We are using belbuca with alot of our chronic pain patients.
If we are maxing out on doses, for example at the 900 mcg range BID- how do we taper off if the patient is taking non-prescribed opiates on top of the belbuca- therefore violating their OMA and placing themselves at risk.
I have decided to reduce the belbuca and unfortunately our office does not have rapid urine tests- the UDS can take up to 2 weeks prior to coming back.
I've weighed out in my head discontinuing all together and providing them with outpatient treatment vs. tapering off more rapidly but providing the
