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PostPosted: Mon Jan 21, 2013 8:48 pm 
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Today went to my sub doctor for my first appointment in the year 2013...............Soon as I go to the window they say you need to read this and initial and sign so we can place in your file...........I am like Oh boy new rates,,,,,,,,,some new charge or something. Instead by signing this form you realize and accept that Suboxone Maintenence or Subutex is not approved by the FDA for pain.................WHAT? It even said that even though buprenoephine has been used for over 30 years to treat pain it is not approved for pain by the FDA. When I asked.............I laughed as she said I don't know just sign it so we can put it in your file. I went back to a NEW DOCTOR...........who I never saw before who already had my script wrote out shook my hand and said here you go..........and walked me to the door. God I wish I could get that much money for that patient committment ....................

Jim


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PostPosted: Tue Jan 22, 2013 1:25 am 
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It is specific to that doc; different practices each have their own pile of Medico-legal forms. Sounds like the practice is worried about a patient suing over being treated for pain using Suboxone. Many meds are used 'off label', without FDA indication; some docs want every off label use covered by a disclosure form, so you won't come back and sue them by claiming you didn't know it wasn't FDA indicated.

Yes-- buprenorphine IS indicated to treat pain ... Alone as Temgesic or in the Butrans pach. But the medication 'suboxone' was not tested as a pain med and doesn't have that indication. Similar example would be gabapentin used to treat migraine headaches, something pretty common-- but that doesn't have FDA indication for that use.


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PostPosted: Tue Jan 22, 2013 10:28 pm 
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Kinda like Clonidine being used off label for opiate withdrawals, huh.

No disclosure needed there however :D


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

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