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Tee-Tee

Opiod

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which is most suitable for opiod detox in a pt who aims for complete abstinence but develops hypotension with alpha 2 agonist

buprenorphine

methadoen

clonidine

lofexidine

ans was buprenorphine

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Why not Methadone. Buprenorphine also causes hypotension.

Edited by Afterlife

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if there is a option of methadone then it is the first choice, as hypotension is uncommon. if no option then its bupren orphine.

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I think its because of the key 'complete abstinence' there. Patients on Methadone get addicted to it than Buprenorphine and the later is easier to withdraw!

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practcally speaking you are right, however what we see in day to day practice is more with methadone, thats the theaory and EBM.

As afterlife says its Methadone

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