How to treat precipitated withdrawal - buprenorphine doses and adjunct medications
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.
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Why you might need higher doses of buprenorphine - and how to use them safely
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.
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When should clinicians consider methadone for opioid use disorder?
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.
