A practical guide for buprenorphine initiation in the primary care setting

被引：2
|
作者：
Leon-Barriera, Roberto [1 ,5 ]
Zwiebel, Samantha Jayne [2 ]
Modesto-Lowe, Vania [3 ,4 ]
机构：
[1] Univ Pittsburgh, Sch Med, Psychiat, Pittsburgh, PA 15213 USA
[2] Univ Penn, Perelman Sch Med, Dept Psychiat, Clin Psychiat, Philadelphia, PA USA
[3] Hartford Behav Hlth, Hartford, CT USA
[4] Univ Connecticut, Community Fac, Dept Psychiat, Farmington, CT USA
[5] Univ Pittsburgh, Sch Med, Dept Psychiat, 3811 OHara St, Pittsburgh, PA 15213 USA
来源：
CLEVELAND CLINIC JOURNAL OF MEDICINE | 2023年 / 90卷 / 09期
关键词：
Buprenorphine can be prescribed in the primary care setting; which can help improve treatment access and retention; USE DISORDER TREATMENT; INDUCTION; METHADONE;
D O I：
10.3949/ccjm.90a.23022
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Buprenorphine is a safe and effective treatment for opioid use disorder but remains underutilized because a major challenge of conventional buprenorphine initiation (termed induction) is that the patient must already be in opioid withdrawal. Previous legal barriers and clinician lack of familiarity with the unique pharmacology of buprenorphine have also limited its use. In this review, we outline changes regarding buprenorphine prescribing laws and physician perceptions of buprenorphine. We also review buprenorphine pharmacology and novel low-dose buprenorphine induction procedures that can be adopted in primary care settings to improve treatment acceptability, retention, and outcomes.
引用
收藏
页码：557 / 564
页数：8
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