How do you approach buprenorphine dosing and titration in older adults with opioid use disorder?

I apply the same care and principles here with buprenorphine dosing in persons age 65 and older as I do with starting other psychoactive medications and medications that are metabolized by the liver. I also see many persons younger than 65 who have the physical health of persons older than 65 becaus...

It's important to remember that there is no such thing as "opiate use disorder". There is certainly addictive/compulsive use of opiates, as with alcohol, gambling, eating, or exercising. These are all compulsive psychological symptoms that are often substituted for one another. To label each differe...