During the first 2 years of the program, the B-Team administered buprenorphine therapy to 132 patients in the inpatient setting; 110 (83%) of these patients were bridged to an outpatient program. Of these patients, 65 patients (59%) were seen at their first outpatient appointment; 42 (38...
OPIOID abuseURINALYSISDRUG use testingBUPRENORPHINEMEDICATION therapy managementBackground and objectives: Variables contributing to the outcome of buprenorphine treatment for opiate use disorder have been studied, including patient characteristics and the treatment approach applied. It is also valuable to study...
prevent relapse. It works by being a substitute for the drug being abused, so the patient has minimal discomfort, which allows the patient to focus on their recovery. Buprenorphine for OUD is used as part of a complete treatment program that also includes counseling and behavioral therapy. ...
15 It is estimated that approximately 87% of patients with OUD do not receive medical therapy.16 Although surveys identify potential treatment barriers, they are subject to reporting bias and the limitations of self-report. We sought to address this deficiency through a secondary analysis of the ...
OTPs provide medication-assisted treatment (MAT) for people diagnosed with an opioid-use disorder. MAT patients also must receive counseling, which can include different forms of behavioral therapy. Stigma All of the behavioral health, psychiatric, and addiction medication-assisted treatment is limited ...
side effects or withdrawal symptoms.Current recommendations for pain management in patients on BT include discontinuation of BT therapy and/or addition of an adjunctive opioid analgesic (including additional buprenorphine/naloxone) while continuing agonist medication for treatment of opioid use disorder. Howe...
"This positive effect on PTSD symptoms, although modest, increased with increasing time on buprenorphine without an increase in pain. In contrast, there was a nonsignificant trend toward worsening of PTSD symptoms with more time on opioid therapy," the authors, led by Karen Seal, MD, MPH, San...
Opioid toxicity continues to have significant morbidity and mortality in Alberta. Opioid agonist therapy is an effective treatment for opiate use disorder (OUD), with first-line treatment with buprenorphine-naloxone (BUP-NAL) being both highly effective and safe. Barriers to care limit access to tre...
The decision to discontinue therapy with SUBOXONE or SUBUTEX after a period of maintenance should be made as part of a comprehensive treatment plan. Advise patients of the potential to relapse to illicit drug use following discontinuation of opioid agonist/partial agonist medication–assisted treatment....
Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database Syst Rev. 2009;2009(3):CD002209. doi:10.1002/14651858.CD002209.pub2PubMedGoogle ScholarCrossref 12. Mattick RP, Breen C, Kimber J, Davoli M. Buprenorphine maintenance ...