Fentanyl's extreme potency and high addiction liability create significant barriers to initiating Suboxone treatment, as patients often need to redose throughout the day, making the traditional treatment approach more challenging than with other opioids like heroin; additionally, healthcare payment structures do not adequately support the intensive, hands-on patient care required for successful treatment initiation in the fentanyl era.
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Deep Dive
Why Fentanyl Makes Recovery Harder Than Ever BeforeAdded:
With the fentanyl nowadays, it's even much more difficult. Fentanyl is a lot more potent, has a lot more addiction liability and potential, and it's just hard for people to be able to go home stopping to redose throughout the day and initiate their Suboxone products. And so, it's not that clinicians don't want to do it or maybe some of them may not to do it exactly right. The system and the payment structures don't facilitate being able to hold the hand of a patient and initiate Suboxone in the era of fentanyl, which is even more difficult than starting someone on Suboxone if they're on heroin or other opiates.
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