Reply to "benzos with opioid tapering??"

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Clonidine is fine, it meets his request. I too would switch this patient to suboxone for pain, to avoid the dose withdrawal effects he is likely having. But, I personally would consider using inpatient IV ketamine for 3-4 days to make the switch. 'Tis a luxury of rural medicine to access a bed for this, but I have found that it makes opioid rotation for higher Meq cases, or opioid hyperalgesia syndrome, very smooth.

6/25/187:14 PM

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