9 results
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
treatment of withdrawal ... Patient has an opioid ... use disorder (OUD ... COWS is >12, AND ... #Withdrawal #Algorithm
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... withdrawal - ... that is safe and ... use disorder ... co-exisiting chronic pain
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Algorithm Opioid ... Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Use Disorder (OUD
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Hospital Quick Start ... Initiation for Opioid ... Use Disorder and ... #opiate #opioid ... #algorithm
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Guide: Methadone Starts ... First dose • Check COWS ... SHOUT) #Methadone ... #Initiation #Algorithm ... #Addiction #Opiate
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Use Disorder: Methadone ... has completely withdrawn ... Use Treatment ( ... SHOUT) #Methadone ... Buprenorphine #Comparison #Pain
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Support for Hospital Opioid ... Use Treatment ( ... SHOUT) #Buprenorphine ... #Treatment #Management ... #Addiction #Opiate
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... patient was having pain ... Use Treatment ( ... SHOUT) #COWS ... #Opiate #Withdrawal
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
anxious, EtOH withdrawal ... dosing by family, opioid ... Dosing: 2mg qday (start ... uptitrate) #AUD ... #management #pharmacology