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Medication assisted treatment for opioid dependence (MATOD) management tools
Medical Practitioners acting as Locum
This circular assists the prescriber who acts as locum for a community prescriber involved in providing Medication Assisted Treatment for Opioid Dependence (MATOD). Medications used for MATOD include methadone, buprenorphine [Subutex®] and buprenorphine-naloxone [Suboxone®].
Interstate travel for South Australian MATOD clients who cannot have takeaways for the entire duration of the trip
Interstate travel for south Australian MATOD clients (PDF 121KB) summarises the requirements by jurisdiction for South Australian MATOD clients travelling interstate.
Symptomatic Opiate Withdrawal (SOW) Management
Medications for SOW Management (PDF 52KB)
In many instances, withdrawal may need to be managed with symptomatic medication rather than with buprenorphine. This list outlines what is used currently at DASSA for symptomatic relief of opioid withdrawal. Of course, in most situations buprenorphine-assisted detox is preferable.
Prescription Review
Prescription Review (PDF 51KB) is used for recording review consultations with patients established on opioid pharmacotherapy.
Maintenance Pharmacotherapy
Maintenance Pharmacotherapy - Stabilisation / Withdrawal (including COWS - Clinical Opiate Withdrawal Scale) (PDF 97KB) is used in the first days of stabilisation and includes a running sheet on one side, together with a COWS assessment tool for each day for recording the patient’s subjective assessment of withdrawal.
Methadone
Methadone — drug to drug interactions (including QTc Prolongation) (DOC 52KB) provides information about drug-to-drug interactions include QTc prolongation, for health practitioners involved in patient care where methadone is prescribed. Please insert your practice details into the document.
Urine drug screening
Urine drug screening: its use in determining patient progress (PDF 88KB) provides information on your patients substance use related problems.
Benzodiazepine dose equivalents
Benzodiazepine Dose Equivalents (PDF 187KB) allows the clinician to convert doses among benzodiazepines.
Opioid dose Equivalence: Calculation of oral Morphine Equivalent Daily Dose (oMEDD). Please note the caveats that accompany the table.
Table and full reference is available at the Faculty of Pain Medicine ANZCA.
Contact information for patients
Contact information for MATOD patients. You may wish to include this in your patient’s file, put a copy in your practice policy folder, and/or laminate a copy for your consulting room.
Insomnia Management
More information about sleep management resources.
Optimising MBS items
Optimising MBS items for drug and alcohol issues (PDF 425KB)