10 results
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone and treatment ... opioid >12hr (short ... acting), >72hr (methadone ... Algorithm #Management #Addiction ... #Prescribing
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate withdrawal ... as first-line treatment ... Buprenorphine Dosing ... #Algorithm #Addiction ... #Prescribing
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Starts in the Hospital ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment ... #Management #Addiction ... Opiate #Start #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
medication assisted treatment ... has completely withdrawn ... Dosing usually begins ... Hospital Opioid Use Treatment ... #UseDisorder #Addiction
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
suppressing opioid withdrawal ... stages of the addiction ... abstinent from short-acting ... margin of safety in pharmacology ... Comparison #Table #Pharmacology
Smoking Cessation Management
Nicotine Replacement Therapy (NRT):
Long-Acting NRT:
 • Patch: Wear for 24 hours at a time.
Short-Acting NRT ... cravings, reduce withdrawal ... after FDA-approved treatments ... Cessation #Management #pharmacology ... #addition #tobacco
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - µ-opioid receptor agonist:
1) Continue maintenance
Medication Assisted Treatment ... (MAT) Methadone ... or frequency of dosing ... or frequency of dosing ... #addiction #opiate
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
- Maintenance Treatment ... anxious, EtOH withdrawal ... family, opioid treatment ... #management #pharmacology ... #table #addiction
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... > 36 = severe withdrawal ... Hospital Opioid Use Treatment ... #COWS #Opiate #Withdrawal ... Score #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... Hospital Opioid Use Treatment ... Initiation #Algorithm #Treatment ... #Management #Addiction ... Opiate #Start #Prescribing