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Buprenorphine Quick Start Guide - SAMHSA

Buprenorphine FDA approved for Opioid Use Disorder treatment in an office-based those with tolerance to opioids as a result of OUD, Buprenorphine is often a safe choice. Buprenorphine acts as a partial mixed opioid agonist at the -receptor and as an antagonist at the -receptor. It has a higheraffinity for the -receptor than other opioids, and it canprecipitate withdrawal symptoms in those actively using is dosed daily, has a long half-life, and prevents withdrawal inopioid dependent be in tablet, sublingual film, or injectable formulations contain naloxone to prevent injectiondiversion.

Long acting opioids, such as methadone, require at least 48-72 hours since last use. before initiating buprenorphine. Short acting opioids (for example, heroin) require approximately 12 hours since last use for sufficient withdrawal to occur in order to safely initiate treatment. Some opioid such as fentanyl may require greater than 12 hours.

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