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

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... Dosing usually begins ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... withdrawal - ... - If patient is ... co-exisiting chronic pain ... Treatment #Algorithm #Addiction
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
begin initiation during ... COWS Score 6-10 ... guidance. 2) START ... #Prescribing #Addiction ... #Management
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Guide: Methadone Starts ... Ramsay sedation score ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Inpatient #opioid
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Score (COWS) - ... was having pain ... attributed to opiate ... withdrawal is scored ... #addiction
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
was having pain ... attributed to opiate ... withdrawal is scored ... ) #COWS #Opiate ... #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
hold additional dosing ... Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Inpatient
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
anxious, EtOH withdrawal ... : 2mg qday (start ... Maintenance #Treatment #management ... #pharmacology #table ... #addiction