A 34-year-old seeks OUD treatment after last heroin use 10 hours ago and moderate withdrawal symptoms (COWS 12). Appropriate office-based induction?...

Question

A 34-year-old seeks OUD treatment after last heroin use 10 hours ago and moderate withdrawal symptoms (COWS 12). Appropriate office-based induction?

Accepted Answer

Buprenorphine 2-4 mg SL initial dose with monitoring, then titrate

Answer

Methadone 40 mg initial dose in office

Answer

Start naltrexone extended-release IM today

Answer

Clonidine only; delay MOUD

Answer

Wait 72 hours before initiating any MOUD

us-abfm MCQ (SBA): Opioid Use Disorder