Handbook Of Methadone Prescribing And Buprenorphine Therapy

Author by : Ricardo A. Cruciani
Languange : en
Publisher by : Springer Science & Business Media
Format Available : PDF, ePub, Mobi
Total Read : 65
Total Download : 309
File Size : 40,6 Mb
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Description : Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.


Office Based Buprenorphine Treatment Of Opioid Use Disorder

Author by : John A. Renner, Jr.
Languange : en
Publisher by : American Psychiatric Pub
Format Available : PDF, ePub, Mobi
Total Read : 44
Total Download : 507
File Size : 50,9 Mb
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Description : With a new foreword by Nora Volkow, Director of the National Institute on Drug Abuse, this second edition of Office-Based Buprenorphine Treatment of Opioid Use Disorder provides updated information on evidence-based treatment for opioid use disorder (OUD) -- an increasingly important topic as the epidemic of opioid misuse and overdose deaths grows in the United States. Bulleted clinical pearls at the end of each chapter, as well as specific clinical recommendations and detailed case discussions throughout, make it easier for readers to retain knowledge and integrate it into their clinical practice. The guide also features sample documentation and scales, including a treatment contract and a patient consent, that can be used to model documents in practice. This new edition of Office-Based Buprenorphine Treatment has been updated to reflect DSM-5 language, and two additional chapters have been included: one that addresses other pharmacotherapies useful in treating OUD, including methadone and naltrexone, and another that discusses OUD treatment specifically with regard to women's health and pregnancy. Among the numerous other revisions included in the second edition are the following: Information about new formulations of buprenorphine A discussion of the Comprehensive Addiction and Recovery Act (CARA) Changes to induction and maintenance target doses and recommendations for home inductions Information on diversion control plans Advice for working with Alcoholics Anonymous and Narcotics Anonymous A discussion on integrating buprenorphine into residential and inpatient opioid treatment programs Written in a jargon-free style that does not require expertise in substance use disorder treatment, Office-Based Buprenorphine Treatment of Opioid Use Disorder is an accessible, indispensable reference for primary care physicians, psychiatrists, nurse practitioners, residents, medical students, and anyone with an interest in learning about and prescribing buprenorphine.


Interventions For Addiction

Author by : Adam J. Gordon
Languange : en
Publisher by : Elsevier Inc. Chapters
Format Available : PDF, ePub, Mobi
Total Read : 89
Total Download : 777
File Size : 49,6 Mb
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Buprenorphine Therapy Of Opiate Addiction

Author by : Pascal Kintz
Languange : en
Publisher by : Springer Science & Business Media
Format Available : PDF, ePub, Mobi
Total Read : 71
Total Download : 846
File Size : 43,8 Mb
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Description : In Buprenorphine Therapy of Opiate Addiction, participating physicians and toxicologists summarize and evaluate their experiences with five years of intensive buprenorphine therapy. They cover all aspects of its use, including the pharmacology, conditions of delivery, risks from use with other psychoactive drugs, toxicology and related deaths, as well as its testing in blood, urine, tissue, and hair. Special attention is given to comparing the long-term care of opiate-dependent patients using high-dose buprenorphine vs methadone, and to explaining the differences in treatment, administration, and delivery. The authors also describe how buprenorphine is currently prescribed and monitored in France and Australia, and review all the latest advances in analytical techniques for the determination of buprenorphine and its metabolites in biological fluids and tissues.


Addictions And Buprenorphine

Author by : Cesar A. Fabiani, MD
Languange : en
Publisher by : Xlibris Corporation
Format Available : PDF, ePub, Mobi
Total Read : 18
Total Download : 751
File Size : 42,8 Mb
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Description : This book starts with the Celtic cross as a symbol of faith and peace. It emphasizes the biopsychosocial medical model for the treatment and prevention of this chronic illness we call addiction versus criminalizing them. What we do not know enough is the spiritual or astral aspects of it, for instance, the use of acupuncture among addicted persons who may have several medical and psychiatric comorbidities. Hopefully in the future, we will. Meantime, nothing replaces the physician acumen to select the appropriate patient for the appropriate type of treatment. “One size does not fit them all.” Each addicted person is a challenge and different from the next one. To treat them with the utmost respect and acknowledging their suffering of a severe medical illness should be our motto. It describes historical, genetic, and neurochemical as well as clinical aspects of the three more common addictions: alcohol, cocaine, and opiates. It also makes reference to their usefulness among nonaddicted persons where moderation is the name of the game. It claims that buprenorphine is the best medication currently available for the treatment of opioid addiction, which should be used only in the appropriate patient plus all the supports available to help addicted persons achieve “a spiritual awakening,” which will help them succeed in their recovery, becoming productive members in our society.


Buprenorphine An Alternative Treatment For Opioid Dependence

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 13
Total Download : 600
File Size : 41,8 Mb
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Description : A monster assembled by a scientist from parts of dead bodies develops a mind of his own as he learns to loathe himself and hate his creator.


User S Guide To Suboxone Taking Buprenorphine For Opiate Dependence

Author by : Jeffrey T. Junig
Languange : en
Publisher by : Jeffrey T Junig MD PHD
Format Available : PDF, ePub, Mobi
Total Read : 42
Total Download : 363
File Size : 49,6 Mb
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Description : I write the award-winning blog about opiate dependence and treatment options for addiction, and receive a number of questions every day about the proper use of buprenorphine and Suboxone. This e-book answers the most common questions that I receive, including how to deal with surgery or pregnancy, how to treat chronic pain while on Suboxone, the risks from taking the medication long term, and other questions.


Office Based Buprenorphine Treatment Of Opioid Use Disorder Second Edition

Author by : John A. Renner Jr., M.D.
Languange : en
Publisher by : American Psychiatric Pub
Format Available : PDF, ePub, Mobi
Total Read : 26
Total Download : 198
File Size : 55,7 Mb
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Description : Preceded by Handbook of office-based buprenorphine treatment of opioid dependence, edited by John A. Renner Jr., Petros Levounis, 1st. ed., 2011.


Buprenorphine

Author by : Alan Cowan
Languange : en
Publisher by : Wiley-Liss
Format Available : PDF, ePub, Mobi
Total Read : 10
Total Download : 170
File Size : 53,5 Mb
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Description : Buprenorphine: Combatting Drug Abuse with a Unique Opioid Editors: Alan Cowan and John W. Lewis Scientists involved in the study of opioid pharmacology and drug abuse have long included among their goals the development of effective analgesics with reduced potential for abuse and dependence, and the development of effective pharmacological agents for the treatment of opioid abuse and dependence. Buprenorphine appears to have made an important scientific and clinical contribution on both of these fronts. In this timely volume, international experts describe the unusual chemical and biological characteristics which make this agent unique, from the opiate receptor, through animal pharmacology, to clinical uses, culminating in a discussion of the use of buprenorphine as a medication in the treatment of opioid abuse. Buprenorphine holds great promise as a significant addition to the therapeutic menu available to drug abuse therapists. Buprenorphine: Combatting Drug Abuse with a Unique Opioid will be indispensable to scientists and clinicians in pharmacology, neurobiology, psychiatry, neurology, and psychology, as well as to the wide spectrum of professionals involved in countering substance abuse.


Buprenorphine And Anaesthesiology

Author by : Paul L. T. Bevan
Languange : en
Publisher by : Oxford University Press
Format Available : PDF, ePub, Mobi
Total Read : 36
Total Download : 725
File Size : 42,5 Mb
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Buprenorphine A Clear And Concise Reference

Author by : G. J. Blokdijk
Languange : en
Publisher by : Createspace Independent Publishing Platform
Format Available : PDF, ePub, Mobi
Total Read : 52
Total Download : 387
File Size : 42,9 Mb
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Description : Do I have to pay for my own Buprenorphine prescription drugs? Besides Buprenorphine medication, what else to do? Who is accountable for my Buprenorphine prescription drug use? What herbs, supplements, foods, drinks or activities should I avoid while taking Buprenorphine medication? When does this Buprenorphine medication expire? Always talk to your doctor about Buprenorphine, your condition and your treatment. But what exactly to ask your doctor to make sure you are both covering everything you need to know about Buprenorphine? 'Buprenorphine; A Clear and Concise Reference' presents readers with a whole new set of 518 pivotal questions to discuss your situation with your healthcare provider, consider your options, and help you make decisions that are right for you. 'Buprenorphine; A Clear and Concise Reference' poses questions that Buprenorphine medication users didn't even know they needed to ask. With lots of room to note down your doctor's answers and an extensive index, this book is a must-have for anyone who has, or is about to have, Buprenorphine prescription medication, and indispensable for healthcare providers who want to make sure they are able to answer every question.


Buprenorphine And The Opioid Crisis

Author by : Congressional Research Service
Languange : en
Publisher by : Independently Published
Format Available : PDF, ePub, Mobi
Total Read : 52
Total Download : 132
File Size : 54,9 Mb
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Description : Buprenorphine is a medication used to treat adults addicted to opioids (it is also used in the treatment of pain). Buprenorphine's effectiveness, safety, and availability in the treatment of opioid addiction are of considerable interest to policymakers seeking to address the ongoing opioid epidemic in the United States. Congressional actions taken in recent years to address the opioid crisis have included attempts to increase access to buprenorphine. This report addresses questions policymakers may have about the effectiveness of buprenorphine, the demand for buprenorphine, and access to buprenorphine. Effectiveness of Buprenorphine Overall, buprenorphine appears to be an effective medication for treatment of opioid dependence. When compared to other treatments for opioid addiction such as methadone, buprenorphine appeared equally as effective in promoting abstinence from drug use. Buprenorphine does not seem to retain individuals in treatment as well as methadone, however, though the reasons for this remain unclear. The research on buprenorphine suggests that it works better at higher daily doses (16mg or higher). The higher the dose of buprenorphine and the longer people used the drug, the more likely they were to remain in treatment, abstain from opioid use, and successfully complete treatment. Preliminary data suggest that buprenorphine may be safer and more cost effective than methadone; comparison of the safety and costs of buprenorphine with other treatments awaits further research. Demand for Buprenorphine Admissions to substance abuse treatment facilities involving prescription opioids nearly quadrupled between 2002 and 2014; in 2015 18% of individuals in need of treatment for opioid use disorders received it. In 2016, one-fifth (21.1%) of those with any opioid use disorder received specialty treatment, including 37.5% of those with heroin use disorder and 17.5% of those with prescription pain reliever use disorders. Despite marked increases in opioid abuse, deaths attributed to opioids, and related hospital admissions, the majority of individuals in need of treatment do not receive it. Access to BuprenorphineBuprenorphine is regulated differently when used to treat opioid use disorder than when used to treat pain. The Controlled Substances Act (CSA) limits who may prescribe (or administer or dispense) buprenorphine to treat opioid use disorders, and the circumstances under which they may do so. These limits have implications for how patients gain access to buprenorphine and how they pay for buprenorphine. Buprenorphine comes in different formulations, and these modes of administration also have implications for how patients gain access to buprenorphine and how they pay for buprenorphine. As of December 1, 2018, the Substance Abuse and Mental Health Services Administration has estimated the U.S. capacity for health providers to treat with buprenorphine at over 3.6 million patients. Nonetheless, access to substance abuse treatment such as buprenorphine has not kept pace with the mounting rates of opioid addiction in the United States.


Buprenorphine

Author by : U. S. Department Of Health And Human Services
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 89
Total Download : 562
File Size : 47,7 Mb
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Medical Toxicology Of Drug Abuse

Author by : Donald G. Barceloux
Languange : en
Publisher by : John Wiley & Sons
Format Available : PDF, ePub, Mobi
Total Read : 64
Total Download : 641
File Size : 49,6 Mb
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Description : This book provides a broad reference covering important drugs of abuse including amphetamines, opiates, and steroids. It also covers psychoactive plants such as caffeine, peyote, and psilocybin. It provides chemical structures, analytical methods, clinical features, and treatments of these drugs of abuse, serving as a highly useful, in-depth supplement to a general medical toxicology book. The style allows for the easy application of the contents to searchable databases and other electronic products, making this an essential resource for practitioners in medical toxicology, industrial hygiene, occupational medicine, pharmaceuticals, environmental organizations, pathology, and related fields.


Psychologists Psychotropic Drug Reference

Author by : Louis A. Pagliaro
Languange : en
Publisher by : Routledge
Format Available : PDF, ePub, Mobi
Total Read : 36
Total Download : 649
File Size : 50,5 Mb
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Description : First published in 1998. The purpose of this book is to provide prescribing psychologists and psychology students with an accurate and authoritative reference for psychotropic drugs that are commonly available for clinical prescription in North America. The reference is particularly directed for use by psychologists and psychology students who already have, or are currently developing, their professional expertise and responsibilities in the prescription and management of psychotropic pharmacotherapy as an adjunct to their psychotherapy. The Reference lists detailed drug monographs for over 100 different prescription psychotropic drugs available in North America. Thus, this reference is the most comprehensive psychotropic drug reference for clinical psychologists currently available. Each psychotropic monograph is clearly and concisely written to only reflect essential and important data that are commonly required by prescribing psychologists. Whenever available and appropriate, each monograph includes phonetic pronunciation, up to five common trade or brand names, pharmacologic or therapeutic classification and subclassification, United States Drug Enforcement Agency (USDEA) schedule designation for abuse potential, recommended dosages for adults, children and the elderly, helpful and important notes regarding methods of administration, relative contraindications, clinically significant drug interactions and more. It is hoped that by using the information presented in is book prescribing psychologists and psychology students will be better able to provide their patients with the maximum benefits of adjunctive pharmacotherapy with a minimum of adverse and toxic effects.


Study Guide To Substance Abuse Treatment

Author by : Robert E. Hales
Languange : en
Publisher by : American Psychiatric Pub
Format Available : PDF, ePub, Mobi
Total Read : 27
Total Download : 657
File Size : 55,8 Mb
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Description : Study Guide to Substance Abuse Treatment is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fourth Edition. The Study Guide is made up of 292 questions divided into 49 individual quizzes of 4-9 questions each that correspond to chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that not only addresses the correct response but also explains why other responses are not correct. The Study Guide's companion, the fourth edition of The American Psychiatric Publishing Textbook of Substance Abuse Treatment has been fully updated to present the most current scientific and clinical information on a wide range of substance use disorders, from tobacco and alcohol to methamphetamine and "club drug" abuse. The text offers a comprehensive view of the basic science and psychology underlying addiction as well as extensive coverage of all treatment approaches and specialty topics. Highlights of this new edition include chapters on the biology and clinical management for each of the drug categories; new material on the role of buprenorphine in treating opioid addiction; extensive coverage of cognitive-behavioral therapy, motivational enhancement, and contingency management; and new research on the role of 12-step programs in addiction treatment.


Buprenorphine Hydrochloride

Author by : G. J. Blokdijk
Languange : en
Publisher by : Createspace Independent Publishing Platform
Format Available : PDF, ePub, Mobi
Total Read : 21
Total Download : 592
File Size : 43,6 Mb
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Description : Should I lock up my Buprenorphine Hydrochloride prescription drugs? Are there any co-pays for medical treatments, hospitalization or Buprenorphine Hydrochloride prescription drugs? Do younger people need less of the Buprenorphine Hydrochloride medication than older people? Should I take my Buprenorphine Hydrochloride medications at a regular time each day? Are Buprenorphine Hydrochloride prescription medications included in my monthly insurance fee? Always talk to your doctor about Buprenorphine Hydrochloride, your condition and your treatment. But what exactly to ask your doctor to make sure you are both covering everything you need to know about Buprenorphine Hydrochloride? 'Buprenorphine Hydrochloride; A Complete Guide' presents readers with a whole new set of 638 pivotal questions to discuss your situation with your healthcare provider, consider your options, and help you make decisions that are right for you. 'Buprenorphine Hydrochloride; A Complete Guide' poses questions that Buprenorphine Hydrochloride medication users didn't even know they needed to ask. With lots of room to note down your doctor's answers and an extensive index, this book is a must-have for anyone who has, or is about to have, Buprenorphine Hydrochloride prescription medication, and indispensable for healthcare providers who want to make sure they are able to answer every question.


Guidelines For The Psychosocially Assisted Pharmacological Treatment Of Opioid Dependence

Author by : World Health Organization
Languange : en
Publisher by : World Health Organization
Format Available : PDF, ePub, Mobi
Total Read : 48
Total Download : 138
File Size : 44,6 Mb
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Description : These Guidelines review the use of medicines such as methadone, buprenorphine, naltrexone and clonidine in combination with psychosocial support in the treatment of people dependent on heroin or other opioids. Based on systematic reviews of the literature and using the GRADE approach to determining evidence quality, the guidelines contain specific recommendations on the range of issues faced in organizing treatment systems, managing treatment programmes and in treating people dependent on opioids. Developed in collaboration with internationally acclaimed experts from the different regions of the globe, this book should be of interest to policy makers, program managers, and clinicians everywhere who seek to alleviate the burden of opioid dependence.


Factors That Affect The Efficacy Of Buprenorphine And Naloxone As A Replacement Medication In Treating Opioid Dependence In The Primary Care Setting In Mendocino County California

Author by : Kelli Cole
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 44
Total Download : 375
File Size : 46,9 Mb
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Description : Introduction: Opioid dependence is a serious and growing public health issue. Treatment options have expanded since buprenorphine was approved for use as a maintenance medication by primary care providers in outpatient settings, but use of this medication is sti11limited. The safety and efficacy of buprenorphine have been well established, but very little is understood about what contributes to the success of some patients in these programs. The objective of this study is to describe factors that affect the efficacy of buprenorphine and naloxone as a replacement medication in treating opioid dependence in the primary care setting in Mendocino County, California. Methods: The 27 patients who currently are or have been involved in the buprenorphine program at Mendocino Coast Clinics (MCC) were included in this descriptive study. A patient information form was designed, . and a chart review of all subjects was completed to collect demographic and other information. Retention in treatment as defined by current involvement in the program was the outcome measure to define success. The buprenorphine program psychologist was interviewed to collect additional psychosocial information about all 10 subjects in the successful cohort. 6 of the successful subjects completed a written survey about their experiences with opioids and the buprenorphine program. Content · analysis of the patient information forms and surveys was then conducted and the data was categorized and described using frequency distributions. Results: There has been a 37% success rate for patients in the MCC buprenorphine program, and most of the subjects who have ' not been successful either failed at induction or quit because they were unable to comply with the program and refrain from drug use. When compared to the unsuccessful subjects, the successful subjects: were older, had a longer history of opioid dependence, were not as involved in numerous other therapeutic modalities, had less co.-morbid substance use and dependence, and used more' medications for management of mental disorders and pain. There were trends in psychosocial variable changes among the successful subjects during their time in the buprenorphine program in areas including: employment pattern, housing and living situation, household income, and social environment. The Global Assessment of Functioning (GAF) scores of successful subjects increased with their involvement in the buprenorphine program. The survey of successful subjects indicated that they tolerate the medication, have low opioid cravings while taking buprenorphine, and find the program helpful. They also identified their primary support group and social environment as most helpful with their success, and several subjects specifically identified the buprenorphine program . physician and psychologist as especially · supportive and helpful. Most successful subjects preferred buprenorphine to methadone or other programs because it provides maintenance opioid doses, provides ' support, and does not require daily appointments. Discussion: This study represents a small group in a geographically isolated area, but there are trends that may be worthy of further study. Further exploration of the subgroup for whom the program is more successful may help in patient selection for these treatment programs with limited space. Buprenorphine programs may also be designed to provide a supportive induction, medically manage pain and co-morbid mental disorders, and address psychosocial factors and provide support.


Clinical Experience And Benefits Of Buprenorphine Treatment In Clinical Center Of Montenegro

Author by : Irena Ljutica
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 40
Total Download : 555
File Size : 49,9 Mb
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Description : Objectives:Buprenorphine is an opioid partial agonist. It is a safe and an effective option for the treatment of opioid addiction. Buprenorphine may be abused. Its abuse potential, however, is lower in comparison with that of opioid full agonists. Benefits of buprenorphine treatment: Suppress symptoms of opioid withdrawal. May reduce illicit opioid use. Help patients stay in treatment. Buprenorphine maintenance keeps the person stable while they make positive changes in their lives. Health problems are reduced or avoided, especially those related to injecting, such as HIV, hepatitis B and hepatitis C viruses, skin infections and vein problems. Doses are required only once a day.Background:We followed patients who were included in the buprenorphine substitution treatment for a period of 12 months, to be more precise in the period from January 2018 to December 2018. In January, 148 patients were examined through our Center, while 203 patients were examined in December 2018. From the beginning of the study, we suggested to our patients to do a screening test for Hepatitis C virus. During the study, the number of patients was changing. We have included a lot of, while some users have left treatment. We followed the change in dose as well. Materials and Methods:We used a longitudinal study method.Results and Conclusions:Significant number of patients entered for HCV treatment. For most adults with opioid use disorder, maintenance therapy with buprenorphine is effective treatment approach.


Clinical Guidelines For The Use Of Buprenorphine In The Treatment Of Opioid Addiction Treatment Improvement Protocol Series Tip 40

Author by : U. S. Department of Health and Human Services
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 91
Total Download : 178
File Size : 53,8 Mb
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Description : This Treatment Improvement Protocol (TIP), Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction, provides consensus- and evidence-based treatment guidance for the use of buprenorphine, a new option for the treatment of opioid addiction. The goal of this TIP is to provide physicians with information they can use to make practical and informed decisions about the use of buprenorphine to treat opioid addiction. These guidelines address the pharmacology and physiology of opioids, opioid addiction, and treatment with buprenorphine; describe patient assessment and the choice of opioid addiction treatment options; provide detailed treatment protocols for opioid withdrawal and maintenance therapy with buprenorphine; and include information on the treatment of special populations, e.g., pregnant women, adolescents, and polysubstance users. This TIP represents another step by the Center for Substance Abuse Treatment...