Buprenorphine Supervision Sample Clauses

Buprenorphine Supervision. 10.3.1 If this is the patient’s first dose of buprenorphine explain they must have waited at least 8 hours since last heroin use or at least 24 hours since the last methadone dose. Ideally patients should be in the early stages of withdrawal before taking their first dose. This is to minimise the risk of precipitated withdrawal (see section 14). 10.3.2 Explain that the tablet(s) must be dissolved under the tongue to absorb the active ingredient and that the patient should avoid swallowing (both the tablet and the saliva whilst the tablets are being dissolved). 10.3.3 The patient should take a drink of water prior to dosing. This assists in absorption of the medication. 10.3.4 Xxxxxx the foil and pop the tablet into the patient’s hand or a suitable receptacle. 10.3.5 Instruct the patient to place the tablet(s) under the tongue. 10.3.6 Carefully observe the patient’s hand to mouth movement to ensure the tablets are not diverted into pockets etc (“palmed”). Check under the patients tongue after the tablets have been placed in the mouth. 10.3.7 Observe the patient for a minimum of three minutes in the designated quiet area. 10.3.8 Before the patient leaves ask to check underneath the tongue again to ensure that a chalky residue remains and the patient has not palmed or swallowed the dose.
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