#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 8 September 2025

⏱️ 63 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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, Director of the Center on Substance Use and Health in the SFDPH.

Claim CME for this episode at 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 | [email protected] | CME!

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

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

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Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com slash curbsiders.
0:06.8	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,
0:11.9	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:18.6	The Curbsiders podcast is for entertainment, education, and information purposes only. And the topics discuss should not be used solely to diagnose, treat, cure, or prevent any diseases, or conditions. For the more of the few statements expressed on this podcast for solely those of those, it should not be interpreted to reflect official policy or position of any entity aside from possibly cash like more on hospital and affiliate outreach programs. If indeed, there are any, in fact, there are none. Pretty much we are responsible if you screw up. We should always do your own homework and let us know. We're going to work.
0:48.6	Welcome back to the Curbsiders' internal medicine podcast, where we use expert interviews to bring you clinical pearls and practice-changing knowledge.
0:51.3	And today, we are actually going to give Madden Paul a break
0:54.2	and bring you an episode from the curbsiders addiction medicine, our mini-series on substance use
0:59.3	disorders. So today, I'm Dr. Carolyn Chan and I am joined by my co-st, Dr. Ira Krasianaskia.
1:06.0	And on tonight's episode, we'll discuss updates and nuances of the care of patients with methamphetamine
1:12.5	use disorder with Dr. Philip Coffitt. But before we get into that era, will you remind the audience
1:18.2	what we do on this mini-series? Of course, Carolyn, we are the Addiction Medicine podcast that
1:23.2	uses expert interviews to demystify common addiction medicine topics, reduce stigma, and inspire
1:28.4	learners to be fierce advocates for all patients living with substance use disorders.
1:33.4	And a friendly reminder that this is our season four of the Curbsiders, addiction medicine,
1:39.3	and it is brought to you by the American College of Academic Addiction Medicine.
1:43.9	ACAM provides educational
1:45.2	resources to help you deliver evidence-based care for patients with substance use disorders.
1:50.2	Strengthen your clinical knowledge with the ACM-bi-dacted curriculum, which features expert-led sessions
1:55.2	on managing substance use disorders in real-world settings. If you're looking forward at
1:59.9	Borkart Tools or just interested in
2:01.7	testing your knowledge or your team's knowledge on key concepts, be sure to check out the ACM
2:06.3	question bank. Learn more at ACAM-A-M-D-M-Word. And Dr. Philip Coffin, our amazing guest
	...

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