Buprenorphine Induction Strategies

Presented at: Opioid Crisis 2020
C.E. Credits: P.A.C.E. CE Florida CE
Speaker
  • Associate Professor, Pharmacy Practice, South Dakota State University
    Biography

      Jennifer Ball is an associate professor of pharmacy practice at South Dakota State University.  She practices in ambulatory care with a focus in substance use disorders and women’s health at the Center for Family Medicine as faculty within the Sioux Falls Family Medicine Residency Program and Pierre Rural Family Medicine Residency Program.  Within her clinical and education role, Jennifer practices as part of an interdisciplinary substance use disorders treatment team and provides statewide education as a hub expert in Avera Project ECHO: Substance Use, Mental Health, and MAT.  Her role in substance use disorders training has awarded her several State Opioid Response (SOR) and Rural Communities Opioid Response Program (RCORP) grants to expand treatment, healthcare professional training, and networking across the state of South Dakota.


    Abstract

    As one of the few evidence-based treatments shown to decrease mortality, buprenorphine use has grown in the United States and abroad.  Buprenorphine is a first line option for opioid use disorder shown to reduce cravings and withdrawal symptoms leading to increased treatment retention, reduced risk for infectious complications and overdoses. For prescribers who obtain DATA waiver training in the United States, this medication can be started in a variety of clinical practices from general practice, specialty practice, or emergency rooms.  Due to buprenorphine's partial agonist, partial antagonist effects at the opioid receptor, early administration following opioid use can be complicated with potential risks for precipitated withdrawal.  To minimize the risk, several induction strategies from in-office, home induction, and slow and fast microdosing strategies have been used.  This session delves into the many approaches to induction techniques and how to select the best method for an individual patient.

    Learning Objectives:

    1. Compare traditional and home induction methods

    2. Describe alternative microdosing  induction strategies

    3. Identify appropriate patient populations for each method.


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