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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 ... Use Treatment (SHOUT ... Management #Opioid #UseDisorder ... #Addiction #DecisionAid
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
Buprenorphine Initiation ... , begin initiation ... COWS Score 6-10 ... Buprenorphine #Initiation ... #Prescribing #Addiction
Clinical Opioid Withdrawal Score (COWS)
 - Resting Pulse Rate: Record beats per minute after patient is
Score (COWS) - ... attributed to opiate ... withdrawal is scored ... Gooseflesh skin #COWS ... #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
First dose • Check COWS ... Ramsay sedation score ... ) #Methadone #Initiation ... #Opiate #Start ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Score (COWS) ... attributed to opiate ... withdrawal is scored ... ) #COWS #Opiate ... #Diagnosis #Addiction
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
stages of the addiction ... effects from illicit opiates ... the sublingual tablet ... #Opioid #UseDisorder ... Pharmacokinetics #Comparison #Table
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient