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Medically Supervised Withdrawal for Opioid Dependence

  • Sanford M. SilvermanEmail author

Abstract

Medically supervised withdrawal from opioids can be accomplished with a variety of pharmacologic techniques. The use of agonists, antagonists, and partial agonists are widely utilized in practice today. Clonidine has been used historically to manage the adrenergic (autonomic) symptoms of opioid withdrawal. Methadone has been the gold standard for opioid agonist therapy (OAT) and is rapidly being replaced by sublingual buprenorphine. This treatment is available for the primary care physician upon fulfilling certain requirements to utilize sublingual buprenorphine. As the prescription drug epidemic continues, it is important for the practitioner to recognize the overlap between chronic pain and opioid dependence, as well as the treatment of both.

Keywords

Sublingual buprenorphine Opioid dependence Medically supervised withdrawal Drug Addiction Treatment Act Clonidine Methadone Prescription drug abuse Office-based opioid detoxification 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Comprehensive Pain MedicineFlorida Society of Interventional Pain Physicians (FSIPP)Pompano BeachUSA

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