#24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 17 October 2023

⏱️ 55 minutes

🔗️ Recording | iTunes | RSS

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Summary

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).

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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

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

Transcript

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0:00.0	The Curve Siders Nation Medicine is for entertainment, education, and information purposes only.
0:05.4	The topic is discussed should not be used to diagnose, treat, or prevent any disease or conditions.
0:07.9	Furthermore, if you've seen statements expressed on this podcast for solos of those, it should not be interpreted for official policy or physician,
0:11.4	of any entity that's either possible, cash-like or moral hospital.
0:13.1	In short, we have a sponsor who will be threw up, please do your homework, and let us know if you got something wrong.
0:18.9	Hey guys, it's so good to see you. I'm so excited to be doing this episode for you in honor of National Addiction Treatment Week.
0:26.5	It's October.
0:29.4	Anybody have any exciting plans for October or Halloween?
0:34.1	Do I have any exciting plans for Halloween?
0:35.8	I'm going to probably dress up my kids into costumes that they don't choose, but one of my kids is very long hair,
0:42.2	so I think I'm going to dress them as Elvis, but other than that, I don't know.
0:46.4	That's the perfect.
0:49.4	I like to, I have one of those dinosaurs that blows up and has like a fan,
0:55.4	and I'm marching a parade with it and say my clarinet, so I'm a raptor,
0:59.9	like a person playing a clarinet on a raptor, so that's my Halloween tradition.
1:04.2	If there was any statement that fit your personality,
1:06.8	I do not know it.
1:12.1	I do not have Halloween plans, but I've dressed up as Harry Potter for the past three years,
1:18.0	because it was the only costume that I had, and then I lost my wand last year,
1:22.2	so I got to get creative in the next couple weeks.
1:26.0	Just go out and grab a stick, I think, from the yard.
1:28.6	It'll be okay.
	...

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