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Annals of Family Medicine 4:168-171 (2006)
© 2006 Annals of Family Medicine, Inc.
doi: 10.1370/afm.518
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Essay

Helping ‘Them’: Our Role in Recovery From Opioid Dependence

David Loxterkamp, MD

Private practice, Belfast, Me

CORRESPONDING AUTHOR: David Loxtercamp, MD, Seaport Family Practice, PA, 41 Wight St, Belfast, ME 04915, dr.loxterkamp{at}verizon.net

ABSTRACT

The crisis of opioid addiction in America has been fueled by the diversion of prescription pain pills and the emergence of pure and inexpensive heroin. Until recently, benefits of and access to therapy were limited. This situation changed in 2003 with Food and Drug Administration approval of buprenorphine for the office-based treatment of opioid dependence. Now armed with a potent drug, primary care physicians can treat addicted patients in their own practice and from their own neighborhood, but first we must overcome deficiencies in our training and personal biases about addicts and what they need. This a report of one doctor’s progress.

Key Words: Buprenorphine • opiate dependence • physician-patient relations • drug abuse • substance-related disorders • mental health




TRACK Comments:

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A Rare Perspective
Heidi T. Chirayath
Annals of Family Medicine, 31 Mar 2006 [Full text]
Strong endorsment for generalists considering buprenorphine training
Ted V. Parran MD
Annals of Family Medicine, 5 Apr 2006 [Full text]
Not deserving?
Joel P Laughlin
Annals of Family Medicine, 17 May 2006 [Full text]
Not deserving- a response
David A. Loxterkamp
Annals of Family Medicine, 17 May 2006 [Full text]
The role of generalist physicians to help "them"
Robert G. Newman, MD, MPH
Annals of Family Medicine, 28 Jun 2006 [Full text]
Author response: The role of generalist physicians to help "them"
David Loxterkamp
Annals of Family Medicine, 29 Jun 2006 [Full text]
Opiates in British Columbia, Canada
Diana A. DiNatale
Annals of Family Medicine, 10 Aug 2006 [Full text]
Reply to Diana DiNatale
David A Loxterkamp
Annals of Family Medicine, 13 Aug 2006 [Full text]
Addiction a problem----Is there a magic pill?
Saima N Noon
Annals of Family Medicine, 15 Aug 2006 [Full text]
Magic Pills and Complicated Patients
David A Loxterkamp
Annals of Family Medicine, 15 Aug 2006 [Full text]
Opiods:Use and Abuse.
Gurinderpal Singh Khaira, et al.
Annals of Family Medicine, 18 Aug 2008 [Full text]

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