Precipitated Withdrawal

Paul: I feel like part of the decision tree largely depends on someone's experience with precipitated withdrawal. So when you have full opioid agonist in your system and you give a partial agonist like buprenorphine in a large dose, it is going to displace the flagonist opioid. Paul: With this low-dose induction, what we're doing is displacing small amounts of opioids over a longer period of time. This really changed how we manage patients in the hospital. Within the last year, we started doing micro-inductions, and the conversation is totally different. We were begging and pleading with people to get on buPrenorphine before,. But now this