Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Medicine
 
chapter
Regulations Governing Prescribing of Opioids and Buprenorphine [18 VAC 85 ‑ 21]
Action Initial regulations
Stage Emergency/NOIRA
Comment Period Ended on 5/3/2017
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4/4/17  11:58 am
Commenter: Cathleen A Burns

HB2163
 

I am very concerned about this bill and the adverse affects on those individuals struggling with opiate addiction and allergic to naloxone. I personally am aware of one young one who has been successful with subutex who now has to start a new medication with a low dose of naloxone who after the first day is experiencing severe nausea and depression and has hives on her neck. She is a freshman at VCU and has done well on subutex over the past 7 months. After 2 years of multiple rehabs, IOP's, different medication management programs including suboxone which she is allergic to and has had ER visit for respiratory distress after starting suboxone. My understanding is that the SAMSHA recommendations include subutex for individuals who have medically been determined to have an allergy for naloaxone. I am perplexed why the Commonwealth of VA would go against those recommendations and outlaw any treatment for anyone with an opiate addiction that been successful and then mandate taking a medicine that one is allergic too as the only alternative for medication assisted treatment. Seems like a huge liability issue with the very real possibility of death either by overdose of an opiate after relapse because she can not tolerate the naloxone  or a life threatening reaction to naloxone. This is a no brainer and breaks my heart after coming so far personally in this fight for this young girl's life. This law will fail her and most likely will be a death sentence for my loved one....I do not want to loose her and I am angry that this law is taking away the one treatment that has worked for her after so many failed attempts. I do not understand why goverment has to interfer with medicine especially when in this case the medical profession has done a good job in not giving up on this one precious being. I realize the subutex can be abused however why for those who it is working and have an allergy to naloxone and is not abusing this medication, why should the only available treatment that worked be taken away. I think the Commonwealth of VA is punishing and perhaps will cause death for this young girl who is working very hard to beat this addiction. You are setting her up to die in my judgement. My background is in nursing and I am an LPC in Fairfax. Prfessionally and personally I oppose this bill and know first hand there will be fatal outcomes. 

CommentID: 58269