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Subutex

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Indicated for the management of chronic pain.

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Feb 26, 2012
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Indicated for the reduction of cravings in opioid dependence.

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Feb 26, 2012
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If adding opioids to usual high dose buprenorphine, consider monitoring in HDU for respiratory depression refl.in/4m

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May 18, 2011
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Pain management should focus on maximizing non-opioid analgesia, local anaesthesia and non-pharmacological techniques. refl.in/4m

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May 18, 2011
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Consider combined spinal epidural for postoperative analgesia in cesarian section in patients already on buprenorphine

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Sep 01, 2015
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If patient is on a high dose oral buprenorphine, preoperative conversion to morphine or methadone may be an option for elective procedures where high dose supplental perioperative opiod therapy may be difficult. refl.in/4m

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Feb 26, 2012
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The high dose used for management of opioid dependence can interfere with analgesic effects of other opioids.

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May 18, 2011
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The low dose used in management of chronic pain (patches, up to 20mcg/hr) do not generally interfere with analgesic efficacy of other opioids

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Feb 03, 2020
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Where available, liaison with a hospital-based alcohol and drug service should always be considered.

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May 18, 2011
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Where possible the buprenorphine should be continued. refl.in/4m

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May 18, 2011
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Buprenorphine is an analgesic, but is a partial agonist. Its high receptor affinity means that it blocks analgesic effects of other opiods

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