18 doctors weighed in:

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

18 doctors weighed in
Dr. Bahman Omrani
Pain Management
15 doctors agree

In brief: 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.

In brief: 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.
Dr. Bahman Omrani
Dr. Bahman Omrani
Thank
4 comments
Dr. Scott Lippe
jailed patients get benadryl and tylenol and survive
Dr. David Duncan m.d.
I have seen patients in programs tapered very slowly to a point that they never will reach zero in a normal human lifetime. I suspect that the PCP should take more control or the free market programs will never let loose of their meal ticket. We arent all looking at the patient's best interests are we? I also agree with Scott Lippie. Most patients would choose to do that but without jail.
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