In the News: The Kratom Debate

September 10, 2018 by C. Scott McMillin

The real issue is that Kratom use is already so widespread that attempts at a total ban would inevitably create hardship for those who are already dependent on the drug, as well as fuel the appearance of a thriving black market.

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Naltrexone versus Opioids

November 27, 2017 by C. Scott McMillin

Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.

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Pharmacology to the Rescue?

June 26, 2017 by C. Scott McMillin

As the old chief says in the movie Little Big Man: “Sometimes the magic works, sometimes it doesn’t.”

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Maintenance Dilemma

December 22, 2016 by C. Scott McMillin

Weary looking young man lies on sofa extending a remote control.

Would you respond to this information with a concerted effort at self-examination and profound behavior change?

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Suboxone and Overdose

December 8, 2016 by C. Scott McMillin

Naloxone is there to prevent someone from injecting Suboxone to get high.

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Methadone Maintenance and Crime

August 8, 2016 by C. Scott McMillin

So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.

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July 7, 2016 by C. Scott McMillin

I’m sure some is used to suppress withdrawal, but if it’s possible to get high, then you have to figure people are doing that, too.

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In the News: Bupe Implants

June 2, 2016 by C. Scott McMillin

A substantial number of patients will wind up taking these meds on a more or less permanent basis, so lifetime costs should be considered.

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Box Wars

May 30, 2016 by C. Scott McMillin

We routinely received assurances from experts that abuse and addiction were not going to be a big problem once access to opioids had been greatly expanded.

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Open the Buprenorphine Tap?

March 31, 2016 by C. Scott McMillin

Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.

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