Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy Assess Withdrawal Severity - Objective signs and Clinical Opiate Withdrawal Scale (COWS) Moderate to severe (COWS ≥ 8) → Give buprenorphine 4-8 mg SL based on severity of withdrawal Re-assess after 30-60 min Is clinical withdrawal present? Administer Additional Buprenorphine → 8-24 mg SL (Target 16 mg SL total for most patients) #Buprenorphine #Algorithm #Opioid #Withdrawal #management #addiction #management
