Elective Naloxone-Induced Opioid Withdrawal for Rapid Initiation of Medication-Assisted Treatment of Opioid Use Disorder.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30773411.
- Also identified by DOI 10.1016/j.annemergmed.2019.01.006.
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Abstract
We present a case of elective naloxone-induced opioid withdrawal followed by buprenorphine rescue to initiate opioid use disorder treatment in the emergency department. This strategy may represent a safe alternative to prescribing buprenorphine for outpatient initiation, a method that puts the patient at risk for complications of unmonitored opioid withdrawal, including relapse. After confirmation that the naloxone-induced withdrawal was adequately treated with buprenorphine, the patient was discharged with prescribed buprenorphine to follow up in an addiction medicine clinic, where he was treated 2 days later.
Medical subject headings
- Buprenorphine
- Naloxone
- Narcotic Antagonists
- Opiate Substitution Treatment
- Substance Withdrawal Syndrome