Question

A 42-year-old man with severe opioid use disorder using intravenous fentanyl daily presents seeking help. He has previously relapsed after several attempts at abstinence-based detoxification. According to Canadian opioid use disorder guidelines, what is the preferred first-line treatment?

Accepted Answer

Opioid agonist therapy with buprenorphine-naloxone or methadone combined with psychosocial support

Answer

Short inpatient detoxification without maintenance therapy

Answer

Oral naltrexone alone

Answer

Benzodiazepine substitution

Answer

No pharmacologic treatment; refer only to peer support groups

Practice question

A 42-year-old man with severe opioid use disorder using intravenous fentanyl daily presents seeking help. He has previously relapsed after several attempts at abstinence-based detoxification. According to Canadian opioid use disorder guidelines, what is the preferred first-line treatment?