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Workshop: Induction Without Withdrawal: Buprenorph ...
Workshop: Induction Without Withdrawal: Buprenorph ...
Workshop: Induction Without Withdrawal: Buprenorphine/Naloxone Micro-Dosing
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Video Transcription
Video Summary
In the video, Martha Ignashevsky, Nick Matthew, and Pouya Azhar discuss the technique of low-dose buprenorphine inductions for patients with opioid use disorder. They describe their experiences and protocols developed in Vancouver, Canada, and discuss how this approach can be used in various settings, including inpatient and outpatient settings, as well as for chronic pain patients and complex populations such as geriatrics and adolescents. The presenters highlight the challenges of buprenorphine induction, including risk of precipitated withdrawal, and provide solutions such as the fentanyl bridge method and the rapid low-dose induction protocol. They also introduce a new technique using transdermal buprenorphine for inductions. The potential benefits and barriers of low-dose inductions are discussed, including the need for collaboration with pharmacists to cut buprenorphine tablets into smaller doses. The importance of using a multimodal approach to pain management is emphasized, including the use of other medications and techniques such as ketamine infusions and regional blocks. The presenters also share patient stories that illustrate the positive impact of low-dose inductions and the success of buprenorphine maintenance treatment. Overall, the video provides valuable insights into the use of low-dose buprenorphine inductions and highlights the need for individualized approaches to meet the unique needs of each patient.
Keywords
low-dose buprenorphine inductions
opioid use disorder
Vancouver, Canada
inpatient settings
outpatient settings
chronic pain patients
geriatrics
adolescents
precipitated withdrawal
transdermal buprenorphine
multimodal approach
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