Suboxone film

Thank you poster #20 for your sane and rational explanation. Phew, I was beginning to wonder if that existed. As for the first person who started this post, clearly, you do not even work in this industry. No one, NO ONE, says junkie, no one. Thats so 70's. We have actually moved beyond the need to paint everyone with a dependence problem, with the same derogatory name calling brush. The rest of your b.s. comments, were beyond explanation. A joke. But back to above post #20, thank you for instilling hope in me, that some of us are in our right minds and do come here from time to time, if only to prove that there are professionals that still remain employed here.
 






Thanks for that. The naloxone does not precipitate withdrawal in people who only take Suboxone and don't use other opioids. This is why people who only take Suboxone can inject it without suffering any negative effects from the naloxone. Buprenorphine binds to the opioid receptors with stronger affinity than naloxone, so naloxone cannot displace it. It can only displace other opioids like heroin and Oxycodone.

Something they neglect to mention in our training.
 






Thanks for that. The naloxone does not precipitate withdrawal in people who only take Suboxone and don't use other opioids. This is why people who only take Suboxone can inject it without suffering any negative effects from the naloxone. Buprenorphine binds to the opioid receptors with stronger affinity than naloxone, so naloxone cannot displace it. It can only displace other opioids like heroin and Oxycodone.

Something they neglect to mention in our training.

It doesn't take a genius to figure this out, if you understand the pharmacology of buprenorphine and naloxone, as explained to us in training. I was able to. In POA meetings it has been discussed at length during clinical sessions with the medical staff. Do you need it spelled out for you?
 






Last poster, What the hell is your problem @*^%&wadd? You sound so 5th grade, what with your stupid need to come on here and tell everybody YOU GOT IT. Well, good for you blond boy. You Got a Lotta things handed to you didn't you, Moron? .. including you current position. What a fricken farce. Damn, you are such a waste of human space. Clod head. Only thing you can say at this point in your life, is, my team is loyal to me. Ha ha ha. God do we need further evidence you're a damn inbred?
 












Bull....shit! The demo film boxes are CLEARLY marked as such. And the part about the OP's doctor asking for more "samples for her patients"...come on. You have to be a fool to think this wasn't some patient troll....jeez read a little more carefully!

As for getting penalized for your tablet % going up....I suggest you work a bit harder. It doesn't take a genius to recognize these docs still writing tablets are getting bs'd by their patients, b/c after a year and a half since the launch of the Film: we have had a tablet price increase, a continuous savings on the Film w/ the copay card, better and better MCO coverage, etc... Any patient still willing to pay more for the tablet is probably selling or diverting it, given all the reasons for Film. And this isn't corporate BS, if you are so blind to your tablet docs and why they are still writing it so much, then change your approach. There's no reason for some territories to be stuck at 30% Film share this long into it...except maybe Massachusetts (no copay cards there)

So docs that say all their tablet patients are having side effects from the Film, is total bullshit. Learn to sell! It's the same shit we heard when the generic subutex came out..."oh Suboxone makes me sick", when before they took it with no problem. I have docs at 95% Film b/c they tell their potential patients up front that's all they write, take it or leave it.

U are a moron if u think everyone that prefers tablets to film is selling. I have been on tablets for 4 years now and switched to films as soon as they came out. After being dizzy,hearing echos in my head and puking half the night I turned in the remainder of my film RX to the doctor and had her write me a new one for tablets.
 






U are a moron if u think everyone that prefers tablets to film is selling. I have been on tablets for 4 years now and switched to films as soon as they came out. After being dizzy,hearing echos in my head and puking half the night I turned in the remainder of my film RX to the doctor and had her write me a new one for tablets.

I never said EVERYONE wants Film over tablets. Of course there are cases where people can't tolerate the Film for some reason or another. You being one of them.

But you also have to remember, now that the Film is taking off and less tablets are being prescribed, the street value of the tabs is skyrocketing. I've heard $40+, compared to $10 just a few years ago...addicts know how to manipulate doctors; it's part of the disease. And good CLs should know to educate docs on how patients "complain" to get the tabs. Hell, you can find entire threads on this stuff at places like bluelight. But I never said there aren't legit cases where people can't tolerate the Film
 






I never said EVERYONE wants Film over tablets. Of course there are cases where people can't tolerate the Film for some reason or another. You being one of them.

But you also have to remember, now that the Film is taking off and less tablets are being prescribed, the street value of the tabs is skyrocketing. I've heard $40+, compared to $10 just a few years ago...addicts know how to manipulate doctors; it's part of the disease. And good CLs should know to educate docs on how patients "complain" to get the tabs. Hell, you can find entire threads on this stuff at places like bluelight. But I never said there aren't legit cases where people can't tolerate the Film

What if by educating the docs in these ways to manipulate, doctors will stop believing those who have legitimate issues with the film?

And don't you think doctors know a bit more about the addict games than you guys who don't deal with them directly?
 


















No. Most of them don't know shit about addiction. For the record.

And you know this how? You ride with every CL in the country to find this out? Did you not know that many CLs some from addictions treatment or mental health backgrounds, and some are in recovery themselves? Yeah, most of them don't know shit about addiction. Nice way to generalize there. You don't know shit about what you are typing.
 






Actually, DUMBASS, I was referring to post #28. You know the one slamming CL's and suggesting docs know a little more about addict games than a CL. My comment is directed towards the post who suggests doctors deal with the patients directly not the CL and supposedly know everything. I have found that most doctors "don't know shit" about addiction. They get into Suboxone treatment for the $$$$ and never take the time or interest to educate themselves more.

So, before you go teaching me about what a CL does why don't you read a little closer and realize I'm on your team. I know what CLs do and I know they know waaaaaaay more than most doctors.