top of page
sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
00:00 / 00:00
sfx_complete_fanfare
00:00 / 00:00
Add a Title
feedbackText
⏱️ 145s
🌱 Beginner Level — 0 / 50
Transitioning from Methadone to Buprenorphine
A 39-year-old man on methadone 60 mg daily for OUD wishes to transition to office-based buprenorphine. Outline diagnosis and management steps.
summaryTitle
summaryScore
summaryRefs
feedbackText
Wait ≥36 hours since last methadone dose and onset of moderate withdrawal (COWS ≥8–12)
Start low-dose buprenorphine (2–4 mg), titrate as tolerated
Frequent follow-up for stabilization, cravings, and adherence
Counsel about precipitated withdrawal risk and provide close monitoring
Ensure methadone dose tapered to ≤30–40 mg/day; patient motivated for switch
bottom of page