Simon Feng, MD

For a longer version of this video, see tiktok.com/t/ZT2CptRFo/

@ibdgirl76 Sorry for the long response

⁦@drsimonfeng⁩ now I’m sure you’re going say well that was 2008 and that was a different country, but does it actually matter? She’s saying many prefer Subutex to heroin. it’s incredibly myopic to just conclude it’s non-addictive and irrelevant, even if people are addicted

@ibdgirl76 Sorry, I tried to upload a pdf response twice but didn't work. I will try again tomorrow

@ibdgirl76 drive.google.com/file/d/16voaz2…

@ibdgirl76 drive.google.com/file/d/16voaz2…

@Wanita1 @JGillespie67 @ibdgirl76 @CMerandi It appears bup could be addictive in some environments, esp where no other opioids available. Fentanyl users can’t use bup — puts them into precipitated withdrawal. IMO most street bup used to self-medicate withdrawal. I’ve never seen a “bup addict” who wasn’t already addicted

I would like to ask that you post evidence that Buprenorphine isn’t addictive but it’s much more difficult to prove a negative, is it not? Would it be true to say that Buprenorphine, as a partial opioid agonist (not sure if I said that right), might carry a risk of addiction tho there is no definitive proof to support the statement? Bc it binds to opioid receptors, should we not hypothesize that Buprenorphine carries a small risk of addiction? At least until it’s proven otherwise? Just to be on the safe side? Pts can be properly informed regarding no evidence about whether or not it is addictive.

Suboxone doctor refuses to believe Suboxone is addictive You blocked Bev on TikTok because you don’t like to be challenged. We will continue to raise awareness to the highly addictive opioid, Suboxone

@JGillespie67 I’ve Rx opioids for CPP for 20+ yrs. I teach residents not to be afraid of Opioids. I give lectures on the safety of opioids. I never force bup on CPP. Look at my old posts to see my posts on CPP. But you’ve made up your mind so I won’t try to convince you.

@Wanita1 @JGillespie67 @ibdgirl76 @CMerandi Sublingual forms have higher rates of dental caries and tooth loss.

It sounds to me like the buccal form is responsible for ppl losing their teeth. I’ll need to look it up. I have seen on Twitter, ppl who refuse to take this medication for pain bc of misinformation. My brother suffers from Arachnoiditis in his neck which causes nerve pain down his arm & Butran’s patch worked to treat his pain. The problem was tolerance.

@james_stampfer @ibdgirl76 Disease & choice are not mutually exclusive. Type 2 diabetes related to lifestyle choices; COPD from choosing to smoke. We choose behaviors not consequences. Addiction is like COPD, the consequences of unwise choices, not the choice itself.

@drsimonfeng @ibdgirl76 I’ve just briefly checked out some of your work and although I agree with some of your sentiments regarding abstinence based approaches, I find the disease model falls short of reality. It’s a learned behaviour with functional neural adaptation. A disease does not provide choice.

@drsimonfeng since you blocked me on TikTok for speaking the truth, here is my response to your claim. I stand by my statement. I never one time claimed that since there is a small risk of addiction, it shouldn't be prescribed. That was all you needing to promote a narrative. Patients deserve truth. Assuming a person w OUD doesn't have the ability to weigh risk v benefit is the most stigmatizing thing of all. #buprenorphine #Suboxone #MOUD #addiction #bupe #pain #opioids #stigma #stoplying

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Kratom is only illegal in 6 states because conclusive proof of harm has not been established.

It’s interesting how you say not enough is known about the addictive potential of Kratom but you don’t say that about Bupe. You simply say there’s no evidence of it. This is the exact hypocrisy that I struggle with when it comes to addiction medicine. The drug exceptionalism is wrong.

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Kratom is poorly studied. Bup has been studied intensively for decades. Bup abuse is common & often confused for bup addiction, just like opioid dependency is mistaken as addiction. You’ve convinced me bup may be addictive in certain environments.

@DeeSnutts6 @Bilked2TheBrink @ibdgirl76 Thank you Bev. Of course buprenorphine is an opioid.

@Bilked2TheBrink @drsimonfeng @ibdgirl76 I was hoping to see a reply from Dr. Feng because he has stated that buprenorpine is not an opioid , and I disagree.

@LindaFi98061157 @ibdgirl76 @Duskblossom @JGillespie67 @CMerandi As with opioids, mortality stats do not differentiate between those dying WITH and those dying FROM the chemical.

@ibdgirl76 @drsimonfeng @Duskblossom @JGillespie67 @CMerandi

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Bev, I want honest discourse. I am always willing to learn, which means to accept new information. That’s why I suggested connecting on zoom or whatever. My offer stands

@drsimonfeng @Whritenour1 @JGillespie67 @CMerandi That’s great to hear.

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Based on what you showed me I will be more careful about what I say.

@drsimonfeng @Whritenour1 @JGillespie67 @CMerandi From this study "A large proportion of opioid dependent people in Finland started their opioid with bupe purchased directly from the street trade. Bupe addiction is a particularly Finnish problem as more than 80% of high risk opioid users have used bupe as their main drug. "

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Ok Bev, I asked you to show me evidence and this is good. I appreciate it. Regional differences are important. In S Africa, AIDs drugs are being abused. It’s called nyope. But there’s no talk of antiretroviral addiction in USA

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi You’re correct that many people who die from fentanyl weren’t addicted. 100%

Did I say it was due to bupe addiction? No, again this is you spinning a narrative. You claimed there have been zero fatal overdoses, and I showed you studies proving otherwise. Many who did from illicit fentanyl aren't opioid addicted either. in fact, those who aren't have higher risk of OD.

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi Ok I take that back.

@ibdgirl76 @Whritenour1 @JGillespie67 @CMerandi From the study you mentioned, it says almost all fatalities involved other substances Again this is Finland But ok, I shouldn’t have said no fatal overdoses because that’s misleading

@drsimonfeng @Whritenour1 @JGillespie67 @CMerandi OD on OxyContin alone has also been rare. Often when people misuse it they use it with other substances. This can be fatal. Hiding this risk is wrong.