Articles Tagged With: buprenorphine
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Medications for OUD in the First Trimester and Congenital Malformation Risk
In this large, retrospective cohort study of births covered by Medicaid from 2000-2018, the authors used linked Medicaid use data to compare 9,514 pregnancies with buprenorphine exposure and 3,846 with methadone exposure in the first trimester. After adjusting for relevant confounders, the risk of major congenital malformation was lower for buprenorphine-exposed infants compared to methadone-exposed infants (risk ratio, 0.82; 95% confidence interval, 0.69-0.97), although rates overall remained low (50.9 per 1,000 for buprenorphine and 60.6 per 1,000 for methadone).
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Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.
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Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.
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Congress Formally Ends X-Waiver Requirement
Lawmakers remove this barrier to treating opioid use disorder.
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As Opioid Epidemic Continues Unabated, EDs Mobilize to Save Lives
Investigators have made remarkable progress in identifying patients with opioid use disorder when they present to the ED, and convincing frontline providers to initiate these patients on medication-assisted treatment. Further, they have been regularly documenting their ongoing improvement efforts to offer other EDs a potential roadmap for how to improve in this area and sustain that progress.
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Treating Opioid Use Disorder Could Lower Recidivism Rates
Giving inmates buprenorphine helped them avoid new court charges, probation violations, and reincarceration.
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Unexpected Gaps in Opioid Overdose Treatments
Patients presenting to EDs for opioid overdose should go home with a naloxone prescription or a naloxone take-home kit. Alternatively, these patients could start buprenorphine when it is clinically feasible, or they could be connected directly to outpatient treatment for opioid use disorder.
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Researchers: Emergency Providers Missing Chances to Avert Future Opioid Disasters
Investigators express concern about prescribing rates for medication-assisted treatment after ED visits for opioid overdoses recorded between late 2019 and early 2021.
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Feds Ease X-Waiver Training Requirements, Emergency Providers Advocate Further Action
In the continuing tussle over whether providers should have to obtain an X-waiver to prescribe buprenorphine, the Biden administration has staked out some middle ground, at least for now. -
Trump HHS Eases Standards Regarding Opioid Addiction Care; Biden Admin Reverses Course
More physicians would have been able to prescribe buprenorphine and other medication-assisted treatment for opioid use disorder, but the incoming administration reversed course.