Buprenorphine Unfiltered: Efficacy, Discontinuation, and Post-Acute Withdrawal

Buprenorphine Unfiltered: Efficacy, Discontinuation, and Post-Acute Withdrawal

Drug Diversion Insights with Terri Vidals

Terri Vidals and Dr. Stuart Gitlow discuss buprenorphine's role in treating opioid use disorder, addressing challenges like withdrawal symptoms and informed consent.

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41:1118 Feb 2026

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Buprenorphine: The Untold Challenges and Benefits

Episode Overview

  • Buprenorphine is a partial agonist opioid with a ceiling effect.
  • Discontinuation can be challenging due to withdrawal symptoms.
  • Informed consent is crucial for realistic patient expectations.
  • Addiction is more about underlying discomfort than the drug itself.
  • A safer alternative to street drugs, but not without its challenges.
"Addictive disease isn't about the drug; it's about the discomfort that folks feel with the illness when they are not using."

What drives someone to seek a life without opioids? In this compelling episode, Terri Vidals welcomes back Dr. Stuart Gitlow to tackle the hot topic of buprenorphine, a medication often used in treating opioid use disorder. With listener feedback pouring in about the difficulties of discontinuation, this conversation couldn't be more timely. Dr.

Gitlow, with his extensive experience in addiction medicine, breaks down the science behind buprenorphine and its role in treatment, while also addressing the challenges many face when trying to taper off. Listeners are taken on a journey through the complexities of opioid addiction, where the discussion centres on post-acute withdrawal symptoms and the importance of informed consent. Dr. Gitlow emphasises that addiction isn't just about the drug itself but the underlying discomfort that leads individuals to seek relief.

The episode sheds light on the necessity of having realistic expectations and how buprenorphine can be a safer alternative to street drugs, albeit with its own set of challenges. Whether you're curious about the medical side of addiction treatment or seeking insights into patient experiences, this episode offers a candid look at the highs and lows of using buprenorphine. So, what does it take to truly understand and treat opioid addiction? Grab your headphones and find out!

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