are the most common medications for opioid use disorder
is often the preferred medication because of fewer drug-drug interactions and fewer regulatory barriers. For these reasons, patients often desire to transition
, but this can be difficult because of the risk of precipitated withdrawal. There are protocols designed to minimize withdrawal; however, these can be time-consuming or infeasible due to formulation and dosage availability of buprenorphine
. We describe an inpatient transition
using a hydromorphone bridge over a 7-day period. This method used commonly available dosages and formulations of buprenorphine
. To our knowledge, this is the first time a method has been described that transitions a patient from methadone
using a short-acting opioid agonist bridge and readily available opioid dosages and formulations. This case provides a viable alternative for rapidly transitioning a patient from methadone
that can be used as a template for an alternative method to transitions between these medications.