Registered nurse Jamie Simmons speaks with a patient during an appointment at the Greater New Bedford Community Health Center in Massachusetts. The patient, whose first name is Kim, says buprenorphine has helped her stay off heroin and avoid an overdose for nearly 20 years. Jesse Costa for KHN
By Martha Bebinger, National Public Radio (NPR), March 6, 2023
For two decades — as opioid overdose deaths rose steadily — the federal government limited access to buprenorphine, a medication that addiction experts consider the gold-standard for treating patients with an opioid use disorder. Study after study shows it helps people continue addiction treatment while reducing the risk of overdose, and death.
Clinicians who wanted to prescribe the medicine had to complete an 8-hour training. They could only treat a limited number of patients and had to keep special records. They were given a Drug Enforcement Administration (DEA) registration number starting with X, a designation that many doctors say made them a target for drug enforcement audits.
"Just the process associated with taking care of our patients with a substance use disorder made us feel like, 'boy, this is dangerous stuff,'" says Dr. Bobby Mukkamala, who chairs the American Medical Association's task force on substance use disorder.
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