Management of acute nonsurgical pain in patients taking buprenorphine for opioid use disorder
Management of acute nonsurgical pain in patients taking buprenorphine for opioid use disorder
This algorithm should be used in conjunction with UpToDate content on management of acute pain in patients with opioid use disorder, which provides the rationale and supporting evidence for this approach.
* Expect to need higher doses of opioids for patients taking buprenorphine than for opioid naïve patients. Commonly used full mu opioid agonists are fentanyl, morphine, hydromorphone, and oxycodone. For patients with pain that is not well controlled with other opioids, transition to hydromorphone or fentanyl, which have high affinity for the mu opioid receptor.
