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Health Services Usage in Patients Receiving Buprenorphine for Opioid Use Disorder or Long-Term Opioid Therapy for Chronic Pain: Retrospective Cohort Study

Health Services Usage in Patients Receiving Buprenorphine for Opioid Use Disorder or Long-Term Opioid Therapy for Chronic Pain: Retrospective Cohort Study

Disruption in access for patients who use buprenorphine for OUD and patients who use chronic opioid analgesic therapy may have contributed to these issues. Patients receiving opioids for chronic pain or buprenorphine for OUD may be more likely to experience disruptions in care since buprenorphine and chronic opioid analgesic therapy are controlled substances with restrictions on prescribing [22-26].

Samuel T Savitz, Maria A Stevens, Bidisha Nath, Gail D'Onofrio, Edward R Melnick, Molly M Jeffery

JMIR Form Res 2025;9:e66596

Information Needs for Opioid Use Disorder Treatment Using Buprenorphine Product: Qualitative Analysis of Suboxone-Focused Reddit Data

Information Needs for Opioid Use Disorder Treatment Using Buprenorphine Product: Qualitative Analysis of Suboxone-Focused Reddit Data

The resulting themes related to buprenorphine product-specific TINs are accessing buprenorphine (Acc Bup), taking buprenorphine (Take Bup), experiencing psychophysical effects (Psyphy), co‑occurring substance use (Co SU), and tapering buprenorphine (Tape Bup). Some of these themes reflect the early stage of recovery (eg, Acc Bup and Take Bup), while others reflect the recovery continuum (eg, Co SU and Psyphy). The definitions of these themes are presented in the Results section.

Madhusudan Basak, Omar Sharif, Sarah E Lord, Jacob T Borodovsky, Lisa A Marsch, Sandra A Springer, Edward V Nunes, Charles D Brackett, Luke J Archibald, Sarah M Preum

J Med Internet Res 2025;27:e68886

Concurrent Treatment of Opioid and Tobacco Use Disorder in a Telemedicine Clinic: Case Report of Breaking Through Barriers

Concurrent Treatment of Opioid and Tobacco Use Disorder in a Telemedicine Clinic: Case Report of Breaking Through Barriers

Buprenorphine, a medication used to treat opioid use disorder (OUD), reduces relapse and overdose risk and improves long-term treatment outcomes in individuals with opioid addiction. Studies have established the safety and efficacy of buprenorphine induction in both office-based and unobserved (ie, home) settings.

Darcy Michero, Laura Monico, Peyton Pielsticker, Larissa J Mooney, Suzette Glasner

JMIR Form Res 2025;9:e72872

Social Listening for Patient Experiences With Stopping Extended-Release Buprenorphine: Content Analysis of Reddit Messages

Social Listening for Patient Experiences With Stopping Extended-Release Buprenorphine: Content Analysis of Reddit Messages

Therefore, those symptoms, or their anticipation, can impede successful transmucosal buprenorphine discontinuation [19,26-28]. Patients report challenges with tapering buprenorphine, particularly with the transition from 2 mg transmucosal buprenorphine to no treatment, using strategies such as cutting strips or dissolving tablets in water to achieve smaller buprenorphine doses to facilitate tapering and minimize withdrawal symptoms [29].

Michael K Gilbert, Ashlynn R Daughton, Howard D Chilcoat, Celine M Laffont, Stephanie Strafford, Angela M DeVeaugh-Geiss

J Med Internet Res 2025;27:e71245

Mental Health Providers’ Challenges and Solutions in Prescribing Over Telemedicine: Content Analysis of Semistructured Interviews

Mental Health Providers’ Challenges and Solutions in Prescribing Over Telemedicine: Content Analysis of Semistructured Interviews

One Medicaid data study following over 90,000 patients showed remarkable positive outcomes from telemedicine initiation of buprenorphine treatment, including better odds of 90-day treatment retention than if initiation occurred in person [12]. In a scoping review from 2008 to March 18, 2021, reviewers found that telehealth technology in SUD treatment increased access and adherence to buprenorphine and generally showed higher patient satisfaction and comparability to in-person retention rates [11].

Julia Ivanova, Mollie R Cummins, Hiral Soni, Triton Ong, Brian E Bunnell, Esteban López, Brandon M Welch

JMIR Hum Factors 2025;12:e65419

Telemedicine Prescribing by US Mental Health Care Providers: National Cross-Sectional Survey

Telemedicine Prescribing by US Mental Health Care Providers: National Cross-Sectional Survey

In part, this enabled crucial access to buprenorphine for opioid use disorder treatment [4,5]. Now, consumers and stakeholders are calling for new policy that enables continued access to mental health care and substance use treatment, including medication-based treatment, via telemedicine [6]. The challenge is to develop evidence-based policy that supports safety while enabling critical health care access.

Mollie R Cummins, Julia Ivanova, Hiral Soni, Zoe Robbins, Brian E Bunnell, Esteban López, Brandon M Welch

JMIR Form Res 2025;9:e63251

Feasibility of Web-Based Single-Session Empowered Relief in Patients With Chronic Pain Taking Methadone or Buprenorphine: Protocol for a Single-Arm Trial

Feasibility of Web-Based Single-Session Empowered Relief in Patients With Chronic Pain Taking Methadone or Buprenorphine: Protocol for a Single-Arm Trial

Furthermore, patients taking medication for OUD (MOUD), including either buprenorphine or methadone, are of specific interest because of their risk for unmanaged pain-triggering relapse. Indeed, patients taking MOUD often have difficulty accessing nonpharmacological treatments and many report unmanaged pain as the primary reason for opioid relapse [24].

Morgan R Klein, Beth D Darnall, Dokyoung S You

JMIR Res Protoc 2024;13:e53784

Patient Feedback on a Mobile Medication Adherence App for Buprenorphine and Naloxone: Closed and Open-Ended Survey on Feasibility and Acceptability

Patient Feedback on a Mobile Medication Adherence App for Buprenorphine and Naloxone: Closed and Open-Ended Survey on Feasibility and Acceptability

Buprenorphine and naloxone (BUP and NAL) can reduce opioid overdose deaths by at least 70%, decrease opioid misuse, and improve quality of life [3-6]. Because of its demonstrated efficacy, the National Institute on Drug Abuse, the Substance Abuse and Mental Health Services Administration, the American Society of Addiction Medicine, and the American Academy of Addiction Psychiatry endorse the use of medications for opioid use disorder in the treatment of opioid use disorder (eg, BUP and NAL and methadone).

Crystal L Smith, Abigail Keever, Theresa Bowden, Katie Olson, Nicole Rodin, Michael G McDonell, John M Roll, Gillian Smoody, Jeff LeBrun, Andre QC Miguel, Sterling M McPherson

JMIR Form Res 2023;7:e40437

Primary Perspectives in Meme Utilization as a Digital Driver for Medical Community Engagement and Education Mobilization: Pre-Post Study

Primary Perspectives in Meme Utilization as a Digital Driver for Medical Community Engagement and Education Mobilization: Pre-Post Study

In combating the opioid crisis, buprenorphine is the drug of choice when adhering to an evidence-based clinical standard of care. However, the Drug Addiction Treatment Act of 2000 mandates those clinicians receive a waiver known as the Drug Enforcement Administration (DEA)-X waiver in order to prescribe buprenorphine [1].

Darrel Wang, Neha Balapal, Amala Ankem, Saishravan Shyamsundar, Adarsh Balaji, Jasmine Kannikal, Marlie Bruno, Shuhan He, Paul Chong

JMIR Hum Factors 2023;10:e40244