Drug testing or Narcan for Buprenorphine?

[CarabinerSD]

I have a couple patients on Buprenorphine for pain management (not substance use). Question is whether we need to do regular UDS + Narcan for these patients if they're being treated for pain and not substance use disorder? Obviously we do screening for the regular opioid patients but what about Buprenorphine? I don't want to tie up staff time / resources if it's not needed. Thoughts?

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[kstarm]

I don't do narcan but it is a good CYA move as often times people have other opioids around if they are now on bupe. I still due UDS once a year for my stable patients. I don't think there is a single case report of someone having an overdose just on bupe, I believe the only cases had ETOH or benzos on board and thus the screening for illicits.

 

[hopefulgasman]

I prescribe narcan once for any opioid and UDS once a year if no concerns