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Opioid Agonist Therapy Guidelines for Manitoba PharmacistsUpdated December 2019Acknowledgements The College of Pharmacists of Manitoba would like to thank the following organizations and individuals
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To fill out opioid agonist therapy form, follow these steps:
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Begin by reviewing the form and familiarizing yourself with the required information.
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Start with the patient's personal information, including their full name, date of birth, and contact details.
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Specify the patient's medical history, including any previous opioid agonist therapies they have received.
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Provide details about the current opioid agonist therapy being prescribed, such as the medication name, dosage, and frequency.
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Document any relevant co-morbidities or concurrent medical conditions that may impact the therapy.
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Include any additional medications the patient is currently taking, especially those that may interact with the opioid agonist therapy.
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Consider and address any potential contraindications or risks associated with the therapy.
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Ensure that the form is signed and dated by the prescribing healthcare professional.
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Make a copy of the completed form for the patient's records and submit the original to the appropriate authority or department.

Who needs opioid agonist formrapy?

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Opioid agonist therapy is beneficial for individuals who:
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- Are diagnosed with opioid use disorder (OUD)
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- Depend on opioids and wish to reduce or cease their opioid use
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- Have experienced opioid overdose or are at high risk of overdose
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- Struggle with cravings, withdrawal symptoms, and other challenges associated with opioid dependence
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- Require medical support and monitoring to achieve and maintain abstinence from illicit opioid use
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Opioid agonist formrapy is a medication-assisted treatment for opioid use disorder that involves the use of opioid agonist medications.
Healthcare providers who are prescribing or administering opioid agonist medications are required to file opioid agonist formrapy.
Opioid agonist formrapy can be filled out online or in paper form and requires information about the patient, the prescriber, and the medication being prescribed.
The purpose of opioid agonist formrapy is to track the use of opioid agonist medications in the treatment of opioid use disorder and to ensure proper monitoring of patients.
Information such as patient demographics, treatment plan, medication dosage, and any side effects must be reported on opioid agonist formrapy.
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