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A slow withdrawal gives might be less intense patients and staff time to stop the tapering or than with other opi- resume maintenance if tapering is not working oids buy amoxil with amex infection meaning. Some patients appear medication free, to have specific thresholds at which further dosage can be dosage reductions become difficult. Patients who prefer less alert to the possibility of patients attempting protracted withdrawal can be converted to and dose tapering by substituting other psychoac- then tapered from methadone. Regulations specify two kinds of detoxification with methadone: short-term W ithdraw al and term ination treatment of less than 30 days and long-term treatment of 30 to days. If patient progress steady state, and tapering from methadone is unsatisfactory at a particular level of care, may be too steep if it begins at a dose greater the physician should explore the possibility of than about 40 mg. Dosage Reduction If a patient is intoxicated repeatedly with alco- W hen patients violate program rules or no hol or sedative drugs, the addition of an opioid longer meet treatment criteria, involuntary medication is unsafe, and any dose should be tapering might be indicated although it should withheld, reduced, or tapered. For violent behavior or threats to staff and other example, if many days of dosing are missed and patients might be reasons for dismissal without repeated attempts to help a patient comply with Exhibit Types of Detoxification From Illicit Opioids 80 Chapter 5 tapering or for immediate transfer to another decisions on dispensing take-home medication facility where a patient may be treated under are determined by the medical director in safer conditions.

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