Dosing Buprenorphine and suboxone (Stahl)

Question 1

Day 1 dose range for Buprenorphine

Answer 1

8 mgs

Question 2

Day 2 dose range for Buprenorphine

Answer 2

12 - 16 mg

Question 3

Day 3 - 7 dose range for Buprenorphine

Answer 3

increase by 4 mg

Question 4

Max dose range for Buprenorphine

Answer 4

32 mg

Question 5

Goal when dosing for Buprenorphine

Answer 5

Achieve the lowest dosage in ridding of withdrawal sx

Question 6

What is maintenance dosage for Buprenorphine

Answer 6

8-24 mg

Question 7

Typical dose range for Buprenorphine

Answer 7

8 - 32 mg

Question 8

How long should we observe patient with first initial dosage

Answer 8

2 hours at least

Then 1-2 visits in first week

Question 9

How often should person be seen during stabilization ( first 2 months)

Answer 9

once a week

Question 10

How often should person be seen during maintenance

Answer 10

Bi-weekly or monthly

Question 11

Day 1 dosage of suboxone

Answer 11

8/2

Question 12

Day 2 dosage of suboxone

Answer 12

12/3 or 16/4

Question 13

Day 3 to 7 dosage of suboxone

Answer 13

Increase 4/1 increments

Question 14

Max dose for subaxone

Answer 14

32/8

Question 15

How to remember suboxone mix interval

Answer 15

It is 4:1

4mg of Buprenorphine to 1 mg of suboxone

Question 16

Baseline test you should get before initiating this treatment

Answer 16

LFT

Question 17

When should this treatment not be given

Answer 17

For Pain

If patient is naïve to opioid usage

Allergic

If severe liver condition for suboxone only