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    Precipitated withdrawal is a sudden, significant worsening of withdrawal after bup or full antagonist (e.g., naloxone). Administer additional 16 mg SL bup immediately. Reassess in 30-60 minutes. If continued distress remains: Repeat 8-16 mg bup SL.
    bridgetotreatment.org/wp-content/uploads/protocol …
    Precipitated withdrawal: Too large a dose started too soon after opioid agonist. Usually time limited, self resolving with supportive medications. In complex or severe cases of precipitated withdrawal, OK to stop Bup and give short acting full agonists.
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