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Balcones Pain Consultants

Phone: 512-834-4141

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Balcones Pain Consultants

  • About
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  • Conditions
    • Fibromyalgia
    • Headaches & Migraines
    • Abdominal Pain
    • Arm Pain
    • Back Pain
    • Foot Pain
    • General Pain
    • Hand Pain
    • Head & Face Pain
    • Hip Pain
    • Knee Pain
    • Leg Pain
    • Neck Pain
    • Pelvic Pain
  • Treatments & Procedures
    • Biofeedback and Acupuncture
    • Lifestyle Changes
    • Treatment with Medication
    • Spinal Cord Stimulation
    • Pre- & Post-Surgical Pain Treatment
    • Epidural Injections
    • PRP & Stem Cell Therapy
    • Infusion Therapy
    • Nerve Blocks
    • Neuro-Stim System NSS
    • Superion Indirect Decompression System
    • Dorsal Root Ganglion Stimulation
    • Probuphine Implant
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    • Austin, TX
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    • Marble Falls, TX
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Probuphine

What is a Probuphine Implant?

Probuphine is an implant that contains the medication buprenorphine. Probuphine is used to treat certain adults who are dependent on opioid drugs.

Probuphine is currently the only six-month treatment for adults with an opioid dependency. The procedure consists of inserting four implants into a patient’s arm. Each implant contains a medication called “buprenorphine”, which is used to treat certain adults who are dependent on opioid drugs. Probuphine is part of a complete treatment program that also includes counseling and behavioral therapy.

The Probuphine implants, placed in the arm give up to 6 months of continuous, steady release of a low-dose buprenorphine – helping to prevent withdrawal symptoms and cravings.

Serious complications may happen from insertion and removal of Probuphine. See Important Safety Information. Because of the risk of complications of migration, protrusion, expulsion, and nerve injury with insertion and removal of PROBUPHINE, it is only available through a restricted program called the PROBUPHINE REMS Program.

The Insertion Procedure

Your doctor will explain the risks related to the insertion and removal of a Probuphine implant and can perform the procedure right there in the office.

During the insertion, patients lie on their backs with a bent arm resting next to their head. A doctor will clean and numb the insertion area on the inside of the upper arm. The 4 small flexible rods will be placed just under the skin through the same small incision. After the rods are in place, the doctor will gently feel for them to ensure they are placed in the arm correctly.

A small bandage will cover the incision and should remain in place for 3 to 5 days. A larger pressure bandage covering the full implant area should be worn for the first 24 hours.

The doctor will provide wound care instructions and advice including:

  • First 24 hours — apply an ice pack to the insertion site for 40 minutes every 2 hours while awake to help reduce bruising and swelling, as needed.
  • First 24 hours — avoid showers or swimming to keep the site dry.
  • Avoid strenuous activities for the first week.
  • Schedule a visit during the first week after insertion.

As a helpful tool, implant recipients are given a patient identification card with the date Probuphine was inserted and the date it is to be removed. As with all medications, it is important that other healthcare professionals know that you are being treated with Probuphine.

Removing the Probuphine Implant

Probuphine is intended to remain in a patient’s arm for six months, but a doctor can remove it sooner, if needed. After the 6-month period, if a person wishes to continue treatment with Probuphine, they should speak with their doctor. The doctor may replace it with a new Probuphine implants in the other arm for one additional 6-month treatment.

Recipients should not try to remove the Probuphine implant themselves. Patients could potentially go into opioid withdrawal and become sick because their system has become used to the medication. A doctor should always be consulted on the best way to stop Probuphine treatment.

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Because chronic pain affects each of us differently, your treatment at Balcones Pain Consultants begins with careful listening and examination.
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Balcones Pain Consultants has three convenient locations to serve you, in Austin, Cedar Park, and Marble Falls, Texas.  Our pain physicians will work personally with you to identify and develop the most effective course of treatment for conditions such as Abdominal Pain, Arm Pain, Back Pain, Fibromyalgia, Foot Pain, General Pain, Hand Pain, Head and Facial Pain, Hip Pain, Knee Pain,  Leg Pain, Neck Pain, and Pelvic Pain. Our treatments and procedures include PRP and Stem Cell Therapy, Nerve Blocks, Implantable Spinal Cord Stimulator, Biofeedback and Acupuncture, and more.