Opioid substitution Flashcards
1
Q
What is used as subs therapy
A
Methadone and buprenorphine
2
Q
How many days should not be missed otherwise risk of relapse
A
3 days
3
Q
What is less sedating than methadone
A
Buprenorphine
But methadone is long lasting
4
Q
Why should acute withdrawal of opioid therapy be avoided in pregnancy
A
Foetal death risk
Continue opioid therapy in pregnancy
5
Q
What trimester should we withdraw methadone and buprenorphine in
A
Only in second trimester because if done in first trimester - risk of miscarriage and if done in third, can lead to stillbirth
6
Q
Is methadone safe in breastfeeding
A
Lowest dose possible
7
Q
When is methadone linctus indicated
A
Analgesia in severe pain and cough in terminal disease
8
Q
What should be monitored on methadone linctus?
A
QT prolongation
