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`Bupe' to draw closer scrutiny

U.S. to start tracking deaths of those on addiction treatment

Sun Follow-up

January 11, 2008|By Fred Schulte and Doug Donovan , Sun reporters

"We're the number one per capita prescriber of this drug and we have no clue how much is out there," he said.

Dr. Margaret Greenwald, Maine's chief medical examiner, wants to routinely test for buprenorphine. But she said the $200 cost per buprenorphine screen is prohibitive.

She said two men have died over the past two years of overdoses caused by mixing illegally obtained buprenorphine with other substances. One man, Donald Morin, died on Feb. 16, 2006, after mixing buprenorphine with the tranquilizer Xanax and cocaine. Suboxone pills were found in his pocket, which led to the test, she said. Another man died July 21, 2007, of an overdose caused by mixing buprenorphine with alcohol and two antidepressants, she said.

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The Maryland Department of Health and Mental Hygiene has asked the commission that oversees the state medical examiner's office to review possible testing for buprenorphine. The state is spending $3 million to roll out the drug statewide, plus nearly $2 million to pay for prescriptions of low-income patients.

Dr. J. Ramsay Farah, president of the Maryland Society of Addiction Medicine, supports testing.

"If you don't look for something you're not going to find it," Farah said. "You need to look for it."

fred.schulte@baltsun.com doug.donovan@baltsun.com

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