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Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients.
Metadata
Journalmedical clinics of north america3.529Date
2020 May 12
5 months ago
Type
Review
Journal Article
Volume
2020-Jul / 104 : 695-708
Author
Herscher M 1, Fine M 2, Navalurkar R 2, Hirt L 2, Wang L 3
Affiliation
  • 2. Department of Medical Education, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY 10029, USA.
  • 3. Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY 10029, USA.
Doi
PMIDMESH
Analgesics, Opioid
Buprenorphine
Harm Reduction
Hospitalization
Humans
Methadone
Naltrexone
Narcotic Antagonists
Opiate Substitution Treatment
Opioid-Related Disorders
Patient Education as Topic
Abstract
The diagnosis of opioid use disorder (OUD) is often overlooked or inadequately managed during the inpatient admission. When recognized, a common strategy is opioid detoxification, an approach that is often ineffective and can be potentially dangerous because of loss of tolerance and subsequent risk for overdose. Medication for addiction treatment (MAT), including methadone and buprenorphine, is effective and can be dispensed in the hospital for both opioid withdrawal and initiation of maintenance treatment. Hospitalists should be knowledgeable about diagnosing and managing patients with OUD, including how to manage acute pain or MAT during the perioperative setting.
Keywords: Addiction Buprenorphine Heroin Hospital medicine Inpatient management Methadone Opioid use disorder Substance use disorder
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Med Clin North Ammedical clinics of north america
Metadata
LocationUnited States
FromW B SAUNDERS CO-ELSEVIER INC

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