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PostPosted: Mon Mar 17, 2014 11:44 pm 
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Joined: Sun Mar 16, 2014 6:07 pm
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Hello all,

This is my very first post and I am glad to be among people who have been through all of this before. I just want to give you a very brief background and fast-forward to the present.

I grew up in an emotionally abusive household, constantly had any spirit or hope for the future crushed leading me to be a withdrawn and introspective shade of a person. My first run-in with opiates was codeine via cold-water-extractions, which begun a desire and craving for opiates that I nurture today. I've been through various others: kratom, poppy [seed] tea, hydromorphone currently.

I've been working a job full-time for the first time in my life as a telemarketer. This job has made me a nervous wreck, I've suffered constant nightmares and ruminations about it, constatnly unable to turn it off when I go home, and dreading the next day and driving me to the brink of addiction once again. To be clear, its nothing to do with my superiors or the environment, its just the nature of the job that is completely wrong for me.

I should also mention I have ADHD and started my journey to find the proper treatment--medication and otherwise-- last year so on top of facing unemployment (then and once again now), there was that. I am happy to say I was able to arrange for me to see a psychiatrist back in March and I now take Dexedrine Spansules each day. This has enabled me to deal with my executive functioning problems and other issues like motivation and overcoming avoidance behaviour.

Now, as I was saying I have turned to hydromorphone now, and its progressed from oral (only 1 time--->low bioavailabillity), rectal administration, to now (unfortunately) intravenuous. Its several shots a day of about 9 mg hydromorph contin (prepared/filtered). I am tired of running and worrying about my opiates issues, and I have decided that the time has come to move on to something longer-term and in a maintenance context.

I would like to be prescribed (not pick up a daily dose à la methadone clinic style) buprenorphine in the form of suboxone to be prescribed (soon if not right away) on a monthly basis, or even the same way my dexedrine is prescribed, in three seperate scripts.

My question essentially is how to do this. Please note that this is for Canadians, although I know that suboxone can be prescribed by any MD, unlike methadone. Here are a few ideas, and please let me know which ones are the most plausbile:

1. family doctor (haven't seen in a while) who referred me to psychiatrist for ADHD diagnosis, refer me to doctor or specialist who does suboxone treatment in an outpatient + NON-METHADONE CLINIC fashion.
2. psychiatrist to discuss and possibly be prescribed suboxone (note, I am very uneasy about this as he specifically does not deal with addiction problems, and I worry knowledge of my opiate problems will lead him to cut me off as a patient and consequently my Dexedrine

That's all I have so far by way of ideas. Could you guys give me some insight as to the best way to do this. Keep in mind, I'm not looking to taper or detox at any point in the near future, so please bear with me. Thank you everyone and its a pleasure to be a part of this community.


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PostPosted: Tue Mar 18, 2014 8:55 pm 
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Joined: Sun Feb 24, 2008 11:03 pm
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Looks like you have people stumped. I think that one problem is that nobody here can predict what will happen, if you are open to your docs. I know what SHOULD happen; the docs should understand that you have this additional condition, and they should HELP you-- not PUNISH you. But then again, many docs become angry if they suspect someone has mislead them....

You are in Canada? Are the regulations the same there-- i.e. are doctors subject to the 'patient cap' in Canada? Is there any way to travel to a border state and get treated in the US?


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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