Buprenorphine/naloxone/lorazepam interaction: First report of an interaction, leading to respiratory depression: case report

March 2, 2016

(Source: Reactions)

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Can the Chronic Administration of the Combination of Buprenorphine and Naloxone Block Dopaminergic Activity Causing Anti-reward and Relapse Potential?

March 2, 2016

We describe a mechanism whereby chronic blockade of opiate receptors, in spite of only partial opiate agonist action, may ultimately block dopaminergic activity causing anti-reward and relapse potential. While the direct comparison is not as yet available, toxicity to buprenorphine can be found in the scientific literature. In considering our cautionary note in this commentary, […]

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A morphine/heroin vaccine with new hapten design attenuates behavioral effects in rats

March 2, 2016

Conclusion:  These results suggest that immunization with a novel vaccine is an effective means of inducing a morphine‐specific antibody response that is able to attenuate the behavioral and psychoactive effects of heroin. (Source: Journal of Neurochemistry)

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Post-marketing surveillance of buprenorphine-naloxone in Australia: Diversion, injection and adherence with supervised dosing

March 2, 2016

Abstract: Background: These studies compared the diversion and injection of buprenorphine-naloxone (BNX), buprenorphine (BPN) and methadone (MET) in Australia.Methods: Surveys were conducted with regular injecting drug users (IDUs) (2004–2009, N=881–943), opioid substitution treatment (OST) clients (2008, N=440) and authorised OST prescribers (2007, N=291). Key outcome measures include the unsanctioned removal of supervised doses, diversion, injection, […]

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Rifampin, but not rifabutin, may produce opiate withdrawal in buprenorphine-maintained patients

March 2, 2016

Abstract: Background: This series of studies examines the pharmacokinetic/pharmacodynamic interactions between buprenorphine, an opioid partial agonist increasingly used in treatment of opioid dependence, and rifampin, a medication used as a first line treatment for tuberculosis; or rifabutin, an alternative antituberculosis medication.Methods: Opioid-dependent individuals on stable doses of buprenorphine/naloxone underwent two, 24-h blood sampling studies: (1) […]

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Gender differences in pharmacokinetics of maintenance dosed buprenorphine

March 2, 2016

Conclusions: Gender-related differences exist in the pharmacokinetics of buprenorphine; differences in body composition appear to have a major impact; differences in CYPA-dependent metabolism may also contribute. (Source: Drug and Alcohol Dependence)

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Post-marketing surveillance of buprenorphine-naloxone in Australia: diversion, injection and adherence with supervised dosing

March 2, 2016

Source: Drug and Alcohol Dependence Area: Evidence > Medicines Management > References Background: These studies compared the diversion and injection of buprenorphine-naloxone (BNX), buprenorphine (BPN) and methadone (MET) in Australia. Methods: Surveys were conducted with regular injecting drug users (IDUs) (2004-09, N = 881 to 943), opioid substitution treatment (OST) clients (2008, N = 440) […]

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Buprenorphine/naloxone inhibition of remifentanil procedural sedation

March 2, 2016

We report here a case of buprenorphine/naloxone inhibition of remifentanil analgesia in a patient undergoing ED procedural sedation. (Source: The American Journal of Emergency Medicine)

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Lexapro Can Reduce Pain

March 2, 2016

Researchers at Boston University School of Medicine have found that opioid-dependent patients treated with Lexapro (escitalopram) had reduced pain severity and pain interference during the three months of their treatment. The study participants, who were beginning treatment with buprenorphine/naloxone for their opioid dependence, were placed in one of two groups:  escitalopram or placebo.  Changes in […]

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Adjunctive Counseling During Brief and Extended Buprenorphine-Naloxone Treatment for Prescription Opioid Dependence: A 2-Phase Randomized Controlled Trial [Original Article]

March 2, 2016

Conclusions  Prescription opioid–dependent patients are most likely to reduce opioid use during buprenorphine-naloxone treatment; if tapered off buprenorphine-naloxone, even after 12 weeks of treatment, the likelihood of an unsuccessful outcome is high, even in patients receiving counseling in addition to SMM. Trial Registration  clinicaltrials.gov Identifier: NCT00316277 (Source: Archives of General Psychiatry)

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