My First Case of Algophobia? Or Münchausen Syndrome? Or maybe Just Another Patient with Opiate Induced Hyperalgesia, Allodynia, or Maybe Just Opiate Use Disorder?
A Country Doctor Writes
MAY 11, 2025
Jimmy has a bad back. He’s fused at every level, some of them done twice. After many prescriptions of oral pain medication, he landed on Butrans, the buprenorphine patch that stays on for a week, hits the mu receptor for pain just like the regular opiates but not the depression inducing kappa receptor. It has fewer side effects in general and is less likely to cause respiratory depression if somebody were to double up on their dose.
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