Tapering off of methadone maintenance
How to Get off Methadone
Maintenance therapy (similar to methadone) for opioid use disorders with and without concurrent chronic pain. For All Patients Tapering Opioid Medications Obtain a complete history of pain location, type, etiology, prior treatment strategies including procedures related to pain.
[DOCX File]For All Patients Tapering Opioid Medications
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There is significant risk of relapse when tapering methadone from the usual maintenance dose (80–120 mg) to a dose where buprenorphine transition is possible (30 mg or less). In addition, precipitated withdrawal is more likely when transitioning from methadone compared with short-acting opioids.
[DOC File]Models of Integrated Patient Care Through OTPs and DATA ...
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Use of a ‘microecological technique’ to study crime incidents around methadone maintenance treatment centers. Addiction 107, 1623-1638, 2012. Both studies were done in Baltimore and both found that there was reduced crime in the areas around drug treatment centers and OTPs, relative to other business types that were studied.
[DOC File]Increasing Access to Medication-assisted Treatment for ...
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20. Jansson LM, Velez M, Harrow C. Methadone maintenance and Lactation: a review of the literature and current management guidelines. J Human Lactation 2004; 20: 62-71. 21. Mattick RP, Kimber J, Breen C, Davoli M. Buprenorphine Maintenance versus Placebo or Methadone Maintenance for ipioid Dependence. Cochrane Database Syst Review 2004 ...
[DOCX File]NY PDP Fax Worksheet – Opioid Agents
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Only on maintenance dose for 10 weeks, then tapered off by week 13 Bupr 2mg, 8mg, 16mg or 16mg q2d vs placebo . with counselling. Opioid in UDS. Cocaine metab in dus Decreased urine morphine concentration at 8mg (p=0.014) and 16mg (p
[DOC File]Data Abstaction Disribution for KCQ 2-3
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For mothers on methadone and/or buprenorphine maintenance treatment, review relative safety of medications in breastfeeding as long as mother does not abruptly cease treatment. Review that breastmilk may help lessen the severity of NAS and potentially the need for pharmacologic treatment but may also delay the onset of symptoms of NAS.
[DOC File]Drugs-Forum Home | Drugs-Forum
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Support for tapering off maintenance medication, including the referral for more intensive psychosocial supports. Support and consultation for recovery and rehabilitation services and assistance, with regard to the substance misuse treatment needs, in designing individualized recovery plans and coordination with human services, housing ...
[DOC File]Opioid Abuse and Dependence
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, Methadone must be billed through a Methadone Maintenance Treatment Program. Has your patient experienced a treatment failure or adverse reaction to a long acting opioid? Yes No
[DOCX File]Office-based opioid treatment (OBOT) Policy and Procedure ...
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Treatment expectations, as well as issues involved with maintenance and medically supervised tapering off the medication will be discussed. Induction. Treatment begins here. You will be switched from your current opioid of misuse (heroin, methadone, or prescription painkillers) to your treatment medication.
[DOC File]SCREENING - Clinical Tools Inc.
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Methadone and buprenorphine can produce physiological dependence, may cause intoxication or euphoria in nontolerant individuals, have substantial illegal street value, and often require a slow and gradual tapering regimen (Bohnert et al., 2011; Kreek, 2008).
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