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

Some patients may decline buprenorphine
- Comparison Table ... has completely withdrawn ... experience precipitated withdrawal ... Use Treatment (SHOUT ... #Comparison #Pain
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 ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Score (COWS) ... attributed to opiate ... Use Treatment (SHOUT ... ) #COWS #Opiate ... #Buprenorphine
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Initiation Algorithm ... Use Treatment (SHOUT ... ) #Buprenorphine ... Management #Addiction #Opiate