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. Author manuscript; available in PMC: 2025 Mar 1.
Published in final edited form as: J Subst Use Addict Treat. 2023 Dec 14;158:209261. doi: 10.1016/j.josat.2023.209261

Table 1a:

Dosing protocol for short-acting opioids

Day Buprenorphine dose Full opioid agonist
Buccal buprenorphine film dose SL bup-nx film dose Total equivalent dose
1 225 mcg q6h (maximum 4 doses per day) max 2 mg Full dose
2 450 mcg q6h (max 4 doses per day) max 4 mg Full dose
3 2 mg q6h max 8 mg Full dose
4 Total dose of day prior plus 2–4 mg q4h PRN STOP

SL, sublingual; bup-nx, buprenorphine-naloxone; q4h, every 4 hours; q6h, every 6 hours