Suboxone Traffickers: How the Government Is Preventing Addicts From Getting Help
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Suboxone is a drug taken in the form of a pill or a dissolving strip used to help opioid addicts end their dependence. It makes physical withdrawals and cravings disappear and, unlike methadone, has a low potential for abuse. There is no “cure” for addiction, but it can be overcome, and Suboxone can be a very effective tool in the process. So shouldn’t every addict who wants to stop using heroin or painkillers have access to this drug? Not according to the government. They are doing all they can to keep Suboxone out of the hands of many people who need it.
The government sees Suboxone as a potential threat for some reason and requires doctors to take an eight-hour course on addiction treatment and apply for special clearance with the DEA in order to prescribe it. And even then the doctors are limited in the amount of patients they can treat (usually 30). But this drug is not like other opioids at all; in fact its chemical makeup is different, and undergoing Suboxone treatment is not simply trading one addiction for another.
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The two main ingredients in Suboxone are buprenorphine and naloxone. Buprenorphine is derived from the opiate alkaloid thebaine and is referred to as a “partial opioid agonist” because it doesn’t fully activate the opioid receptors in the brain like heroin or codeine. It is sold without naloxone as Subutex and is sometimes used recreationally, especially in the Scandinavian countries. But the user doesn’t get the same euphoria they get from full opioid agonists. This drug helps with the physical withdrawals opioid addicts suffer after ending their use.
Naloxone is referred to as an “opioid antagonist” because it attaches itself to the brain’s opioid receptors without activating them. This stops cravings completely and can even be used to reverse overdoses. It also makes it so users cannot get high from other opioids.
This combination of drugs makes for a finely tuned and highly effective tool in the treatment process. There is always the potential for abuse of anything — look at gambling, video games or food. But the fact is that heroin and painkiller addicts rarely become addicted to Suboxone because it doesn’t deliver the high they are accustomed to, and it makes them not even crave their drug of choice.
So if it has such a low potential for abuse and the positives far outweigh the negatives, why is it that most doctors are not allowed to prescribe it? It makes absolutely no sense. Doctors don’t have to have a special DEA clearance to prescribe highly addictive painkillers, so why do they have to jump through hoops to prescribe a drug that can be so helpful?
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The result of this overregulation is that a relatively small group of physicians has a monopoly on Suboxone treatment. They charge exorbitant fees, which are rarely covered by insurance. Suboxone is actually so expensive (several hundred dollars per month) that it is cheaper to purchase it on the street; the supply is of course less than reliable. It is certainly cheaper and easier to legally obtain prescription painkillers like Dilaudid or Roxicodone.
In what appears to be a sick vertical integration scheme, many of the doctors who prescribe Suboxone (though not all, of course) are actually operators of “pain clinics,” aka pill mills. I guess they are just used to making money off of addiction and saw another opportunity to cash in.
This seemingly arbitrary overregulation means that there are addicts out there who want to quit but don’t have access to the treatment they need. Suboxone is not usually the sole answer since recovery is usually more effective with psychological therapy, but it is a good first step. This is a proven method, and the government is standing in its way. I would imagine this policy is in place because they simply think of it as another methadone that needs to be closely monitored so those sneaky dope fiends don’t get one over on Uncle Sam, but that is simply not the case. Also, this injustice continues to remain in place because it has received very little attention. The people affected by this policy are drug addicts and their families who are less likely to speak up because drug addiction is so frowned upon. Meanwhile, a small group of doctors make a killing on those who can afford it, and a large group of addicts who could benefit from the drug can’t get it.
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Easier access to Suboxone will mean less drug addiction. Less drug addiction is better for everyone. This is a no-brainer. The regulation of Suboxone needs to be changed so it is at least as easy and cheap to obtain as the drugs that cause addiction in the first place.
I found this while searching, why don’t heroin addicts receive suboxone from the goverment.Suboxone isnt a cure, but it is the closest thing to it that currently exists. Not only does Suboxone reduce cravings, stop thevhorrible withdrawl from using opiates on a daily basis, but like the article said blocks the effects for up to two days. If you take the reward (getting high) away, the addict will have few options. They can waste money a drug that can’t feel, wait the two days to pass and get high, or continue to take subs. I have wasted hundreds of dollars trying to get high on H while on suboxone and not feeling anything but a quick rush that goes away quickly after use. On the street any addict of any worth will know where to buy 8mg Suboxone strip cost 10$ thanks to Suboxone doctors overprescibing. An 8mg Suboxone will take 90-100% of dope sickness out the average H addict. The only two drawbacks I see is the medical and govermental bureaucracy and Suboxone does bring its own withdrawal symptoms after prolonge use. This is coming from an addict. If i have to take a suboxone the rest of my life I will be fine with that. At this point it’s great to have a life. I am not saying I will never use H again, but at least Suboxone gives me a choice. When i was violently dopesick there was never the option not use.
is this a joke? i am fucking outradged! why doesn’t everyone just go on methadone than?
do you have any idea how different yosub to nu are on suboxone!? i am a former addict, who was on suboxone 16mg for years, i was walking around high all the time. Not only that i realized that hey i can go get high, and now i can’t just take a sub to not get sick and ill get high. are you serious??!?!?! everyone loves suboxone because its a legal way to get high and easy way to rationalize getting high. there are no long term studies what this does to you, its not the holy grail my friend its the enemy. You need to get suck it up, face the withdrawals so you don’t keep getting high, go to rehab , and fucking deal with it. this is just another mask except you will never be able to get off suboxone and if you try to get help there won’t be any because no rehab will take you for suboxone because its that hard. the government needs to keep drugs out of the country, not give more drugs to herion addicts so they dive around higher than they were, whacked out of their minds. i know now what to do if i want to be rich, open a suboxone rehab because in a few years when you all realize how much this shit has ruined your life, and you realize no one will help you and it was ten times easier to get off dope that it ever will be getting off subs, give me a call and ill tell you more story so i can help you make it through yours!
I’m sorry but after reading your post I think you should get som sort of prize for being the biggest idiot ever to speak on the pros vs cons of suboxone. Of course subs have side effects and you can’t just quit taking them or you will suffer from w/d. Duh. That’s why it’s done slowly and gradually. I’m sure H addicts use them between fixes but at least they aren’t in danger of having overdose on that day. And if you thing subs are anything near the high that is experienced from true opiates, that tells me you’ve never been prescribed suboxone. It has a ceiling effect so you can’t just pop a few strips and sit back nodding and getting high, it’s just not made that way. I could see someone who has never or rarely taken opiates get that feeling on a high dose but not a regular opiate user. Also using profanity doesn’t do much but show me that you’re ignorant and you don’t need to say fuck to make a point. Do your homework before spewing false facts around about something that has given me my life and family back. My husband said after the 1st week of being on subs that he felt he had his wife back after 6 years of hell. That means my eyes are clear and I go to bed at normal times and up early to do normal things like make lunches and get kids off to school. Now if I was “high” like you said you were I wouldn’t be doing routine things like that and my husband knows the real me and the using pills me and he hasn’t seen the latter since getting on suboxone!!!!!
I was prescribed tramecet 6 a day for three yrs,tryed to quit went to a doctor and ended up on 55 mills methadone for two yrs, so many restrictions made my life miserable,restricted travel ,tryed to detox the methadone impossible ,Now switched to Suboxone ,5 months and this is very hard to get off real difficult stay away from Suboxone is my thought a big trap
This is ridiculous I believe if your not abusing it works for people. Those of you who have said its so awful and another way to get high… Well sorry I don’t quit believe you were really a true addict- ever. I’ve been doing heroin and pills since I can remember and I also remember the day when I realized I couldn’t just stop because I wanted to. I have tried so hard to get in subs and the naloxen in suboxine makes me so sick it’s the most awful feeling in the world. The first few times I took suboxine I thought maybe it was kicking me thru withdrawals but after a few days I realized it was just making sick and I couldn’t function that way. So then I was prescribed Subutex and it’s the most amazing miracle drug I have ever found. I don’t get high off of it, I’m not withdrawing or feel like I’m dying, I can pick my life up off the pause it’s been on since the beginning of my opiate adventure turned torture. Subs have saved my life and many more I know of! It’s been very hard to get into a program bc it is very expensive and at times I thought well screw it I’ll just keep gettin high since it’s cheaper! It’s true it’s very very hard to even get the help you need. Everyone is entitled to their opinions but I feel it should be easier to get the help you need and not have to fight tooth and nail for it. The government just wants to keep us all on drugs and control the population. It’s our lives, we should have the right to change it if we choose.
subs do work but if you are just looking for a way to get high go do some dope but dont bitch because you think people only abuse it , thats your problem. you would probably get hih on anything. i am a long term heroin abuser and would rather take subs, even though they dont take away paain like they used to. the goverment bitches about heroin abuse , they cant stop it! so why not make it easier on addicts and presc ribe subs! i can drive to phila or get it \heroin[ in my own neigborhood quick, like going to corner store! i think the goverment likes it this way, i mean common sense.what is their problem? underground labs can make suboxone just like they used to make qualludes, denial in goverment due to ignorance, total
i get tired of people like this guy above ranting about suboxone and methadone. perhaps he doesnt come from backgrounds some of us have been on.when your back has you in tears and you have had epidurals and got tired of eating doctor prescribed percs and vicodin to keep your head above water than you may understand. when you stop taking pain pills you best have something to replace it with. i .personally have suffered since i was bedridden at 19 yrs old . i had a good freind show up everyday with pain meds till i got over the hump. i couldn;t move and nobody cared but him.today the stigma on addicts is getting worse because of the country trying to make statistics look good, i suppose .you can walk into a bar and get pickled on liqouer and it is legal. the goverment never talks about it and it pisses me off. i have lost more freinds to alchohol than drugs. so why not treat people who may not like alchohol like human beings. stop judging, stop listening to your grandpappy while he pisses his pants because he had to drink because it is legal. some of the smartest people i know are addicts and need a break. so why not give them some help. get off your high horse
I’ve been on suboxone for a little over a year and I started at 2 1/2 strips a day which is 20 mg and am currently on 8 mg a day. I felt slightly high for the first week while taking suboxone but nothing like the high I received from using pain pills and suboxone has a ceiling effect, you can’t get high or feel high after taking it for a few weeks so the person ranting about walking around high on suboxone must not have been taking it as directed or been a true addict. Suboxone has made it possible to feel like I’m me again – the me before I became addicted to pain pills. It has literally turned my life around and now I have a successful career and my marriage is the best it’s ever been and my kids have a Mom who isn’t dazed from pain meds half the time. I tried cold turkey, N/A, inpatient treatment for 32 days and intense outpatient therapy. Sadly I always relapsed and when I wasn’t using I was craving them or obsessing over how to get more. I don’t think about pain meds now and decided not to have an elective surgery because I worried about pain meds and didn’t even want to go down that road. I’ve recently moved to a new state and am having a hard time finding a new suboxone dr. Several places are taking new patients but don’t bill insurance and charge $300 for the first visit and come back weekly for the 1st theee weeks at $150 or $200 a visit. Plus the cost of suboxone is insane. I feel bad for people wanting to get off opiates but not having the money to do so. I also called another facility in my new state that said I had to go to 3 n/a meetings a week plus therapy with them once a week and I don’t know how often I would see the dr but hopefully only monthly. I think this is over the top! Do folks who take pain meds for chronic pain have to go through any education about addiction? Nope. But for the person who wants to get their life back on track and needs suboxone in order to do so has to jump through so many hoops plus the expense of all the visits that I assume some throw in the towel and continue using. Being an addict does carry a stigma and I’m very private about my addiction and I don’t want to be judged by people that just don’t get how opiate addiction works. But I feel like the government needs to drop all these regulations on sub treatment and why do we have to go to such great lengths to obtain what has been a life saver for me? It angers me that the government isn’t more involved with making patients taking pain meds for extended periods attend mandatory meetings about the dangers of opiates. And as I said before that suboxone doesn’t get you high if taken correctly and can’t be abused really. I’m sorry about the rant but trying to find a new sub doctor has been a nightmare and it should be an easy process that is also affordable.