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A buprenorphine written consent and treatment agreement may be useful .
Ensure that there are no concurrent substance use disorders, psychiatric illnesses or medical disorders that should be stabilized prior to induction buprenorphine of buprenorphine/naloxone .
Inform the patient how long to remain abstinent from opioids to maximize the likelihood of beginning their induction in satisfactory withdrawal to buprenorphine minimize the likelihood of precipitated withdrawal during the induction .
Ensure the patient has no plans to drive a vehicle or operate heavy machinery buprenorphine during the early induction period .
Buprenorphine/Naloxone for Opioid Dependence: Clinical Practice Guideline Patient presents in moderate opioid withdrawal to the physician’s office as early in the day as After an assessment to establish the buprenorphine severity of opioid withdrawal, the physician prescribes an initial induction dose of 2–4 mg of buprenorphine/naloxone (though it could be as high as 6 mg), to be administered sublingually .
buprenorphine The ingestion of the dose is observed by a pharmacist or other health care professional to ensure the tablet has dissolved completely (see Supplement 5) .
Consideration is given to buprenorphine reassessing the patient one hour after the dose to assess for precipitated withdrawal .
If necessary, the patient is reassessed after approximately three hours to assess effectiveness of the initial dose and consider prescribing an additional observed dose (to a maximum of 8 mg total on buprenorphine the first day) .
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