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Guidelines for opioid addiction & treatment
The British Columbia Centre on Substance Use (BCCSU) and the Ministry of Health has developed provincial guidelines for the treatment of opioid addiction. The guidelines aim to improve 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.
Guideline for opioid use disorder
Topics covered include:
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Preferred First-line Treatment - Buprenorphine/Naloxone
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Strategies for Managing Withdrawal
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Combination Approaches and Transitions between Approaches
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Psychosocial Supports
Resources
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Information for Patients about Methadone - It is important that you work together with your doctor to review methadone’s benefi ts and drawbacks prior to making a decision about starting this medication.
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Information for Patients about Buprenorphine/Naloxone/Suboxone - Buprenorphine/naloxone is prescribed for people receiving treatment for opioid addiction (for example, addiction to heroin, morphine, hydromorphone, oxycodone). It helps people abstain from opioids and helps with withdrawal symptoms and cravings for opioids.
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Overdose prevention checklist in the context of COVID-19 - A checklist for service providers who work with people who use drugs for developing overdose prevention and response policies and protocols.
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Overdose Prevention Site (OPS) Manual - A manual for service providers who work with people who use drugs for developing overdose prevention and response policies and protocols (to develop OPS).
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Housing Overdose Prevention Site (HOPS) Manual - A manual for service providers who work with people who use drugs, developing overdose prevention and response policies and protocols within housing facilities (to develop HOPS).
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Overdose prevention checklist for washrooms - A manual for service providers who work with people who use drugs, for developing overdose prevention and response policies and protocols within washrooms.
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Naloxone risk assessment tool for public sector organizations
