Pain Control + Addiction Medicine

Question 1

what threshold for suboxone and buprenorphine do you have to get addiction medicine involved?

Answer 1

suboxone >16
buprenorphine >24-32

Question 2

why is it so important that you titrate buprenorphine slowly up?

Answer 2

higher doses of buprenorphine when a patient is still actively recovering can be dangerous if that patient relapses and takes fentanyl for example, and this can precipitate withdrawal