How do I double-dose or triple-dose a patient?

Patients in the Opioid Treatment Program (OTP) can receive double or triple doses with prescriber authorization. Double dosing involves taking twice the daily buprenorphine dose, with a skipped day, while triple dosing is three times the daily dose.

Setting up a double or triple dose: Select Specific Days

In StrongER, double and triple-dosing mimics takeaway doses, allowing you to schedule specific days for these doses — choose fixed days, alternate days, or variable days (helpful for patients with varying dosing schedules). In the provided scenario, a patient regularly doses on Monday, Wednesday, and Friday. Here, Monday and Wednesday are designated for double doses, while Friday is reserved for a triple dose.

Setting up a double or triple dose: Select Alternating Days

In this scenario, the patient opts for a double-dose every second day, highlighting the utility of the alternating days feature.

To adjust double-dosing days in the case of a missed dose on an alternate-day schedule, simply edit the prescription. Re-select Alternating Days starting either today or tomorrow.

Setting up a double or triple dose: Variable Days per Week

Next, variable double or triple-dosing can be used for when the patient varies what days they receive their dose or triple-dose, you will then specify what days are a double or triple-dose on the supply window. To change a supply to a double or triple-dose