Parenteral buprenorphine-naloxone abuse is a major cause of fatal buprenorphine-related poisoning – Häkkinen M, Heikman P, Ojanperä I.

Buprenorphine (BPN) medication for opioid maintenance treatment in Finland consists predominantly of buprenorphine-naloxone (BNX). Both BPN and BNX are associated with diversion, abuse and non-medically supervised use worldwide. Our purpose was to estimate… (Source: SafetyLit: All (Unduplicated))

Parenteral buprenorphine-naloxone abuse is a major cause of fatal buprenorphine-related poisoning – Häkkinen M, Heikman P, Ojanperä I.

Buprenorphine (BPN) medication for opioid maintenance treatment in Finland consists predominantly of buprenorphine-naloxone (BNX). Both BPN and BNX are associated with diversion, abuse and non-medically supervised use worldwide. Our purpose was to estimate… (Source: SafetyLit: All (Unduplicated))

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The relationship between primary prescription opioid and buprenorphine-naloxone induction outcomes in a prescription opioid dependent sample.

CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Difficult bup-nx inductions were not associated with participants’ primary PO. Severity of withdrawal, measured with the COWS, was an important variable, reminding clinicians that bup-nx should not be commenced prior to evidence of moderate opioid withdrawal. These findings add to the evidence that with careful procedures, bup-nx can used with few difficulties in PO-dependent patients. (Am J Addict 2013;XX:000-000).
PMID: 24112096 [PubMed – as supplied by publisher] (Source: American Journal on Addictions)

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Parenteral buprenorphine–naloxone abuse is a major cause of fatal buprenorphine-related poisoning

Abstract: Buprenorphine (BPN) medication for opioid maintenance treatment in Finland consists predominantly of buprenorphine–naloxone (BNX). Both BPN and BNX are associated with diversion, abuse and non-medically supervised use worldwide. Our purpose was to estimate the proportion of BNX to all BPN-related fatalities. The material consisted of 225 deceased drug abusers in Finland from January 2010 to June 2011 with a positive BPN and/or norbuprenorphine (NOR) and/or naloxone (NX) finding in urine. The data were divided into three groups based on the urine NX and BPN concentrations. The “Parenteral BNX” group (>100μg/l NX) was presumed to consist of injecting or snorting BNX abusers and the “Parenteral BPN” group (>50μg/l BPN, 0μg/l NX) of injecting or snorting BPN abusers, whi…

Parenteral buprenorphine–naloxone abuse is a major cause of fatal buprenorphine-related poisoning

Abstract: Buprenorphine (BPN) medication for opioid maintenance treatment in Finland consists predominantly of buprenorphine–naloxone (BNX). Both BPN and BNX are associated with diversion, abuse and non-medically supervised use worldwide. Our purpose was to estimate the proportion of BNX to all BPN-related fatalities. The material consisted of 225 deceased drug abusers in Finland from January 2010 to June 2011 with a positive BPN and/or norbuprenorphine (NOR) and/or naloxone (NX) finding in urine. The data were divided into three groups based on the urine NX and BPN concentrations. The “Parenteral BNX” group (>100μg/l NX) was presumed to consist of injecting or snorting BNX abusers and the “Parenteral BPN” group (>50μg/l BPN, 0μg/l NX) of injecting or snorting BPN abusers, whi…

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Longitudinal missing data strategies for substance use clinical trials using generalized estimating equations: an example with a buprenorphine trial

ConclusionsFuture researchers may find utilization of the MI procedure in conjunction with the common method of GEE analysis as a helpful analytic approach when the missing at random assumption is justifiable. Copyright © 2013 John Wiley & Sons, Ltd. (Source: Human Psychopharmacology: Clinical and Experimental)

Longitudinal missing data strategies for substance use clinical trials using generalized estimating equations: an example with a buprenorphine trial

ConclusionsFuture researchers may find utilization of the MI procedure in conjunction with the common method of GEE analysis as a helpful analytic approach when the missing at random assumption is justifiable. Copyright © 2013 John Wiley & Sons, Ltd. (Source: Human Psychopharmacology: Clinical and Experimental)

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Longitudinal missing data strategies for substance use clinical trials using generalized estimating equations: an example with a buprenorphine trial

ConclusionsFuture researchers may find utilization of the MI procedure in conjunction with the common method of GEE analysis as a helpful analytic approach when the missing at random assumption is justifiable. Copyright © 2013 John Wiley & Sons, Ltd. (Source: Human Psychopharmacology: Clinical and Experimental)

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