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The Curbsiders Internal Medicine Podcast

#392 Live! Opioid and Xylazine Withdrawal in the Hospital

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 26 April 2023

⏱️ 45 minutes

🧾️ Download transcript

Summary

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist, has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal.

Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org.

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Show Segments

  • Intro
  • Xylazine basics
  • Management of xylazine withdrawal
  • Opioid withdrawal and acute pain
  • Outpatient considerations for xylazine
  • Audience questions
  • Outro

Credits

  • Writer and Producer: Matthew Watto MD, FACP
  • Infographic and Cover Art: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Joseph D’Orazio MD

Full transcript available HERE


Transcript

Click on a timestamp to play from that location

0:00.0

so paul you know

0:03.3

i heard that the philadelphia mint is going to be closing

0:07.1

okay

0:07.9

but i gotta say i'm not opposed to it because it just it just makes sense

0:13.5

so

0:14.5

paul one more

0:16.8

you know

0:17.8

philadelphia cream cheese they've had this viral

0:20.6

uh... social media posting as of late and it's really aggressive against their

0:24.6

competitors

0:27.6

going

0:29.2

paul it was one worst- encapsulated

0:33.5

all right so uh... what

0:36.3

accurately

0:37.5

the

0:59.2

let's say welcome back to the curbsiders i'm dr. mathieu areo here with my

1:02.3

great friend

1:03.4

doctor paul does really

1:05.0

and paul uh... today we're going to be talking about xylazine and opioid

1:09.3

use disorder acute pain how do we deal with this

1:12.1

but before we get to that we told

1:14.0

tell the people in the audience what is it that we do on curbsiders

...

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