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Addiction • Hospital Medicine
How do you manage a patient's chronic methadone when they are admitted to the hospital for acute toxic-metabolic encephalopathy due to another cause (e.g., alcohol intoxication/withdrawal, hepatic encephalopathy, etc.)?
Answer from: at Academic Institution
Continue it unless I have a compelling reason to stop. These reasons may include lethargy/inability to arouse and low respiratory rate. In that case, I may halve the dose initially to try to wake the patient up, then hold altogether if need be.
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