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Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
has completely withdrawn ... experience precipitated withdrawal ... Use Treatment (SHOUT ... #Comparison #Pain ... #UseDisorder #Addiction
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
can be caused by ... a full opioid agonist ... COWS Score 6-10 ... or substantial patient ... #Prescribing #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... - If patient is ... co-exisiting chronic pain ... Treatment #Algorithm #Addiction
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... (COWS) - Resting ... was having pain ... attributed to opiate ... #diagnosis #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient ... #opioid
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
was having pain ... ) #COWS #Opiate ... #Buprenorphine ... #Score #Diagnosis ... #Addiction #Nursing
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... q 6 hours PRN nausea ... Support for Hospital Opioid ... Treatment #Management #Addiction ... #Opiate #Start