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What if You Need a Medical Procedure?

Here at BrightView we understand that throughout the course of your treatment (and for the rest of your life) you will require medical care and occasionally have procedures that require sedation and/or pain treatment afterwards. We want to be involved in that care and communicate to your healthcare providers to the extent that you feel comfortable. In order to ensure that you receive appropriate care and avoid any risk of risk of relapse, it is important to be honest with your other medical providers about your history. We understand that this can be difficult, and we will support you in whatever way necessary to achieve the best outcome. Your healthcare providers can only deliver the best care for you (sedation and pain management) if you give them the most complete picture of your situation.

If you are currently prescribed opioid replacement therapy (Suboxone, Zubsolv, Bunavail, etc…), below are examples of procedures and recommendations of how you should manage your medications. We encourage you to not take opioids for pain unless they are absolutely necessary (as seen below).

Minor procedure

  • Examples: tooth infection or simple tooth extraction WITHOUT SEDATION or ANESTHESIA
  • Our medications
    • Take your buprenorphine as prescribed with no variations in the schedule
  • Other medications
    • Anti-inflammatories and acetaminophen should be the only other medications needed for pain
    • Nerve blocks and other regional anesthesia techniques are encouraged when medically appropriate

Moderate procedure

  • Examples: Wisdom tooth extraction, colonoscopy WITH SEDATION or ANESTHESIA
  • Our medications
    • Take your buprenorphine as prescribed with no variations in the schedule
  • Other medications
    • Anti-inflammatories and acetaminophen should be the only other medications needed for pain
    • Nerve blocks and other regional anesthesia techniques are encouraged when medically appropriate
    • Should narcotic pain medicines be required for pain control (Percocet, Norco, etc.) they should be given for the shortest period of time possible to control (not eliminate) the pain associated with the issue; these medications can be taken in conjunction with buprenorphine when necessary
      • These medications should be given to a trusted friend or family member to ensure that they are used as prescribed and to prevent any temptation for misuse and relapse

Major procedure or trauma

  • Examples: Knee replacement, major car accident resulting in a broken bone; WITH SEDATION or ANESTHESIA
  • Our medications
    • Take your buprenorphine as prescribed with no variations in the schedule
  • Other medications
    • Anti-inflammatories and acetaminophen should be used as part of a multi-faceted approach to pain
    • Nerve blocks and other regional anesthesia techniques are encouraged when medically appropriate
    • Narcotic pain medications are likely to be necessary in this situation and can be taken in conjunction with buprenorphine;
    • Should narcotic pain medicines be required for pain control (Morphine, Fentanyl, Percocet, Norco, etc.) they should be given for the shortest period of time possible to control (not eliminate) the pain associated with the issue
      • These medications should be given to a trusted friend or family member to ensure that they are used as prescribed and to prevent any temptation for misuse and relapse

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