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- Reid H Phillips, Matthew Salzman, Rachel Haroz, Rachel Rafeq, Anthony J Mazzarelli, and Alexis Pelletier-Bui.
- Cooper University Hospital Emergency Department, Camden, NJ. Electronic address: phillips-reid@cooperhealth.edu.
- Ann Emerg Med. 2019 Sep 1; 74 (3): 430-432.
AbstractWe present a case of elective naloxone-induced opioid withdrawal followed by buprenorphine rescue to initiate opioid use disorder treatment in the emergency department. This strategy may represent a safe alternative to prescribing buprenorphine for outpatient initiation, a method that puts the patient at risk for complications of unmonitored opioid withdrawal, including relapse. After confirmation that the naloxone-induced withdrawal was adequately treated with buprenorphine, the patient was discharged with prescribed buprenorphine to follow up in an addiction medicine clinic, where he was treated 2 days later.Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
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