Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report

BACKGROUND: Patients with opioid use disorder (OUD) frequently present to the emergency department for acute treatment of overdose and withdrawal. CASE PRESENTATION: A 29-year-old male presented to the emergency room after intravenous heroin use followed by accidental ingestion of naltrexone. He was...

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Autores principales: Szczesniak, Laura M., Calleo, Vincent J., Sullivan, Ross W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542394/
https://www.ncbi.nlm.nih.gov/pubmed/33028340
http://dx.doi.org/10.1186/s12954-020-00417-9
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author Szczesniak, Laura M.
Calleo, Vincent J.
Sullivan, Ross W.
author_facet Szczesniak, Laura M.
Calleo, Vincent J.
Sullivan, Ross W.
author_sort Szczesniak, Laura M.
collection PubMed
description BACKGROUND: Patients with opioid use disorder (OUD) frequently present to the emergency department for acute treatment of overdose and withdrawal. CASE PRESENTATION: A 29-year-old male presented to the emergency room after intravenous heroin use followed by accidental ingestion of naltrexone. He was treated with buprenorphine with significant improvement in his Clinical Opioid Withdrawal Score, from moderately severe to mild withdrawal symptoms within a few hours. CONCLUSION: Buprenorphine and minimal supportive care can be used to treat acute withdrawal precipitated by oral naltrexone in patients with OUD.
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spelling pubmed-75423942020-10-08 Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report Szczesniak, Laura M. Calleo, Vincent J. Sullivan, Ross W. Harm Reduct J Case Report BACKGROUND: Patients with opioid use disorder (OUD) frequently present to the emergency department for acute treatment of overdose and withdrawal. CASE PRESENTATION: A 29-year-old male presented to the emergency room after intravenous heroin use followed by accidental ingestion of naltrexone. He was treated with buprenorphine with significant improvement in his Clinical Opioid Withdrawal Score, from moderately severe to mild withdrawal symptoms within a few hours. CONCLUSION: Buprenorphine and minimal supportive care can be used to treat acute withdrawal precipitated by oral naltrexone in patients with OUD. BioMed Central 2020-10-07 /pmc/articles/PMC7542394/ /pubmed/33028340 http://dx.doi.org/10.1186/s12954-020-00417-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Szczesniak, Laura M.
Calleo, Vincent J.
Sullivan, Ross W.
Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title_full Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title_fullStr Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title_full_unstemmed Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title_short Buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
title_sort buprenorphine therapy in the setting of induced opioid withdrawal from oral naltrexone: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542394/
https://www.ncbi.nlm.nih.gov/pubmed/33028340
http://dx.doi.org/10.1186/s12954-020-00417-9
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