16 hr waiver training Questions With Complete Solutions

continued medication tx vs medically supervised withdrawal - outcomes correct answer: continued med tx associated with better outcomes (TIP doesn't recommend med supervised short term withdrawal alone because of high rates of relapse) What makes less than daily dosing of buprenorphine possible? How would this dosing work? correct answer: long t1/2 (variable from 24-69 hours) and partial agonist properties along for less than daily dosing ex. doubling daily dose once stable and giving on alternate days - 12mg QD = 24 mg every other day transmucosal formulations of buprenorphine correct answer: Zubsolv 5.7/1.4 Bunavail 4.2/0.7 Suboxone film 8/2 (tablets no longer available) Is at home induction of buprenorphine safe and effective? correct answer: yes (at home induction shouldn't be a reason for insurance to deny because there is data that shows it's safe and effective) Bup/nx induction: FDA label recommends a max dose of -- mg on day 1 and -- mg on day 2 correct answer: 8 mg day 1 16 mg day 2 (initiate when in withdrawal with initial 2-4 mg dose of bup/nx for those with physical dependence; for those NOT currently dep, lower doses to start e.g. 1mg with slow incremental