Manitoba Buprenorphine/naloxone Recommended Practice Manual

The College convened a working group of experts in the treatment of opioid use disorder in the spring of 2019. This working group has been tasked with assisting College staff in developing a new Recommended Practice Manual for the use of buprenorphine/naloxone in the context of Opioid Agonist Therapy in Manitoba. The College receives frequent requests for guidance on the issues the working group is discussing. The working group has thus elected to publish its preliminary recommendations, in the areas of care that generate the most frequent inquiries, below.

Physicians are encouraged to adopt and incorporate these recommendations into their Opioid Agonist Therapy practices without delay. Please note that once the work of the working group nears its conclusion, there will be an opportunity for the members to weigh in on the content of the draft manual before it is finalized. However, should members have any questions about the interpretation of the guidance published in the draft documents in the interim, please do not hesitate to contact the chair of the working group, Dr. Marina Reinecke at the CPSM. It is the working group’s hope that you will find this guidance document useful in providing care to your patients on buprenorphine/naloxone.