Guidelines for Prescriptions and Medication Refills
For most patients, you will be able to determine a stabilization dose by day 2 or 3 during induction. However, prescription refills should still be given in small amounts (one week at a time) during the induction process and first few weeks of treatment so the patient can be closely monitored.
Increasing the amount of refills
As a patient is successfully maintained over a period of months with negative urine samples, you can write a prescription in a larger amount (several weeks to a month at a time) for patients who are stable and compliant with follow-up visits. Patients in rural areas or who can not easily get to a pharmacy will appreciate this option as well.
Related Resources:
Description:
Guidelines for follow-up appointments, including a checklist of potential "red flags" that may indicate dangerous behavior or relapse.
Source:
American Academy of Addiction Psychiatry (AAAP) 4.333335
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- Get Started Prescribing Buprenorphine
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- Establish and Manage a Buprenorphine Practice
- Manage Challenging Patients
- Comply with Rules, Regulations, and Recordkeeping
- Understand Insurance and Billing Issues
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- Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?
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How-To Guides
- How to Get Started Prescribing Buprenorphine
- How to Assess and Treat Patients with Comorbid Health Issues
- How to Conduct Buprenorphine Induction
- How to Establish and Manage a Buprenorphine Practice
- Setting up a Schedule for Induction Visits
- Planning for Patient Waiting Between Doses
- Staff Responsibilities During Induction
- Setting up a Schedule for Maintenance Visits
- About the Buprenorphine Tablet
- Guidelines for Prescriptions and Medication Refills
- Patient Tips for Taking the Buprenorphine Tablet
- Summary
- How to Manage Challenging Patients
- How to Comply with Rules, Regulations, and Recordkeeping
- How to Understand Insurance and Billing Issues
- How to Screen for Substance Abuse
- How to Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?

