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Related Experiment Videos

Buprenorphine retention in primary care.

Michael D Stein1, Patricia Cioe, Peter D Friedmann

  • 1Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA. mstein@lifespan.org

Journal of General Internal Medicine
|November 26, 2005
PubMed
Summary

This study found that primary care patients prescribed buprenorphine showed good retention rates. Early abstinence and counseling were key for patients with opioid dependence to stay in treatment.

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Area of Science:

  • Addiction Medicine
  • Primary Care
  • Pharmacology

Background:

  • Opioid dependence is a major public health issue.
  • Buprenorphine is an effective medication for opioid use disorder.
  • Primary care settings offer a venue for opioid use disorder treatment.

Purpose of the Study:

  • To determine the treatment retention rate for primary care patients prescribed buprenorphine.
  • To identify predictors of treatment retention in this population.

Main Methods:

  • An observational cohort study was conducted.
  • Patients receiving buprenorphine/naloxone in a primary care practice were followed for 6 months.
  • A policy of no discharge for continued use was in place.

Main Results:

  • 59% of patients remained in treatment at 24 weeks.
  • Early opiate-positive toxicology (week 1) predicted dropout.
  • Employment and addiction counseling were associated with better retention.

Conclusions:

  • Primary care-based buprenorphine treatment retention is comparable to clinical trials.
  • Achieving abstinence in the first week and receiving counseling are crucial for sustained treatment.

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