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When oral opioid agonist treatments such as methadone and buprenorphine\/naloxone fail for management of craving and withdrawal, injectable opioid agonist treatment may serve to retain patients in care and link them to addiction services. We describe the case of a 47\u2010year\u2010old man with a severe, active opioid use disorder and daily use of illicitly manufactured fentanyl, who was re\u2010admitted to hospital for post\u2010operative management after leaving against medical advice due to uncontrolled opioid withdrawal. Intravenous hydromorphone was used to retain him in care, allowing for completion of his antibiotics and enrolment in ongoing community injectable opioid agonist treatment.<\/jats:p>","DOI":"10.1111\/dar.13020","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T09:42:39Z","timestamp":1575884559000},"page":"138-141","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Initiation of injectable opioid agonist treatment in hospital: A case report"],"prefix":"10.1111","volume":"39","author":[{"given":"Matthew","family":"McAdam","sequence":"first","affiliation":[{"name":"Department of Psychiatry Dalhousie University  Halifax Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupinder","family":"Brar","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use  Vancouver Canada"},{"name":"Department of Family Medicine University of British Columbia  Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4064-0884","authenticated-orcid":false,"given":"Samantha","family":"Young","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use  Vancouver Canada"},{"name":"Department of Medicine University of British Columbia  Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,9]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Canadian Research Initiative in Substance Misuse [Internet]. 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