Have a patient with opioid use disorder that also suffers from migraines?

Treating them with buprenorphine is fine, but avoid the combination products that contain naloxone (Suboxone).

The naloxone can worsen the migraines and the patient will want to stop treatment, which could be disastrous for the recovering opioid addict! Relapse can kill… so, just stick with the buprenorphine monotherapy in the patient with migraine!

For more pearls like this that I have learned over the years of treating patients with opioid use disorder, check out the The Opioid Addiction Clinic Course while it is still on sale!