Evidence map›Paper›PMID 41350876›Full record

ReviewHarm reduction journal2025

Practical guidance for navigating buprenorphine discontinuation.

Kento Sonoda, Amanda B Hilmer, Jennifer K Bello

Abstract readCase ReportsReview
In one paragraph

Review in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kento SonodaDepartment of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA. kento.sonoda@health.slu.edu.
Amanda B HilmerDepartment of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA.
Jennifer K BelloDepartment of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA.

Funding

A Preconception Health Intervention to Reduce Substance Exposed Pregnancies among Incarcerated WomenK23DA053433 · NIDA · SAINT LOUIS UNIVERSITY · PI Jennifer Bello Kottenstette · 2022 to 2026
$873k
NIDA NIH HHS K23 DA053433
6 · The paper itself

Abstract

Approximately 4.8 million people in the United States had opioid use disorder in 2024, with more than one hundred thousand experiencing an overdose death. Despite the established benefits of buprenorphine on morbidity and mortality, many patients may express an interest in discontinuing their medications for various reasons, including stigma surrounding addiction. There are limited studies describing how to navigate buprenorphine discontinuation. This commentary provides a practical approach to navigating buprenorphine discontinuation, using two case studies. Ideally, clinicians will develop a deep understanding of the patient's substance use journey, allowing them to understand both the internal and external factors driving their decision. Through this understanding, a clinician can develop a plan based on their well-being, safety, and risk factors for return to use. It is vital to reinforce that buprenorphine is a life-saving medication, can be continued life-long, and is a tool for recovery, not a barrier.

Indexed as

BuprenorphineNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersAdultFemaleHumansMaleBuprenorphineNarcotic AntagonistsBuprenorphineOpioid use disorderOverdose

Identifiers

PMID41350876
PMCPMC12797518

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.