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Blog Archive

What are the effects of ketamine infusions? Jun 16th, 2021

During the infusion itself many people experience a kind of transcendent stat.  The antidepressant effects are almost immediate.  There is some evidence that patients must achieve what is called a dissociative state in which they have a kind of out of body experience in order to get the full antidepressant...

How is ketamine infusion done? May 22nd, 2021

Ketamine infusion can be done in the doctor's office with basic monitoring equipment.  An IV is started and ketamine is infused over a period of about 40 minutes in a quiet environment.  The patient remains conscious and able to converse.  Blood pressure, heart rate, ECG, and oxygen saturation are monitored. ...

When is ketamine used to treat depression? May 10th, 2021

Ketamine infusion is effective for what is known as treatment resistant depression (TRD).  Treatment resistant depression is defined as depression which has not responded to the usual treatment consisting of selective serotonin reuptake inhibitors (SSRIs) along with talk therapy.  In the past, when depression persisted despite an adequate trial of...

What is Ketamine Infusion? Feb 17th, 2021

Ketamine is an anesthetic drug which has been used to provide anesthesia for surgery and to treat depression since the 1950s.  When used for surgery it is given in high enough dose to cause unconsciousness, profound amnesia and pain control.  When treating depression, it is given in a very low...

A hypothetical example should help to understand this. Jan 25th, 2021

Suppose you have been taking suboxone for several months, and you decide that you don't need it anymore.  You feel ok for the first day, though you will likely develop cravings for opioids.  Then one of your old buddies gives you a call, and he is still taking street drugs,...

What are the risks of stopping Suboxone (buprenorphine)? Jan 4th, 2021

Most people worry about withdrawal, but the problem is more complicated.  It is well known that stopping buprenorphine is risky because relapse into opioid addiction is common.  The risk of overdose during suboxone withdrawal is higher than usual because the buprenorphine is still in your system, so it blocks other...

Telehealth: The Advantages of Telemedicine Dec 23rd, 2020

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.But what...

Can you get off Suboxone? Dec 19th, 2020

Yes. But it takes time and care.  Like any other opioid, discontinuing Suboxone causes withdrawal.  Suboxone stays in your system for a relatively long time, so withdrawal is not as fast or severe as with fentanyl, heroin, or oxycodone.  Withdrawal symptoms are generally milder, but also longer lasting.  Reducing your...

What does the treatment with Suboxone involve? Dec 4th, 2020

There are two phases in treatment with buprenorphine, called induction and maintenance.  The induction phase is the beginning of treatment, the transition from other opioids.  This must be done with care, because of the particular characteristics of buprenorphine.  Of course one goal is to avoid withdrawal, but that is not...

What are the advantages of taking Suboxone over methadone maintenance? Nov 9th, 2020

Until buprenorphine was developed, people with opioid addiction had only one option to treat their problem which was to take methadone prescribed at drug treatment clinics.  Methadone has several disadvantages.  First, it fully activates the mu receptors, even though for various reasons people don't usually experience the same level of...

Many people think they are just substituting one addiction for another; why is that not true? Oct 29th, 2020

The buprenorphine helps you to stop taking dangerous drugs like heroin, fentanyl, or oxycodone without having withdrawal, and at the same time you feel normal, not high.  Taking buprenorphine helps you get rid of craving for drugs of addiction, and it is much safer at the same time.  It allows...

How is suboxone (buprenorphine) different from other opioids, like heroin or oxycodone? Oct 23rd, 2020

Buprenorphine, the active ingredient in Suboxone, is different from other opioids in a number of important ways.  All opioids work on receptors in the brain called mu receptors (along with a number of other effects, but the mu receptors in the brain are the important ones in opioid effects involved...

What is Suboxone Oct 9th, 2020

Suboxone is the best known brand name for a combination of buprenorphine and naloxone, which are medications used to treat opioid addiction, also known, more euphemistically, as Opioid Use Disorder  Buprenorphine is the main ingredient of suboxone.  Buprenorphine is an opioid, like heroin, oxycodone, or methadone, but with important differences. ...