oxycontin, morphine etc..does not hold a candle to the length of time and pain of withdrawals that buprenorphine gives a patient, ask an actual addict or visit a rehab clinic and ask the addicts there to compare what withdrawal are worse, not a rehab doctor prescribing it
Yes Dr. B, I really appreciate you sharing this information! So many people do not understand the disease of addiction & the Especially do not understand Opiate Addiction!!!! Thankyou for helping fight this stigma that Me & Many others on MAT face Daily!
@Stephen Tumlin I really don't understand your point. I hope you find the help you need if you do. Suboxone is saving peoples lives my friend, and to know more about it and what it does for you is all this is about. Its really nice to hear your comments though on how you feel. God Bless You.
@Stephen Tumlin I get your question now. At first yes, however if it helps me stay away from the hard core pain pills that can kill you, then I had to realize that those people have no clue what this medication is used for, and I also had a really bad benso problem. Suboxone also helped me with that issue, but I do see your point. I just think for me, being alive is better, than what a few people think about me by the medicine I'm on.
I agree. I started buprenorphine from a patch being sick for almost 36 hours. It worked great and I wasn't sick for a day and a half. I went on Suboxone soon after. I was sick for the period of time they recommended (morphine use) and they determined I was sick enough.. I got sooo sick, worse than coming off of 120mg methadone. I never went back. And I'd never try it again. I tried to relieve it by taking more morphine but no amount helped at all.. made it worse I think. I went into precipitated withdrawal for the next 14 hours
Omg, you are amazing. No doctor has ever taken the time to clearly explain Buprenorphine to me. It’s been 20 years and it’s time. You clearly have a grasp on the subject. Thank you
I personally think that there should be more doctors like you. Unfortunately doctors here need to be more educated like you are instead of looking at every patient as though their a addict and their very misinformed on what addiction really is anymore
I stopped taking methadone at 40 mls and used pregabalin and zimovane. The pregabalin stopped the withdrawals period and I used the zimos to help with sleep. It does work.
I'm at 30mls of methadone from 95 I think the pregabalin have given me the strength to get here. A few zimos for the sleep (small price to pay) thanks for the tip.
I wish someone would tell me please, Been on methadone & C for decades {Daily} and recently changed to Buprenorphine. {Subutex} However, 13 days without methadone or any other opioid just 'Subbies' and I am feeling more WD again. It can't be right. I take them so carefully, under tongue, no eating/drinking/talking..but I'm still getting leg pains/jerkings of classic Methadone WD type. Will they settle? 16mgs I split the dose into 2x8, one at 8am, another at tea time.5pm. What's happening? Thanks if anyone can shed some light on this.
Me recovering addict need a beautiful recovering addict girl from america or russua to marry. My bank acc. Job both good. Live like queen. Age 33. Not married. Never ...i got cheated last tu o last year. In a relationship. Now recovered nd want to marry a somple girl with beautiful heart.
Childhood trauma due to parental or trusted adult psychological, emotional and sexual abuse toward the child...changes the child's brain chemistry and literally damages our brains. No one wakes up saying oh I think I'll go become a drug addict, only people self medicating who are seeking the normalcy everyone else takes for granted ~ heroin (in my case) afforded me, gone are all our social anxieties, self doubts, self hatred, self deprecating internal dialogue, self harm, perpetual second guessing oneself etc etc. Society, government corruption and basically the creation of civilisation itself and the resultant loss of man's connection with the earth, with natural cycles of life, a loss of connection with the very things man was designed for and give connection and meaning to, if you'll forgive the expression, life the universe and everything (God bless DA❤️) - those things are amongst the contributing factors for sure. And here's a surprise, prohibition DOESN'T WORK, you cannot PUNISH the PAIN out of people and the War On Drugs was at its heart a war against the walking wounded in our society, a war against the most vulnerable and least capable of any kind of meaningful self defence. The government's have become the biggest drug dealers of all and jealously guard their turf, their product and their gullible addicted customers; so that's all lands governed, all addictive pharmaceuticals (all the opioids and ADHD drugs) and their customers - us. Call me cynical. But deep down I have hope for us, I couldn't face each day without that hope.
Withdrawals from methadone or suboxone that have been used for long term. (6)months plus u doctors should have to take it as well for that long and quit without weening like what happens to most ur patients
We are in the middle of a crisis in the clinic where i am they don't want go give take homes and if somebody get sick every body will be get sick..philadelphia Kensington hospital.so i ask if they can help me whit something to stay in home cause i live far away 3 hours round trip every day and i can get the virus covid 19.and all they can do its detox me in 7 days i am in 16 mm of methadone ,but i know i will get so sick and i don't need that ,after 16 years clean..hell no ..so what can i do to get out of the program ?
Kratom Kratos. But remember whatever you use to quit opiates just makesure too it for a little while like 2 to 3 weeks other wise you will get addicted to that substance
you have to take lots of kratom to get off. two weeks and I was having kratom withdrawals every 2 hours. which makes you go straight back to the pain meds.
Can you do a video on what the current situation is causing for people that are using or in recovery/treatment as far as regulations and dr visits and obtaining medication? My local clinic posted to the news they are allowing for more take homes etc but I respect your opinion and would love to hear it. This is a stressful time. Job loss. Family issues. Financial issues. Would love your voice on these matters.
Hi Jade! Did you watch my live stream by chance? I answered a lot of questions around this in there. You can find it here: ua-cam.com/video/rIrkhh3ghTE/v-deo.html
You’re so right! I’ve always thought it’s crazy that people label users as relapsed just for a single moment of use?! It’s nuts. Just like when people right off a users entire life lived before they became addicted as if everything before and after your period of use was meaningless (i.e. “hello my name is BLANK, and I’m an Addict”….I’ve always hated that). You’re truly a respectable and knowledgeable physician. I too am Persian; born and raised in Canada with a background in healthcare. Love watching all your videos. You’re the best. Venus
I do not mean to sound inappropriate and I apologize if this comes across as disrespectful but you would make such an amazing Husband. Just saying. Lol
LOL! You should see my history. Mean, workaholic, difficult to deal with, way too intense, only cares about patients.......The best one was nicest and smartest A..hole I ever met. All of that said, thank you and no offense taken.
It works great for me! I love it. My life changed the day I switched from a long acting morphine to Subutex....I feel the best I have ever felt in my life. I also use advil to help with my pain and I also do Yoga now which helps tremendously.
What about people with chronic kidney disease and liver disease ? People with chronic pain that cannot tolerate methadone or suboxone? Its horrifying doctors are now abandoning disabled patients. To basically withdraw cold turkey at home .
@@thatguy1729 is it safe for someone with kidney failure? I have CKD stage 3b sometimes 4. I also have chronic kidney stones, will Kratom put me at risk for more stones? is kratom high in oxalates?
Subs kick me into a hard withdrawal. I feel like Im being punished for trying to do whats right and make me and my life better. Thank you for these videos and showing that there are doctors and people that care out there.
Suboxone is a window of time that allows us to treat the underlying cause of our addiction, which us our trauma. This is why we are all unique individuals with a wide range of "stuff" we need to work through. If you treat the trauma, you will treat the addiction. Dont rush your recovery. Its at your own pace. This is why no addiction or recovery are ever the same.
I've looked for videos on tramadol use during pregnancy. I take 100mg in a 24-hour period ½ a tab at a time every 5-9 hr, depending on my pain. Been on it for over 10yrs then got pregnant. My Dr and my OB have said it's an extremely low dose. I guess I just want to hear from another Dr, too.
How does someone get off suboxone after many years of use? My family member desperately wants off. I believe down to about 4mg per day. But when he decreases, it's very hard on him, especially having to work while trying to decrease. Thank you.
I asked my PCP today to help my withdrawl i even suggested or asked about going on clonidine for maybe a week and she told me that clonidine is a buprenorphine. Im assuming she misunderstood me but can you confirm its not?
Clonidine is primarily used "off-label" in the case of opiate/opiod withdrawl and can help with keeping calm and agitation, restlessness ect. It is an anti hypertensive drug. Clonidine is not an opiod or opiate and is commonly used alongside buprenorphine in MAT, usually in the beginning stages when the patient is still getting adjusted to the medication and detox from the opiate and or opiod.
We I said we.we don’t want be invaded by no one...believe me doctor..we go to you..I really believe that he first 2week we need to be alone..with what ever medication you give...when we sick ,I repeat when we sick we just want be alone ...less talk the better,after 2weeks ...depending of what you see in patient..and was he is able to express to you verbally...you start 2nd part of treatment from there...my honest opinion...try that
That is a very common attitude, even out here. Part of it is a misunderstanding of the concept that how opiates and benzos together are more deadly. Although true, there is a sublty here and it is too long to get into.
I live in Ohio and also had the problem with benzo/bup. Dr. B is right it is a common attitude from a doctor. The studies of mixing benzos and bup are still limited as suboxone was FDA approved in 2003. The studies i have read are mostly of people illicitly using benzos and or buprenorphine together, not much on the patients using the two medications as directed . As Dr. B explains that if the patient is on a benzo then they would be closely monitered because of the abuse potential. The best option in my opinion if bup and benzos are prescribed is to seek out a dual diagnosis facility so the doctor can tailor your opiate/opiod recovery and also the anxiety issues.
@@sebaldwin12 yes, I believe you are right. My mother, at age 86 was on methadone and Klonopin. She went to a pain Dr at MVC in Richmond. She was closely monitored and had no problem with the two. I think the problem is, as you said, people abusing the two, or one or the other. It's not an automatic death sentence.
I am taking 16mg buprenorphine hcl b.i.d (2x a day) because i have been a chronic pain patient for 10 years as i was diagnosed with crohns disease. I switched from Fetanyl to methadone and oxymorphone befote trying buprenorphine (subutex). The half life is what made me realize that it was the right med as i could go with 2 doses a day instead of 4 and i not get the highs and lows from the common opiods oxy, hydro ect. I am also prescribed 3mg alprazolam a day prn (as needed) and under close monitoring by my doctor. I have an FDA link about this subject ill post.
I am at a point in my life I am sick of the way my life as an addict is. I really want help but am without a job and money. I worked 19 years pipeline but can't get off long enough to even pass a drug test to get back to work and get away from my hometown to get to work again for my family. I would love for anyone to point me in a direction for help.
In my day we went given eny meds you was just left to do your withdrawal I did it strate off 80ml ones you suffered years ago In England god save the queen lol 😆
How are you doing on your fourth month?? Giving up heroin to give suboxone a try. Coming across comments like yours is the reason I am taking the leap of faith.
@@limayaden8458 I've been clean since april! Nowadays I barely can imagine the pain I was in for the last 3,5 years straight. I started using when 19 years old so at times I really did believe that i was a lost cause. I couldn't get myself to clean my appartement even every 4 months, I lost contact to basically all of my friends, didn't have any hobbies, lost both of my jobs. I almost lost an arm and a leg due to addiction. Just kept getting closer to being homeless or dying of an OD by the week. But then my ego kinda kicked in. I was just tired of the endless circle I couldn't get out of. I wrote this list (highly recommend) of specific things that I hate about being an addict. I looked at it every day. The withdrawal symptoms were HORRIBLE. After the initial withdrawal phase I had PAWS for like 2,5 months. But the list reminded me that being an addict is the one of the worst things on earth. I wanted to relapse so badly. But the list still keeps me from relapsing. Now, I'm sitting in my clean kitchen, laundry done, meal cooked, I'm showered and my body looks healthy for the first time in YEARS. Writing this I'm literally crying. I was so close to giving up my life. I'm so glad I didn't. I have so much more energy, love and passion for life, the people around me and myself. Don't give up buddy. Suboxone is a great idea. If you're able to get therapy please do. Write a list of the things you'd love to do one day. Write a list of why you don't like your situation. If writing is too uncomfortable, just think about these questions. I'm rooting for you friend!!
I realy trust in Ibogain (for all kinds of adiction) but dont know if its legal in the us. Its possible to do microdosing or a full dose, but a full dose can be dangorous for people with heart problems. Iam realy interrested if anybody got experence with it. Thx for youre great help!!
Doctor, much respect for the info but i do have a issue going from one drug to the next...Suboxtone and methadone are worst than the opiate. Can we just be honest. If you really want to stop. Just stop cause what you feeling is everything you were trying to numb during your addiction. Man up and deal with it. If you looking for a help with meds to get you thru addiction then you really aint ready to quit.....i cold turkey off of 80 norcos a day to 15 OP 80s to putin myself on methadone (meaning bying liquid bottles off streets) for 7 years and i just stopped. Tired. You will know when you are tired and ready to make your life better. God bless everyone.
You are lucky. I tried to ''Woman up'' by going to the South of France to ''Cold turkey'' it out... alone.{Heroin and methadone} ..It was so utterly grim. I just dragged myself up and down the coast by train going from pharmacy to pharmacy buying Paregorique and Neo Codion in a vain attempt to ease the pains. Such beautiful scenery lost on me, the lighthouse over the bay at St Tropez hit the bedroom wall with four rapid flickers of light, I watched them for hours, like a pulse through the hot restless nights Shamefully approaching rainy old England I knew my pain would be eased. Next year I went back, fully supported with a script...what a blessed difference.
You the best doctor I wish you was my doctor n help me with my life I'm doing stretch little by little n it work a little bit but my doctor abadom me n the rest of the patient with out no answer she left me in the limbo so I did not have no choice cus I was going out of control I was in withdrawal my brother got me methadone I drink a little bit with water n it took my chronic back pain until I see the new doctor I was not craving for prescription opioid at all my pain when away omg just a little spoon I was shock just a little spoon with water that it I suffer from panic attack n diabetes nerves damage n bulges disk desease I slept like a baby no pain just a little of bit of that liguit until I see my doctor cus I was withdrawn n my feet n hand was burning out of 90 she only gave me 60 I ran out of those pill so my brother told me that methadone work for your withdrawal but just take a little bit with water until you find a new doctor all day with out pain omg I just wanted this pain out I don't want to get hight just be myself back again I want to tried belbuca I hope the doctor help me I told her she going to see me I told her I don't have medication so I'm taking methadone cus I was going crazy with the pain n headed cus of the opioid withdrawal I could not take it so my brother told me about that n it work just one spoon the whole day with out taking those crazy med that mess up my stomach
Yes, i agree. Suboxone has saved my life. Many times i hear ppl say Subs do not work for me. Ive tried it many times over 10 years and by staying open minded and willing to not give up, it finally worked. Im now 3 years clean and a Certified Peer Recovery Support Specialist. Never give up. Its a learning process and overtime, all the stars align (everything weve learned after many attempts to quit drugs,) and we get it. I have MDD, so i always feel depressed, so i have a lot of relapse in my history. Just keep pushing forward and you will achieve recovery. God bless... 🙏❤💪
How you or loved ones can quit Heroin for good! ua-cam.com/video/COQD0mFGsy4/v-deo.html
The socialolgy of addiction !!!! Well put and short simply explains a lot I often wandered during my active addiction and even more so now being on MATS and in recovery for 4 years..there is so much more for me the patient to learn. As well as the treating physician
I wish you were treating me. I feel like I would actually succeed for once
I’m only on half a strip at most a day.. I could not cold turkey but that’s ok many can’t. I can live normal again. Thank goodness. ♥️
@Gele Nikolov there’s strips and tablets both sublingual and 8 mg…half is 4mg
I like you from India
Awesome! how're doing? I'm on 12 mg (8 and 2 2s) it SAVED my life
In doing well!! Have never took my pain med or any again in years now!
My sister steals my medication and lies about it, there's obviously different grades of addiction and personality types. I've cut her out of my life now as stealing a chronic pain patients medication is Deplorable
In my country we switch to bupnurthing on 30ml of metherdone if we have bin on metherdone
What about ANR ?
U look very smart ..dopy eyes
Oh great drug make you lose your teeth
You steel don’t reach me!
You can reach us at 1800-779-4715
@@DrBAddictionRecoveryhey I got
15
Days off
Fentanyl and was addicted to opiates for
11
Yr I tryed methadone but
I couldn’t get off
So I stop
It
For
Fentanyl didn’t know
It was fentanyl I thought it was herion anyways I can’t sleep go no energy sill have the runs
And
Anxiety I don’t want suboxone
What can I do
Thank you Dr. B! We need more doctor's like you😊
Thank you!
@@DrBAddictionRecovery can i start on suboxone if i been clean for over 100 days already?
@@jeffmatts2919 suboxone if i been clean for over 100 days already?
Do you really....really.... want to get back on an opiate as strong as buprenorphine? suboxone
after being clean from opiates for 100 days? that is ridiculous and dangerous, and you may literally never come off it for life, because of the very long half-life and pain of withdrawal from buprenorphine is extremely underexplained, heroin,oxycontin, morphine etc..does not hold a candle to the length of time and pain of withdrawals that buprenorphine gives a patient, ask an actual addict or visit a rehab clinic and ask the addicts there to compare what withdrawal are worse, not a rehab doctor prescribing it
@@mp-uy9sv only took you a year to respond to late i been on subs for a year now and dont plan on coming off any time soon
Yes Dr. B, I really appreciate you sharing this information! So many people do not understand the disease of addiction & the Especially do not understand Opiate Addiction!!!! Thankyou for helping fight this stigma that Me & Many others on MAT face Daily!
I appreciate you, Nicole!
Yes, thank you Dr. B. for all the knowledge you are sharing to help people stay sober...
@Stephen Tumlin I really don't understand your point. I hope you find the help you need if you do. Suboxone is saving peoples lives my friend, and to know more about it and what it does for you is all this is about. Its really nice to hear your comments though on how you feel. God Bless You.
@Stephen Tumlin I get your question now. At first yes, however if it helps me stay away from the hard core pain pills that can kill you, then I had to realize that those people have no clue what this medication is used for, and I also had a really bad benso problem. Suboxone also helped me with that issue, but I do see your point. I just think for me, being alive is better, than what a few people think about me by the medicine I'm on.
I started Suboxone It’s wonderful anyone on the fence don’t hesitate..UP DATE It was a nightmare
Yeah fuck suboxone.
I agree. I started buprenorphine from a patch being sick for almost 36 hours. It worked great and I wasn't sick for a day and a half. I went on Suboxone soon after. I was sick for the period of time they recommended (morphine use) and they determined I was sick enough.. I got sooo sick, worse than coming off of 120mg methadone. I never went back. And I'd never try it again. I tried to relieve it by taking more morphine but no amount helped at all.. made it worse I think. I went into precipitated withdrawal for the next 14 hours
Kratom got me clean after 20 years and i will be 59 in jan
Congratulations, Just started Kratom yesterday after taking oxycodone for 10 years. Any tips
Please tell how you did it and Brand of Kratom . More details could help us all ....
Kratom never helped me..I was a heavy user though
Omg, you are amazing. No doctor has ever taken the time to clearly explain Buprenorphine to me. It’s been 20 years and it’s time. You clearly have a grasp on the subject. Thank you
Suboxone can be helpful. However its a fucking nightmare to quit. It also gave me terrible health problems after years. I though i was dying.
I'm on 2 of the 8 mg strips a day and feel great. It's very addictive still. But they save lives. I'd be dead if not on it.
I was on that dose a long time. You really do not need that much. You'll notice very minimal to zero withdrawal dropping to just 8 mg. Even 4mg
I personally think that there should be more doctors like you. Unfortunately doctors here need to be more educated like you are instead of looking at every patient as though their a addict and their very misinformed on what addiction really is anymore
Agree. Many are very misinformed about people who need help with addiction.
I stopped taking methadone at 40 mls and used pregabalin and zimovane. The pregabalin stopped the withdrawals period and I used the zimos to help with sleep. It does work.
I'm at 30mls of methadone from 95
I think the pregabalin have given me the strength to get here. A few zimos for the sleep (small price to pay) thanks for the tip.
I wish someone would tell me please, Been on methadone & C for decades {Daily} and recently changed to Buprenorphine. {Subutex}
However, 13 days without methadone or any other opioid just 'Subbies' and I am feeling more WD again.
It can't be right.
I take them so carefully, under tongue, no eating/drinking/talking..but I'm still getting leg pains/jerkings of classic Methadone WD type.
Will they settle? 16mgs I split the dose into 2x8, one at 8am, another at tea time.5pm. What's happening? Thanks if anyone can shed some light on this.
@Mini Marcle how did it work for you
I was loving you til you said its not a Right its a privilege. It is 100% a right ! For people to get clean and sober.!
Me recovering addict need a beautiful recovering addict girl from america or russua to marry. My bank acc. Job both good. Live like queen. Age 33. Not married. Never ...i got cheated last tu o last year. In a relationship. Now recovered nd want to marry a somple girl with beautiful heart.
Childhood trauma due to parental or trusted adult psychological, emotional and sexual abuse toward the child...changes the child's brain chemistry and literally damages our brains. No one wakes up saying oh I think I'll go become a drug addict, only people self medicating who are seeking the normalcy everyone else takes for granted ~ heroin (in my case) afforded me, gone are all our social anxieties, self doubts, self hatred, self deprecating internal dialogue, self harm, perpetual second guessing oneself etc etc. Society, government corruption and basically the creation of civilisation itself and the resultant loss of man's connection with the earth, with natural cycles of life, a loss of connection with the very things man was designed for and give connection and meaning to, if you'll forgive the expression, life the universe and everything (God bless DA❤️) - those things are amongst the contributing factors for sure. And here's a surprise, prohibition DOESN'T WORK, you cannot PUNISH the PAIN out of people and the War On Drugs was at its heart a war against the walking wounded in our society, a war against the most vulnerable and least capable of any kind of meaningful self defence. The government's have become the biggest drug dealers of all and jealously guard their turf, their product and their gullible addicted customers; so that's all lands governed, all addictive pharmaceuticals (all the opioids and ADHD drugs) and their customers - us. Call me cynical. But deep down I have hope for us, I couldn't face each day without that hope.
Withdrawals from methadone or suboxone that have been used for long term. (6)months plus u doctors should have to take it as well for that long and quit without weening like what happens to most ur patients
We are in the middle of a crisis in the clinic where i am they don't want go give take homes and if somebody get sick every body will be get sick..philadelphia Kensington hospital.so i ask if they can help me whit something to stay in home cause i live far away 3 hours round trip every day and i can get the virus covid 19.and all they can do its detox me in 7 days i am in 16 mm of methadone ,but i know i will get so sick and i don't need that ,after 16 years clean..hell no ..so what can i do to get out of the program ?
Private doctor?
Can you go to a private doc?
CHUITO MALAVE subs or methadone?
Dr. B Addiction Recovery ...methadone !
Diane Bays i think thats the last option !
Dr B is too deep ❤😂👍
Please do vedio about Tramadol addiction
I’ve tried clonodin- it did absolutely nothing !!! This is what scares me!
I agree, there is withdrawal from clonidine also.
Kratom Kratos. But remember whatever you use to quit opiates just makesure too it for a little while like 2 to 3 weeks other wise you will get addicted to that substance
you have to take lots of kratom to get off. two weeks and I was having kratom withdrawals every 2 hours. which makes you go straight back to the pain meds.
Can you do a video on what the current situation is causing for people that are using or in recovery/treatment as far as regulations and dr visits and obtaining medication? My local clinic posted to the news they are allowing for more take homes etc but I respect your opinion and would love to hear it. This is a stressful time. Job loss. Family issues. Financial issues. Would love your voice on these matters.
Hi Jade! Did you watch my live stream by chance? I answered a lot of questions around this in there. You can find it here: ua-cam.com/video/rIrkhh3ghTE/v-deo.html
I missed it but I'll check out the link. Thank you!!!
@@jjadebrooklyn Absolutely! If there's any other questions that I don't specifically answer for you just let me know!
You’re so right!
I’ve always thought it’s crazy that people label users as relapsed just for a single moment of use?! It’s nuts. Just like when people right off a users entire life lived before they became addicted as if everything before and after your period of use was meaningless (i.e. “hello my name is BLANK, and I’m an Addict”….I’ve always hated that).
You’re truly a respectable and knowledgeable physician.
I too am Persian; born and raised in Canada with a background in healthcare.
Love watching all your videos.
You’re the best.
Venus
How to gain weight whole using 4 mg bupronorphine daily.
Slow Taper is best way. No need to trade one drug for another.
How do you get over it in time stop taking the shit and slowly start working out it w
I do not mean to sound inappropriate and I apologize if this comes across as disrespectful but you would make such an amazing Husband. Just saying. Lol
LOL! You should see my history. Mean, workaholic, difficult to deal with, way too intense, only cares about patients.......The best one was nicest and smartest A..hole I ever met. All of that said, thank you and no offense taken.
Ask him out
I agree
Thank u for these videos love ya dr b
Thank you for always being there, Cindy!
What are your thoughts on long term buprenorphine hcl treatment (subutex) for patients with liver problems or patients with pro longed pain issues?
Big on it, for the right patient.
It works great for me! I love it. My life changed the day I switched from a long acting morphine to Subutex....I feel the best I have ever felt in my life. I also use advil to help with my pain and I also do Yoga now which helps tremendously.
@@ramey_4332 Happy to hear that it's working so well for you, Ramey!
What about people with chronic kidney disease and liver disease ? People with chronic pain that cannot tolerate methadone or suboxone? Its horrifying doctors are now abandoning disabled patients. To basically withdraw cold turkey at home .
Kratom?
@@thatguy1729 is it safe for someone with kidney failure? I have CKD stage 3b sometimes 4. I also have chronic kidney stones, will Kratom put me at risk for more stones? is kratom high in oxalates?
that was an excellent explaination of how your treatment plans work..where do we find out about pricing?med.insurance?thank so much Dr.B
Hi Lin, can call 800-779-4715 and they are super helpful. I think everyone on my team is amazing and dedicated.
I us it and i hilly recommend it
I'm taking 120mgs, a day. That's the most my clinic with dose. I see so many on way more than that. Why? Why can't we get more? My clinic is awful.
Subs kick me into a hard withdrawal. I feel like Im being punished for trying to do whats right and make me and my life better. Thank you for these videos and showing that there are doctors and people that care out there.
Wd from the subs or percipitated wd?
You’re taking them too soon
Suboxone is a window of time that allows us to treat the underlying cause of our addiction, which us our trauma. This is why we are all unique individuals with a wide range of "stuff" we need to work through. If you treat the trauma, you will treat the addiction. Dont rush your recovery. Its at your own pace. This is why no addiction or recovery are ever the same.
I wish you could treat me. That would be wonderful. You know the struggle of addiction and you are helping, my clinic ain't helping. Great video
I've looked for videos on tramadol use during pregnancy. I take 100mg in a 24-hour period ½ a tab at a time every 5-9 hr, depending on my pain. Been on it for over 10yrs then got pregnant. My Dr and my OB have said it's an extremely low dose. I guess I just want to hear from another Dr, too.
How does someone get off suboxone after many years of use? My family member desperately wants off. I believe down to about 4mg per day. But when he decreases, it's very hard on him, especially having to work while trying to decrease. Thank you.
Don’t punish pain
Suboxone is addictive and dangerous from my 3 1\2 yrs. experience . I found that SUB made me jittery and nervous not a comfortable experience !!!!
I asked my PCP today to help my withdrawl i even suggested or asked about going on clonidine for maybe a week and she told me that clonidine is a buprenorphine. Im assuming she misunderstood me but can you confirm its not?
Clonidine is primarily used "off-label" in the case of opiate/opiod withdrawl and can help with keeping calm and agitation, restlessness ect. It is an anti hypertensive drug. Clonidine is not an opiod or opiate and is commonly used alongside buprenorphine in MAT, usually in the beginning stages when the patient is still getting adjusted to the medication and detox from the opiate and or opiod.
Clonidine is a blood pressure med.
Not bup
Can dr. B help people in pa
Hi Stevie, yes I can. Give me a call, (800)779-4715
We I said we.we don’t want be invaded by no one...believe me doctor..we go to you..I really believe that he first 2week we need to be alone..with what ever medication you give...when we sick ,I repeat when we sick we just want be alone ...less talk the better,after 2weeks ...depending of what you see in patient..and was he is able to express to you verbally...you start 2nd part of treatment from there...my honest opinion...try that
“Episode of use” is a brilliant way to reframe a slip. You’re the bomb doc.
I live in West Virginia, and here, they will not give a patient a benzo with bup.
That is a very common attitude, even out here. Part of it is a misunderstanding of the concept that how opiates and benzos together are more deadly. Although true, there is a sublty here and it is too long to get into.
I live in Ohio and also had the problem with benzo/bup. Dr. B is right it is a common attitude from a doctor. The studies of mixing benzos and bup are still limited as suboxone was FDA approved in 2003. The studies i have read are mostly of people illicitly using benzos and or buprenorphine together, not much on the patients using the two medications as directed . As Dr. B explains that if the patient is on a benzo then they would be closely monitered because of the abuse potential. The best option in my opinion if bup and benzos are prescribed is to seek out a dual diagnosis facility so the doctor can tailor your opiate/opiod recovery and also the anxiety issues.
@@sebaldwin12 yes, I believe you are right. My mother, at age 86 was on methadone and Klonopin. She went to a pain Dr at MVC in Richmond. She was closely monitored and had no problem with the two. I think the problem is, as you said, people abusing the two, or one or the other. It's not an automatic death sentence.
I am taking 16mg buprenorphine hcl b.i.d (2x a day) because i have been a chronic pain patient for 10 years as i was diagnosed with crohns disease. I switched from Fetanyl to methadone and oxymorphone befote trying buprenorphine (subutex). The half life is what made me realize that it was the right med as i could go with 2 doses a day instead of 4 and i not get the highs and lows from the common opiods oxy, hydro ect. I am also prescribed 3mg alprazolam a day prn (as needed) and under close monitoring by my doctor. I have an FDA link about this subject ill post.
www.drugtopics.com/clinical-news/fda-okays-benzodiazepines-and-medication-assisted-opioid-addiction-treatment
I am at a point in my life I am sick of the way my life as an addict is. I really want help but am without a job and money. I worked 19 years pipeline but can't get off long enough to even pass a drug test to get back to work and get away from my hometown to get to work again for my family. I would love for anyone to point me in a direction for help.
Hi doctor
In my day we went given eny meds you was just left to do your withdrawal I did it strate off 80ml ones you suffered years ago In England god save the queen lol 😆
Why does Subutex do nothing for my mental withdrawal even at max dose?
You have no idea how much you have helped me. Day 3 and going strong!
How are you doing on your fourth month?? Giving up heroin to give suboxone a try. Coming across comments like yours is the reason I am taking the leap of faith.
@@limayaden8458 I've been clean since april! Nowadays I barely can imagine the pain I was in for the last 3,5 years straight. I started using when 19 years old so at times I really did believe that i was a lost cause. I couldn't get myself to clean my appartement even every 4 months, I lost contact to basically all of my friends, didn't have any hobbies, lost both of my jobs.
I almost lost an arm and a leg due to addiction.
Just kept getting closer to being homeless or dying of an OD by the week.
But then my ego kinda kicked in. I was just tired of the endless circle I couldn't get out of.
I wrote this list (highly recommend) of specific things that I hate about being an addict.
I looked at it every day.
The withdrawal symptoms were HORRIBLE.
After the initial withdrawal phase I had PAWS for like 2,5 months.
But the list reminded me that being an addict is the one of the worst things on earth.
I wanted to relapse so badly. But the list still keeps me from relapsing.
Now, I'm sitting in my clean kitchen, laundry done, meal cooked, I'm showered and my body looks healthy for the first time in YEARS.
Writing this I'm literally crying. I was so close to giving up my life. I'm so glad I didn't.
I have so much more energy, love and passion for life, the people around me and myself.
Don't give up buddy. Suboxone is a great idea. If you're able to get therapy please do.
Write a list of the things you'd love to do one day. Write a list of why you don't like your situation.
If writing is too uncomfortable, just think about these questions.
I'm rooting for you friend!!
Ashwagandha help with detox or as you put it with draw
I realy trust in Ibogain (for all kinds of adiction) but dont know if its legal in the us. Its possible to do microdosing or a full dose, but a full dose can be dangorous for people with heart problems. Iam realy interrested if anybody got experence with it. Thx for youre great help!!
Iboga is illegal here.
Anomia is more sociology entropi (haos) not order.
Wish u were my doctor scally in the UK cool doctor
I found the mistake very easy doctor
The noification what bell ?
Vaping and Suboxone saved my life
Medication is a right if your paying for it
cold turkey nearly killed me. it was so bad i drank bleach
Foof y you just want to kill your self umm.
Poor thing 💚
I would you drink bleach hun?! Wtf
Doctor, much respect for the info but i do have a issue going from one drug to the next...Suboxtone and methadone are worst than the opiate. Can we just be honest. If you really want to stop. Just stop cause what you feeling is everything you were trying to numb during your addiction. Man up and deal with it. If you looking for a help with meds to get you thru addiction then you really aint ready to quit.....i cold turkey off of 80 norcos a day to 15 OP 80s to putin myself on methadone (meaning bying liquid bottles off streets) for 7 years and i just stopped. Tired. You will know when you are tired and ready to make your life better. God bless everyone.
You are lucky. I tried to ''Woman up'' by going to the South of France to ''Cold turkey'' it out... alone.{Heroin and methadone} ..It was so utterly grim.
I just dragged myself up and down the coast by train going from pharmacy to pharmacy buying Paregorique and Neo Codion in a vain attempt to ease the pains. Such beautiful scenery lost on me, the lighthouse over the bay at St Tropez hit the bedroom wall with four rapid flickers of light, I watched them for hours, like a pulse through the hot restless nights
Shamefully approaching rainy old England I knew my pain would be eased.
Next year I went back, fully supported with a script...what a blessed difference.
Doctor B what state are you in?
Hi Edward, I'm located in California.
Dr. B Addiction Recovery Bay Area???
You the best doctor I wish you was my doctor n help me with my life I'm doing stretch little by little n it work a little bit but my doctor abadom me n the rest of the patient with out no answer she left me in the limbo so I did not have no choice cus I was going out of control I was in withdrawal my brother got me methadone I drink a little bit with water n it took my chronic back pain until I see the new doctor I was not craving for prescription opioid at all my pain when away omg just a little spoon I was shock just a little spoon with water that it I suffer from panic attack n diabetes nerves damage n bulges disk desease I slept like a baby no pain just a little of bit of that liguit until I see my doctor cus I was withdrawn n my feet n hand was burning out of 90 she only gave me 60 I ran out of those pill so my brother told me that methadone work for your withdrawal but just take a little bit with water until you find a new doctor all day with out pain omg I just wanted this pain out I don't want to get hight just be myself back again I want to tried belbuca I hope the doctor help me I told her she going to see me I told her I don't have medication so I'm taking methadone cus I was going crazy with the pain n headed cus of the opioid withdrawal I could not take it so my brother told me about that n it work just one spoon the whole day with out taking those crazy med that mess up my stomach
Yes, i agree. Suboxone has saved my life. Many times i hear ppl say Subs do not work for me. Ive tried it many times over 10 years and by staying open minded and willing to not give up, it finally worked. Im now 3 years clean and a Certified Peer Recovery Support Specialist. Never give up. Its a learning process and overtime, all the stars align (everything weve learned after many attempts to quit drugs,) and we get it. I have MDD, so i always feel depressed, so i have a lot of relapse in my history. Just keep pushing forward and you will achieve recovery. God bless... 🙏❤💪