ASAM Provider Guide

National Practice Guideline for the Treatment of Opioid Use Disorder - 2020 Update

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18 Treatment Table 5. Bioequivalence Information and Charts a Suboxone or generic equivalent (sublingual tablet) Suboxone or generic equivalent (sublingual film) Zubsolv (sublingual tablet) Bunavail (buccal film) 2mg bup/ 0.5mg nal tablet 2mg bup/ 0.5mg nal film One 1.4mg bup/ 0.36mg nal tablet 4mg bup/1mg nal (Taken as: two 2mg bup/0.5mg nal tablets) 4mg bup/ 1mg nal film One 2.9mg bup/ 0.71mg nal tablet One 2.1mg bup/ 0.3mg nal film 8mg bup/2mg nal tablet 8mg bup/ 2mg nal film One 5.7mg bup/ 1.4mg nal tablet One 4.2mg bup/ 0.7mg nal film 12mg bup/3mg nal (Taken as: One and a half 8mg bup/2mg nal tablets or one 8mg bup/2mg nal tablets plus two 2mg bup/2mg nal tablets) 12mg bup/ 3mg nal film One 8.6mg bup/ 2.1mg nal tablet One 6.3mg bup/ 1mg nal film 16mg bup/4mg nal (Taken as: Two 8mg bup/2mg nal tablets) 16mg bup/4mg nal (Taken as: Two 8mg bup/2mg nal films) One 11.4mg bup/ 2.9mg nal tablet Two 4.2mg bup/ 0.7mg nal films 24mg bup/6mg nal (Taken as: three 8mg bup/3mg nal tablets) 24mg bup/6mg nal (Taken as: Two 12mg bup/3mg nal films) 17.2mg bup/4.1mg nal (Taken as: Two 8.6mg bup/2.1mg nal tablets) Two 6.3mg bup/ 1mg nal films a Table content was derived from FDA labels. Labels and label updates can be accessed at https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm b e recommended dose of SUBLOCADE following induction and dose adjustment with transmuscosal buprenorphine is 300mg monthly for the first two months followed by a maintenance dose of 100mg monthly. e maintenance dose may be increased to 300mg monthly for patients who tolerate the 100mg dose, but do not demonstrate a satisfactory clinical response, as evidenced by self-reported illicit opioid use or urine drug screens positive for illicit opioid use. c In a pharmacokinetic study, the 16mg/4mg dose of CASSIPA showed comparable relative bioavailability of buprenorphine and naloxone compared with the same dose of buprenorphine/naloxone administered sublingually, as two 8mg/2mg sublingual films.

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