By vgreene, 26 October, 2016 Recommended regimen (for w/d and maintenance):4 opioid agonist tx, either methadone5 in opioid tx program,6 or buprenorphine/naloxone7,8 in individualized choice of tx setting [S]
By vgreene, 26 October, 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, 26 October, 2016 Assessment: hx, PE, mental status exam, med hx (incl OTC), lab tests as indicated, COWS for severity of w/d sx
By vgreene, 26 October, 2016 Provide appropriate care for any urgent/emergent medical or psychiatric conditions