Rapid low-dose buprenorphine initiation in the hospital setting

The podcast episode discusses the implementation and benefits of a rapid low-dose buprenorphine initiation protocol in the hospital setting. The protocol involves gradually introducing small doses of buprenorphine over a four-day period while managing acute opioid withdrawal, cravings, and pain with full agonist opioids. The protocol has been successful in rapidly getting patients on buprenorphine, including pregnant patients and those requiring long-acting extended-release buprenorphine. Challenges include ensuring adequate management of withdrawal symptoms, patient education, and availability of buprenorphine formulations. The protocol has been well-received by patients, providing them with a more comfortable and efficient way to start buprenorphine.