Colorado MAT Part 3: Medications for MAT in the ED

Colorado MAT Part 3: Medications for MAT in the ED

  1. There are three MAT drugs available to treat addiction: naltrexone (brand name Vivitrol), methadone (brand names Dolophine or Methadose) & buprenorphine (brand name Suboxone, Subutex, and Sublicade).
  2. The only MAT drug appropriate for initiation in the ED is buprenorphine.
  3. Buprenorphine is a semi-synthetic opioid which acts as partial agonist at the mu receptor. Buprenorphine does not produce as much euphoria or as much of the respiratory depression seen with other opioids. It has a quick onset and long half-life and is usually administered sublingually. The most commonly used formulation of buprenorphine is mixed with naloxone for one reason and one reason only - to prevent diversion and IV drug use. When taken orally, the buprenorphine effect is predominant; when taken IV, the naloxone effect is predominant
  4. Any ED provider can administer buprenorphine in the ED for up to 3 consecutive days in order to bridge a patient to addiction services.
  5. X-Waivers allow you to prescribe buprenorphine from the ED, which is a great service you can provide your patients, particularly in rural communities. In 2019 ACEP will be producing an ED physician specific X-Waiver training which will focus exclusively on ED-based care.

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Episoder(1146)

CBHW Summit: Safe Prescribing 101/201

CBHW Summit: Safe Prescribing 101/201

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CBHW Summit: Male Mental Health - A Crisis in Public Health

CBHW Summit: Male Mental Health - A Crisis in Public Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Jason Vitello, MSW, Behavioral Health Coordinator, Denver Public Health/CPHA

27 Nov 201952min

CBHW Summit: Children's Mental Health

CBHW Summit: Children's Mental Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Sarah Davidon, EdD, Director of Research & Child and Adolescent Strategy, Mental Health Colorado, and Sarah Younggren...

27 Nov 20191h 6min

CBHW Summit: Positive Psychology and Well-Being

CBHW Summit: Positive Psychology and Well-Being

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Carl Clark, MD, President & Chief Executive Officer, Mental Health Center of Denver

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CBHW Summit: Words Matter - How Language Can Shift Public Thinking

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver

27 Nov 201933min

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, a...

26 Nov 20191h 11min

CBHW Summit: Substance Use During the Perinatal Period

CBHW Summit: Substance Use During the Perinatal Period

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Tracy Vozar, Ph.D., Director of the Infant and Early Childhood Mental Health Specialty, and Jennifer M. Tippett, Psy...

26 Nov 20191h 5min

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Marion Rorke, MPH, Substance Use Resource Coordinator, City and County of Denver, and Maggie Kauffman, MPH, Health Eq...

26 Nov 201932min

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