Special Considerations and Clinical Management of HIV in Patients With Substance Use Disorder
Summary
- Medically Supervised Opioid Withdrawal
- Gradual taper using methadone or buprenorphine is the best-supported method for withdrawing from opioids[SAMHSA 2015; ASAM 2015]
- Supervised opioid withdrawal without chronic opioid substitution therapy should be reserved for people with short-term opioid use (less than 2 years), young adults, and noninjectors[Mattick 2003a; Amato 2004]
- Most effective chronic treatment for opioid addiction for patients with long-term opioid-dependence, particularly PWIDs, is opioid substitution therapy,[Amato 2008; Mattick 2009] although data also supports use of extended-release naltrexone[Krupitsky 2011; Baser 2011] Methadone
Action required
- Login now to access all of your entitled content
or - View additional options to gain access to this content