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

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 has completely withdrawn ...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

Resting Pulse Rate: Record beats per minute after patient is sitting or
Withdrawal Score ... was having pain ... withdrawal is scored ... #Buprenorphine ... #Score #Diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Support for Hospital Opioid ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient