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ASAM Clinical Considerations: Buprenorphine Treatment of Opioid Use Disorder for Individuals Using High-potency
Melissa B Weimer1, Andrew A Herring, Sarah S Kawasaki
1From the Yale School of Medicine, Program in Addiction Medicine, New Haven, CT (MBW); Yale School of Public Health, New Haven, CT (MBW); Division of Addiction Medicine, Highland Hospital-Alameda Health System, Oakland, CA (AAH); Department of Psychiatry and Internal Medicine, Penn State Health, Hershey, PA (SSK); University of Vermont, Burlington, VT (MM); BAK and Associates, Baltimore, MD (BAK); NYS Office of Addiction Services and Supports (OASAS), Albany, NY (KSR).
Treatment for opioid use disorder (OUD) using buprenorphine requires individualized strategies, especially with high-potency synthetic opioids (HPSOs). Managing withdrawal and adapting dosages are key for successful buprenorphine treatment outcomes.
Area of Science:
- Addiction Medicine
- Pharmacology
- Public Health
Background:
- The opioid use disorder (OUD) epidemic has escalated, complicated by high-potency synthetic opioids (HPSOs) and stimulants.
- Existing research on buprenorphine treatment lags behind clinical practice changes.
Conclusions:
- Clinical practice for OUD treatment with buprenorphine needs adaptation for patients using HPSOs.
- Consideration of all opioid agonist treatment options is advised.
- Further prospective research is urgently needed to guide evidence-based practice.
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