Medications · LIVE
ED-initiated buprenorphine
Return the D'Onofrio 2015 emergency-department-initiated buprenorphine milligram for protocol day 1, 2, or 3: 8 mg on day 1 and 16 mg on days 2 and 3.
Markdown: /docs/ed-buprenorphine.md · Canonical: https://magentlab.com/docs/ed-buprenorphine
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Return the D'Onofrio 2015 emergency-department-initiated buprenorphine milligram for protocol day 1, 2, or 3: 8 mg on day 1 and 16 mg on days 2 and 3.
When to use
When an agent needs the published D'Onofrio 2015 take-home milligram schedule for ED-initiated buprenorphine on protocol day 1, 2, or 3 and must not invent a home-induction tree, score COWS, or name a product brand.
When not to use
- Not a medical device. Deterministic published-schedule output only.
- Not a prescription. magent does not name a product, route, or formulation.
- Not an X-waiver or induction algorithm beyond the trial's day-1 8 mg and day-2/3 16 mg take-home schedule.
- magent does not score COWS.
Formula
dose_mg = (day == 1) ? 8 : 16
Citation
- Authors
- D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA
- Source
- JAMA. 2015;313(16):1636-1644
Worked example
Protocol day 1
Given:
day=1
- day = 1
- dose_mg = 8
Protocol day 2
Given:
day=2
- day = 2
- dose_mg = 16
Protocol day 3
Given:
day=3
- day = 3
- dose_mg = 16
Also searched as
- ED buprenorphine
- emergency department buprenorphine
- D'Onofrio buprenorphine
- ED-initiated buprenorphine
- buprenorphine day 1 8 mg
- buprenorphine take-home 16 mg
- opioid dependence ED induction
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/ed_buprenorphine?day=1
Full URL: https://api.magentlab.com/api/calc/ed_buprenorphine?day=1
Call
Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params
return HTTP 400 before any quote or charge.
curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/ed_buprenorphine?day=1"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
day |
integer | required | D'Onofrio 2015 protocol day 1, 2, or 3. Day 1 is 8 mg. Days 2 and 3 are 16 mg. Not a home-induction tree. magent does not score COWS. |
Bulk (POST)
POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.
- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
- The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
- HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
- Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
- x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.
Example request (fixture)
{
"items": [
{
"day": "1"
},
{
"day": "1"
}
]
}
Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.
Example 200 (fixture)
{
"count": 2,
"path": "/api/calc/ed_buprenorphine",
"items": [
{
"day": 1,
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA",
"doi": "10.1001/jama.2015.3474",
"id": "donofrio-2015",
"pmid": "25919527",
"source": "JAMA. 2015;313(16):1636-1644",
"title": "Emergency Department-Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial"
},
"formula": "donofrio_2015",
"formula_expression": "dose_mg = (day == 1) ? 8 : 16",
"dose_mg": 8
},
{
"day": 1,
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA",
"doi": "10.1001/jama.2015.3474",
"id": "donofrio-2015",
"pmid": "25919527",
"source": "JAMA. 2015;313(16):1636-1644",
"title": "Emergency Department-Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial"
},
"formula": "donofrio_2015",
"formula_expression": "dose_mg = (day == 1) ? 8 : 16",
"dose_mg": 8
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | donofrio_2015 |
formula_expression |
string | dose_mg = (day == 1) ? 8 : 16 |
day |
integer | Protocol day 1, 2, or 3 |
dose_mg |
integer | Buprenorphine milligrams: 8 on day 1; 16 on days 2 and 3 |
citation |
object | D'Onofrio 2015 JAMA citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"day": 1,
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA",
"doi": "10.1001/jama.2015.3474",
"id": "donofrio-2015",
"pmid": "25919527",
"source": "JAMA. 2015;313(16):1636-1644",
"title": "Emergency Department-Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial"
},
"formula": "donofrio_2015",
"formula_expression": "dose_mg = (day == 1) ? 8 : 16",
"dose_mg": 8
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_ed_buprenorphine |
ED buprenorphine day must be 1, 2, or 3 as published in D'Onofrio 2015. Returned before settlement; you are not charged. |
| 400 | invalid_items |
POST body must be a JSON object with only an items array Returned before settlement; you are not charged. |
| 400 | invalid_item_count |
items must be an array of 1 to 25 objects Returned before settlement; you are not charged. |
| 400 | invalid_item |
each items entry must be a JSON object Returned before settlement; you are not charged. |
Related tools
- COWS — Sum the eleven Wesson 2003 Clinical Opiate Withdrawal Scale (COWS) items from caller-assigned appendix integers and return the published total (max 48) with the published severity cutoffs.
- Naloxone infusion — Compute a continuous intravenous naloxone infusion rate as two-thirds of the caller-assigned reversal bolus each hour, using the Goldfrank 1986 text rule.
- Morphine milligram equivalents — Compute morphine milligram equivalents from a CDC 2022 table opioid and daily dose (or transdermal fentanyl mcg/hr).
Payment
Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. Unpaid valid requests return HTTP 402 with a base64
PAYMENT-REQUIRED
header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake
and shared payment errors: Payments.
Stdio MCP: /docs/mcp.
Guarantees
- HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
- exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
- HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
- Execution is timeout-bounded and concurrency-capped.
- Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.