Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients

Michael Herscher, Matthew Fine, Reema Navalurkar, Leeza Hirt, Linda Wang

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

The diagnosis of opioid use disorder (OUD) is often overlooked or inadequately managed during the inpatient admission. When recognized, a common strategy is opioid detoxification, an approach that is often ineffective and can be potentially dangerous because of loss of tolerance and subsequent risk for overdose. Medication for addiction treatment (MAT), including methadone and buprenorphine, is effective and can be dispensed in the hospital for both opioid withdrawal and initiation of maintenance treatment. Hospitalists should be knowledgeable about diagnosing and managing patients with OUD, including how to manage acute pain or MAT during the perioperative setting.

Original languageEnglish
Pages (from-to)695-708
Number of pages14
JournalMedical Clinics of North America
Volume104
Issue number4
DOIs
StatePublished - Jul 2020

Keywords

  • Addiction
  • Buprenorphine
  • Heroin
  • Hospital medicine
  • Inpatient management
  • Methadone
  • Opioid use disorder
  • Substance use disorder

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