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- Jan 23, 2013
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Well yeah I don't think there's a physician in the world that would intentionally steer someone off alcohol and on to opiates. At least at first he'd have to get them some other way, but then he should be able to pretty quickly get on to MMT or Suboxone. I have no idea where to get anything illicitly but I've seen people smoking fentanyl all over this city. It smells like burnt popcorn and they do it out in the open or in public restrooms.
But since they are opiate naive how will that effect them? I don't think it would be beneficial or safe to lie about an opiate addiction to get on these meds. They would need to titrate up to a therapeutic dose. Majority of opiates in that paper were labeled do not use with liver disease. Methadone was "not recommended"
I know liver function isn't the easiest to assess via testing, but what are the chances you can get him to go for the blood work?
Initial look shows like Suboxone is a decent option.
I get why you are doing this and I agree, but how do you get the trained medical supervision and go ahead?
Also you have the whole concern of physical alcohol withdrawal, which opiates are not going to prevent. This can be very significant and even deadly.
A medical alcohol detox followed by a titrated up dose of Suboxone seems very viable, but its not going to be easy to to accomplish.
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