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UCSF Guideline for the Perioperative Management of ...

UCSF Guideline for the Perioperative Management of BuprenorphineSurgical team/ Prepare Clinic identifies patient on buprenorphine (ButransTM, SuboxoneTM, SubutexTM, ZubsolvTM, BunavailTM, BelbucaTM, TemgesicTM, ProbuphineTM, BuprenexTM, )Minimally painful ambulatory and inpatient surgery(no or minimal need for postoperative opioid therapy expected such as endoscopy, cataracts, FESS etc)Continue home dose through procedure day and after discontinuation or holding of buprenorphine EmergentOperation Urgent/ ElectivePatients on lower doses of buprenorphine:Transdermal Buprenorphine (ButransTM patch), any doseProbuphine implantsBelbuca, any dose< 8 mg/day suboxone /Subutex, < mg/day Zubsolv, < mg/day BunavailPre-operative dose adjustment not possible.

cataracts, FESS etc) Continue home dose through procedure day and after discharge. Avoid discontinuation or holding of buprenorphine doses. Operation Emergent Operation Urgent/ Elective Patients on lower doses of buprenorphine: Transdermal Buprenorphine (ButransTM patch), any dose Probuphine implants Belbuca, any dose < 8 mg/day Suboxone/Subutex,

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  Cataract, Suboxone

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