How do you approach pain management needs for patients well-established on buprenorphine/naloxone?

Buprenorphine has high affinity but low activity at mu receptors, and as a result, buprenorphine provides limited analgesia and will not likely provide adequate relief of severe pain in most patients.

Continue suboxone treatment. In case of acute pain, consider oxycodone 5 mg tabs, 1-2 q 4 hours as n...