Patients Maintained on Buprenorphine for Opioid Use Disorder Should Continue Buprenorphine Through the Perioperative Period

In response to rising rates of opioid overdose and addiction, growing numbers of patients with opioid use disorder are being transitioned from Schedule II prescription and illicit opioids to buprenorphine or buprenorphine/naloxone. From 2010 to 2016, annual prescriptions for buprenorphine products more than doubled, while other categories of opioid prescriptions remained level or decreased. Physicians are faced with the clinical dilemma of what to do when patients on buprenorphine need surgery. In the absence of convincing evidence that continuing buprenorphine leads to poorer outcomes, and in light of the risks associated with discontinuing buprenorphine, we recommend that patients with opioid...

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