Precipitated withdrawal is not a buprenorphine failure — it’s a signal to adjust doses and provide personalized care. Dr. Tom Robey, Emergency and Street Medicine Physician, explains the science behind precipitated withdrawal, how buprenorphine can both cause and prevent it, and practical dosing strategies.
While methadone often carries stigma, it can be the best treatment option for certain patients. Dr. Tom Robey, Emergency and Street Medicine Physician, explains when methadone is the right choice, how it differs from buprenorphine, and key factors for starting it safely.
Dr. Tom Robey, Emergency and Street Medicine Physician, gives an introduction to buprenorphine and shares why it matters and how to start it safely in the emergency department.
In today’s fentanyl-dominated drug supply, historical buprenorphine doses may not be enough. Dr. Tom Robey, Emergency and Street Medicine Physician, explains why higher doses are safe and gives practical dosing guidance.
Clinical guidance to support MPDs and EMS providers who are developing or participating in a buprenorphine administration program in Washington state.
Methadone initiation in the emergency department.
626 8th Ave SE
Olympia, WA 98501 
