In this issue of the Scandinavian Journal of Pain, Stephen Butler, former chief of the famous Bonica Pain Clinic at the University of Washington in Seattle, reviews new knowledge of buprenorphine . During the four decades after buprenorphine became available for clinical use persistent misunderstandings have existed in textbooks and in reviews in medical literature. These misunderstandings have misled clinicians and patients so that optimal uses of this drug were reduced. This problem continues to this day .The first serious misunderstanding was that buprenorphine is not an addicting drug. It was marketed as a drug for moderate to severe pain with low risk of misuse or abuse. Clinicians and addicted persons soon discovered that this is not true. I was surprised and very disappointed to discover soon after the sublingual buprenorphine was available in Norway, already in 1983–84, that one of my patients sold his sublingual buprenorphine tablets on the illegal market. Addicted persons dissolved the sublingual tablets and injected the drug. So buprenorphine was soon moved on to the narcotic drug list.There are other misunderstandings about buprenorphine, mostly based on animal data. These misunderstandings came into textbooks on pharmacology and pain as “medical truths” about 30 years ago.
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.
Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.
It’s easy to organize your research with our built-in tools.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera