Tapering Buprenorphine in Patients with Opioid Use Disorders

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Tapering Buprenorphine in Patients with Opioid Use Disorders

September 15, 2015 @ 3:30 pm - 4:30 pm

ET

Presenter(s): David A. Fiellin, MD, Professor of Medicine, Investigative Medicine and Public Health, Yale University School of Medicine and John A. Renner, Jr., MD, Professor of Psychiatry, Boston University School of Medicine; Director of Addiction Psychiatry Residency Program, VA Boston Healthcare System & Boston University Medical Center

About the webinar: Since its inception, MAT with buprenorphine has been conceptualized as a long-term, if not indefinite treatment for opioid use disorders. Because of the high relapse rates associated with opioid withdrawal treatment (detox), expert opinion has rarely supported either detoxification treatment or a taper from long-term maintenance. Nonetheless, detox is sometimes the option preferred by patients and their families.  Even patients who have been very successful in long-term buprenorphine treatment may define detox as their goal and attempt to taper off buprenorphine.  Unfortunately there is very limited research on model protocols for taper from long-term maintenance and almost no studies meet the criteria for high quality clinical research, leaving clinicians with very limited data to guide their decision making.  This webinar will review existing models for taper and detoxification,  assess the quality of research evaluations of such treatments, and contrast outcomes with maintenance.

Based on our clinical experience we will also review suggested criteria for identifying patients who might be appropriate for initial detoxification treatment and also successful maintenance patients appropriate for taper.  Options will be presented for patients who refuse maintenance (MAT). Models for transitioning patients into treatment with naltrexone formulations will also be considered. In addition we will review the benefits of overdose education, naloxone and management of potential co-occurring psychiatric disorders in patients undergoing taper.

View the 10/27/15 follow-up webinar recording and presentation slides here.

Educational objectives: 

  • Describe the natural history of opioid dependence.
  • Describe the rationale for maintenance therapy.
  • Describe the symptoms of opioid withdrawal.
  • Describe the comparative effectiveness of opioid agonist maintenance vs. taper treatment.
  • Describe the relapse, overdose and psychiatric considerations associated with buprenorphine taper.

Accreditation and Designation: American Academy of Addiction Psychiatry (AAAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

American Academy of Addiction Psychiatry (AAAP) designates this enduring material for a maximum of 1 (one) AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

System Requirements:
PC-based attendees Required: Windows® 8, 7, Vista, XP or 2003 Server
Mac®-based attendees Required: Mac OS® X 10
Mobile attendees: iPhone®, iPad®, Android™ phone or Android tablet

How to obtain your CME Credit/Certificate of Completion:

Thank you for viewing our archived webinar. Please follow the steps below to complete the post-test and evaluation in order to obtain your CME Credit/Certificate of Completion.

  1. Click the “Watch Now” button above and follow the on-screen prompts.
  2. View the recorded webinar and return to the web page that listed the webinar recording link.
  3. Click “Continue” to move to the next page.
  4. Select “Yes” to attest that you have viewed the recording in its entirety.
  5. Click “Continue” to move to the post-test.
  6. After successfully passing the post-test with an 80% or higher, click the evaluation link that appears on the thank you page.
  7. Upon completion of the evaluation, you will receive your CME Credit/Certificate of Completion via email.
  8. If you have any questions or you do not receive your certificate, please email or call (855) 227-2776.

Details

Date:
September 15, 2015
Time:
3:30 pm - 4:30 pm
Event Category:
Website:
http://www.aaap.org

Other

Presenter
David A. Fiellin, MD
Presenter Details
Professor of Medicine, Investigative Medicine and Public Health, Yale University School of Medicine and John A. Renner, Jr., MD, Professor of Psychiatry, Boston University School of Medicine; Director of Addiction Psychiatry Residency Program, VA Boston Healthcare System & Boston University Medical Center
Time Zone
ET
Watch Now
<a href="http://www.cvent.com/d/qfqnyp" target="self">http://www.cvent.com/d/qfqnyp</a>
View Presentation Slides
<a href="http://pcsso.wpengine.com/wp-content/uploads/2015/09/FiellinRenner-Live-Webinar-9.15.15-Final.pdf" target="self">http://pcsso.wpengine.com/wp-content/uploads/2015/09/FiellinRenner-Live-Webinar-9.15.15-Final.pdf</a>