P&E

Question 1

What 2 meds for preg, L&D, BF for OUD?

Answer 1

Bupo, methadone

Question 2

Methadone Indic vs MOA vs AE

Answer 2

For difficult to tx pain, racemic mix vs blocks NMDA & monoaminergic reuptake transporter (5HT & NE) vs QT prolong

Question 3

Bupo +/- naloxone MOA vs indic vs AE

Answer 3

Mu agonist, kappa & delta antag vs prevent withdrawal and euphoria, for OUD vs HA, dizzy, sedative, coma (rare)

Question 4

Naltrexone indic vs MOA vs AE

Answer 4

OUD, EtOH abstinence vs opioid receptor competitive antag vs injxn site rxn -> nec, TE, depression

Question 5

What does removal of X Waiver mean?

Answer 5

All DEA registeeed practitioners can rx bupo. Applicant must satisfy: 8hrs of training, board cert in addiction med, graduated within 5yrs & good standing

Question 6

Exceptions to confidentiality per A-Hardee vs informed consent per Schuller vs HIPAA per Cox

Answer 6

Consent, comply with law, communicate a threat, court, cont tx vs emergency, incapacity, voluntary waived consent, therapeutic privilege vs law, public health activities, health inspections, deceased, organ, health threat, health research, military mission, workers’ compensation claims