Suboxone Use for Opioid Refractory Pain Management in a Patient With Moderate-Severe Ulcerative Colitis
This is a 19-year-old female with a past medical history of ulcerative colitis admitted multiple times for uncontrolled flares and severe abdominal pain. She was discharged from her first hospitalization after achieving medical stability and returned days later in rapidly worsening condition. Abdominal pain refractory to opioids and standard disease management prompted evaluation by the pain management team who subsequently used suboxone to attain adequate pain control. In this case presentation, we will discuss the management of moderate-severe ulcerative colitis, the mechanism of action of suboxone, and its use as an efficacious analgesic in patients with opioid-induced hyperalgesia.
Fortney D, Soto RG, Patel P. Suboxone use for opioid refractory pain management in a patient with moderate-severe ulcerative colitis. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.