Do OTPs not give a shit about their patients? We’ve been expecting guest dosing paperwork for TWO FULL DAYS and still don’t have it. This pt is in a nursing home w/o their methadone. Now it’s the weekend so…. They need to make it easier for pts to guest dose #addictionmed #medtwitter #freemethadone
January 24, 2025 at 6:58 PM
Do OTPs not give a shit about their patients? We’ve been expecting guest dosing paperwork for TWO FULL DAYS and still don’t have it. This pt is in a nursing home w/o their methadone. Now it’s the weekend so…. They need to make it easier for pts to guest dose #addictionmed #medtwitter #freemethadone
Liquid Handcuffs debuted at the Bay Area book festival in Berkeley, CA #freemethadone
June 4, 2026 at 12:24 AM
Liquid Handcuffs debuted at the Bay Area book festival in Berkeley, CA #freemethadone
Book goes on sale on March 3 #freemethadone #abolishOTPs
February 26, 2026 at 2:00 PM
Book goes on sale on March 3 #freemethadone #abolishOTPs
The book & audiobook will be published next month and is ready for pre-order now #freemethadone #abolishOTPs
February 1, 2026 at 9:11 PM
The book & audiobook will be published next month and is ready for pre-order now #freemethadone #abolishOTPs
filtermag.org/seeking-meth... I think we know how stressful it is for people seeking methadone....#freemethadone
People Seeking Methadone or Bupe Face “More Stress Than You Know”
Study participants in Chicago described a range of severe obstacles to care, which led to them seeking workarounds or just leaving treatment.
filtermag.org
July 23, 2025 at 2:25 AM
filtermag.org/seeking-meth... I think we know how stressful it is for people seeking methadone....#freemethadone
filtermag.org/methadone-pi... “When we handed them the bottle of methadone with a label on it, which looked like a drug-store bottle of anything, some of the patients would cry.” #freemethadone #abolishOTPs @mountsinainyc.bsky.social @vitalstrategies.org
A Methadone Pioneer Who Freed People From the Cruel Clinic System
From 1985-2020, Dr. Edwin Salsitz ran an office-based program giving people a month of take-homes. How does he see the landscape now?
filtermag.org
April 24, 2025 at 2:49 PM
filtermag.org/methadone-pi... “When we handed them the bottle of methadone with a label on it, which looked like a drug-store bottle of anything, some of the patients would cry.” #freemethadone #abolishOTPs @mountsinainyc.bsky.social @vitalstrategies.org
Very excited to see this study take place… but also, let’s just #freemethadone https://www.statnews.com/2023/02/24/methadone-trial/
Amid fentanyl crisis, first-of-its-kind study to evaluate...
A new trial will attempt to compare patients’ ability to ...
www.statnews.com
November 22, 2024 at 1:30 PM
Very excited to see this study take place… but also, let’s just #freemethadone https://www.statnews.com/2023/02/24/methadone-trial/
Thinking of my friend who survived a heroin overdose at 18, of my patients, of all the grief that exists b/c the toxic drug supply and the war on drugs are killing more than 100,000 people per year. #YesToOPS #XtheXwaiver #freemethadone
#OverdoseAwarenessDay
#OverdoseAwarenessDay
November 25, 2024 at 4:50 AM
Thinking of my friend who survived a heroin overdose at 18, of my patients, of all the grief that exists b/c the toxic drug supply and the war on drugs are killing more than 100,000 people per year. #YesToOPS #XtheXwaiver #freemethadone
#OverdoseAwarenessDay
#OverdoseAwarenessDay
Currently at a talk by @National_usu & others about need to #freemethadone. If you are in the addiction medicine or recovery field & haven't read the #MethadoneManifesto, get to it! They also have @AJPH editorial: https://ajph.aphapublications.org/doi/10.2105/AJPH.2021.306665
November 25, 2024 at 1:48 AM
Currently at a talk by @National_usu & others about need to #freemethadone. If you are in the addiction medicine or recovery field & haven't read the #MethadoneManifesto, get to it! They also have @AJPH editorial: https://ajph.aphapublications.org/doi/10.2105/AJPH.2021.306665
Hospital methadone starts are the BEST.
So often, somewhere between 50-70mg you walk into room and can just see on patient's face how much better they feel.
I love bupe but it's not for everyone, especially in the age of fentanyl.
(#freemethadone)
So often, somewhere between 50-70mg you walk into room and can just see on patient's face how much better they feel.
I love bupe but it's not for everyone, especially in the age of fentanyl.
(#freemethadone)
November 24, 2024 at 5:39 PM
Hospital methadone starts are the BEST.
So often, somewhere between 50-70mg you walk into room and can just see on patient's face how much better they feel.
I love bupe but it's not for everyone, especially in the age of fentanyl.
(#freemethadone)
So often, somewhere between 50-70mg you walk into room and can just see on patient's face how much better they feel.
I love bupe but it's not for everyone, especially in the age of fentanyl.
(#freemethadone)
I am heartsick
I am worried
I am so, so frustrated
I need to open a bridge clinic
We need to #FreeMethadone
I am worried
I am so, so frustrated
I need to open a bridge clinic
We need to #FreeMethadone
November 24, 2024 at 4:28 PM
I am heartsick
I am worried
I am so, so frustrated
I need to open a bridge clinic
We need to #FreeMethadone
I am worried
I am so, so frustrated
I need to open a bridge clinic
We need to #FreeMethadone
I am a ridiculous human who submitted (impassioned) comments about federal methadone regulations at 11:45pm on the last day I could do so
and now to bed with me
(#freemethadone)
and now to bed with me
(#freemethadone)
November 24, 2024 at 4:21 PM
I am a ridiculous human who submitted (impassioned) comments about federal methadone regulations at 11:45pm on the last day I could do so
and now to bed with me
(#freemethadone)
and now to bed with me
(#freemethadone)
Patient telling me that methadone works well for them but they know their current life situation & sleep disruption won't let them get to clinic regularly. "Why can't it just be sent to the pharmacy like suboxone?"
Why, indeed.
#FreeMethadone
Why, indeed.
#FreeMethadone
November 24, 2024 at 8:37 AM
Patient telling me that methadone works well for them but they know their current life situation & sleep disruption won't let them get to clinic regularly. "Why can't it just be sent to the pharmacy like suboxone?"
Why, indeed.
#FreeMethadone
Why, indeed.
#FreeMethadone
I cheered and yelled “#freemethadone!” At #MOTAAct sponsor @SenMarkey but I don’t think he heard me 😂
November 24, 2024 at 6:17 AM
I cheered and yelled “#freemethadone!” At #MOTAAct sponsor @SenMarkey but I don’t think he heard me 😂
SHOCKINGLY, my hail mary "try to pre-order a 6am uber for my unhoused patient without a working cell phone so they can make it to once weekly methadone intake by 7am" venture did not work out
#freemethadone
#freemethadone
November 23, 2024 at 11:56 PM
SHOCKINGLY, my hail mary "try to pre-order a 6am uber for my unhoused patient without a working cell phone so they can make it to once weekly methadone intake by 7am" venture did not work out
#freemethadone
#freemethadone
this "working 'till 10pm being at a conference at 9am in a different state" plan was very ambitious (but still psyched about the @FreeMethadone conference!)
November 23, 2024 at 11:21 PM
this "working 'till 10pm being at a conference at 9am in a different state" plan was very ambitious (but still psyched about the @FreeMethadone conference!)
Mobile methadone van ~$200K, and $60K to outfit, to try to reacha metahdone desert in Western MA - "THIS IS NOT A SCALABLE SOLUTION TO THE PROBLEM!" AMEN. We have brilliant docs and pharmacists around the country who can make this happen. #freemethadone #deregulatemethadone
November 23, 2024 at 8:58 PM
Mobile methadone van ~$200K, and $60K to outfit, to try to reacha metahdone desert in Western MA - "THIS IS NOT A SCALABLE SOLUTION TO THE PROBLEM!" AMEN. We have brilliant docs and pharmacists around the country who can make this happen. #freemethadone #deregulatemethadone
Even if OTPs were abolished today it would be an embarrassment @samhsa and @asam’s only response should be silence for allowing those they swore to protect to suffer so horribly for so long. Methadone’s moment should be one of silence. #freemethadone
April 8, 2025 at 10:29 AM
Even if OTPs were abolished today it would be an embarrassment @samhsa and @asam’s only response should be silence for allowing those they swore to protect to suffer so horribly for so long. Methadone’s moment should be one of silence. #freemethadone
What do you do when you are required to electronically sign a form in order to get medication that is completely made up? I never said (nor would I) any of this. I also don’t have Hepatitis C or legal issues. I find this stuff in my records all the time. #freemethadone
March 23, 2025 at 8:04 PM
What do you do when you are required to electronically sign a form in order to get medication that is completely made up? I never said (nor would I) any of this. I also don’t have Hepatitis C or legal issues. I find this stuff in my records all the time. #freemethadone
When everyone else hid behind their computers I went out into the encampments and fought for people to get the meds they needed, I am permanently disabled as a result. If you are a person who claims to be an advocate I need you to put your conveniences aside to ensure the same for me. #freemethadone
March 19, 2025 at 4:56 PM
When everyone else hid behind their computers I went out into the encampments and fought for people to get the meds they needed, I am permanently disabled as a result. If you are a person who claims to be an advocate I need you to put your conveniences aside to ensure the same for me. #freemethadone
This is why most days I have to change my clothes after the clinic. If I wake up after 4am and have to pee I hold it and usually wind up soiling myself. Ask yourself if you can think of any legitimate reason for a policy like this, seriously any REASONABLE though. #freemethadone.
March 17, 2025 at 6:15 PM
This is why most days I have to change my clothes after the clinic. If I wake up after 4am and have to pee I hold it and usually wind up soiling myself. Ask yourself if you can think of any legitimate reason for a policy like this, seriously any REASONABLE though. #freemethadone.
Every time I see myself on camera I’m reminded that I look chronically ill and older. It informs how much the OTP system trains its employees to view its clients like criminals; just being a patient at the clinic is evidence of guilt, therefore punishment is required. #freemethadone
March 17, 2025 at 5:52 PM
Every time I see myself on camera I’m reminded that I look chronically ill and older. It informs how much the OTP system trains its employees to view its clients like criminals; just being a patient at the clinic is evidence of guilt, therefore punishment is required. #freemethadone
@clairezagorski.bsky.social Can we talk about the methadone plushie? Every time I see it I am reminded of the deeply abusive system OTPs are and I am respectfully requesting a new design, something that encapsulates the horrors we go through as clients. #freemethadone
March 17, 2025 at 12:53 PM
@clairezagorski.bsky.social Can we talk about the methadone plushie? Every time I see it I am reminded of the deeply abusive system OTPs are and I am respectfully requesting a new design, something that encapsulates the horrors we go through as clients. #freemethadone
The nurses, doctors, clinic directors, state or federal agencies won’t intervene. @PADrugAlcohol @samhsagov @DonaldNorcross #freemethadone
March 17, 2025 at 10:06 AM
The nurses, doctors, clinic directors, state or federal agencies won’t intervene. @PADrugAlcohol @samhsagov @DonaldNorcross #freemethadone