Nursing & Healthcare Directories on: The Nursefriendly
Prescription Drug & Medication Indexes
Narcotic Analgesics, Pain Killers,
Buprenex, Buprenorphine

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Comparison of Bupernex to Methadone for treatment of pain : "Opioids.com: As a maintenance agent for opioid dependency, buprenorphine offers advantages such as a lower level of dependence and minimal withdrawal symptoms, due to its partial agonist properties at the micro-opioid receptor. Previous studies have shown 8 mg sublingual buprenorphine to be equivalent to 60 mg oral methadone in terms of retention rate and opioid-negative urine levels. In a 24-week, ongoing European study, 34 opioid-dependent subjects were assessed; 16 receiving buprenorphine and 18 methadone. A free dosing schedule was used with no upper limit for methadone dosing but with a maximum buprenorphine dose of 8 mg."
http://www.opioids.com/buprenorphine/index.html ******************************************************

Doctor's give information about Butrenex, Buprenorphine Hydrochloride : cprflorida.com: "Buprenorphine hydrochloride, sold under the tradename Buprenex® by Rheckitt & Coleman, Ltd., acts as a partial Mu agonist, meaning it has components for analgesia and pain relief but, uniquely, is also a full Kappa antagonist. Because of this property, Buprenex® is outstanding for management of short-term and chronic pain. It is provenly effective for opiate detoxification, with a minimum of commonly associated discomfort. During detoxification, Buprenex® allows comfortable, painless withdrawal, without the fatigue, sweats, tactile sensation complaints ("tingling" or "skin crawling"), aches, seizure risk or confused thought processes common during traditional detoxification procedures. "A greater potential than Methadone to safely and effectively block the actions of opioids, with virtually no withdrawal symptoms."cprflorida.com/clinicals.htm ******************************************************

Buprenex, Buprenorphine HCL: North Carolina Board of Pharmacy: "There appears to be a misunderstanding that Buprenex can be used in the treatment of opiate addiction as an 'off label' use of an approved drug product," the letter stated. "Practitioners who dispense Buprenex for the treatment of opiate addiction must comply with the Narcotic Addict Treatment Act (NATA) (21 USC 823(g)). Buprenex may not be used for the treatment of opiate addiction unless and until it is approved for this use and there are standards in place to permit practitioners to be registered by DEA as required by NATA."
http://us.f205.mail.yahoo.com/ym/ShowLetter/www.ncbop.org/jan01-5.asp ******************************************************

Buprenex, Buprenorphine database information: Walgreens Pharmacy: "Common Uses: This medicine is a narcotic analgesic used to treat or prevent moderate to severe pain. It may also be used to treat other conditions as determined by your doctor. How to use this Medicine: This medicine is sometimes used at home as an injection. Before using this medicine, a healthcare professional will provide detailed instructions for appropriate use of this medicine. Ask any questions that you may have about this medicine or giving injections. STORE THIS MEDICINE as directed on the prescription label. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once."
http://www.walgreens.com/library/finddrug/druginfo.jhtml?_DARGS=%2Flibrary%2Ffinddrug%2Finfosearchresults.jhtml.27_A&_DAV=12182

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Study involving treatment with Buprenex (Buprenorphine): Doctor's Guide: "Opioid-dependent outpatients may be more likely to present for pharmacological treatment if less than daily dosing can be arranged. These studies compared opioid withdrawal symptoms during 24-, 72-, and 120-hour buprenorphine dosing regimens and evaluated participants' preferences for these different dosing regimens. Participants. Thirty-three opioid-dependent participants received daily sublingual maintenance doses of 4 mg/70 kg (n = 14) or 8 mg/70 kg (n = 19) of liquid buprenorphine. Methods. In Study I participants received, in a random order, three dosing regimens for five repetitions of each: daily maintenance doses every 24 hours (4 or 8 mg/70 kg), triple the daily maintenance dose every 72 hours (12 or 24 mg/70 kg) and quintuple the daily maintenance dose every 120 hours (20 or 40 mg/70 kg). Doses were administered under double-blind procedures, and placebos were administered on the interposed days during the latter two regimens. "
http://www.docguide.com/news/content.nsf/PaperFrameSet?OpenForm&id=48DDE4A73E09A969852568880078C249&newsid=8525697700573E1885256A73005B2C2F&u=http://rosina.catchword.com/cgi-bin/cgi?ini=carfax&body=linker&reqidx=/catchword/carfax/13600443/v96n6/s4/p823&ref=/news/content.nsf/news/8525697700573E1885256A73005B2C2F?OpenDocument&id=48DDE4A73E09A969852568880078C249&count=10&highlight=0,buprenex ******************************************************
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