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Hospital-based Buprenorphine/Naloxone Initiation in a Patient With Limited Communication Abilities: A Case Report
North America's opioid crisis highlights the profound need for low-barrier access to opioid agonist therapy (OAT) for the treatment of opioid use disorder (OUD). This case describes a 33-year-old female with a history of opioid and stimulant use disorder admitted to hospital after a left middle cerebral artery ischemic stroke with resulting aphasia. After medical stabilization, she consented to buprenorphine/naloxone through limited verbal and written communication. After 14 days of titration, she was stabilized on 14 to 3.5 milligrams of buprenorphine/naloxone daily. Buprenorphine/naloxone initiation and titration is pati...
Source: Journal of Addiction Medicine - November 1, 2021 Category: Addiction Tags: Case Reports Source Type: research

Overdose Receiving Centers - An Idea Whose Time Has Come?
Authors: Hern HG, Goldstein D, Tzvieli O, Mercer M, Sporer K, Herring AA Abstract Drug overdose deaths have been the leading cause of accidental death in the United States with two thirds involving opioids. Strong evidence supports the efficacy of medications for addiction treatment such as buprenorphine and harm reduction strategies such as naloxone distribution. While emergency medical service (EMS) systems have defined specialty centers for the treatment of many significant life threatening disease (trauma, stroke, myocardial infarction) implementation of opioid use disorder systems of care that integrate EMS ar...
Source: Prehospital Emergency Care - January 30, 2021 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research