Module 6: Identifying Opioid Use Disorder and Starting Buprenorphine
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Module 6: Identifying Opioid Use Disorder and Starting Buprenorphine
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About this listen
his week’s case is about Bob is a 50-year-old man with chronic low back pain who has been taking oxycodone ER 20 mg three times daily for three years. He recently asked for early refills, reports lost prescriptions twice, and his urine drug screen shows fentanyl and benzodiazepines. The state prescription drug monitoring program indicates prescriptions from multiple providers. This constellation of behaviors—unapproved dose increases, obtaining opioids from multiple prescribers, and concurrent non-medical drug use may signal increased risk for OUD. Bob insists he is taking opioids for pain but admits buying additional pills to “avoid getting sick.”
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