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Does Optumrx Cover Saboxone Film Form

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[Music] good morning this is dr. Ken Starr I wanted to talk to you a few minutes about perioperative dosing of buprenorphine so many patients are stable on suboxone RB pronoun from products they have an emergent or an elective surgery or procedure coming up and the hospital Doc's surgeons anesthesiologists can be perplexed or confused about how to manage these patients the concern is that if someone's on buprenorphine they can't receive full opiates for pain control so if you can have a painful procedure historically we've stopped buprenorphine started opiates then patients have to try to get back on the suboxone that's a real risk of relapse for the patient so the recommendations now that says that if you're on 8 milligrams of suboxone or buprenorphine daily then all you do is now take that dose and divide it in half and take 4 milligrams twice a day with 4 milligrams twice a day about 60% of the opiate receptors are still active so open

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