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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 Some patients ... Use Treatment (SHOUT ... Management #Opioid #UseDisorder
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... • If endorsing withdrawal ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
effects from illicit opiates ... the sublingual tablet ... #Opioid #UseDisorder ... Pharmacokinetics #Comparison ... #Table #Pharmacology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score ... attributed to opiate ... Use Treatment (SHOUT ... ) #COWS #Opiate
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... - If patient is ... stable on methadone ... Management #Opioid #Withdrawal
Rapid, increasing signs of extrapyramidal symptoms (EPS) is an important key feature of NMS. EPS, associated
antagonist or withdrawal ... laboratory profile of a patient ... NeurolepticMalignant #Comparison ... #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
appearance in a patient ... #Clinical #Radiology ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
appearance in a patient ... #Clinical #Diagnosis ... #Differential #Comparison ... #Table #RadiologyAssistant
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Clinical Opioid ... Withdrawal Score ... attributed to opiate ... withdrawal is scored ... Gooseflesh skin #COWS #Clinical
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
for symptoms of withdrawal ... return of cravings/withdrawal ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Prescribing #Inpatient