Handbook of Office-based Buprenorphine Treatment of Opioid by John A. Renner, Petros Levounis

By John A. Renner, Petros Levounis

"The instruction manual of Office-Based Buprenorphine remedy of Opioid Dependence" will function a competent consultant for the addition of buprenorphine remedy into present psychiatric practices and different fundamental care settings. the aptitude to enhance the lives of sufferers with the sickness of opioid dependancy is excellent, and this booklet bargains concrete and sensible suggestion for handling sufferers in an office-based environment. unusual working towards psychiatrists, internists, and different scientific specialists and researchers give a contribution their services with buprenorphine to this quantity. It covers the subject material completely - from the heritage of opioid abuse and review standards for capability sufferers to medical administration and psychiatric comorbidity. This guide offers the instruments and directions essential to aid services domesticate a healing surroundings for treating opioid habit that minimizes challenge behaviors and optimizes remedy results. The logistical specifications for constructing a winning office-based remedy application are supplied intimately. Case vignettes, charts, and tables make the subject material simply available for readers starting from scholars to well-established practitioners.

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Substance Abuse and Mental Health Services Administration 2007. Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence Source where respondent obtained Opioid Dependence in America 15 ers each year ranged from 28,000 to 80,000. The number averaged over 100,000 per year from 1995 to 2001, but dropped to 94,000 in 2007. 79 million Americans had used heroin at least once in their lifetime; of that group 323,000 were classified with either heroin dependence or abuse, and 250,000 were estimated to be in methadone maintenance treatment (Substance Abuse and Mental Health Services Administration 2007).

Detoxification treatment was still the most common form of treatment provided, despite little evidence of efficacy. Because of buprenorphine’s wider availability in less stigmatized, office-based settings, it was hoped that this new treatment option would both fill the gap in treatment resources and lead to earlier participation in treatment. The primary goal was to expand treatment options by returning opioid addiction treatment to mainstream medical practice and to train a much larger group of physicians to effectively care for these patients.

Should a physician decide to prescribe sublingual buprenorphine for an unapproved indication—for a condition other than opioid dependence, such as for pain—he or she should not use the X number. Despite the fact that the X number is to be used only when prescribing bu- 18 Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence prenorphine for the treatment of opioid dependence, it is important that practitioners recognize that any violation of federal or state prescribing regulations or narcotics laws puts both their X number and their primary DEA number at risk.

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