8 ms·
I agree completely that there should be free and easily accessible addiction treatment centers available to those who need it. I just don't think buprenorphine
by task_queue 11y ago
I agree completely that there should be free and easily accessible addiction treatment centers available to those who need it.
I just don't think buprenorphine is the solution.
It's easily abusable and worth relatively a lot on the black market.
You run into the same problem you did with methadone: you're on an opioid that has a 16-27 day half-life. You will be withdrawing heavily for much longer than you would if you cold turkeyed a street opioid.
You're replacing one opioid with another, one addiction with another. This is 100% anecdotal, but I only know people who have had months and years of abject misery trying to come off of buprenorphine.
For hardcore opioid addiction, it might make sense. But there are options like the Naltrexone injection that doesn't involve replacement therapy.
- girvo 11y agoNaltrexone implants are worse than bupe. Sure, you can't use, but your addiction is still there. None of the current solutions are perfect, but the implants are by far one of the worst in my opinion. Bupe worked extremely well for me, it allowed me to stop using heroin and get my professional life back in order, without the spectre of where my next fix (and the $300 for it) was coming from. Tapering bupe was easy for me, and jumping off at 0.4mg was easy enough that I merely took two weeks off work.