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April 12, 2024

A 42-year-old patient with severe opioid use disorder (OUD) and schizoaffective disorder is admitted to the hospital for paranoid

A 42-year-old patient with severe opioid use disorder (OUD) and schizoaffective disorder is admitted to the hospital for paranoid delusions and suicidal ideation. He is on maintenance pharmacotherapy for OUD with buprenorphine/naloxone film strips twice daily. What is the recommended strategy for his opioid use disorder at this time? A. Continue maintenance treatment as prescribed B. Stop outpatient therapy and monitor for opioid withdrawal C. Switch to methadone based treatment and start psychotherapy D. Stop outpatient therapy, monitor for withdrawal, and start psychotherapy

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