A 32-year-old man with opioid use disorder using intravenous fentanyl daily presents to a primary care clinic in an urban Indigenous health centre see...

Question

A 32-year-old man with opioid use disorder using intravenous fentanyl daily presents to a primary care clinic in an urban Indigenous health centre seeking help. He has no significant liver disease and is interested in treatment but fears withdrawal. According to Canadian opioid use disorder guidelines, what is the preferred first-line pharmacologic treatment?

Accepted Answer

Buprenorphine-naloxone as opioid agonist treatment

Answer

Short-term detoxification with clonidine only

Answer

Oral naltrexone

Answer

Abrupt cessation without medications

Answer

Immediate referral to residential therapy without medications

ca-mccqe1 MCQ (SBA): Opioid use disorder pharmacologic treatment