Project Title: Medication Assisted Therapy is a Safe Alternative to Harmful OTC Drugs used to treat Opioid Use Disorder or Opioid Withdrawal Authors: Wade Davis, M.D and George Olsen M.D.
Program: Swedish Family Medicine Residency
Abstract: The goal of this Case Study is to further investigate Loperamide (an anti-diarrheal drug) that patients can use as OTC option for treatment of OUD (Opioid Use Disorder). This case study explores a case where a patient was self-treating OUD with high doses of Loperamide (up to 40 mg daily) with severe side effects. He was enrolled in our clinic's MAT program and started on soboxone, up titrating to a dose of 8mg/2mg (buprenorphine/naloxone), twice a day. By the 2nd week on soboxone he had stopped taking loperamide and was having normal bowel movements. He continues to be in remission.
Learning Objectives: Participants will be able to… • Understand the potential for patients to self treat OUD and opioid withdrawal with over counter medications and subsequently develop dependence and side effects • Describe how to use MAT to treat patients who are using OTC medications (such as loperamide) to treat opioid use disorder
Category: Case report