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Re: COWS score on new pt taking suboxone off the street

Posted: Fri Dec 07, 2018 4:52 pm
by sambrayfield
I am starting (maintaining) these folks on same dose they have been using. I document any symptoms of withdraw and do an appropriate neuro exam that is going to have some of same things as the COWS. I practice in Missouri and do not know about Ohio regulations. I have had DEA agents in the to review MAT charts. I do not know what specifics they were looking for but I had no problems.

COWS score on new pt taking suboxone off the street

Posted: Sun Apr 01, 2018 1:04 pm
by anki373
Dear All,

What are your thoughts on a patient already taking bup off the street that wants to start the program? Do you perform COWS on a patient that comes in as a new patient that is positive for bup and admits to buying off the street? Or do you start them on a low dose of suboxone and increase if needed?

What are Ohio regulations?

Will appreciate input from experts.

Thanks!