A 24-year-old man with opioid use disorder using illicit fentanyl daily presents seeking help. According to Canadian guidance on opioid agonist therap...

Question

A 24-year-old man with opioid use disorder using illicit fentanyl daily presents seeking help. According to Canadian guidance on opioid agonist therapy, what is the most appropriate initial pharmacologic management?

Accepted Answer

Initiate buprenorphine-naloxone with appropriate induction protocol

Answer

Detoxification with short-course clonidine only

Answer

Abrupt cessation without pharmacologic support

Answer

Start long-term full agonist opioid (e.g., sustained-release morphine) without supervision

Answer

Prescribe benzodiazepines to manage withdrawal at home

ca-mccqe1 MCQ (SBA): Opioid use disorder

A 24-year-old man with opioid use disorder using illicit fentanyl daily presents seeking help. According to Canadian guidance on opioid agonist therapy, what is the most appropriate initial pharmacologic management?