A 10-week pregnant patient uses fentanyl daily and has moderate withdrawal after her last use. She wants a brief inpatient detoxification so that the

Question

A 10-week pregnant patient uses fentanyl daily and has moderate withdrawal after her last use. She wants a brief inpatient detoxification so that the fetus is no longer exposed to medication. Which recommendation is most appropriate?

Accepted Answer

Offer methadone or buprenorphine maintenance with prenatal and addiction care

Answer

Use a gradual medically supervised opioid taper with residential relapse prevention

Answer

Begin buprenorphine after a seven-day opioid-free interval to avoid fetal exposure

Answer

Begin methadone maintenance after delivery and use supportive care during pregnancy

Answer

Use a clonidine-based withdrawal protocol followed by intensive outpatient addiction care

Post-traumatic stress disorder — USMLE Step 3 MCQ

A 10-week pregnant patient uses fentanyl daily and has moderate withdrawal after her last use. She wants a brief inpatient detoxification so that the fetus is no longer exposed to medication. Which recommendation is most appropriate?