Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients.

Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients.
Med Clin North Am. 2020 Jul;104(4):695-708
Authors: Herscher M, Fine M, Navalurkar R, Hirt L, Wang L
Abstract
The diagnosis of opioid use disorder (OUD) is often overlooked or inadequately managed during the inpatient admission. When recognized, a common strategy is opioid detoxification, an approach that is often ineffective and can be potentially dangerous because of loss of tolerance and subsequent risk for overdose. Medication for addiction treatment (MAT), including methadone and buprenorphine, is effective and can be dispensed in the hospital for both opioid withdrawal and initiation of maintenance treatment. Hospitalists should be knowledgeable about diagnosing and managing patients with OUD, including how to manage acute pain or MAT during the perioperative setting.
PMID: 32505261 [PubMed - in process]

Source: The Medical Clinics of North America - June 9, 2020 Category: General Medicine Authors: Herscher M, Fine M, Navalurkar R, Hirt L, Wang L Tags: Med Clin North Am Source Type: research