Initiating Buprenorphine for Patients Using Fentanyl (On-Demand)-Slides

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This document is a collection of slides and references on the topic of initiating buprenorphine for patients using fentanyl. The slides cover various aspects of buprenorphine initiation, including different dosing strategies, medication options, and supportive medications. The references provide additional information and research studies on the topic.<br /><br />The slides discuss the importance of initiating buprenorphine for patients using fentanyl, as fentanyl has become a major driver of drug overdose deaths in recent years. They also highlight the benefits of medication-assisted treatment (MAT), including decreased mortality and increased treatment retention and decreased illicit opioid use.<br /><br />Different dosing strategies for buprenorphine initiation are presented, including the classic initiation method, high-dose starts, low-dose starts, and controlled environment starts. The slides provide step-by-step instructions for each method and discuss the advantages and considerations of each approach.<br /><br />Supportive medications for managing withdrawal symptoms and providing analgesia during buprenorphine initiation are also discussed. These medications include clonidine, ondansetron, hydroxyzine, ibuprofen, and loperamide.<br /><br />The references provide additional information and research studies on topics such as microdosing of buprenorphine, transitioning from methadone to buprenorphine, and the use of the medication-first model in opioid use disorder treatment.<br /><br />Overall, this document provides a comprehensive overview of buprenorphine initiation strategies and supporting evidence for clinicians working with patients using fentanyl.

Keywords

buprenorphine initiation

patients using fentanyl

dosing strategies

medication options

supportive medications

medication-assisted treatment

MAT

withdrawal symptoms

analgesia

opioid use disorder treatment