Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
and treatment of withdrawal ... acting), >72hr (methadone ... Suboxone #Opioid #Withdrawal ... #Algorithm #Management ... #Addiction #Prescribing
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... If patient is stable ... as first-line treatment ... #Addiction #Prescribing
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... another problem in addition ... Alternative causes of delirium ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
old algorithm here ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... was consequently ... Any residual delirium ... #Management #Alcohol
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
dose from day 1 as ... #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... has completely withdrawn ... give naloxone as ... #UseDisorder #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Adjunctive meds ... from previous day as ... #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing