Current Best Practices for Acute and Chronic Management of Patients with Opioid Use Disorder

Med Clin North Am. 2022 Jan;106(1):61-80. doi: 10.1016/j.mcna.2021.08.009.

Abstract

This comprehensive review on opioids summarizes the scope of the current opioid epidemic, the diagnosis and treatment of opioid use disorder, and the medical and psychiatric complications of opioid use.

Keywords: Buprenorphine; Epidemic; Fentanyl; Harm reduction; Methadone; Naltrexone; Opioids; Overdose.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Analgesics, Opioid / adverse effects*
  • Buprenorphine / pharmacology
  • Buprenorphine / therapeutic use
  • Comorbidity
  • Disease Management
  • Drug Overdose / mortality
  • Drug Overdose / prevention & control*
  • Female
  • Fentanyl / pharmacology
  • Fentanyl / therapeutic use
  • Harm Reduction / drug effects
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / etiology
  • Methadone / pharmacology
  • Methadone / therapeutic use
  • Middle Aged
  • Naltrexone / pharmacology
  • Naltrexone / therapeutic use
  • Narcotic Antagonists / pharmacology
  • Narcotic Antagonists / therapeutic use
  • Narcotics / pharmacology
  • Narcotics / therapeutic use
  • Opioid-Related Disorders / complications
  • Opioid-Related Disorders / diagnosis*
  • Opioid-Related Disorders / epidemiology
  • Opioid-Related Disorders / therapy*
  • Practice Guidelines as Topic / standards*
  • Prevalence

Substances

  • Analgesics, Opioid
  • Narcotic Antagonists
  • Narcotics
  • Buprenorphine
  • Naltrexone
  • Methadone
  • Fentanyl