First of all, let me mention one of the things we don't do at our company. We will never bash another treatment. We won't say that methadone is any better or worse, or that Suboxone is. The reality is that if you sell treatment, then Suboxone, methadone, psychosocial support, everything will be successful by extension. Treatment will be successful.
There are different patient profiles for which methadone is very appropriate. I don't like to pigeonhole the patients who take Suboxone versus the ones who are commonly on methadone, but we'll often find that when physicians prescribe methadone for patients, it's normally because they've suffered some sort of very big trauma, sexual trauma, violence, what have you, in their formative years. What happens with the Suboxone component.... As you well know, with methadone you have almost a dazed feeling and a dazed look when you take it. Often patients who take Suboxone will say that their mind is too clear and they don't want to think about the stuff that happened in the past, so put them back on methadone. Depending on the patient profile, methadone might be a better fit.
With regard to how many people are on Suboxone and methadone and why Suboxone is not more widely prescribed, it's a multi-layered reply. First is that some of the provinces and their medical colleges will require that you have your exemption to prescribe methadone before you're able to prescribe Suboxone. In Ontario that is not the case. Anybody can prescribe Suboxone.