Elective Naloxone-Induced Opioid Withdrawal for Rapid Initiation of Medication-Assisted Treatment of Opioid Use Disorder

被引：12

作者：

Phillips, Reid H. ^{[1
]}

Salzman, Matthew ^{[1
]}

Haroz, Rachel ^{[1
]}

Rafeq, Rachel ^{[1
]}

Mazzarelli, Anthony J. ^{[1
]}

Pelletier-Bui, Alexis ^{[1
]}

机构：

[1] Cooper Univ Hosp, Emergency Dept, Camden, NJ 08103 USA

来源：

ANNALS OF EMERGENCY MEDICINE | 2019年 / 74卷 / 03期

关键词：

BUPRENORPHINE; REVERSAL;

D O I：

10.1016/j.annemergmed.2019.01.006

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We present a case of elective naloxone-induced opioid withdrawal followed by buprenorphine rescue to initiate opioid use disorder treatment in the emergency department. This strategy may represent a safe alternative to prescribing buprenorphine for outpatient initiation, a method that puts the patient at risk for complications of unmonitored opioid withdrawal, including relapse. After confirmation that the naloxone-induced withdrawal was adequately treated with buprenorphine, the patient was discharged with prescribed buprenorphine to follow up in an addiction medicine clinic, where he was treated 2 days later.

引用

页码：430 / 432

页数：3

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