Chronic Pain
Editors: Mercede Erickson, MD, Camille Adajar, MD
Faculty Editor: Brandon Pruett, MD
Suboxone/Buprenorphine management
- Important for patients to remain on/continue suboxone if taking at home - confirm regimen on CSMD
- If taken within last 48hr: restart home regimen
- If taken >48hrs ago: consult addiction psych for induction
- If pain is an issue, continue their medication and consult either chronic pain or acute pain service and addiction psych
- The most effective pain medication while on Suboxone is hydromorphone; oxycodone cannot overcome the receptor affinity of Suboxone
Methadone management
- Continue home regimen plus Addiction Psych Service consult for recommendations while inpatient (often requires QTc monitoring)
