Full 'Toolbox' of Medications for SUD
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Created on September 3, 2024
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Transcript
Exploring the Medication Toolbox
Start
FDA-approved medications:
Off-label medications:
- OUD*: Buprenorphine, Methadone, IM Naltrexone
- AUD: PO/IM Naltrexone, Acamprosate, Disulfiram
- NUD: NRT, Bupropion, Varenicline
OUD: Opioid Use Disorder AUD: Alcohol Use Disorder NUD: Narcotic Use Disorder
- AUD: Topiramate, Gabapentin, Baclofen
- CUD: Gabapentin, N-acetylcysteine
- Stim UD: Mirtazapine, Bupropion + Naltrexone
AUD: Alcohol Use Disorder CUD: Cannabis Use Disorder Stim UD: Stimulant Use Disorder
Full "Toolbox" of Medications for SUD
*Naloxone for opioid overdose reversal
Next
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