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Transcript

Exploring the Medication Toolbox

FDA-approved medications:

Off-label medications:

  • OUD*: Buprenorphine, Methadone, IM Naltrexone
  • AUD: PO/IM Naltrexone, Acamprosate, Disulfiram
  • NUD: NRT, Bupropion, Varenicline

  • AUD: Topiramate, Gabapentin, Baclofen
  • CUD: Gabapentin, N-acetylcysteine
  • Stim UD: Mirtazapine, Bupropion + Naltrexone

Full "Toolbox" of Medications for SUD

*Naloxone for opioid overdose reversal

Access to FDA-approved medications varies based on:

Access to off-label medications varies based on:

  • Geography (e.g., nearest OTP, buprenorphine prescriber)​
  • Policy limiting options​
  • System resources to support costs

  • Geography (e.g., nearest OTP, buprenorphine prescriber)​
  • Policy limiting options​
  • System resources to support costs

Limited Access to Medication Toolbox

...and:

  • Awareness by treatment court members varies​
  • Education requirement for those unfamiliar with off-label evidence