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PostPosted: Tue Feb 09, 2016 4:53 pm 
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Link: http://www.nejm.org/doi/full/10.1056/NEJMra1511480

Fascinating article. Quite long but worth the read. The authors assert that

"During treatment, medication can assist in preventing relapse while the brain is healing and normal emotional and decision-making capacities are being restored. For patients with opioid-use disorder, maintenance therapy with agonists or partial agonists such as methadone or buprenorphine can be essential in helping to control symptoms of withdrawal and cravings."

Our local Nar-Anon group leader noticed the article and sent it around to everyone.

I notice that one of the authors gets fees from serving on the board of directors of Invidior, but it's still a good article. I wonder if it will be perceived as biased for that reason. Darn it.


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PostPosted: Wed Feb 10, 2016 6:34 pm 
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Great article! Thank you so much for sharing!


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PostPosted: Wed Feb 10, 2016 9:16 pm 
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Thanks for sharing. I missed it completely. Anything in the New England Journal of Medicine will be perceived as important, no matter the financial disclosure.

The Feds totally get it about medication-assisted treatment-- at least the addiction researchers at the Federal level, if not the politicians. But when you get down to the state and local levels, the abstinence-only folks run the show-- because they are the people most-connected to the people who staff county agencies The abstinence people have somehow managed to keep everyone from asking an important question: What are your outcomes? So even as the deaths pile up, the abstinence folks just keep blaming the patients for 'not wanting it enough'-- preserving the fallacy that they have an approach that actually gets people off opioids.

Very frustrating.


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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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