Buprenorphine Training
Buprenorphine Training equips clinicians to start and maintain MOUD confidently—standard, micro-induction, and fentanyl-aware strategies; managing precipitated withdrawal; and optimizing dose and follow-up. This page turns guidance into step-by-step protocols for office, ED, and inpatient starts, plus counseling points that set expectations and improve adherence. If you’re exploring an MOUD training conference, you’ll find practical algorithms, patient education scripts, and troubleshooting for pain, pregnancy, and polysubstance use. Because stigma and logistics still block access, we include low-threshold models, pharmacy coordination, and tele-inductions with clear safety rules.
Success relies on preparation and continuities of care. We outline eligibility checks, baseline assessments, and shared decisions about goals and formulations (including long-acting options). We show how to prevent and manage precipitated withdrawal, adjust doses for ongoing fentanyl exposure, and integrate contingency strategies and peer support. For condition-level context and retention tactics, see Opioid Use Disorder, which complements this page with harm-reduction, overdose prevention, and stepped-care pathways
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Submit Your Abstract Here →Induction to Maintenance—What Matters
Readiness and setting selection
- Confirm OUD diagnosis, goals, and supports.
- Choose office, ED, or inpatient based on risk and access.
Initiation methods
- Use standard COWS-guided starts or micro-inductions.
- Provide day-by-day instructions and contact options.
Managing precipitated withdrawal
- Re-dose and support symptoms; avoid stopping prematurely.
- Explain physiology to maintain trust and adherence.
Dosing and follow-up
- Titrate to comfort and cravings control; add rescue plans.
- Schedule early follow-ups and remote check-ins.
Service Models, Safety, and Special Populations
Low-threshold access
Walk-in starts, bridge scripts, and same-day pharmacy coordination.
Pregnancy and perinatal care
Maintain treatment; coordinate OB and neonatal follow-up.
Pain and peri-operative needs
Plan multimodal analgesia and clear communication across teams.
Polysubstance risk
Address sedatives, alcohol, and xylazine with safety planning.
Long-acting options
Consider depot formulations for adherence and access barriers.
Peer and family supports
Use lived-experience coaching and family education.
Quality and equity
Track retention, overdose, and PROMs; remove cost/transport barriers.
Tele-induction guardrails
Verification steps, escalation criteria, and documentation.
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