buprenorphine

How do you start buprenorphine for a patient with opioid use disorder?

Mike is a 37 year old man with persistent depressive disorder (formerly dysthymia) who presents to establish primary care. His girlfriend is with him, and he’s okay speaking in front of her about his medical history. Mike starts off the visit saying he wants to discuss opioids. He had a few injuries playing basketball 15 […]

How do you start buprenorphine for a patient with opioid use disorder? Read More »

Coke and Subs: Is Suboxone maintenance for opioid use disorder contraindicated in someone with cocaine on urine screen?

Joe is a 42M who comes to see you to establish care after moving for work. He has a history of HTN, chronic pain from hand injuries at work, and opioid use disorder (OUD) maintained on buprenorphine-naloxone (SuboxoneⓇ, often referred to as “subs”) 16mg-4mg twice a day without any un-prescribed opioid use. He is a

Coke and Subs: Is Suboxone maintenance for opioid use disorder contraindicated in someone with cocaine on urine screen? Read More »