Shared Care Forum - May 2006

Messages from the Calderdale and Kirklees shared care forum:

1. Tetanus status needs checking on all drug users, immunise as appropriate
2. Consider SBE with low grade fever in injecting drug users
3. Pain relief in substitute treatment - more difficult with buprenorphine, consider split doses, consider raised doses, consider switch to methadone. In methadone patients consider split doses with increased total dose and consider additional analgaesic.