Special Considerations and Clinical Management of HIV in Patients With Substance Use Disorder

  • Author: Frederick L. Altice, MD (More Info)
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 2/5/20 (What's New)

Summary

  • 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]

Action required