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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 ... has completely withdrawn ... Use Treatment (SHOUT ... #UseDisorder #Addiction
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
effects from illicit opiates ... Naltrexone is a ... the sublingual tablet ... #Opioid #UseDisorder ... Pharmacokinetics #Comparison #Table
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 ... #Withdrawal #Score
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Guide: Methadone Starts ... First dose • Check COWS ... Ramsay sedation score ... Management #Addiction #Opiate ... #Inpatient #opioid
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
displacing a full opioid ... COWS Score 6-10 ... or substantial patient ... guidance. 2) START ... following day, start
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start ... Management of acute opiate ... withdrawal - ... - If patient is ... stable on methadone
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... Withdrawal Score ... (COWS) Resting ... withdrawal is scored ... ) #COWS #Opiate
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
, then start 16 ... Support for Hospital Opioid ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Inpatient