Office-Based Buprenorphine Treatment of Opioid Use Disorder (Online)-Module 3 - View Lecture (Clinical Use: Induction, Stabilization, Maintenance, and Withdrawal)

Module 3 - View Lecture (Clinical Use: Induction, Stabilization, Maintenance, and Withdrawal)

Video Transcription

Video Summary

This video provides information on the clinical use of buprenorphine, focusing on the processes of induction, stabilization, maintenance, and withdrawal treatment. Stabilization and maintenance involve finding the right dose that avoids withdrawal symptoms and reduces illicit opioid use with minimal side effects. Two options for induction are discussed: prescribing medication for the patient to fill or providing medication in the office. The importance of patient education on how to take the sublingual tablet properly is emphasized. Before starting induction, patients must be in a state of mild opiate withdrawal to avoid precipitating withdrawal. The recommended waiting times differ depending on the type of opioid used. The video also touches on alternative induction models for non-physically dependent patients and provides dosing guidelines for stabilization. Lastly, protocols for buprenorphine withdrawal over various time frames are discussed, but caution is advised as the long-term efficacy is not well-known. Overall, the video provides practical advice and considerations for the clinical use of buprenorphine.

Keywords

clinical use

buprenorphine

induction

stabilization

maintenance

withdrawal treatment