Guideline Resources
Opioid Use Disorder in Adults: 2015 VA/DoD Guideline | epocrates Guideline Synopsis
Key Points
Strongly recommend maintenance tx buprenorphine/naloxone or methadone (via Opioid Treatment Program); if opioid agonist not an option, then ER injectable naltrexone. Oral naltrexone not recommended d/t OD risk assoc w/ nonadherence. Educate pt on risks of untreated OUD, incl death from OD.
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VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders. December 2015.
Epocrates Guideline Synopsis Last Update: Oct 18, 2022
Publication Year:
2015
Source:
VA/DoD - Department of Veterans Affairs/Department of Defense
Strength of Recommendations
[S] Strong for or against
[W] Weak for or against
[NA] Insufficient evidence for or against
Abbreviations
AA Alcoholics Anonymous
BAM Brief Addiction Monitor
COWS Clinical Opioid Withdrawal Scale
DEA Drug Enforcement Administration
DoD Department of Defense
ECG electrocardiogram
NA Narcotics Anonymous
OD overdose
OTP opioid treatment program
OUD opioid use disorder
PE physical exam
SAMHSA Substance Abuse and Mental Health Services Administration
VA Veterans Affairs
w/d withdrawal