Suboxone use and the Boards of Nursing - page 3

Does anyone here know, with any degree of certainty, how the various State Boards of Nursing view the use of Buprenorphine (Suboxone/Subutex) for opiate dependence and/or addiction? Do they allow... Read More

  1. Visit  TXRN2 profile page
    epocrates: best of luck to you!!! i have absolutely no idea what your BON will say or do- but i hope it works out for you!!
  2. Visit  SarahFNP profile page
    FYI-the Naloxone in Suboxone is not absorbed into the system. It is simply in the combination drug to keep people for shooting it up. Otherwise you actually absorb little to none. It's the Buprenorphine itself that has such an affinity for the mu receptor it can't be bumped off by 99.9% of opiates. So, the naloxone doesn't keep you from feeling the effects of opiates, or make you sick, it's the affinity of the buprenorphine to hold tight. If you were to take buprenorphine without naloxone whilst having opiates on board it would kick whatever opiate you've taken off the receptor and take it's place. that's why you cannot start someone on Subutex, or Suboxone until they are in full withdrawal.
    jackstem, LilRedRN1973, and sallyrnrrt like this.
  3. Visit  adriennebc34 profile page
    What if you have been reinstated just a week ago, already signed your agreed order from your BON? The only instructions is no mood or mind altering substances, if u are on meds your doctor must fill out a paper stating the reasons why you are on them. I have been an addict for 10 yrs. I thought suboxone would help me from a relapse. I'm in the state of KY, does anyone know??
  4. Visit  jackstem profile page
    I don't think Kentucky allows a nurse to practice while on Suboxone. You might want to consider consulting with a nursing license defense attorney. I've put out some feelers from folks who might have the answer to this question. If I receive anything definitive I'll post it.

    adriennebc34, catmom1, and TXRN2 like this.
  5. Visit  gmkj profile page
    Well said. I have been on it since 2006 .Some may say I am weak and still using but since I only answer to myself I say I am almost eight years in recovery. I can honestly say I have not used any iligal narcotics.i have no cravings and have gone from 32 mg a day to 4 mgs a day. I am now a practicing lpn for four years without a single incident.Although I have seen many other nurses using and diverting drugs with no proof I have to mind my business and worry about myself. I was out of nursing for almost three years and thought I would not be able to work in nursing a gain. I did start as a can until my compny felt they built enogh trust to let me work as a lpn which I am now doing. My life is normal and some day I may not need it but for no I will continue to slowly wean myself off and live in alife wear I can do what I love nursing. when I got my license back the nys nursing board new I was on suboxone and aloowed me to work while on the medication. So for any of you who think its as bad as using other narcotics yea I will call you ignorant because as they say addiction is a disease which can be controed with medication same as any other illnesses and also like other illnesses is no cure.Best wishes for any one going thru the struggle..
    TXRN2 likes this.
  6. Visit  adriennebc34 profile page
    I'm not sure either, thanks for the help. You are the only one who has answered me. :-)
  7. Visit  sallyrnrrt profile page
    double edge sword, i am glad i was not afforded it
    most BON say no....

    i see it help in myclinical environment of practice, but only few have weaned off.....

    the 12 step way worked for me, and i personaly advocate the steps
    TXRN2 and LilRedRN1973 like this.
  8. Visit  LilRedRN1973 profile page
    It was one of my options and I quickly turned it down because for me and me only, I would have been replacing my dependence on pain pills to dependence on suboxone. From what I have seen working in the psychiatric field for the past 5 years and many, many addicts, when they have been offered suboxone, it doesn't encourage them to find other ways to manage their sobriety. They aren't much interested in meetings, a sponsor, etc. This is just from my experience. I think it has its place, short term but long term use just wasn't for me and I didn't want to even start down that path. I was taking close to 40 Norco's a day and endured a nasty 7-10 days of withdrawal but then it was over and I was clear of any pills, medications or the need to take anything. And that was when I buckled down and started a 12 step program in order to ride myself of the obsession/craving.

    I know our BON does NOT allow it at all. They are very much opposed to the use of just about anything while on contract.
    sallyrnrrt and TXRN2 like this.
  9. Visit  Geslina profile page
    Imodium??? Loperamide, the "opiate" in Imodium only acts on the intestines, it can't pass the blood/ brain barrier, so Cant actually effect the users brain or mood. Even not allowing Benadryl is ridiculous. Only in Texas.
  10. Visit  catmom1 profile page
    Quote from Geslina
    .. Even not allowing Benadryl is ridiculous. Only in Texas.
    No, not only in Texas. Several states are as bad or worse. My state has no alternative to discipline program of any kind for ANYONE with any addiction, so one's career is destroyed regardless of how many years, even decades of recovery are in place.


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