after being with my MD for some 2 years, 7 months (clean) and on his Suboxine regimin, I was thrown off the program for a Positive Marajuana blood test. DR refused to taper me off this dependence drug even with a limitted perscription to avoid great discomfort that I experenced. I ended up in the emergency room. Please advise.
No. They can throw you out for illicit drug use. Opioid withdrawals wont kill you, you just feel like you are going to die. A person can get pretty dehydrated though and that can be dangerous. There is no law that say they cant refuse to treat you. They have the right to refuse treatment unless it is a life and death emergency then they are bound to stabilize you until you can be sent elsewhere for treatment. Now that may change a bit from state to state but I'm pretty sure for substance abuse they can refuse treatment especially if you violate terms of treatment and illicit drugs would do that. You can file a complaint with the State Board of Medical Examiners (BOMEX) against the doc but that doesnt mean that anything will come of it. Google your State Board of Medical Examiners and you may find your states policies and you can file a complaint while there if you wish.
Suboxone is considered long acting opiate replacement, for opiate dependency recovery and it can be a maintenance med. If I read the post correctly, you had a drug test and came up positive for pot at your suboxone drs office and were discharged as a patient. You very probably signed paperwork when you first went on suboxone, that said you were aware you could be drug tested and that you agreed somewhere on thqt paperwork, NOT to use any illicit drugs. Personally, I don't judge people for pot use, but if you read the paperwork you likely signed at the drs office, it is going to say you could be discharged abruptly for any violation on the drug test, so, you may not have any kind of complaint against the dr. And Dzoo is right, opiate withdrawal will not kill you, just make you pray for death.
If I were in your shoes, I would find another suboxone dr, get back on it and taper back off, you will be lots more comfortable and less likely to relapse. The drs is NOT bound to taper you off if you broke a signed contract. If you did NOT, and this was a new policy at the subs drs office, you may have a complaint, but most subs drs make you sign tht agreement. If you went to the ER, they likely had no idea what to tell you to do, or about the agreement or what will happen long term. You didn't mention how many mgs you were on when you stopped it, if it was over 2 mgs, you may have weeks of withdrawal from suddenly stopping the subs, trust me on this, get back on, with a different dr, and we can help you taper off. I tapered off slowly and have been fine, NO withdrawal. I know you are angry and disappointed at how this happened, so, I am simply letting you know the logical thing to do. Pain management drs offices also make people sign agreements, and many don't read them, get injured, to to ER, get extra pain meds and also get discharged suddenly from the pain managment clinic and also go into wd, and the dr is NOT held liable, as the contract holds up. Not trying to give you bad news here, just offering support and an opinion about whether you have grounds to file a complaint. I don't think pot should get someone kicked out of the subs program myself, but those who have dirty urine test for opiates while on subs get discharged too and I think one chance to try again is appropriate, but many drs who rx subs don't. Call around and compare prices for a new subs dr and if you want taper help from there, we are here for you. best of Luck, patti
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