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In some cases of mild opioid use disorder, management can be by primary care with medication and referral for intensive outpatient treatment r30
For moderate and severe opioid use disorder, determination of the most appropriate American Society of Addiction Medicine criteria to assign is best performed by a specialist in addiction medicine r30
American Society of Addiction Medicine provides criteria for service planning and placement r30
Inpatient/medically supervised residential treatment may be indicated for withdrawal management in patients with severe withdrawal symptoms, need for significant psychosocial support, or management of medical comorbidities d1
Patients often have concomitant medical or psychiatric conditions requiring immediate attention
Withdrawal management d1
Treatment of opioid use disorder
Relapses
Prescribe or supply naloxone rescue kit with counseling on proper use to patients with opioid use disorder and their family members r5r20
Psychosocial interventions
Education/harm reduction c141c142
Offer HAV and HBV vaccination, if appropriate r5c143c144