6 results
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 ... #Algorithm #Management ... #Addiction #Prescribing
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
COWS Score 6-10 ... or substantial patient ... guidance. 2) START ... following day, start ... Initiation #Prescribing
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start ... of acute opiate ... withdrawal - ... - If patient is ... #Addiction #Prescribing
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Methadone #Initiation #Algorithm ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient #opioid
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 ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Start #Prescribing ... #Inpatient