Office-Based Buprenorphine Treatment of Opioid Use Disorder

by John A. Renner Jr. MD (Editor), Petros Levounis MD MA (Editor), Anna T. LaRose MD (Editor)

Overview

With a new foreword by Nora Volkow, Director of the National Institute on Drug Abuse, this second edition of Office-Based Buprenorphine Treatment of Opioid Use Disorder provides updated information on evidence-based treatment for opioid use disorder (OUD)—an increasingly important topic as the epidemic of opioid misuse and overdose deaths grows in the United States.

Bulleted clinical pearls at the end of each chapter, as well as specific clinical recommendations and detailed case discussions throughout, make it easier for readers to retain knowledge and integrate it into their clinical practice. The guide also features sample documentation and scales, including a treatment contract and a patient consent, that can be used to model documents in practice.

This new edition of Office-Based Buprenorphine Treatment has been updated to reflect DSM-5 language, and two additional chapters have been included: one that addresses other pharmacotherapies useful in treating OUD, including methadone and naltrexone, and another that discusses OUD treatment specifically with regard to women's health and pregnancy.

Among the numerous other revisions included in the second edition are the following: • Information about new formulations of buprenorphine• A discussion of the Comprehensive Addiction and Recovery Act (CARA)• Changes to induction and maintenance target doses and recommendations for home inductions• Information on diversion control plans• Advice for working with Alcoholics Anonymous and Narcotics Anonymous• A discussion on integrating buprenorphine into residential and inpatient opioid treatment programs

This edition can also be used to complete the 8 hours of qualifying training required for the buprenorphine waiver. By a thorough reading of the material covered in the chapters of this book and successful completion of the posttest, physicians can meet the buprenorphine waiver training requirement.

Written in a jargon-free style that does not require expertise in substance use disorder treatment, Office-Based Buprenorphine Treatment of Opioid Use Disorder is an accessible, indispensable reference for primary care physicians, psychiatrists, nurse practitioners, residents, medical students, and anyone with an interest in learning about and prescribing buprenorphine.

Product Details

ISBN-13:	9781615370832
Publisher:	American Psychiatric Association Publishing
Publication date:	12/05/2017
Edition description:	Second Edition
Pages:	395
Product dimensions:	6.00(w) x 9.00(h) x 0.70(d)
Age Range:	18 Years

About the Author

John A. Renner Jr., M.D., is Professor of Psychiatry at Boston University School of Medicine and Associate Chief of Psychiatry of the VA Boston Healthcare System in Boston, Massachusetts.

Petros Levounis, M.D., M.A., is Professor and Chair of the Department of Psychiatry at Rutgers New Jersey Medical School and Chief of Service at University Hospital in Newark, New Jersey.

Anna T. LaRose, M.D., is Instructor in Psychiatry at Boston University Medical School and Staff Psychiatrist at the VA Boston Healthcare System in Boston, Massachusetts.

Table of Contents

ContributorsDedicationForewordObtaining the Buprenorphine WaiverChapter 1. Opioid Use Disorder in America: History and OverviewChapter 2. General Opioid PharmacologyChapter 3. Efficacy and Safety of BuprenorphineChapter 4. Patient AssessmentChapter 5. Clinical Use of BuprenorphineChapter 6. Buprenorphine Treatment in Office-Based SettingsChapter 7. Psychosocial and Supportive TreatmentChapter 8. Referral, Logistics, and DiversionChapter 9. Methadone, Naltrexone, and NaloxoneChapter 10. Psychiatric ComorbidityChapter 11. Medical ComorbidityChapter 12. Acute and Chronic PainChapter 13. Opioid Use by AdolescentsChapter 14. Women's Health and PregnancyChapter 15. Comments on the Case VignettesAppendix 1: Useful Web Sites and Recommended ReadingsAppendix 2: Buprenorphine and Office-Based Treatment of Opioid Use Disorder Supplemental MaterialsIndex

What People are Saying About This

Andrew J. Saxon

The Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence, Second Edition, provides a thorough tour of every aspect of using this medication to care for patients and, through its clear, well-organized structure, encourages the reader to pinpoint precisely and readily the specific guidance needed even in the midst of a clinical encounter. This book serves as a perfect companion to buprenorphine training courses because it codifies and amplifies all the knowledge gained in the course.

Marc Galanter

This book is the most up-to-date resource on the principal office-based treatment for opioid-dependent patients. Because it draws on the leadership of the addiction field, and is comprehensive and clearly focused, both experienced physicians and those new to these patients can turn to it with great confidence.

Stuart Gitlow

Treatment for addictive disease must break through long-existing stigma to be incorporated into the fabric of the medical treatment community. Education is the key to breaking through stigma. Renner, Levounis, and LaRose expertly educate by answering buprenorphine-related questions asked by both longstanding addiction practitioners and general practice clinicians. By adding historic perspective, the authors provide necessary context to help clinicians reduce morbidity and mortality in their patient population.

Lon R. Hays

Handbook of Office Based Buprenorphine Treatment of Opioid Dependence, Second Edition is an invaluable guide to any provider licensed to prescribe this evidence-based medication assisted treatment for Opioid Dependence. Experts in the field provide detailed chapters on topics such as Data on Rates and Use of Overdose Deaths, Efficacy and Safety of Buprenorphine, Clinical Use in Dosing Involving Special Populations such as Adolescents, Pregnant Women, and Patients with Pain, as well as sections on Psychiatric and Medical Comorbidities. In addition to being an excellent guide for prescribers of Buprenorphine, this text serves as an excellent learning tool for medical students, residents, fellows in addiction medicine or addition psychiatry, and medical providers interested in treating this challenging, but potentially very rewarding population.

Louis E. Baxter

The Handbook of Office Based Buprenorphine Treatment of Opiate Dependence, 2e is the long sought after missing link to effective and comprehensive Opiate treatment. This masterful manuscript provides the expert clinical guidance that both novice and experienced practitioners will find to be immediately useful. The comprehensiveness of this handbook is unmatched and invaluable for those seeking to provide "state of the art" competent Opiate dependence treatment.

Editorial Reviews

Reviewer: Michael Easton, MD (Rush University Medical Center)
Description: This is an update of a comprehensive review of using buprenorphine to treat patients with opiate use disorder that provides applicable guidelines for those interested in prescribing this medication.
Purpose: The goal of this second edition is to bring together the most recent information and advances in the clinical knowledge regarding the effectiveness of office-based, medication-assisted treatment of those with this disorder. It is intended as a guide for clinicians to help expand the use of this treatment modality.
Audience: The audience includes a wide range of mental health providers interested in learning more about prescribing buprenorphine. The book is intended for all clinicians (physicians, nurse practitioners, and physician assistants) who wish to start prescribing buprenorphine in their practices. It also will be useful for anyone working in settings treating patients with opiate abuse disorders.
Features: The book starts by reviewing the history and epidemiology of opiate use in America, opiate pharmacology, and the safety of buprenorphine. Chapters then consider issues of patient assessment and treatment in an office-based setting, including psychosocial and supportive treatments, as well as issues relating to medical and psychiatric comorbidities. Many of the 15 chapters incorporate detailed case discussions and clinical guidelines. Updates in this edition include discussions of other pharmacotherapies useful in the treatment of opiate abuse and of special populations such as women and adolescents.
Assessment: This book provides good clinical guidance for those interested in offering medication-assisted treatments for this patient population. An added bonus is that this book can be used to complete the qualifying training required for the buprenorphine waiver.

Doody's Review Service