By vgreene, 22 November, 2016 Psychosocial intervention: No specific psychosocial intervention recommended; consider pt preference and provider training/competence [NA]
By vgreene, 22 November, 2016 Alternative for maintenance: naltrexone ER injectable,6,7 after a period of abstinence [S]
By vgreene, 22 November, 2016 Recommended regimen (for w/d and maintenance): buprenorphine/naloxone4,5 [S]
By vgreene, 22 November, 2016 Provide both w/d + maintenance tx [S], due to high risk of relapse/OD. If maintenance tx contraindicated, unacceptable, or unavailable,3 may consider w/d taper only
By vgreene, 22 November, 2016 Assessment: hx, PE, mental status exam, med hx (incl OTC), lab tests as indicated, COWS for severity of w/d sx
By vgreene, 22 November, 2016 Provide appropriate care for any urgent/emergent medical or psychiatric conditions
By vgreene, 22 November, 2016 Treat OUD in light of pt willingness to engage in specialty tx; offer meds ± psychosocial interventions as indicated; f/u
