There may be a future role for depot injectable forms of bupe in the emergency department to ensure sustained opioid withdrawal management for patients after discharge from the emergency department or to serve as a longer bridge of sobriety for referral to an opioid addiction treatment clinic.
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ACEP Now: Vol 37 – No 10 – October 2018Read the drug summary for Suboxone.
Dr. Ketcham is medical director of the opioid addiction treatment service via New Mexico Treatment Services in Farmington, co-medical director of EMS agencies of San Juan County, and a staff emergency physician at San Juan Regional Medical Center in Farmington and Los Alamos Medical Center
References
- Debelak K, Morrone WR, O’Grady KE, et al. Buprenorphine + naloxone in the treatment of opioid dependence during pregnancy-initial patient care and outcome data. Am J Addict. 2013;22(3):252-254.
- Nguyen L, Lander LR, O’Grady KE, et al. Treating women with opioid use disorder during pregnancy in Appalachia: initial neonatal outcomes following buprenorphine + naloxone exposure. Am J Addict. 2018;27(2):92-96.
- Zamani N, Hassanian-Moghaddam H. Intravenous buprenorphine: a substitute for naloxone in methadone-overdosed patients? Ann Emerg Med. 2017;69(6):737-739.
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10 Responses to “A Quick Guide to Buprenorphine Products”
November 7, 2019
Linda TrpletteAll I want to know is which is stronger soboxin 8 mg or belbuca 75 mcg
August 24, 2020
AmandaMcg is micrograms and mg is milligrams, mg is more!
October 25, 2020
Cody LehnerWhile that is true, it doesn’t make one medication in milligrams strings than a different medication doses in micrograms. They don’t have the exact same conversion.
January 11, 2020
TDavisIs there a such thing as buprenorphine strips
September 22, 2020
AlexiThere is a form of this medication that comes in a dark orange what feels like plastic. Its not the film. How is this form used? Is it like the films?
September 22, 2020
ALEXII meant to ask my own question. Not reaspond to yours.
July 12, 2020
KevinYes the strips come in 2mg,4mg,8mg and 12mg. The max dose allowed per day is 24mg so depending on your need the doctor will prescribe all the way up to that amount and divide it up such as an 8mg three times a day or a 12mg twice a day.
August 6, 2020
KenWho manufactures the best sublingual buprenorphine tablet product? Meaning one that dissolves and has the best bioavailability. The ones we are using don’t completely dissolve in an hour.
August 28, 2020
Deborah MooreKen is it for pain or addiction. It’s beyond me why the fda seperates it buprenorphine is buprenorphine but anyway look into belbuca.
October 10, 2020
JodyI’m currently on 8mg buprenorphine sl tablets 3x a day but just stumbled onto the knowledge of there being transdermal patches of buprenorphine as well.. im not very good at taking my meds on time, basically remembering only when the sickness creeps over my body that I’m late on my does. ive read there is 5mcg all the way too 20mcg for the transdermal patches.. would this be an option I could potentially ask about? what is the equivalence from an X amount mcg per hr, 7 day transdermal patch to my current 8mg sl tablet, 3x a day does? all I can find is equivalence charts on everything else “opioid” but nothing on the same drug just different in the way its prescribed to be taken.