Long-acting injectable buprenorphine (1st gen Sublocade; 2nd gen Brixadi) can improve medication adherence, treatment retention, quality of life, and treatment satisfaction for patients with OUD.
While a traditional buprenorphine start requires the patient waiting for moderate opioid withdrawal, newer approaches feature buprenorphine started with very low-doses that slowly increase over several days and overlap with ongoing use of full agonist opioids to minimize withdrawal in patients with fentanyl use disorder.
How do you start buprenorphine for someone with fentanyl use disorder? Read More »
Buprenorphine is a life-saving medication for people with OUD and can be started by YOU w/ an Rx for 4mg SL to take only when in moderate opioid withdrawal.
How do you start buprenorphine for a patient with opioid use disorder? Read More »
The finding of cocaine (or its metabolite, benzoylecgonine) in the urine drug screen is not a diagnosis and warrants a conversation with the patient; a patient using cocaine intermittently without chaotic use or a cocaine use disorder present may continue buprenorphine as treatment for an opioid use disorder.
