The British Columbia Centre on Substance Use (BCCSU) and the Ministry of Health have developed provincial guidelines for the treatment of opioid addiction. The guidelines are aimed at improving prescribers’ knowledge of the various medical and psychosocial treatments available for opioid addiction in the face of the growing problem of opioid overdoses attributable to fentanyl and other illicit and prescription opioids. These guidelines build off the foundational Vancouver Coastal Health Guidelines for the Treatment of Opioid Addiction (November 2015), which were reviewed in the Journal of the American Medical Association.
The guidelines strongly recommend buprenorphine/naloxone as a first-line treatment for opioid addiction, but support a diverse array of possible treatments, recognizing that different approaches are necessary for different patients and circumstances.
Preferred First-line Treatment - Buprenorphine/Naloxone
Strategies for Managing Withdrawal
Combination Approaches and Transitions between Approaches
Guideline for the treatment of opioid addiction - The guidelines are aimed at improving physicians’ knowledge of the various medical and psychosocial treatments available for opioid addiction in the face of the growing problem of opioid overdoses attributable to fentanyl and other illicit and prescription opioids.
Information for Patients about Methadone
Information for Patients about Buprenorphine/Naloxone
Overdose prevention checklist - A checklist for service providers who work with people who use drugs, for developing overdose prevention and response policies and protocols.
Naloxone risk assessment tool for public sector organizations