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Katrina Nickels

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About Katrina Nickels

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  1. At what point would you recommend Belbuca over Zubsolv or Suboxone for patients at higher risk of opioid induced respiratory depression (such as severe COPD) but who also have opioid dependence? Studies excluded patients with serious illness, but many patients with serious illness also have opioid dependence and chronic pain. It appears for buprenorphine, our choices are Butrans (very low dose, slower to titrate given once weekly patch changes), then maybe Belbuca up to 900mcg q12h, then Suboxone 1mg (half of 2mg film).
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