9 results
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy

Assess Withdrawal Severity - Objective signs
Severity - Objective signs ... and Clinical Opiate ... (COWS) Moderate ... to severe (COWS ... #addiction #management
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone ... and treatment of withdrawal ... COWS is >12, AND ... acting), >72hr (methadone ... #Management #Addiction
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
vs Buprenorphine ... has completely withdrawn ... experience precipitated withdrawal ... Use Treatment (SHOUT ... #UseDisorder #Addiction
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
withdrawal and ... withdrawal symptoms ... stages of the addiction ... action prevents withdrawal ... effects from illicit opiates
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... partial agonist opioid ... #Withdrawal #Emergency ... Treatment #Algorithm #Addiction
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
Buprenorphine Initiation ... displacing a full opioid ... , begin initiation ... COWS Score 6-10 ... #Addiction #Management
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Use Treatment (SHOUT ... ) #Methadone #Initiation ... Treatment #Management #Addiction ... #Opiate #Start
Clinical Opioid Withdrawal Score (COWS)

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