A member asked:

Any data-based tips on the optimal and maximal rate of methadone taper, especially when the taper is not the patient's choice?

A doctor has provided 1 answer
Dr. Bahman Omrani answered

Specializes in Pain Management

Individual issue : Limited & sketchy data. Ultra rapid opiate detox urod or rapid opiate detox under anesthesia roda followed by vivitrol maintenance may be fastest; regarded controversial by many, must be selective, hi cost & success rate less favorable for long acting, but can reach 50%. Is Buprenorphine an option? 1mg/day? See data on the incarcerated whose Methadone gets taken away abruptly, can be pos or neg.

Answered 11/27/2017

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