Unlike methadone, which until the pandemic had been administered in-person through opioid treatment programs, buprenorphine is generally taken at home like other prescription medications, usually as a tablet or thin strip that dissolves under the tongue.
Elise Amendola / AP fileIn his State of the Union address on Tuesday, President Biden highlighted a recent policy change aimed at increasing access to a medication for opioid use disorder.
He was referring to a provision wrapped into the omnibus funding bill, which Biden signed into law in December. It eliminated a requirement that medical providers obtain special waivers to prescribe buprenorphine, a painkiller that also reduces opioid cravings and withdrawal symptoms. "The waiver requirement really served to limit access to an effective treatment for opioid use disorder during an unprecedented opioid crisis," said Lindsey Vuolo, the vice president of health law and policy at the nonprofit organization Partnership to End Addiction.
The bulk of scientific evidence suggests that medicine is the most effective treatment for opioid use disorder; buprenorphine and methadone are the two leading options. Afound that methadone decreased opioid overdose deaths by 59% and buprenorphine by 38% relative to the absence of medication-assisted treatment.
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