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

it's a really hard high relapse potential time period.

So that's, that's a tough requirement.

The other main class of medications is the buprenorphine products.

So those are things that go and kind of not many people have heard of buprenorphine.

Many more people have heard of suboxone.

So suboxone is buprenorphine.

It's combined with naloxone and that's because it makes it so you can't divert it.

So it's something that you put under your tongue and it,

delivers buprenorphine the naloxone is so you can't either put it in your nose or more importantly in your veins um because it blocks the opioid receptor so it's an overdose diversion mechanism that basically protects the medication the buprenorphine products are partial opioid agonists so they partially activate the opioid mu receptor but not fully most importantly they have a respiratory effect sealing so it's very very hard to overdose on something like suboxone

So the difference with Suboxone is you can initiate someone who's in active withdrawal on Suboxone.

It needs to be done carefully, but we normally wait till patients are in moderate to severe withdrawal.

We initiate them on buprenorphine.

They feel better right away because it really cools off the body.

It decreases opioid cravings and outcomes are incredibly good on buprenorphine.

So I really don't take advice or I don't take guidance, I should say, from anyone besides the patient.

So normally I meet patients in a residential treatment facility.

It's a pretty high level of care.

So of the ASAM levels, there's different.

They go basically from outpatient, which is just maybe meeting with a therapist a few times a week, all the way to residential detoxification, which is the highest.

The highest level is four.

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