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Is Buprenorphine (Suboxone) Treatment Right For You?

The epidemic of opioid abuse throughout the United States has greatly increased the number of opioid dependent individuals.  With a much larger population dependent on opioids, there is also a larger population of those seeking help.  In the past decade, prescription opioid drugs have become a major part of this national epidemic. The first step is to understand which phrase defines the person looking to begin recovery.  The person has either an "opioid dependence" or an "opioid addiction".  This is important to distinguish early on to pick the proper path for recovery. Opioid Dependence  - an individual with opioid dependence has been using opioids for an extended amount of time, and their body and mind has become accustomed to the drug and its effects (can acquire dependence to opioids in as little as 1-2 weeks).  If the opioid use is stopped or greatly reduced the body and mind will react negatively, the person experiences withdrawal symptoms.  Most individua
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Pharmacokinetics 101 (LADME) - How Drugs Interact with the Body

Pharmacokinetics is a branch of Pharmacology that studies how a drug interacts with the body, from drug administration until elimination from the body.

This can be defined as somewhat of a life cycle for a specific drug.  Every drug has unique characteristics of interaction with the body.  Every drug has many interactions with different parts of the body as it completes this cycle. The “ADME" four step (or LADME five step) process of Pharmacokinetics is simple way to outline the major aspects of the drug’s activity from dose administration to dose elimination.

A bsorption - Process that leads to Drug entering the blood circulation
D istribution - Dispersion of Drug throughout body fluids and body tissue
M etabolization - Recognition by organism of foreign substance (drug) present in system, followed
                             by permanent transformation of parent compounds into daughter metabolites
E xcretion - Removal of Drug (including daughter metabolites) from the body








A similar model to ADME is the LADME model of the pharmacokinetic process.  This is essentially the same, with the addition of an extra step at the beginning.  “Liberation” can be added in before Absorption of the drug.  Liberation refers to any specific way the drug is released from it’s pharmaceutical formulation (Example: capsule formulation vs tablet formulation, or an immediate release formulation vs extended release formulation).


LADME 2

Terms to Understand - Defined

Some words used in Pharmacokinetics (including the name itself) can seem intimidating for those just learning, but the concepts are fairly easy to understand.  It is important to understand commonly used words throughout this subject.  In fact, learning these terms will be useful in understanding prescribed medication and much more.  Deeper and more complex discussions allow you visit your physician or pick up a prescription from your pharmacist

Peak Plasma - When drug level in plasma reaches it's peak concentration. Peak Plasma Concentration is represented by the actual peak concentration achieved (example: 2mg/L) as well as the time required from administration to achieving the peak level

Half-Life - The time required for half of dose administered to be eliminated (excreted) from the body

Bioavailability - Percentage of dose administered that reaches systemic circulation (the bloodstream), often IV administration of drugs is 100%
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