应用微量丁丙诺啡静脉注射治疗阿片类药物使用障碍并发疼痛患者:病例报告。

IF 1.6 4区 医学 Q3 SUBSTANCE ABUSE
Journal of Addictive Diseases Pub Date : 2024-10-01 Epub Date: 2023-12-04 DOI:10.1080/10550887.2023.2285201
Alia Bodnar, Christine Diffenderffer, Lindsay A Jablonski, Eric Bai, Rosalyn W Stewart
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引用次数: 0

摘要

丁丙诺啡用于治疗阿片类药物使用障碍(OUD)。然而,在急性疼痛发作时,治疗经常中断,由于阿片类镇痛药无法忍受的中断,重新开始治疗经常推迟。本病例报告描述了一种独特的策略,诱导丁丙诺啡不停止阿片类镇痛药。病例:1例患有OUD和急性疼痛的患者开始使用丁丙诺啡静脉微剂量,无沉淀停药或疼痛加剧。出院后,完全激动剂阿片类药物成功断奶,并将患者与社区治疗方案联系起来。结论:本病例描述了静脉注射丁丙诺啡治疗OUD和急性疼痛无不良后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of intravenous buprenorphine microdosing to initiate medication for opioid use disorder in a patient with co-occurring pain: case report.

Introduction: Buprenorphine is used to treat opioid use disorder (OUD). However, therapy is often disrupted during acute pain episodes, and re-initiation is often deferred due to intolerable interruption in opioid analgesics. This case report describes a unique strategy for inducing buprenorphine without stopping opioid analgesics.

Case: One patient with OUD and acute pain was initiated on buprenorphine using intravenous microdosing without precipitated withdrawal or pain exacerbation. Full agonist opioids were successfully weaned after discharge and the patient was linked with a community-based treatment program.

Conclusion: This case describes use of intravenous buprenorphine to treat OUD and acute pain without adverse consequences.

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来源期刊
CiteScore
4.30
自引率
4.30%
发文量
69
期刊介绍: The Journal of Addictive Diseases is an essential, comprehensive resource covering the full range of addictions for today"s addiction professional. This in-depth, practical journal helps you stay on top of the vital issues and the clinical skills necessary to ensure effective practice. The latest research, treatments, and public policy issues in addiction medicine are presented in a fully integrated, multi-specialty perspective. Top researchers and respected leaders in addiction issues share their knowledge and insights to keep you up-to-date on the most important research and practical applications.
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