I appreciate your expertise in rls. I’ve been treated for the condition for over 30 years and have had every rx available. My doctor recently prescribed suboxone to replace methadone which I took for over five years. He did so because the primary pharmacy chains here in California made it unavailable regardless of insurance . It appeared to be politically motivated. Interestingly I’ve never had an iron workup which you recommend. At my insistence recently my blood was tested and showed I’m deficient in every aspect. He dismisses iron oral supplements and recommends an infusion. After 6 months of trying I’ve yet to find a facility to administer it under Medicare Part B. So I’m stymied once again. Thanks again for your informative videos
I have been taking methadone (5mg A.M. and 7.5mg P M) for about 4 years due to augmentation from tramadol. Some of the side effects have made me curious if switching to buprenorphine would be beneficial. After watching this i don't think it would be. So thank you very much for this video.
I"m a patient Of Dr Berkowski. About 10 months ago transitioned off prampapexole to Methadone. I couldn't tolerate the side effects of the meth, even though it was effective. Started on Buprenorphine (Bucal oral patch) and slowly titrated up to 725-900 mcg at night. My advice is, if you can tolerate meth, and its doing a reasonable job, stick with it. Biggest reason is cost. Even with insurance, its really expensive. It also has plenty of its own side effects (one being dental). Once I met my $500 drug deductible, its still $100 a month. Also I have terrible tremors, which 2 drs have told me its not from the Bucal, which is bs. Don't trade one problem for another. I'm trying to find another solution.
Excellent advice. Thank you!
I appreciate your expertise in rls. I’ve been treated for the condition for over 30 years and have had every rx available. My doctor recently prescribed suboxone to replace methadone which I took for over five years. He did so because the primary pharmacy chains here in California made it unavailable regardless of insurance . It appeared to be politically motivated. Interestingly I’ve never had an iron workup which you recommend. At my insistence recently my blood was tested and showed I’m deficient in every aspect. He dismisses iron oral supplements and recommends an infusion. After 6 months of trying I’ve yet to find a facility to administer it under Medicare Part B. So I’m stymied once again. Thanks again for your informative videos
Just learned of buprenorphine tonight! Severe RLS sufferer since age 15. Is it possible to work as a nurse while using this medication
I have been taking methadone (5mg A.M. and 7.5mg P M) for about 4 years due to augmentation from tramadol.
Some of the side effects have made me curious if switching to buprenorphine would be beneficial. After watching this i don't think it would be. So thank you very much for this video.
I"m a patient Of Dr Berkowski. About 10 months ago transitioned off prampapexole to Methadone. I couldn't tolerate the side effects of the meth, even though it was effective. Started on Buprenorphine (Bucal oral patch) and slowly titrated up to 725-900 mcg at night. My advice is, if you can tolerate meth, and its doing a reasonable job, stick with it. Biggest reason is cost. Even with insurance, its really expensive. It also has plenty of its own side effects (one being dental). Once I met my $500 drug deductible, its still $100 a month. Also I have terrible tremors, which 2 drs have told me its not from the Bucal, which is bs. Don't trade one problem for another. I'm trying to find another solution.
what are the typical effective dosages for each ?
Buprenorphine between 2-4mg daily Methadone between 5-15mg daily Rough estimates