TRANSFER TO BUPRENORPHINE
Prior to admission, potential residents will need to transfer to Subutex or Suboxone (Buprenorphine), if they are not already maintained on such, in consultation with their current Prescriber and begin a personalised reduction regime in consultation with Buttery staff.
There are generally two ways in which this process of transition from Methadone to Buprenorphine is completed. These are referred to as High or Low dose transfers.
High Dose Transfer – This is recommended to be completed in a medical setting (detox facility) once a participant has reduced to a methadone dose between 60mg – 80mg. It is not generally recommended that transfers are attempted on doses higher than 80mg and will unlikely be supported by a prescriber. Most prescribers would also advocate for a dose of less than 70mg before commencing the detox process.
Low Dose Transfer – This can be completed either “at home” or through a detox facility and is usually undertaken when a participant is stabilized on a methadone dose of 40mg or less.
It is important to note that both processes require the participant to go through a period of time without their methadone dose in order to precipitate withdrawal. This timeframe could be anywhere between 36 and 72 hours after the last dose of methadone and will vary from individual to individual. It is very important that the participant work closely with their prescribing doctor to manage this transition in order for them to achieve the optimal holding dose of buprenorphine in a timely manner.