mystreethealth.com | Telehealth Buprenorphine Care
Different patients need different ways to start buprenorphine treatment. Below are the patient handouts for the induction approaches MyStreetHealth uses.
These handouts are only for patients who have already been prescribed a specific induction plan by a MyStreetHealth provider. Open the handout that matches the protocol your provider gave you. If you are not sure which one applies to you, contact your care team before starting anything.
≥12-hour-wait approach. You wait until you are in clear withdrawal (SOWS ≥17), then take incremental doses spaced through the day.
Often used for: patients transitioning from heroin, prescription opioids, or methadone. For kratom or 7-OH, this approach can be appropriate — though some patients prefer a microinduction to reduce the risk of precipitated withdrawal. Generally not used for fentanyl.
Open handout →Low-dose induction. A 6-hour minimum wait after the last opioid is required — not the full withdrawal wait. You take very small (0.5 mg) doses every 2 hours, building up gradually over the first day.
Often used for: patients transitioning from fentanyl, methadone, kratom, or 7-OH — and for anyone unable to wait through clear withdrawal symptoms before starting.
Open handout →A third induction approach will be added here soon.
Check back, or ask your MyStreetHealth provider directly.
Coming soonSelected research and clinical literature on kratom, 7-hydroxymitragynine (7-OH), and buprenorphine treatment.