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Podcast # 492: Pain While on Buprenorphine
Podcast # 492: Pain While on Buprenorphine
ratings:
Length:
4 minutes
Released:
Jul 26, 2019
Format:
Podcast episode
Description
Contributor: Don Stader, MD Educational Pearls: Buprenorphine is a partial Mu-agonist and binds with higher affinity than most opioids Pain management with opioids therefore can be difficult in patients taking buprenorphine Ketamine is a good option for pain control in these patients You can also consider using additional buprenorphine Intravenous buprenorphine is dosed differently than oral formulations Consider receptor availability - patients on high doses of buprenorphine (32mg) will have few Mu receptors available, and thus will likely not benefit from opiate pain meds of any kind References Alford DP, Compton P, Samet JH. Acute pain management for patients receiving maintenance methadone or buprenorphine therapy. Ann Intern Med. 2006;144(2):127–134. Summarized by Will Dewispelaere, MS3 | Edited by Erik Verzemnieks, MD
Released:
Jul 26, 2019
Format:
Podcast episode
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