The Curbsiders Addiction Medicine Podcast

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs.Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Show Segments

• Intro, disclaimer
• Picks of the Week
• Off-Label GLP use
• Naloxone review
• Acute pain in patients with opioid use disorder (OUD)
• Care Coordination with opioid treatment programs (OTPs)
• New medications for pain; suzetrigine
• Perioperative pain management for patients with OUD
• Outro

Credits

• Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD
• Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
• Reviewer: Kenny Morford, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD

Production Partner: ACAAM
The Curbsiders Addiction Medicine Podcast are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM’s membership has grown to include a strong and expanding community of addiction medicine specialists, fellows, and trainees dedicated to advancing the field. Membership provides access to a wide range of educational resources, professional development, and a national network of colleagues. Learn more about ACAAM Membership here.

Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Credits

• Written and Produced, with Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD
• Reviewer: Kento Sonoda, MD, MPH
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Jonathan Tanawan, MD

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week*
• Case from Kashlak; Definitions
• Pharmacology of kratom and other mitragynine-based compounds
• How to take a mitragynine-specific substance use history
• Defining a use disorder
• Withdrawal from kratom
• Managing a use disorder with MOUD
• Legal landscape and regulation
• Outro

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Become the Medetomi-Dean of Admissions

Step up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply is impacting patients and withdrawal management. We’re joined by Dr Maggie Lowenstein (University of Pennsylvania)

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Credits

• Writer, Producer, and Show Notes: Shawn Cohen MD
• Infographic and Cover Art: Zoya Surani
• Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Maggie Lowenstein MD MPhil MSHP

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania.

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak; Definitions
• Symptoms of opioid withdrawal
• Medications for the management of opioid withdrawal
• Buprenorphine precipitated withdrawal
• Starting Buprenorphine: Experiences and Strategies
• Titrating Methadone: Dosage and Adjuncts
• Adjunctive short-acting opioids
• Emerging Trends in Drug Supply: Xylazine and Medetomidine
• Outro

Credits

• Producer, Show Notes: Zina Huxley-Reicher
• Infographics: Zina Huxley-Reicher MD and Zoya Surani
• Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Ashish Thakrar, MD MHSP

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Directorof the Center on Substance Use and Health in the SFDPH.

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak; Definitions
• Four-tier approach to taking care of patients with methamphetamine use/use disorder
• Medications for treatment
• Psychosocial treatment
• Harm reduction
• New horizons in treatment
• Outro

Credits

• Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
• Infographic and Cover Art: Zoya Surani
• Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
• Reviewer: Sarah Leyde MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Phillip Coffin

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh).

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | CME!

Credits

• Producer, Show Notes, Infographics: Carolyn Chan MD, MHS
• Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Jessica Merlin MD, PhD, MBA

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Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Written, produced, show notes, cover art and infographics by: Shawn Cohen MD
• Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD
• Reviewer: Kento Sonoda MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Stephen Holt MD

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Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF).

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producer/Writer: Era Kryzhanovskaya, MD
• Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD
• CME: Era Kryzhanovskaya, MD
• Infographic and Cover Art: Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
• Reviewer: Kento Sonoda, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD

Show Segments

• 00:11 Intro, disclaimer
• 02:22 Guest bios
• 04:28 Guest one-liners
• 10:28 Case from Kashlak
• 11:55 Vape info and definitions
• 14:32 How to discuss vaping with patients
• 17:53 FDA authority over vapes
• 20:37 Development of nicotine (via vaping) use disorder
• 23:29 Questions to ask about use disorder
• 30:53 E-cigarettes for tobacco cessation
• 35:39 Exploring ways to quit smoking (+/- vapes)
• 39:53 Screening for vaping use disorder; research measures
• 43:10 Resources for e-cigarette cessation
• 45:33 Medication approaches
• 48:25 Behavioral supports for e-cigarette cessation
• 1:00:31 Take Home Points
• 1:05:08 Outro

From Recreational Use to Possible Therapeutic Interventions

Learn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu (Johns Hopkins Center for Psychedelic and Consciousness Research)

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak; Definitions of hallucinogens and psychedelics
• Examples of hallucinogens and mechanisms of action
• Dosing strategies
• Risks of Use
• Psychedelic Assisted Therapy
• Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD
• Hosts: Shawn Cohen, MD and Kat Mullins, MD
• Reviewer: Kento Sonoda, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Albert Garcia-Romeu, PhD

Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine).

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Show Segments

• Intro, disclaimer, guest bio 0:00
• Guest one-liner 3:10
• Case from Kashlak 6:30
• Epidemiology of alcohol-associated liver disease (ALD) 7:40
• How does alcohol affect the liver? 11:11
• Spectrum of ALD 13:10
• Risk factors for ALD 16:13
• Evaluating for ALD 19:35
• When to refer to hepatology 33:08
• Medications for AUD in patients with ALD 37:00
• Monitoring liver tests for naltrexone 44:27
• Optimizing treatment for patients who continue drinking 47:18
• ALD and liver transplantation 50:45
• Post-transplant care 1:00:15
• Take-home points 1:02:30
• Outro 1:04:56

Credits

• Writer and Producer: Kenneth Morford, MD
• Show Notes: Kenneth Morford, MD
• Infographic and Cover Art: Natalie Stahl, MD, MPH
• Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD
• Reviewer: Sarah Leyde, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Lamia Haque, MD, MPH

Spark your learning!

We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more!

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at http://curbsiders.vcuhealth.org!
Listening to this episode and completing CME, can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producer, Show Notes, Infographics: Carolyn Chan
• Hosts: Carolyn Chan, MD. MHS, Shawn Cohen, MD, Kenneth Morford, MD, Natalie Stahl, MD MPHS
• Reviewer: Sarah Leyde, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste

Show Segments

• 00:00 Intro, disclaimer
• 03:00 Picks of the week
• 07:00 Buprenorphine and hepatitis
• 16:30 Ketamine for withdrawal
• 24:00 Hepatitis B
• 28:20 Tianeptine
• 35:30 Hepatitis C treatment
• 39:00 PETH
• 47:40 Unintended phenobarbital consequences
• 53:40 TBI and overdose risk
• 58:00 Outro

Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guests: Raagini Jawa, MD MPH and Tehya Johnson, NP

Show Segments

• Intro, disclaimer, guest bios - 01:42
• Guest one-liners - 03:22
• Case from Kashlak - 7:56
• Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38
• Xylazine test strips and other harm reduction strategies - 15:48
• Natural history of xylazine wounds - 19:15
• Creating a welcoming wound care environment - 21:05
• Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18
• Steps for wound care - 33:27
• Frequency of wound care - 46:16
• Pain control in the setting of dressing changes - 51:01
• Route switching, harm reduction around injecting at the site of the wound - 52:20
• When to refer to other wound care specialists/plastic surgery - 55:00
• Take home points - 57:05
• Outro - 1:00:17

OTP yea you know me

Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Show Segments

• Intro, disclaimer, guest bio
• 5:00 Guest one-liner
• 10:25 Case from Kashlak; Definitions
• 11:19 Methadone pharmacology and evidence
• 17:08 What an OTP feels like
• 20:25 OTP intake
• 24:45 Talking through methadone with a patient
• 28:15 Personal impact of methadone
• 30:20 Requirements at an OTP
• 33:43 What your patient needs to access an OTP
• 37:25 The line
• 39:06 Dosing/Take homes
• 44:48 Loss of take homes
• 48:39 How to interact with an OTP as a PCP
• 52:50 Methadone at STRs
• 57:03 How to clinicians use their voice to improve things
• 1:00:45 Take home points
• 1:03:00 Plugs
• 1:04:24 Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD
• Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Ruth Potee MD, David Frank PhD

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).

Claim CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producers: Shawn Cohen MD, Kenneth Morford MD
• Writer: Carolyn Chan MD MHS
• Show Notes: Shawn Cohen MD
• Infographic and Cover Art: Kenneth Morford MD
• Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
• Reviewer: Kento Sonoda MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Melissa Weimer DO MCR

Show Segments

• Intro, disclaimer, guest bio 00:00
• Guest one-liner 05:02
• National Addiction Treatment Week 06:00
• Case from Kashlak; Definitions 08:30
• Starting methadone 11:01
• Common methadone pitfalls 15:00
• Buprenorphine precipitated opioid withdrawal 23:50
• High-dose buprenorphine 32:20
• Treating buprenorphine precipitated withdrawal 36:50
• Low-dose buprenorphine 41:50
• Maintenance dose of buprenorphine 48:15
• ER buprenorphine 49:00
• Take home points 53:31

Prevent opioid overdoses in your community! We discuss opioid overdose prevention and treatment so you can counsel patients who use substances on ways to decrease their risk of overdose. We discuss optimal ways to respond to hospital overdoses, ideal doses of naloxone, and how to monitor a patient experiencing an overdose clinically. We’re joined by Dr. Alex Walley, MD MsC @AlexanderWalley (Boston University School of Medicine).

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

• Producer: Natalie Stahl, MD, MPH
• Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS
• Hosts: Carolyn Chan, MD, MHS and Natalie Stahl, MD, MPH
• Reviewer: Sarah Leyde, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: Podpaste
• Guest: Dr. Alex Walley

Show Segments

• Intro, disclaimer, guest bio: 00:00
• Guest one-liner: 05:10
• Case from Kashlak: 07:20
• Overview of the Overdose Crisis: 08:13
• Changes in Messaging for Fentanyl OD Prevention: 16:10
• Naloxone formulations: 22:15
• Dose and frequency of naloxone: 24:50
• Counseling a patient on overdose response/prevention: 31:25
• Good Samaritan Laws: 38:00
• Responding to hospital overdoses: 40:45
• OTC naloxone: 51:14
• Take Home Points: 55:50
• Outro: 59:19

Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot challenges patients may face. We’re joined by Dr. Eleasa Sokolski, MD (Oregon Health and Sciences University) and Amelia Goff, MSN, FNP (Oregon Health and Sciences University).

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producer: Era Kryzhanovskaya, MD
• Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS & Kenny Morford, MD
• Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
• Reviewer: Sarah Leyde, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Eleasa Sokolski, MD and Amelia Goff, MSN, FNP

Show Segments

• Intro, disclaimer, guest bio: 0:55
• Guest one-liner: 5:10
• Case from Kashlak: 9:05
• Buprenorphine and fentanyl: 10:20
• Methods to start buprenorphine: 16:00
• 4-day low-dose buprenorphine protocol: 18:20
• Buprenorphine formulations: 22:30
• Counseling patients on low dose start: 26:10
• Patient population considerations: 28:20
• Troubleshooting; 30:15
• Outpatient low dose starts: 36:55
• Take Home Points: 45:14
• Outro: 50:48

Gain insight into how racialized US drug policies, the War on Drugs, and media portrayals of substance use impact our patients in ongoing ways. Learn how you can take action and intentionally promote equity as a clinician! We’re joined by Dr Myra Mathis, @DrMyraMathis (University of Rochester Medical Center)

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

• Producer, Writer, Show notes, Infographic, Cover Art: Katherine Mullins, MD
• Hosts: Carolyn Chan, MD, MHS and Katherine Mullins, MD
• Reviewer: Kento Sonoda, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Myra Mathis, MD

Show Segments

• Intro 0:00
• Disclaimer 2:00
• Guest bio 3:30
• Episode Pearls 4:36
• Guest One-Liner and Intro 5:15
• Definitions (race and racism) 7:13
• The War on Drugs 9:09
• AntiDrug Abuse Act of 1986 11:47
• Fair Sentencing Act of 2010 14:10
• Policy in the Fentanyl Era 15:15
• Mass Incarceration + Downstream Effects 17:30
• Media Portrayals 19:24
• Current Treatment Landscape 23:29
• Disparities in Overdose Deaths 25:50
• The Parallel System of White Supremacy 26:41
• The Clinician’s Role: Advocacy on the Policy Level 27:40
• The Clinician’s Role: Advocacy on the Clinic Level 29:22
• Harm reduction 30:25 - 32:44

Learn about long-acting injectable (LAI) buprenorphine for the treatment of opioid use disorder with Dr. Ken Lee, an addiction medicine provider in Canada. We go over the basics of using LAI buprenorphine, tips and tricks for troubleshooting with patients as well as newer protocols that Dr. Lee and his colleagues use.

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | Swag! |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Show Notes, Cover Art, Infographics, Producer: Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD, MHS and Zina Huxley-Reicher, MD
• Reviewer: Payel Jhoom Roy, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Ken Lee

Show Segments

• Intro, disclaimer, guest bio - 1:58
• Guest one-liner - 4:15
• Case from Kashlak; Definitions - 5:27
• Injectable MOUD - 6:14
• Plasma levels of buprenorphine - 7:14
• Relative contraindications to LAI buprenorphine- 8:51
• Tips for Patient Counseling - 12:28
• Starting LAI buprenorphine - 16:01
• Side effects of LAI bup - 25:45
• Administering LAI bup - 29:06
• Dosing Interval - 31:53
• Other LAI considerations - 42:19
• Take home points - 47:24
• Outro - 49:18

Jumpstart your knowledge on how to counsel patients in primary care to help decrease their risk of returning to substance use! Learn how to help patients identify triggers, develop plans on how to navigate high-risk situations & so much more! We are joined by psychologist Dr. Eve Lasswell PsyD at the University of California San Diego!

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify |iTunes| CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producer: Era Kryzhanovskaya, MD
• Show Notes, Infographics, Cover Art: Carolyn Chan, MD, MHS
• Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
• Reviewer: Kento Sonoda, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Eve Lasswell, PsyD

Show Segments

• Intro, disclaimer, guest bio 00:00
• Guest one-liner 5:30
• Case from Kashlak 8:25
• Preparing for a visit 9:22
• Pre - Planning At Risk Scenarios 17:25
• Marlatt’s Framework 18:50
• People, places, and things 22:55
• Pearls and Pitfalls 27:30
• Virtual Visits 31:50
• Time Limited Visits 35:20
• Mutual Support Groups 38:35
• Sustained Remission 45:50
• Substance Specific Tips 47:15
• Take Home Points 49:20
• Outro 53:30

Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives, and how to counsel a patient prior to ordering the test. We’re joined by Dr. Timothy Weigand@TwToxMD(University of Rochester Medical Center).

Claim free CME for this episode at http://curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

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Credits

• Producer: Natalie Stahl, MD, MPH
• Show Notes, Cover Art, Infographic: Carolyn Chan, MD, MHS
• Hosts: Carolyn Chan, MD, MHS, and Natalie Stahl MD, MPH
• Reviewer: Kento Sonoda, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Timothy Wiegand

Show Segments

• Intro, disclaimer, guest bio 00:00
• Guest one-liner: 05:17
• Case from Kashlak: 09:42
• Types of Urine Drug Testing (UDT): 10:37
• Detection Window 22:07
• Interpreting Opiates and Opioids UDT 25:26
• Resources to Interpret UDT 39:20
• False Positives 43:29
• Discussing Results with a Patient 45:52
• Interpreting UDT - Buprenorphine 48:47
• Specimen Validity Testing 50:22
• Saliva Testing 54:56
• Outro 1:01:28