September 18 2015
As you may have heard, the government has announced the lifting of the one hundred patient limit. We do not have any other info available. We plan on accepting new patients in the future as soon as we know the final ruling.
Until, we need to limit the use of buprenorphine for addiction to pregnant patients.
In the meantime, we also offer injectable naltrexone (Vivitrol), which has been shown to be effective in achieving continued abstinence from opioids. You need to be free from short acting opioids for at least one week to start, and about two weeks for buprenorphine.
This does not include the use of buprenorphine for chronic pain, which is considered “off label” use, or the use of buprenorphine to “detox” off pain meds, but without an addiction diagnosis.
Currently, our practice is not able to take patients for opioid dependence unless they are pregnant. Once a patient delivers, she will need to transfer to another doctor’s office.
If you do not have a diagnosis of opioid dependence (addiction), and you have chronic pain, we can still help you. The only warning is that if you have medicaid, which does not recognize buprenorphine for pain, we would not be able to help you.
Carl & Cathy Christensen