Dr. Stephen Klein

speaker

550 appearances 1 recordings 1 series first heard Jun 2026 last heard 25 Jun

Dr. Stephen Klein’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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RECOVERable: Mental Health and Addiction Experts Answer Your Questions · Naltrexone, Suboxone, Methadone: How Medications Treat Opioid Addiction · 25 Jun 2026 podcast

I think that's a really astute observation, which is it takes it out of the hands of the patient and it's something that's on them.

And it's more that they have to show up to a doctor's office.

These are inter-office administrations.

And it's really important that they happen and that they make those appointments.

And that furthermore, those are touch points with their addiction medicine professionals and times where they can check in.

How are things going?

Are there other things that we maybe need to tweak?

The side effect profile is actually pretty well tolerated.

Any opioid will affect the GI system in the way that it kind of slows.

So all opioids have a side effect of constipation.

That's one of them.

We recommend that everyone on Suboxone see a dentist.

With the sublingual versions, there's some concerns about tooth decay.

Some patients kind of report that there's this idea that they're kind of

I'll use the word blunted, but some of their drive for things comes down.

Overall, as far as major medical side effects, we don't see a lot.

Yeah, so the data is very overwhelmingly positive.

So far and away, buprenorphine, methadone, and naltrexone are the gold standards.

Buprenorphine, I would say, takes the lead in those three for effectiveness from the outcomes that you said about overdose, overdose risk, and returning to use.

Again, the number to treat, we're talking about two to three.

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