Converting from i.m. to sublingual

Buprenorphine Post
sdaviss
Posts: 49

Postby sdaviss » Sat Jan 24, 2004 5:42 pm

Thanks, Mike. That's very helpful. For those who are admitted inpt, have you found that using SL instead of IM helps reduce length of stay? Any other benefits? negatives?

mgh63
Posts: 29

Postby mgh63 » Sat Jan 24, 2004 5:42 pm

My experience is that 6-8 mg per day is equivalent to 0.3 mg qid or q6h. I will usually give 0.3 mg and either 2mg or 4mg SL initially and then another 4mg or 2mg in the first 24h, with the same dose usually the second day if I am detoxing someone. If I am inducing them to maintenance then I would give 8 mg the second day and 10 or 12 mg the third. I am not as agressive as the training would suggest and as my peers are likely be. As a result I think we tend to have lower stabilizing doses though if I look at the present 29 pts they have inched up over time and I have more than I would like at 20 and 24 mg. I only have one at 32 mg and he was originally on 100 mg of methadone. mike hayes in balto.


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