Challenges with buprenorphine inductions in the context of the fentanyl overdose crisis: a case series

D Shearer, S Young, N Fairbairn… - Drug and alcohol …, 2022 - Wiley Online Library
Abstract Introduction and Aims North America is currently experiencing an epidemic of
opioid overdose deaths, driven by the proliferation of fentanyl in the street drug market …

Enhancing patient choice: using self-administered intranasal naloxone for novel rapid buprenorphine initiation

A Randall, I Hull, SA Martin - Journal of Addiction Medicine, 2023 - journals.lww.com
Abstract Buprenorphine-naloxone (BUP-NX) is a lifesaving treatment for opioid use disorder.
The increasing use of illicitly manufactured fentanyl, however, has made initiating BUP-NX …

A plea from people who use drugs to clinicians: new ways to initiate buprenorphine are urgently needed in the fentanyl era

KL Sue, S Cohen, J Tilley… - Journal of Addiction …, 2022 - journals.lww.com
With the worst opioid overdose death crisis in the United States history, urgent new
approaches to assist people who use drugs onto medication for opioid use disorder are …

Method for successfully inducting individuals who use illicit fentanyl onto buprenorphine/naloxone

D Antoine, AS Huhn, EC Strain, G Turner… - … American journal on …, 2021 - Wiley Online Library
Background and Objectives Individuals exposed to fentanyl are at risk of precipitated
withdrawal using typical buprenorphine/naloxone induction procedures. Methods This case …

A case of buprenorphine-precipitated withdrawal managed with high-dose buprenorphine

THN Quattlebaum, M Kiyokawa, KA Murata - Family Practice, 2022 - academic.oup.com
Background Buprenorphine–naloxone has a very high affinity for the mu-receptor and can
cause precipitated opioid withdrawal, typically more severe than withdrawal that occurs …

Evidence of buprenorphine-precipitated withdrawal in persons who use fentanyl

NB Varshneya, AP Thakrar… - Journal of addiction …, 2022 - journals.lww.com
Objectives: Buprenorphine can precipitate withdrawal in opioid-dependent persons with
recent fentanyl use. However, the prevalence of this phenomenon is not clinically …

The Howard Street Method: A Community Pharmacy-Led low dose overlap buprenorphine initiation protocol for individuals using fentanyl

M Noel, E Abbs, L Suen, L Samuel… - Journal of addiction …, 2023 - journals.lww.com
Objectives Buprenorphine treatment significantly reduces morbidity and mortality for people
with opioid use disorder. Fear of precipitated withdrawal remains a barrier to starting …

Open‐label investigation of rapid initiation of extended‐release buprenorphine in patients using fentanyl and fentanyl analogs

JJ Mariani, RL Dobbins, A Heath… - … American Journal on …, 2024 - Wiley Online Library
Abstract Background and Objectives Synthetic opioids, including fentanyl and fentanyl
analogs, account for over 70,000 annual overdose deaths in the United States, but there is …

Open‐label trial of a single‐day induction onto buprenorphine extended‐release injection for users of heroin and fentanyl

JJ Mariani, AL Mahony, SC Podell… - … American journal on …, 2021 - Wiley Online Library
Abstract Background and Objectives Fentanyl and other highly potent synthetic opioids are
the leading cause of opioid overdose deaths in the United States. Methods This study was …

Impact of fentanyl use on buprenorphine treatment retention and opioid abstinence

SE Wakeman, Y Chang, S Regan, L Yu… - Journal of addiction …, 2019 - journals.lww.com
Objectives: There has been a rapid increase in the presence of illicitly manufactured fentanyl
in the heroin drug supply. Buprenorphine is an effective treatment for heroin and prescription …