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Research ArticleRegular Article

Dosing and Misuse of Buprenorphine in the New Jersey Department of Corrections

Anthony Tamburello and Tracy L. Martin
Journal of the American Academy of Psychiatry and the Law Online December 2024, 52 (4) 441-448; DOI: https://doi.org/10.29158/JAAPL.240071-24
Anthony Tamburello
Dr. Tamburello is Associate Director of Psychiatry, University Correctional Health Care, and Clinical Professor of Psychiatry, Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA. Dr. Martin is a staff psychiatrist, VA Pittsburgh Healthcare System, Washington, D.C., USA.
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Tracy L. Martin
Dr. Tamburello is Associate Director of Psychiatry, University Correctional Health Care, and Clinical Professor of Psychiatry, Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA. Dr. Martin is a staff psychiatrist, VA Pittsburgh Healthcare System, Washington, D.C., USA.
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    Figure 1.

    Average Dose Upon Receipt of Charge for Misuse.

    *p = .09 (NS).

    Abbreviations: BNX = buprenorphine-naloxone films; BUP = buprenorphine tablets.

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    Table 1

    Dosing, Changes in Dosing, and Clinical Characteristics

    Misuse PossibleMisuse SpecifiedMisuse: BNXMisuse: BUPNo MisuseNo Misuse: BNXNo Misuse: BUP
    n161103782513412113
    Mean dose (mg)9.509.489.2310.249.189.169.38
    Multiple strips or tabs? (%)35 (21.7%)a27 (26.2%)b7 (9.0%)c20 (80.0%)c17 (12.7%)a,b0 (0%)d9 (69.2%)d
    Change? (%)53 (32.9%)46 (44.7%)34 (43.6%)12 (48.0%)22 (16.4%)17 (14.0%)6 (46.2%)
    Increase? (%)12 (7.5%)6 (5.8%)6 (7.7%)0 (0%)b13 (9.7%)9 (7.4%)4 (30.8%)b
    Decrease? (%)41 (25.5%)c40 (38.8%)28 (35.9%)12 (48.0%)9 (6.7%)c8 (6.6%)2 (15.4%)
    SNR? (%)100 (74.6%)69 (67.0%)a57 (73.1%)e12 (48.0%)67 (50%)a62 (51.2%)e5 (38.5%)
    ASPD (%)45 (33.6%)33 (32.0%)27 (34.6%)f6 (24.0%)26 (19.4%)23 (19.0%)f3 (23.1%)
    • ↵a p < .05.

    • ↵b p = .01.

    • ↵c p < .001.

    • ↵d p = .001.

    • ↵e p = .003.

    • ↵f p = .02.

    • Abbreviations: ASPD = antisocial personality disorder; BNX = buprenorphine-naloxone strips; BUP = buprenorphine tabs; misuse possible = prescribed a buprenorphine product at the time of the misuse of medication charge; misuse specified = both prescribed a buprenorphine product and clinical documentation supports misuse at the time of the misuse of medication charge; SNR = special needs roster.

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    Table 2

    Medications Most Often Coprescribed with Buprenorphine Products

    Misuse Charge (n = 161)Comparison (n = 134)
    Bupropion (%)16 (9.9%)9 (6.7%)
    Diphenhydramine (%)10 (6.2%)5 (3.7%)
    Gabapentin (%)10 (6.2%)2 (1.5%)
    Clonidine (%)10 (6.2%)5 (3.7%)
    Pregabalin (%)8 (5.0%)3 (2.2%)
    Hydroxyzine (%)8 (5.0%)5 (3.7%)
    Buspirone (%)8 (5.0%)3 (2.2%)
    Duloxetine (%)7 (4.3%)3 (2.2%)
    Levetiracetam (%)6 (3.7%)5 (3.7%)
    Olanzapine (%)6 (3.7%)2 (1.5%)
    • Note. All comparisons are nonsignificant.

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Journal of the American Academy of Psychiatry and the Law Online: 52 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 52, Issue 4
1 Dec 2024
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Dosing and Misuse of Buprenorphine in the New Jersey Department of Corrections
Anthony Tamburello, Tracy L. Martin
Journal of the American Academy of Psychiatry and the Law Online Dec 2024, 52 (4) 441-448; DOI: 10.29158/JAAPL.240071-24

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Dosing and Misuse of Buprenorphine in the New Jersey Department of Corrections
Anthony Tamburello, Tracy L. Martin
Journal of the American Academy of Psychiatry and the Law Online Dec 2024, 52 (4) 441-448; DOI: 10.29158/JAAPL.240071-24
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