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Since she can't work without the drugs, she has decided to quit her job so that she can seek treatment. I think she can overcome this with my help, but I'm not sure what course of action to take. We can't afford inpatient rehab, and I feel unsure about outpatient treatment simply because I can't be there for her during the day because I am working. Has buprenorphine been effective for anyone here?. I will post again after i have seen her. My sympathy and support goes out to you all who are suffering through this terrible drug. tramadol 270 pills x 100 mg