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XODET: The Mixed Up Nature Of Modern Drug Detox

A world of mixed up and backwards concepts when it comes to opioid addiction treatment

What exactly is xodet? First, I want to apologize for this unusual blog post. You will notice that I am using some words that appear to be made up. In fact, they are either anagrams or reversals of words that apply to addiction and treatment. So, why have I done this? Unfortunately, the world of addiction treatment is quite mixed up as it is today. We must understand this to make a difference for the better.

Xodet for the treatment of etaipo and dioipo noitcidda.

If you jumped to this paragraph first, you may wonder what language I am speaking. Xodet is an anagram for detox. Many detox facilities exist today. Their programs for the opioid addict (dioipo tcidda) usually involve a very fast taper off of buprenrophine (enihpronerpub). Alternatively, they may use Suboxone (enoxobus) or Subutex, a brand name medication which contains buprenorphine. Unfortunately, medical treatment often ends before it ever had much of a chance to begin.

Let us end the confusion now.

OK, I am going to stop using words such as xodet, etaipo, dioipo, noitcidda, tcidda, enihpronerpub, and enoxobus. Still, it is interesting to see these terms reversed and mixed up. Maybe we do need to shake up the language a bit so we can get a fresh look at what we are doing. The problem that we face is that we are doing too little of what works and too much of what does not work.

How do doctors treat chronic disease?

As you may or may not know, a chronic disease is an illness that lasts indefinitely. To be more clear, a chronic illness lasts for life. There is usually no cure. While a chronic illness can sometimes be managed without medical treatment, this is often not the case. Addiction is a chronic illness. Hence, opioid/opiate addiction is a disease that does not go away. But please, do not despair. Medical science has developed proven, successful treatments.

Not so fast please.

Please, beware of medical facilities that use only fast tapering off of bupremorphine or Suboxone. This medication works, but it works best when used long-term. While tapering down to an effective dose is a good idea, the tapering should be done slowly. And, many patients will benefit from long-term, ongoing treatment with this medication. There are many medical settings for proper addiction treatment as discussed here. There are even programs where you can get free Suboxone as described here.

One more time.

I know, I promised that I would not use the anagrams again. But, I am going to break that promise and list them here just one more time. If you can solve them, please comment below and let me know what you think of modern, medical addiction treatment as it exists today. Here they are: enoxobus, etaipo, dioipo, enihpronerpub,xodet, noitcidda, and tcidda. And, for extra credit, I have purposely misspelled a word in the text. Can you find it? Thank you and have a great day!

This Post Has One Comment

  1. Suboxone, opiate, opioid, buprenorphine (spelled wrong in the text), detox, addiction, addict.
    Modern medical treatment for addiction has a long way to go in terms of stigma, cost, and availability. Dr Bisaga’s book “overcoming ovoid addiction” clearly identifies this in chapter 1. And as a product of the 12-steps (28+ years) I too am frustrated by the “abstinence only 12-step approach”. A great recipe for failure and disappointment…. but paved with good intentions.
    I look forward to serving your patients with cost-effective buprenorphine (with and without naloxone). And one day in the far future when the patient shows they can manage a slow taper off, I am there to help them every 1mg of the way.
    Thank you Dr Leeds,

    Sincerely,

    Steven Mougeot, PharmD
    Thrive Pharmacy 🙂

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