

Buprenorphine, often better known by the brand name Suboxoneยฎ, is currently the preferred drug for helping people recover from opiate addiction. But how is the drug best used? Is it something that should be used on a short-term or long-term basis? Can patients really taper off the drug, and if so, how do they go about it with a minimal amount of problems? And what other things should Suboxone patients be doing to ensure they have a positive experience with the drug? In this compelling book, Sebastian Enfield lays it all on the line, and explains how doctors and patients should approach buprenorphine therapy to maximize the chances of successful treatment and recovery. Author Sebastian Enfield had it all. A loving family, an up-and-coming career at a Fortune 500 company, good friends and an active social life. He was living the proverbial American dream. Until, that is, his life was sidetracked when he became addicted to painkillers. It all started with far-too-easy online purchases of narcotic pills, and eventually Sebastian โgraduatedโ to heroin. As with most addicts, as his opiate habit developed his life began to unravel. Family, friends and career became less and less important. Maintaining his expensive addiction became the most important priority each day. But when a winter blizzard came one December and โhis guyโ stopped returning his phone calls, Sebastian knew another kind of storm was heading his way. Withdrawal. He suffered in bed for a few days before his dealer finally returned his calls and delivered the goods. But this was the final turning point. After all he had gone through, Sebastian knew things couldnโt continue like this. So he made arrangements to visit a Suboxone-prescribing doctor, and very shortly thereafter, he was finally on the long road to recovery. But while being treated with Suboxone, Sebastian had some anxieties and a lot of questions. โHow long should I really be on this stuff? Should I try to taper off or not? And if so, how do you do it so as to minimize any discomfort? What other things should I be doing to aid in my recovery?โ He looked to the Internet for answers, but what he found was a lot of contradictory information, posts from people claiming that โthis stuff is even worse than what I was on before!โ, and even disagreement among doctors and other health professionals with regard to Suboxone treatment protocols. Sebastian suspected that if he found all this confusing, there were probably many others in the same boat. And so, he set out to investigate all of this, and to write a book that explained his findings in clear and simple terms. Sebastian spoke with various doctors, Suboxone patients and therapists, and synthesized their views and opinions, along with his own experiences, into a book of tips and suggestions that would help doctors and patients best approach buprenorphine treatment. Sebastian begins with his own compelling story, where he details the life journey that ultimately led to drug addiction. He then presents several suggestions and tips that cover a wide range of questions he knew Suboxone patients had. The book covers a variety of topics, such as how to best select a doctor, how to approach counseling (and whether you really need counseling), how to taper off the medication with minimal discomfort (and whether you even should taper off the medication), resources that may help with paying for treatment, and a variety of โlifestyle hacksโ Sebastian found to be useful while being treated. Sebastian lays all of this out clearly, and provides a positive and motivating read that will help patients understand that treatment with buprenorphine need not be a scary and uncertain thing. On the contrary, it can be a constructive part of recovery from opiate addiction. As he put it, โThis is the book I wish I had when I began buprenorphine treatment.โ Review: A must-read!! - Without a doubt, this is one of the best written books available on this topic! A definite must-read for everyone. Whether you're the one struggling in the throes of active addiction just searching for truth & help or you're a friend/family member stuck on the sidelines, watching a loved one desperately fighting for their very life to escape the grasps of this wretched disease, this book is going to help! Either help give you hope & encouragement that youre gonna make it through this, from someones who's obviously been on the front lines Review: excellent info - very informative book......easy to read ...i highly recomend it ...the man knows what he's talking about. there are somethings i never knew about suboxone
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K**R
A must-read!!
Without a doubt, this is one of the best written books available on this topic! A definite must-read for everyone. Whether you're the one struggling in the throes of active addiction just searching for truth & help or you're a friend/family member stuck on the sidelines, watching a loved one desperately fighting for their very life to escape the grasps of this wretched disease, this book is going to help! Either help give you hope & encouragement that youre gonna make it through this, from someones who's obviously been on the front lines
N**D
excellent info
very informative book......easy to read ...i highly recomend it ...the man knows what he's talking about. there are somethings i never knew about suboxone
C**.
Finally! a book that cuts through the BS about a subs!
Because suboxone is so new ( a decade or so ), bup patents desperately needed a voice of reason about the TRUTH about subs. This book confirmed much of what I've researched over the years taking subs as well as enlightened me about some other things. Sebastian does an amazing job of cutting to the chase and focusing on the most important, succinct things we need to know about suboxone. Debunking the myths and sharing great solutions to the many problems we can face, I highly recommend this book to anyone with questions about this drug.
S**R
Great book
This book was exactly what I needed as a physician just starting to treat patients with buprenorphine. Thank you Sebastian. Great work. Stephen Ducker, MD
D**E
Suboxone tips
I enjoyed reading this book on suboxone, and will recommend it others. It's always helpful to read what an addict who has tried this treatment, or other treatments, feels has been instrumental in their recovery program.
M**A
Useful information, much of which may seem obvious
Useful information, much of which may seem obvious, exercise, eat right, stay busy, lose the bad influences, etc. One thing that really jumps out is the arbitrary starting dose. This is just wrong and starting at 16mg is almost criminal. The author never explains how he decided on that amount and that amount should be the starting amount for everyone. People debate the use of Suboxone on a long term versus short term basis. The jury is still out on that one but shorter term use has gained more ground the last couple of years versus when Suboxone was first introduced. Getting back to the starting dose. Suboxone treatment has whats called an induction period. The purpose for that is to find the "right" amount of Suboxone to start with. The purpose is to eliminate what the author prescribed "16 mg starting dose". Induction is simple but very important and it goes like this. Once in withdrawals you start to introduce Suboxone to your system by taking a small dose, say 1-2mg. then you wait about 45 minutes and evaluate how you feel, if you are still sick take another 1mg dose. You continue this process until you feel comfortable. At that point that is your starting dose. A large percentage of people will be surprised at how little you actually need to feel comfortable. By comfortable I mean not being a real puss about it and think a sore back is the end of the world, So, people find comfort quite often between the 4-8 mg range starting dose.As the author described, Suboxone reaches a point that more will do little if anything for the user once the receptors are covered. That is one reason 16 mg is an ungodly amount and when you take into account the long half life your daily 16 mg dose piles on and soon your actually walking around with amount well above 16 mg. If you choose long or short term use it is critical to start at the lowest amount possible, it makes the taper so much easier and quicker. The author hit the nail on the head when he stated that Suboxone is not a cure but a tool. If you follow the suggestions given by the author your chances of staying clean will increase. Just taking Suboxone and changing little else in your life is a relapse waiting to happen regardless of using Suboxone short or long term. Exercise, eating better foods, staying busy and losing the drug buds and places is a requirement. Opiate users can sit in front of the TV all day and night and do very little and still feel fulfilled because of the drug. Once the opiate effects are removed engaging in the same behavior will become mind numbing boring and depressing. That is why staying busy helps. I would have rated the book 4 stars but the use of a 16 mg starting dose is so misleading and the lack of such a critical part of Suboxone treatment, the induction period and it's explanation only bring a 3 star rating
K**R
Very true and to the point...
I can strongly relate with this book. The guy knows what he is talking about. Once I started reading this, I couldn't put it down. Very informative I feel for myself and the next person that is going through it.
L**L
informative
Great book by someone who understands....Most physicians aren't taking this medication...so its hard for them to identify with its problems and solutions.
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