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jueves, 14 de julio de 2016

Suboxone and Methadone in the ED

EMOttawa - July 7, 2016 - By Miles Isabelle
"Although methadone and suboxone (buprenorphine/naloxone) have tremendous benefits in the management of opioid use disorder, unfamiliarity with these treatments can make any clinician uncomfortable and can lead to substandard care for these patients. This summary will shed some light around the basics of methadone and suboxone, as well as give an approach to four key ED encounters with the patient on Opioid Substitution Therapy (OST): withdrawal, acute pain, overdose and pregnancy.
Additionally, a 2015 paper published in JAMA by D'Onofrio et al. has demonstrated that suboxone is easy to start in the ED and has been beneficial for patients. As such, The Ottawa Hospital has implemented its very own suboxone-start protocol which we will outline below."