Psychiatrymiddle twist
A 27-year-old man attends a community drug and alcohol service at 9 am asking to start buprenorphine. He has injected heroin daily for four years and last injected at 7 am. Assessment is complete, consent is documented and the required state health department authority has been obtained. He looks comfortable; his pupils are constricted, his skin is dry, and he is not yawning, sweating or complaining of cramps. He wants his first dose before he leaves. Which one of the following is the most appropriate action?