[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-292836-105":59,"doc-detail-292836-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","methadone-buprenorphine-admission-and-discharge-guideline-inpatient-sites-in-nhs-lanarkshire","Methadone / Buprenorphine Admission and Discharge Guideline - Inpatient Sites in NHS Lanarkshire","","Guideline for all NHS Lanarkshire inpatient settings on managing admissions and discharges for patients prescribed Opioid Agonist Treatments (OAT), specifically methadone or buprenorphine. It sets out actions to confirm the exact current dose and time of last administration using community pharmacy, prescriber, or addiction key workers, and warns against using the Emergency Care Summary as a dose source. It provides protocols for oral and injectable preparations, patient’s own drugs retention and supply decisions, retitration after missed doses, and weekend pass arrangements.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/methadone-buprenorphine-admission-and-discharge-guideline-inpatient-sites-in-nhs-lanarkshire/292836/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/methadone-buprenorphine-admission-and-discharge-guideline-inpatient-sites-in-nhs-lanarkshire/292836.png","ImageObject",300,407,{"name":92,"@type":93},"Alex Sinclair","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What must be confirmed before prescribing methadone or buprenorphine in hospital?","Question",{"text":113,"@type":114},"Methadone or buprenorphine must not be prescribed until the community pharmacy, prescriber, or addiction key worker confirms the patient’s dose. The guideline also requires confirmation of the time of the last dose for oral administration.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Why should the Emergency Care Summary (ECS) not be used to confirm OAT dose?",{"text":118,"@type":114},"The ECS may list methadone or buprenorphine as a treatment reminder rather than an accurate prescribed dose. The guideline instructs that ECS should not be used as a reliable source of dose confirmation.",{"name":120,"@type":111,"acceptedAnswer":121},"How should injectable Buvidal® dosing be managed for inpatient administration?",{"text":122,"@type":114},"Buvidal® dosing must have the patient’s dose and date of the last administration confirmed with the locality addiction service before giving Buvidal® in hospital. The guideline notes that Buvidal® is administered by a health care professional and comes in 7-day or 28-day preparations with a safe administration window per product licence.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},292836,1790036213,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":41},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| \u003Cbr>METHADONE / BUPRENORPHINE ADMISSION and DISCHARGE GUIDELINE– INPATIENT SITES in NHS LANARKSHIRE | |\n| --- | --- |\n| TARGET AUDIENCE All NHSL inpatient sites PATIENT GROUP Patients prescribed Opioid Agonist Treatments (OAT)– methadone or buprenorphine\u003Cbr>Clinical Guidelines Summary\u003Cbr>􀁸 This guideline is for use in all NHS Lanarkshire inpatient settings.\u003Cbr>􀁸 This provides guidance for action when admitting or discharging patients who are prescribed Opioid Agonist Treatments (OAT – methadone or buprenorphine) in the community. |  |\n\nCONTENTS  \nADMISSION 3  \nOral medication – buprenorphine or methadone 3  \nInjectable medication – Buvidal® – Long Acting Injectable Buprenorphine (LAIB) 4  \nPatient’s Own Drugs – Admission 5  \nInability to Confirm Dose 5  \nMissed Doses 6  \nRetitration of oral OAT 6  \nRetitration of LAIB-Buvidal® 6  \nPATIENTS ON WEEKEND PASS OR SHORT PERIODS OFF WARD 7  \nDISCHARGE 8  \nPatient’s Own Drugs – discharge 9  \nADMISSION  \nMethadone or buprenorphine should NOT be prescribed for patients until their dose is CONFIRMED with the community pharmacy, prescriber or addictions key worker.  \nOpioid withdrawal can be unpleasant for the patient but is extremely unlikely to be fatal, therefore if in doubt or unable to confirm the methadone / buprenorphine dose it is safer for the patient to withhold a dose of methadone / buprenorphine rather than provide a dose which could cause an opioid overdose.  \nOral medication – buprenorphine or methadone  \nIt is essential to confirm a patient’s dose of methadone or buprenorphine and the time of the last dose before any oral methadone / buprenorphine is administered in hospital. This process can begin as soon as the patient is admitted e.g. A&E, ward areas. Confirmation should be recorded on the medical notes/medicines reconciliation page of the admission paperwork.  \nPatients’ own oral methadone / buprenorphine, dispensed within the previous seven days and appropriately labelled by the community pharmacy, can be regarded as confirmation of the dose until contact can be made. The dose of oral methadone / buprenorphine needs to be confirmed as soon as possible after admission. Ideally, if within community pharmacy opening hours, this needs tobe done at the same time as the completion of the medicine reconciliation for the patient.  \nOccasionally methadone will appear on the patient’s Emergency Care Summary (ECS) as a reminder for clinical staff however, the dose is often just a treatment flag for a medication not prescribed by the GP and may not be accurate. Therefore, ECS should not be used as a source of confirmation of dose. The community pharmacy needs to be contacted by telephone to advise them of the patient’sadmission and postpone the continuing supply of oral methadone/ buprenorphine for the duration of the admission. Most community pharmacies are open on Saturday and some for a limited time on Sundays.  \nThe responsibility for ensuring accurate medicines reconciliation with regards oral methadone/ buprenorphine prescribing must be completed and recorded by the ward team.  \nDocument the following information on the medicines reconciliation paperwork/medical notes (including an entry on HEPMA to confirm the patient is on Opioid Agonist Treatment (OAT):  \n1. the medication (including brand) and daily dose that the patient is prescribed  \n2. confirm this is a stable – non titrating / reducing dose?  \n3. the frequency of supply and last time the dose(s) were dispensed  \n4. the community pharmacy details.  \n5. confirm whether any other medicines are currently supplied on a daily basis, and if so record the drug name, daily dose and date of last supply for each medicine on the list.  \n6. confirm the expiry date of the current prescription held by the community pharmacy.  \nInjectable medication – Buvidal® – Long Acting Injectable Buprenorphine (LAIB)  \nPatients prescribed Buvidal® will not have this at home as it is administered by a Health Care Professional. Buvidal® comes ","cbCais54XxXIEgYv","https://ap.wps.com/l/cbCais54XxXIEgYv","pdf",915520,12,"English","# Admission\n## Oral medication – buprenorphine or methadone\n## Injectable medication – Buvidal® – Long Acting Injectable Buprenorphine (LAIB)\n## Patient’s Own Drugs – Admission\n## Inability to Confirm Dose\n## Missed Doses\n## Retitration of oral OAT\n## Retitration of LAIB-Buvidal®\n# Patients on Weekend Pass or Short Periods Off Ward\n# Discharge\n## Patient’s Own Drugs – discharge","[{\"question\":\"What must be confirmed before prescribing methadone or buprenorphine in hospital?\",\"answer\":\"Methadone or buprenorphine must not be prescribed until the community pharmacy, prescriber, or addiction key worker confirms the patient’s dose. The guideline also requires confirmation of the time of the last dose for oral administration.\"},{\"question\":\"Why should the Emergency Care Summary (ECS) not be used to confirm OAT dose?\",\"answer\":\"The ECS may list methadone or buprenorphine as a treatment reminder rather than an accurate prescribed dose. The guideline instructs that ECS should not be used as a reliable source of dose confirmation.\"},{\"question\":\"How should injectable Buvidal® dosing be managed for inpatient administration?\",\"answer\":\"Buvidal® dosing must have the patient’s dose and date of the last administration confirmed with the locality addiction service before giving Buvidal® in hospital. The guideline notes that Buvidal® is administered by a health care professional and comes in 7-day or 28-day preparations with a safe administration window per product licence.\"}]","Methadone / Buprenorphine Admission and Discharge Guideline - Inpatient Sites in NHS Lanarkshire | PDF",1789656433]