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Table 2 Physician practice with respect to buprenorphine induction

From: Buprenorphine unobserved “home” induction: a survey of Ontario’s addiction physicians

 

N (%)

Practice

 

Patients attends clinic in withdrawal and all of first day’s doses observed at clinic (N = 81)

 

Rarely or never

8 (10)

Sometimes

13 (16)

Usually

13 (16)

Almost always

47 (58)

Patients attend clinic in withdrawal, 1–2 doses observed, take-home doses for rest of the day (N = 80)

 

Rarely or never

27 (34)

Sometimes

28 (35)

Usually

12 (15)

Almost always

13 (16)

Patients given take-home doses for 1–2 days, instructed to take first dose after onset of withdrawal (N = 80)

 

Rarely or never

63 (79)

Sometimes

10 (12)

Usually

3 (4)

Experience: I end up prescribing methadone because:

 

The patient doesn’t want to be in withdrawal (N = 81)

 

Rarely or never

17 (21)

Sometimes

38 (47)

Usually

20 (25)

Almost always

6 (7)

The patient misses the induction appointment or has trouble arriving in withdrawal on induction day (N = 80)

 

Rarely or never

39 (49)

Sometimes

32 (40)

Usually

8 (10)

Almost always

1 (1)

Almost always

4 (5)