Table 2.

Perioperative Pain Management of Patients With OUD on Methadone

	Preoperative Planning	Inpatient Management	Discharge Planning
Patients with OUD on methadone	Contact methadone clinic	Continue methadone	Continue methadone
	Involve patient, methadone clinic, and support person for decisions, and provide education	Consider adjunct nonopioid and short-acting opioids for pain	Provide last methadone dose verification letter
	Consider SUD consult	Avoid partial opioid agonists	Clear instructions for pain medication management and opioid taper and follow-up
			Consider OPENP

Abbreviations: APS, acute pain service; OPENP overdose prevention education and naloxone prescription; OUD, opioid use disorder; SUD, substance use disorder.