A patient on methadone maintenance therapy for OUD is hospitalized for surgery. What is the best approach to methadone dosing perioperatively?
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A
Continue the established methadone dose throughout hospitalization and add short-acting opioids for pain as needed
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B
Discontinue methadone 48 hours before surgery to reduce opioid burden
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C
Switch to buprenorphine immediately before surgery
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D
Hold all opioids postoperatively to avoid reinforcing addiction