So this is where we are today (Breaking the cycle, July 27) Many (opiate addiction) patients are on Suboxone (buprenorphine) and doing well in treatment. The advantage of office-based treatment with a monthly prescription is, for many patients, truly an advantage over attending a methadone clinic.
But the failure to realize the dangers of stopping treatment, methadone or buprenorphine, seems to be something of an epidemic problem. Here, the doctor views the patient a “success” and is willing to stop treatment and risk the possible return to a life threatening addiction using street opiates.
It will take time and bitter disappointments for new doctors in the field to realize they are treating a chronic, long-lasting illness.
Dr. Phillip Paris
Pleasantville, New York