Mat's Clinic
Clinical Reference

MAT's Clinic
Telehealth Protocol Card

Evidence-based treatment protocols used by our board-certified providers. For licensed clinician reference.

OUD Protocol

Opioid Use Disorder → Suboxone (Buprenorphine/Naloxone)

Induction Steps
1

Confirm Withdrawal Readiness

≥ 12 hours since last opioid use + withdrawal present (≥ 3 symptoms: sweating, yawning, restlessness, GI distress, anxiety, piloerection, mydriasis)

2

Initial Dose

4 mg SL → observe 45–60 min for precipitated withdrawal

3

Repeat PRN

Repeat 4 mg as needed — Maximum Day 1 dose: 8–12 mg

4

Day 2 Dosing

Total Day 1 dose (12–16 mg typical)

Maintenance Target

Daily range8–24 mg
Typical target~16 mg

Comfort Medications

ClonidineZofranLoperamideHydroxyzineTrazodone

AUD Protocol

Alcohol Use Disorder → Naltrexone

Eligibility Criteria

Seizure history

None

Liver disease

None

Opioid-free

7–10 days

Oral Dosing

Initiation (days 1–3)25 mg daily
Maintenance50 mg daily

Injectable Alternative

Vivitrol IM380 mg monthly

Clinical Effect

Cravings for alcohol
Binge drinking episodes

Comfort Medications

GabapentinHydroxyzineTrazodoneZofran

Adjunct Protocol

GLP-1 Agonist Adjunct Therapy

Indication

Persistent cravings ± comorbid obesity. Emerging evidence supports GLP-1 agonists as adjuncts in addiction treatment by modulating dopamine reward pathways.

Semaglutide

Weekly subcutaneous injection

Start0.25 mg/week
Month 20.5 mg/week
Month 31.0 mg/week
MaxUp to 2.4 mg/week

Tirzepatide

Weekly subcutaneous injection

Start2.5 mg/week
Titrate↑ every 4 weeks
Max15 mg/week

Clinical Effect

Cravings via dopamine reward pathway modulation
Reward-seeking behavior

Clinical Reference Only. These protocols are intended for use by licensed healthcare providers at MAT's Clinic. They do not constitute medical advice for patients. All treatment decisions must be made by a qualified clinician based on individual patient assessment. For patient inquiries, please visit our addiction treatment page.

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