A 35-year-old man with opioid use disorder (injection heroin) presents seeking help. He has had multiple prior overdoses and is currently using daily....

Question

A 35-year-old man with opioid use disorder (injection heroin) presents seeking help. He has had multiple prior overdoses and is currently using daily. He is not interested in inpatient detoxification but is motivated to reduce harms. What is the most appropriate first-line treatment?

Accepted Answer

Start buprenorphine-naloxone (opioid agonist therapy) with psychosocial support

Answer

Abstinence-based counselling only

Answer

Prescribe naltrexone depot without assessing readiness

Answer

Provide information only and ask him to return when abstinent

Answer

Refer only to a self-help group

ca-mccqe1 MCQ (SBA): Opioid use disorder

A 35-year-old man with opioid use disorder (injection heroin) presents seeking help. He has had multiple prior overdoses and is currently using daily. He is not interested in inpatient detoxification but is motivated to reduce harms. What is the most appropriate first-line treatment?