Podcasts about Methadone

In this episode of EM Pulse, Dr. Daniel Hernandez, an emergency medicine and addiction specialist at UC Davis, joins the team to spotlight methadone—one of the original and still powerful tools for treating opioid use disorder (OUD). While newer medications like buprenorphine often steal the spotlight, methadone remains a critical option, especially in the era of fentanyl. Tune in for a practical conversation on when and how to initiate methadone in the ED, navigating regulatory barriers, arranging follow-up at opioid treatment programs, and managing pain in patients already on methadone. Whether you're new to methadone or looking to sharpen your approach, this episode offers real-world insights and actionable pearls  Have you started methadone from the ED? Share your experience with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Daniel Hernandez, Assistant Professor of Emergency Medicine and Assistant Director of the Addiction Medicine Fellowship at UC Davis Resources: CA Bridge ACEP/CA Bridge - Methadone Hospital Quick Start Liberate Methadone: An Introduction for the Emergency Medicine Physician By Terence M. Hughes, MD; Joan Chen, MD; and Utsha G. Khatri, MD, MSHP | on April 14, 2025 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Listen in as our expert panel discusses medications for management of opioid use disorder. They'll review strategies to optimize buprenorphine use and clarify the role of methadone and naltrexone.Special guest:Tyler J. Varisco, PharmD, PhDUniversity of Houston College of Pharmacy Assistant Professor, Department of Pharmaceutical Health Outcomes and PolicyAssistant Director, The PREMIER CenterYou'll also hear practical advice from panelists on TRC's Editorial Advisory Board:Stephen Carek, MD, CAQSM, DipABLM, Clinical Associate Professor of Family Medicine for the Prisma Health/USC School of Medicine Greenville Family Medicine Residency Program at the University of South Carolina School of Medicine, GreenvilleCraig D. Williams, PharmD, FNLA, BCPS, Clinical Professor of Pharmacy Practice at the Oregon Health and Science UniversityFor the purposes of disclosure, Dr. Varisco reports a financial relationship [cardiology, inflammatory bowel disease] with HEALIX Infusion Therapy (research consultant).The other speakers have nothing to disclose.  All relevant financial relationships have been mitigated.This podcast is an excerpt from one of TRC's monthly live CE webinars, the full webinar originally aired in March 2025.TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter, Pharmacy Technician's Letter,or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.Claim CreditThe clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter, Pharmacy Technician's Letter, and Prescriber Insights: FAQ: Management of Opioid Use DisorderChart: Treatment of Opioid WithdrawalFAQ: Treatment of Acute Pain in Opioid Use DisorderFAQ: Meds for Opioid OverdoseSend us a textIf you're not yet a subscriber, find out more about our product offerings at trchealthcare.com. Follow, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

https://x.com/annielcrawford/status/1916992027771998322 Ethan Caughey https://youtu.be/qq75FCWLoUU?si=kZtaWz0pTErmRYBj  https://roddreher.substack.com/p/we-have-to-be-truthful-about-this  https://roddreher.substack.com/p/trump-saves-canada-liberals-from  https://www.maryharrington.co.uk/p/the-industrialisation-of-thought   ⁨@WhiteStoneName⁩  Salvation and Will (and Time) https://www.youtube.com/live/b3TPm2FfT7c?si=dgBwd2Gwjmy5jLj2  Matt C's randos https://youtu.be/KmcbNIDKzoM    Paul Vander Klay clips channel https://www.youtube.com/channel/UCX0jIcadtoxELSwehCh5QTg Midwestuary Conference August 22-24 in Chicago https://www.midwestuary.com/ https://www.meetup.com/sacramento-estuary/ My Substack https://paulvanderklay.substack.com/ Estuary Hub Link https://www.estuaryhub.com/ If you want to schedule a one-on-one conversation check here. https://calendly.com/paulvanderklay/one2one There is a video version of this podcast on YouTube at http://www.youtube.com/paulvanderklay To listen to this on ITunes https://itunes.apple.com/us/podcast/paul-vanderklays-podcast/id1394314333  If you need the RSS feed for your podcast player https://paulvanderklay.podbean.com/feed/  All Amazon links here are part of the Amazon Affiliate Program. Amazon pays me a small commission at no additional cost to you if you buy through one of the product links here. This is is one (free to you) way to support my videos.  https://paypal.me/paulvanderklay Blockchain backup on Lbry https://odysee.com/@paulvanderklay https://www.patreon.com/paulvanderklay Paul's Church Content at Living Stones Channel https://www.youtube.com/channel/UCh7bdktIALZ9Nq41oVCvW-A To support Paul's work by supporting his church give here. https://tithe.ly/give?c=2160640 https://www.livingstonescrc.com/give

Avec Dre Tanya Santella, anesthésiste pédiatrique, Catherine Corriveau, candidate infirmière praticienne spécialisée en soins pédiatriques (CIPS SP), et Flaviu Adrian Mosora, pharmacien, nous allons:  Partie 1: Définir les grandes catégories de types de douleur; Discuter des principes généraux de prise en charge et les options de traitement pour la douleur aiguë; Résumer la place de la naloxone en pédiatrie, un médicament pouvant renverser les effets d'une surdose d'opioïdes. Partie 2: Distinguer les options de traitement pour la douleur chronique au sein d'une approche biopsychosociale; Souligner le rôle de chaque professionnel(le) dans l'équipe interdisciplinaire prenant en charge globalement le patient et sa famille; Discuter de la gestion des effets secondaires des médicaments couramment prescrits. Références:Liossi C, Howard RF. Pediatric Chronic Pain: Biopsychosocial Assessment and Formulation. Pediatrics. 2016 Nov;138(5) Trottier ED, Ali S, Doré-Bergeron MJ, Chauvin-Kimoff L. Les pratiques exemplaires pour l'évaluation et le traitement de la douleur chez les enfants. Paediatr Child Health. 2022. Douleur: CHU Sainte-JustineDépliant HSJ: Douleur - prise en charge Norme HSO (Ajouter au panier gratuitement pour obtenir le format PDF) Gestion de la douleur pédiatrique - CAN/HSO 13200:2023Maison Victor-Gadbois. Mini-Guide Palli-Science 2024College of Physicians and Surgeons of British Columbia. Methadone for Analgesia Guidelines. Août 2022.  SKIP - solutions pour la douleur chez l'enfant.Pediadol - un groupe d'experts de la douleur de l'enfant. Canadian Pain SocietyDana-Farber Cancer Institute/Brigham and Women's Hospitals: Pink Book - Pain Management (2024)UpToDate, Micromedex, PedMed.org, monographies de produits Merci pour l'écoute! Allez mettre une réaction sur vos épisodes préférés, partagez la bonne nouvelle sur Facebook/Instagram et abonnez-vous pour ne rien manquer

What caused the Delta flight to flip upside down in Toronto, and are drones to blame for other recent crashes?Was the new Captain America movie worth the hype, or did "Heart Eyes" miss the mark? Find out which movies to skip and which ones are surprisingly funny.A woman named Missy is married but is still looking for love. She wants KiddChris to help her out! Country Feff wants to make a cooking show! KiddChris wants to go on ‘Shark Tank' to pitch “Country Jeff's Prison Hooch”What's the craziest thing you've ever seen in a public restroom? One caller shares a shocking story about a dead body!!!!!!  

Alan delves into a thought-provoking ethical dilemma presented in the Very Clinical Facebook group regarding pain management for a patient in recovery. Pain Management Dilemma: A detailed discussion of a Facebook post in "Very Clinical" about a patient in recovery on methadone who initially refused narcotics but later requested stronger pain medication after a procedure. Alan's Perspective on Recovery and Pain: Alan shares personal anecdotes about his own recovery journey and experiences with pain management, including his thoughts on harm reduction and the importance of personal responsibility in recovery. Ethical Considerations: The complexities of prescribing narcotics to a patient in recovery, the importance of open communication, and the value of consulting with other healthcare professionals (like the patient's pain management MD in this case). Alternative Pain Management: Discussion of alternative pain management strategies, such as injectable or oral steroids (dexamethasone). Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Join us as we delve into innovative solutions transforming methadone dispensing at opioid treatment provider clinics. This episode unpacks revolutionary capabilities that enhance communication and treatment for clinicians and patients. Learn how Opio is redefining interactions with opioid providers and their systems, spotlighting early collaborations, and sharing initial successes. Discover how their creative models are improving information exchange between providers, patients, and payers, and explore strategic partnerships and growth plans.What You'll Learn AboutHow a robotic solution is innovating methadone dispensing in opioid treatment clinics.The unique capabilities that improve communication between clinicians and patients.Details of interoperability with major healthcare systems to enhance information exchange.Strategies for ensuring HIPAA-compliant infrastructure in opioid care settings.Insights into partnerships and growth plans within the healthcare technology space.MODERATOR:Taylor McPartland CEO, ScaleHealthTaylor, a native of Northern California, began his entrepreneurial journey by co-founding his first company in 2010, where he served as a leader for the following 6 years. Throughout this period, he developed a profound passion for harnessing innovation to tackle the systemic challenges our society faces on a daily basis. Motivated by this mission, Taylor established ScaleHealth in 2018 with a vision to create a global health innovation ecosystem that ensures universal access to cutting-edge healthcare solutions, promoting overall well-being. Since its inception, ScaleHealth has played a pivotal role in scaling startups worldwide while enabling health systems and partners to save time and money while accelerating impact and outcomes.GUEST: Sam Wilson Chief Operating Officer, OpioSam has spent her career tackling big problems in behavioral healthcare. As the COO of Opio, she's working to support Opioid Treatment Programs (OTPs) through robotic automations and software solutions. Previously, she co-founded Confidant Health, a multi-state behavioral health tech platform focused on value-based care and led the development of ATLAS, the nation's first quality rating system for addiction treatment programs while working at Shatterproof, a national nonprofit dedicated to reversing the addiction crisis. Sam also worked on state and federal policy to expand access to evidence-based addiction treatments at the Pew Charitable Trusts in Washington DC. She also advises several startups in the behavioral and women's health spaces, and works as a doula in her community. She is a mom and avid adventure seeker.The CHIME Opioid Task Force (OTF) was launched in early 2018 with a simple mission: to turn the tide on the opioid epidemic using the knowledge and expertise of the nation's healthcare IT leaders. While our mission is simple, achieving it is not. Opioid addictin is a complex disease that requires long-term, if not lifetime, care from well-informed clinicians who are supported with easy-to-use and reliable tools.

Fiona Kanter's journey from heart-wrenching grief to a source of hope and support for others is a testament to the resilience of the human spirit. She joins us to share the painful loss of her daughter, Lee Gabriella, and how this tragedy has become a catalyst for her advocacy work in trauma and bereavement. Our conversation oscillates between poignant memories of our daughters' miraculous beginnings and the stark realities of their premature departures, highlighting how these experiences have irrevocably shaped our lives and missions.Parenting is never a straightforward endeavor, especially when raising exceptionally gifted children or spirited teenagers. Through the story of Lee, we explore the unique challenges and joys of nurturing a precocious child who excels in everything from languages to music. However, simultaneously, Fiona reveals the complexities of balancing Lee's intellectual gifts with her emotional development, as well as the profound impact Lee's short life left on those around her. These narratives underscore the delicate balance parents must strike in guiding and protecting their children as they navigate the world.Humor and giving back can be powerful tools in healing, as evidenced by the various initiatives we've embraced following personal loss. From supporting at-risk youth in Jerusalem to equine-assisted psychotherapy and aiding lone soldiers in Israel, our efforts reflect a commitment to community and resilience. Laughter, even amidst sorrow, emerges as a critical component of healing, offering moments of lightness and connection. Our episode promises insights into the transformative journey from grief to action, with the hope of inspiring others who find themselves on similar paths.Become a supporter of this podcast: https://www.spreaker.com/podcast/bereaved-but-still-me--2108929/support.

The amount of overdose deaths in the U.S. is staggering. And while addiction is a disease, there's no specific medical treatment or cure for it. Our guest this week points out that weight loss drugs and GLP-1s, or glucagon-like peptide-1s, which are used to treat type 2 diabetes and obesity, can be effective for helping people reduce cravings and consumption of drugs, alcohol and compulsive behaviors like gambling. Nick Reville is the cofounder and executive director of the Center for Addiction Science, Policy, and Research (CASPR). He joins WITHpod to discuss how he found his way into this research area, lessons learned from other health crises, innovations geared towards eliminating addictions at a widescale level and more. 

In episode 53 we discuss an article comparing treatment retention and mortality in patients who are prescribed methadone vs. buprenorphine/naloxone for treatment of opioid use disorder.    Nosyk B, Et al. Buprenorphine/Naloxone vs Methadone for the Treatment of Opioid Use Disorder. JAMA. 2024 Oct 17.     We also discuss the Modernizing Opioid Treatment Access Act, engaging non-abstinent patients in treatment, and hostility to medications with the recovery community.    Modernizing Opioid Treatment Access Act (MOTAA) (H.R.1359 / S. 644)  ASAM: Engagement and Retention of Nonabstinent Patients in Substance Use Treatment  STAT News: The recovery community says it offers refuge from opioid addiction. But it's still hostile to lifesaving addiction medications  ---  This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES.  CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/   ---  Original theme music: composed and performed by Benjamin Kennedy  Audio editing: Michael Bonanno  Executive producer: Dr. Patrick Beeman  A podcast from Ars Longa Media  ---  This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.     The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group.  Email: addictionmedicinejournalclub@gmail.com   Facebook: @AddictionMedJC  Facebook Group: Addiction Medicine Journal Club  Instagram: @AddictionMedJC   Threads: @AddictionMedJC  YouTube: addictionmedicinejournalclub   Twitter/X: @AddictionMedJC   Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. 

While the numbers are finally starting to decline, more than 74,000 Americans are still dying every year from opioid overdoses. Despite that, very few people who are struggling with addiction get treatment. William Brangham looks at the renewed focus on methadone, one of the oldest and most effective medications in this fight. PBS News is supported by - https://www.pbs.org/newshour/about/funders

While the numbers are finally starting to decline, more than 74,000 Americans are still dying every year from opioid overdoses. Despite that, very few people who are struggling with addiction get treatment. William Brangham looks at the renewed focus on methadone, one of the oldest and most effective medications in this fight. PBS News is supported by - https://www.pbs.org/newshour/about/funders

Acadia Healthcare runs methadone clinics around the country and the clinics bring in millions of dollars in annual revenue. A New York Times investigation found that the for-profit company is accused of failing to provide counseling, falsifying records and enrolling patients who aren’t addicted to opioids. The company already faces federal investigations over practices at its psychiatric hospitals. Jessica Silver-Greenberg is a business investigations reporter for The New York Times. She reported on Acadia Healthcare with Katie Thomas, an investigative health care reporter for the news outlet. Silver-Greenberg joins us with more on the reporting. 

Tom was reasonably academic, enjoyed music and was quite competitive in his youth but always felt a bit different, like a square peg in a round hole.  He had depressive episodes early on which were evidence of sub-clinical mental illness that would affect him later in his teenage years.Tom was curious about drugs in his early teens and joined in with a drug culture at his school, using mainly marijuana. He stopped using drugs to improve his studies but experienced a mental breakdown and was placed on anti-psychosis drugs. Tom took a while off school and during that time he experienced heroin, which led him to his first rehab. He has since been in many rehabs and detox centres, where he was exposed to the 12th Step recovery program of Narcotics Anonymous. Tom has also been in long-term rehab, on Methadone treatment and attended Smart Recovery program to address his combination of needing to treat his mental illness and stay clean.  Today, his life is manageable, but depression still poses the greatest risk to him staying drug free.If you would like to find out more about Narcotics Anonymous or need to talk to somebody, then please call 1300 652 820 at any time or go online at www.navic.net.au.Show your support to the Living Free show and keep us on air by:subscribing to 3CR https://www.3cr.org.au/subscribeand/or donating to 3CR https://www.3cr.org.au/donateMusic played in this episode was provided by the artists, via Australian Music Radio Airplay Project (https://amrap.org.au/):Daniel J Farthing - Run Neddy Run [https://amrap.org.au/release/daniel-j-farthing-run-neddy-run] @16:34Byrd of Paradyse - Karma (Ft Uncle Kev Starkey) [https://amrap.org.au/release/byrd-of-paradyse-karma-ft-uncle-kev-starkey] @32:20Mainline – Kara's song [https://soundcloud.com/revampd/karas-song] @54:50

This week on the teaser! We lost someone in our recovery meeting - it shook me to the core. Then we read a note from a Dopey Zoomer - then we get a crazy voicemail from Mick Popham about SMASH & GRAB Danny! Then we get to Doug!  Patreon: https://www.patreon.com/dopeypodcast DOPEY WEST! https://buytickets.at/thedopeyfoundation/1484803 Here is what AI Says: Notes for Dopey Podcast Patreon Teaser Episode

Recovery Matters Podcast Episode 161 | Rich St. Pierre recounts his challenging upbringing, the impact of family dynamics, and his turbulent years of substance use. He discusses the pivotal moments that led him to recovery, including his experiences with various treatment programs and his ultimate decision to turn his life around. Rich highlights the importance of having a support system, finding new identities and passions, and maintaining accountability in recovery. He also delves into how martial arts and fitness played crucial roles in his sobriety and how he integrates these into his current life. Through his candid narration, Rich's story offers inspiration and valuable insights for anyone seeking or maintaining recovery. 00:00 Introduction and Host Background00:29 Early Life and Family Struggles03:20 High School and Descent into Addiction06:09 Attempts at Recovery and Setbacks08:36 Turning Point and Path to Recovery18:16 Rebuilding Life and Finding Purpose22:33 Coping with Loss in Recovery23:27 The Importance of Therapy24:58 Finding New Passions26:42 Identity Beyond Addiction29:42 The Role of Support Systems32:37 The Power of Practice39:03 Commitment to 12-Step Recovery41:11 Incorporating Recovery into Daily Life42:28 Conclusion and Final Thoughts ----Across the Web----

A new federal rule change has made methadone more accessible than ever, but many advocates and patients say it should be much easier for patients to receive. Those running the methadone clinics are not so sure.

Just John and Brooks hanging out trying to avoid the outside world. Might just go hang out in the woods for awhile. Thanks for being awesome. If you want to reach brooks either text him or email here. basementbuddiespod@gmail.com  Sorry, Stan for putting you on blast but I really dont think you'll hear this.  

Buprenorphine/Naloxone vs Methadone for the Treatment of Opioid Use Disorder JAMA Network This population-based retrospective cohort study assessed whether the use of buprenorphine/naloxone is associated with lower risk of treatment discontinuation and mortality compared with methadone. It included 30,891 individuals initiating treatment for the first time during the study period and found that  the risk of treatment discontinuation was higher among recipients of buprenorphine/naloxone compared with methadone (88.8% vs 81.5% within 24 months). The risk of mortality was low while in either form of treatment (0.08% vs 0.13%).  Individuals receiving methadone had a lower risk of treatment discontinuation compared with those who received buprenorphine/naloxone. The risk of mortality while receiving treatment was similar between medications.   Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM

How effective is methadone? Guest: Dr. Paxton Bach, Clinical Assistant Professor in the Department of Medicine at UBC and Co-Medical Director at the BC Centre on Substance Use Learn more about your ad choices. Visit megaphone.fm/adchoices

Why do we love getting scared? Guest: Dr. Sarah Kollat, Teaching Professor of Psychology at Penn State University Looking back on the latest Atmospheric River Guest: Mark Madryga, Global News Chief Meteorologist View From Victoria: Still no winner in BC's weekend election We get a local look at the top political stories with the help of Vancouver Sun columnist Vaughn Palmer How effective is methadone? Guest: Dr. Paxton Bach, Clinical Assistant Professor in the Department of Medicine at UBC and Co-Medical Director at the BC Centre on Substance Use What does bullying do to the brain? Guest: Dr. Michael Connaughton, Postdoctoral Research Fellow at the Royal College of Surgeons Ireland and Lead Author of the Study How extensive are the Bishnoi gang's operations in BC? Guest: Kash Heed, Richmond City Councillor and Former Solicitor General of British Columbia Monday Morning Quarterbacks for Oct 21, 2024 Guest: Rick Campbell, Head Coach of the BC Lions What will the next government look like? Guest: Hamish Telford, Associate Professor of Political Science, University of the Fraser Valley Why did North Vancouver declare a state of local emergency? Guest: Mike Little, Mayor of the District of North Vancouver Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kelly S. Ramsey, an Addiction Medicine and Harm Reduction Consultant, discusses a Q&A she wrote for Johns Hopkins about the expansion of methadone treatment access; Matta Sannoh, ASTHO Chronic Disease Risk Factors Senior Analyst, tells us about ASTHO's Menthol Capacity Building web page; and an ASTHO blog article details how Washington State continues to improve emergency preparedness. Johns Hopkins Bloomberg School of Public Health Web Page: Expanding Access to Methadone Treatment for Opioid Use Disorder in Carceral Settings LinkedIn Web Page: Kelly S. Ramsey ASTHO Blog Article: Menthol Capacity Building ASTHO Blog Article: How Washington State Leverages Data to Improve Emergency Preparedness  

Brian, a person in long-term recovery, shares struggles with substance use that began in his teenage years, his journey through various treatments, and the pivotal moments that led him to seek a different path. Brian discusses his experiences with methadone and Suboxone, his involvement with the Connecticut Community for Addiction Recovery (CCAR), and how he now gives back as a volunteer manager supporting others in their recovery journeys. His story is one of resilience, transformation, and the importance of community and hope in recovery. 00:00 Introduction and Personal Recovery Stories 02:34 Early Life and Struggles 04:29 Descent into Addiction 06:26 Realization and Attempts at Recovery 13:37 Overcoming Addiction and Finding Recovery 17:29 Life in Recovery and Giving Back 29:58 Advice for Those Struggling

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to "Ditch the Lab Coat," the podcast where we dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we are back with our second part to the two-part series focused on the intricate world of addiction treatment.Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, Dr. Mong and Dr. Lamba will shed light on the promise and perils of new treatment approaches, underscore the necessity of comprehensive support systems, and point to the pivotal role of social supports and stable housing in fostering sustainable recovery.We also tackle the cultural and historical context of the opioid crisis, including the profound impact of Purdue Pharma and the Sackler family. Dispelling misconceptions about fentanyl, you'll learn about the real risks, the invaluable role of naloxone, and practical steps for overdose prevention.This episode is not just about groundbreaking therapies; we will discuss the critical need for rigorous, high-quality data to back new treatments and reflect on the significant influence of private companies in the field. Our guests will emphasize the paramount importance of addressing the root causes of substance use, building life skills, and creating supportive networks to prevent relapses.Lastly, this episode will feature discussions on opioid tolerance, withdrawal management, and the nuanced balance between the risks of prescribing medications versus the risks of untreated withdrawal. You'll gain insights into how healthcare teams can shift their perceptions and practices to better support patients with substance use disordersStay tuned as we unravel these topics and much more. So, grab your headphones and get ready for an enlightening conversation on addiction treatment with Dr. Jon Mong and Dr. Wiplove Lamba. Let's dive in!04:17 Challenges and future of addiction treatment discussed.09:36 Understanding withdrawal challenges in hospitals with unknown dosages.12:02 Provide proper care despite addiction-related complications.16:20 Colleague's guarded due to personal trauma, concerns.20:05 Conversations led hospital to adopt PICC lines.21:54 New grads integrate social responsibility with medical care.27:20 Risk from checking on overdose is minimal.29:15 There can't be too much widely accessible Narcan.34:00 Need rigorous study for psychedelics in treatment.35:39 Concerned new treatments overshadow foundational patient support measures.41:40 "Cured" involves functional life, stability, coping mechanisms.42:52 Substance use disorder: Patients can achieve long-term remission.46:01 Meet needs without substances to avoid relapse.

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to "Ditch the Lab Coat," the podcast where we dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we're embarking on the first of a two-part series focused on the intricate world of addiction treatment.Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, we'll explore the complexities of managing and treating addiction within hospital settings, the profound challenges faced by patients and healthcare providers alike, and the life-saving implications of treatments like opioid agonist therapy.In this episode, we tackle the high relapse rates among opiate users, the effectiveness of medications for alcohol use disorders, and the importance of patient readiness in overcoming substance use. We'll also delve into the value of motivational interviewing in fostering patient cooperation and the evolving role of addiction medicine in modern healthcare.Dr. Bonta reflects on his experiences and frustrations with addiction treatment, emphasizing the need for evidence-based approaches and reducing harm. We'll discuss the broader implications of addiction treatments, including societal perceptions and the importance of treating addiction as a complex, multifaceted issue.Stay tuned as we unravel these topics and much more. So, grab your headphones and get ready for an enlightening conversation on addiction treatment with Dr. Jon Mong and Dr. Wiplove Lamba. Let's dive in!06:28 Biopsychosocial overview and social determinants of health.08:33 Addiction perception varies; harm reduction prioritizes context.12:42 Substance use disorder defined by the four C's.15:24 Challenges of informing patients about health impacts succinctly.20:11 Enjoyed working with you; motivational interviewing technique.21:40 Promote cooperation and autonomy in medical interactions.24:38 Brief interventions reveal deeper patient issues for treatment.30:23 Support for treating illness without moral judgment.31:43 Understanding treatments can improve patient prognosis discussions.34:59 Medication modulates neurotransmitters for alcohol use disorder.39:44 Four reasons to start opioid agonist therapy.42:14 Discharged patients risk fatal overdose; opioid therapy saves.46:42 Patients generally agree with treatment but resist lifestyle changes.49:00 Importance of discussing addiction and enabling behaviors.

Moderator: BobbieJean Sweitzer, M.D. Participants: Lisa M. Einhorn, M.D. and Charles B. Berde, M.D., Ph.D. Articles Discussed: Single-Dose Intraoperative Methadone for Pain Management in Pediatric Tonsillectomy: A Randomized Double Blind Clinical Trial Improving Pain Management After Tonsillectomy Transcript

Two-time Emmy and three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald, interviewed Dr. Michael Giles. Our Virtual Dosing Window™ allows patients to record their take-homes by using a phone or computer to scan the QR code on their methadone bottles and then recording a video of themselves dosing for their care team to review. This patented solution helps build trust between OTP patients and their care teams, empowering clinics with real-time insights to make informed treatment decisions. Sonara also increases patients' likelihood of earning more take homes, which in turn improves program retention rates. Since starting Sonara in 2020, Dr. Giles has expanded the solution to a network of modernized, tech-enabled clinics in 11 states that provide accessible, patient-centered care for individuals struggling with OUD. Sonara® is on a mission to support OTP patients, with a remote dosing solution that makes it easier for people with opioid use disorder to commit to their methadone treatment programs, so they can get their lives back. Sonara provides OTPs with the confidence they need to approve more take-home doses responsibly, to improve the quality of life for patients and expand treatment accessibility for those who live farther away from clinics. Notable investors in Sonara include Mark Cuban and First Trust Capital. With Sonara, OTP patients can achieve their treatment goals without putting their lives on hold. To learn more about partnering with Sonara or bringing the Virtual Dosing Window to your OTP, visit sonarahealth.com/contact-us to get in touch. #STRAW #SHMS  Support the show: https://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.

Two-time Emmy and three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald, interviewed Dr. Michael Giles. Our Virtual Dosing Window™ allows patients to record their take-homes by using a phone or computer to scan the QR code on their methadone bottles and then recording a video of themselves dosing for their care team to review. This patented solution helps build trust between OTP patients and their care teams, empowering clinics with real-time insights to make informed treatment decisions. Sonara also increases patients' likelihood of earning more take homes, which in turn improves program retention rates. Since starting Sonara in 2020, Dr. Giles has expanded the solution to a network of modernized, tech-enabled clinics in 11 states that provide accessible, patient-centered care for individuals struggling with OUD. Sonara® is on a mission to support OTP patients, with a remote dosing solution that makes it easier for people with opioid use disorder to commit to their methadone treatment programs, so they can get their lives back. Sonara provides OTPs with the confidence they need to approve more take-home doses responsibly, to improve the quality of life for patients and expand treatment accessibility for those who live farther away from clinics. Notable investors in Sonara include Mark Cuban and First Trust Capital. With Sonara, OTP patients can achieve their treatment goals without putting their lives on hold. To learn more about partnering with Sonara or bringing the Virtual Dosing Window to your OTP, visit sonarahealth.com/contact-us to get in touch. #STRAW #SHMS  See omnystudio.com/listener for privacy information.

This Week on a super new bonus Dopey Tuesday! We are joined by filmmaker and recovering addict John Comerford! We hear all about his super psychedelic path of addiction and recovery! John tells about his unsupervised nyc youth- we learn the secrets of old New York's music scene and Grateful Dead culture and much more on this super duper bonus episode of that good old Dopey Show!   PLUS SHOOTING METHADONE VOICEMAIL!!!!! and MORE! Emilia's Notes:  - brothers intervention - realizing his mom was taking percs his whole childhood - lsd at red rocks - mdma sale arrest - bill w and huxley - bill w and belladonna - brother's death AI NOTES: In this part of the conversation, David Manheim discusses the purpose of the Dopey podcast and emphasizes the importance of real recovery work. He also shares personal experiences, including being alone in his house for the first time, dealing with a hernia, and celebrating his nine years of sobriety. The conversation then transitions to a voicemail from a listener who shares his experience of shooting methadone and being prescribed benzos at a methadone clinic. The episode concludes with an interview with John Comerford, a film producer and music presenter, where they discuss their love for jazz and their experiences with alcohol and drugs. David Manheim reflects on his early experiences with music and drugs, including attending jazz shows and experimenting with acid at a young age. He discusses his identity formation and the role of feeling and experience in his life. He shares stories of his tumultuous family life and the impact of addiction on his brother. David also talks about his introduction to the Grateful Dead and the transformative power of their music. He delves into his own struggles with alcoholism and drug addiction, including selling ecstasy and his eventual decision to get sober. In this final part of the conversation, David and John discuss their experiences with addiction and recovery. They share personal stories of their struggles with drugs and alcohol, including John's time in jail and David's journey to sobriety. They also talk about the importance of community and support in the recovery process. David shares some of the projects he is currently working on, including a documentary about General Yamashita's gold and a character study of Sarah Jane Moore, the woman who attempted to assassinate President Ford. keywords: Dopey podcast, recovery work, personal experiences, hernia, sobriety, methadone, benzos, film producer, jazz, alcohol, drugs, music, drugs, jazz, acid, identity, addiction, family, Grateful Dead, alcoholism, sobriety, addiction, recovery, jail, sobriety, community, support, documentary, General Yamashita's gold, Sarah Jane Moore takeaways The Dopey podcast is meant to be supplemental to someone with a recovery program and is not a substitute for real recovery work. Personal experiences, such as being alone in the house, dealing with a hernia, and celebrating sobriety milestones, can be shared openly to reduce shame and judgment. The listener's voicemail highlights the dangers of shooting methadone and the inappropriate prescribing of benzos at a methadone clinic. The interview with John Comerford explores their love for jazz and their experiences with alcohol and drugs. Music, such as jazz, can have a profound impact on emotions and enhance the experience of substances like cannabis and alcohol. Early experiences with music and drugs can shape one's identity and worldview. Addiction can have a profound impact on individuals and their families. The transformative power of music can provide solace and inspiration. Recovery from addiction requires a shift in focus from the problem to the solution. Addiction can lead to serious consequences, including jail time and death. Recovery requires a commitment to change and a willingness to seek help and support. Community and connection are essential in the recovery process. Sobriety opens up new opportunities for personal growth and fulfillment. Projects like More Than Music Foundation aim to foster wellness and educational opportunities for musicians and audiences. titles The Importance of Real Recovery Work Listener Voicemail: Shooting Methadone and Prescribed Benzos Finding Sobriety and a New Path The Impact of Addiction on Family The Power of Community in Recovery Finding Purpose and Fulfillment in Sobriety Sound Bites "Good morning, Dopey. Good morning, Dopey. Ay -ay -ay." "This Friday is Dopey Day, AKA Christmas in August." "I'm on the methadone program here in my state, in my home state, and I've been on it since 2013." "What these guys are putting out there has magnitude, and it has power." "I didn't really develop an intellectual life until I was like in my mid-late 30s." "That's why she's an hour late all the time. That's why she doesn't know why I'm at Irving Plaza at 13." "I mean, you jails, institutions and death is where we're headed. If we don't change it" "I reapplied to Boulder. I got in because I told them the story of what happened." "It's completely life-changing because I mean, Tommy had been my friend for a long time and was involved with the fellowship and always talked about how he wouldn't give up his sobriety for anything." Chapters 00:00Introduction and Overview 01:15The Importance of Real Recovery Work 03:41Personal Experiences: Alone in the House and Dealing with a Hernia 09:09Listener Voicemail: Shooting Methadone and Prescribed Benzos 18:58Interview with John Comerford: Love for Jazz and Experiences with Alcohol and Drugs 36:04Early Experiences with Music and Drugs 39:01Family Dynamics and Addiction 44:12The Transformative Power of Music 46:04Navigating Addiction 57:45Selling Drugs and Consequences 01:08:13Finding Sobriety 01:11:01From Jail to Filmmaking 01:18:08The Power of Community in Recovery 01:21:00Uncovering Hidden Stories 01:27:19Finding Purpose and Fulfillment in Sobriety 01:34:15More Than Music: Fostering Wellness and Education

Ceirra jumps on the podcast to share her story, discuss spiritual experiences, tapering off of Methadone and finding a new way to live. She is now dedicated to helping others. You can find her at: awakenedheartbqh.com https://www.youtube.com/@BrooklynQuantumHealing --- Support this podcast: https://podcasters.spotify.com/pod/show/recoverynuggetspodcast/support

In this episode, Liz Rohr interviews Shelby Pope, DNP, APRN, FNP-BC, they discuss the stigma around addiction, the importance of supporting patients with opiate use disorder while exploring Shelby's journey into addiction medicine and impacts of this field. This episode includes discussion of various treatment options for opiate use disorder, including naltrexone and buprenorphine, including the importance of medication-assisted treatment (MAT) for opioid use disorder, while emphasizing the effectiveness of methadone and buprenorphine in reducing the risk of overdose and mortality. Liz and Shelby explore the process of induction and the importance of assessing withdrawal symptoms, ongoing monitoring and support for patients on MAT, including addressing cravings and harm reduction strategies. Key takeaways: Exploring the stigma around addiction, and the importance of supporting patients with opiate use disorder.Addiction medicine is a beautiful and impactful field that can be accessible in primary care.Naltrexone and buprenorphine are two treatment options for opiate use disorder.Open conversations with patients and providing support and resources are crucial in primary care.Methadone may be necessary for some patients with extreme cases of opiate use disorder. Medication-assisted treatment (MAT) with methadone and buprenorphine is highly effective in reducing the risk of overdose and mortality in individuals with opioid use disorder.Assessing withdrawal symptoms is crucial before starting buprenorphine to avoid precipitated withdrawal.Ongoing monitoring and support are essential for patients on MAT, including addressing cravings and providing harm reduction strategies.Tapering off medication should be done slowly and on an individualized basis, considering the patient's stability and goals.Individualized care and empathetic communication are key in building trust and supporting patients on their recovery journey.For a full transcript and conversation chapters, visit the blog: https://realworldnp.com/blog/opiate-use-disorder. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

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  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 | 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

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  Claim free 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 | 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

Contributor: Taylor Lynch, MD Educational Pearls: Opioid Epidemic- quick facts Drug overdoses, primarily driven by opioids, have become the leading cause of accidental death in the U.S. for individuals aged 18-45. In 2021, opioids were involved in nearly 75% of all drug overdose deaths The rise of synthetic opioids like fentanyl, which is much more potent than heroin or prescription opioids, has played a major role in the increase in overdose deaths What is Narcan AKA Naloxone? Competitive opioid antagonist. It sits on the receptor but doesn't activate it. When do we give Narcan? Respiratory rate less than 8-10 breaths per minute Should you check the pupils? An opioid overdose classically presents with pinpoint pupils BUT… Hypercapnia from bradypnea can normalize the pupils Taking other drugs at the same time like cocaine or meth can counteract the pupillary effects Basilar stroke could also cause small pupils, so don't anchor on an opioid overdose How does Narcan affect the body? Relatively safe even if the patient is not experiencing an opioid overdose. So when in doubt, give the Narcan. What if the patient is opioid naive and overdosing? Use a large dose given that this patient is unlikely to withdraw 0.4-2 mg every 3-5 minutes What if the patient is a chronic opioid user Use a smaller dose such as 0.04-0.4 mg to avoid precipitated withdrawal How fast does Narcan work? Given intravenously (IV), onset is 1-2 min Given intranasal (IN), onset is 3-4 min Given intramuscularly (IM), onset is ~6 min Duration of action is 60 mins, with a range of 20-90 minutes How does that compare to the duration of action of common opioids? Heroine lasts 60 min Fentanyl lasts 30-60 min, depending on route Carfentanyl lasts ~5 hrs Methadone lasts 12-24 hrs So we really need to be conscious about redosing How do you monitor someone treated with Narcan? Pay close attention to the end-tidal CO2 to ensure that are ventilating appropriately Be cautious with giving O2 as it might mask hypoventilation Watch the respiratory rate Give Narcan as needed Observe for at least 2-4 hours after the last Narcan dose Larger the dose, longer the observation period Who gets a drip? If they have gotten ~3 doses, time to start the drip Start at 2/3rds last effective wake-up dose Complications Flash pulm edema 0.2-3.6% complication rate Might be from the catecholamine surge from abrupt wake-up Might also be from large inspiratory effort against a partially closed glottis which creates too much negative pressure Treat with BIPAP if awake and intubation if not awake Should you give Narcan in cardiac arrest? Short answer no. During ACLS you take over breathing for the patient and that is pretty much the only way that Narcan can help Just focus on high quality CPR References https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates#:~:text=Drug%20overdose%20deaths%20involving%20prescription,of%20deaths%20declined%20to%2014%2C716. Elkattawy, S., Alyacoub, R., Ejikeme, C., Noori, M. A. M., & Remolina, C. (2021). Naloxone induced pulmonary edema. Journal of community hospital internal medicine perspectives, 11(1), 139–142. https://doi.org/10.1080/20009666.2020.1854417 van Lemmen, M., Florian, J., Li, Z., van Velzen, M., van Dorp, E., Niesters, M., Sarton, E., Olofsen, E., van der Schrier, R., Strauss, D. G., & Dahan, A. (2023). Opioid Overdose: Limitations in Naloxone Reversal of Respiratory Depression and Prevention of Cardiac Arrest. Anesthesiology, 139(3), 342–353. https://doi.org/10.1097/ALN.0000000000004622 Yousefifard, M., Vazirizadeh-Mahabadi, M. H., Neishaboori, A. M., Alavi, S. N. R., Amiri, M., Baratloo, A., & Saberian, P. (2019). Intranasal versus Intramuscular/Intravenous Naloxone for Pre-hospital Opioid Overdose: A Systematic Review and Meta-analysis. Advanced journal of emergency medicine, 4(2), e27. https://doi.org/10.22114/ajem.v0i0.279 Summarized by Jeffrey Olson MS2 | Edited by Meg Joyce & Jorge Chalit, OMSII

This episode originally aired March 5, 2022 Starting with alcohol and weed use, Dan eventually started using cocaine and smoking meth. We talk about using with his mate, being on Methadone, losing his child and hitting rock bottom. Today Dan is in recovery and a successful live streamer and podcaster. Find Daniel here and buy a shirt or hoodie while you're at it! https://www.hardknoxtalks.com https://www.facebook.com/hardknoxtalks/ https://www.youtube.com/channel/UC076hYj43girxSFFFTq_jvA Topics in this episode include addiction, depression, suicide, trauma Please consider buying me a coffee here!  Check out the podcast merch store here! Purchase my children's book Sometimes Daddy Cries here! FOLLOW BUNNY HUGS AND MENTAL HEALTH ON SOCIAL MEDIA Facebook, Instagram, TikTok   Bunny Hugs and Mental Health is currently on the Top Ten Best Canadian Mental Health Podcasts list!  And the Top 100 Best Mental Health Podcasts on the internet! Please donate to Cornwall Alternative School here This episode is brought to you by Co-op Follow Co-op on social media @CoopCRS on Facebook, Instagram, Twitter and @wearecoop on TikTok

Dr. Sullivan Smith is in the studio to give us an education about methadone. What is it? Is it really helpful or is it harmful?

Today, Tiffany Tathata and Bryce de Venecia join us for an educational series that explores basic treatments for opioid and alcohol use disorder. Tiffany and Bryce are both Addiction Medicine fellows at Rush University Medical Center in Chicago, Illinois. This goal of their three-part series is to educate non-addiction medicine specialists on the various treatments available for their patients with opioid and alcohol use disorder. This episode focuses on primary care physician management, referrals, screening, naloxone, opioid use disorder, methadone basics, and insightful case studies. The conversation is a basic overview, and if you have any additional interest in the information provided please check out the resources below.ResourcesSAMHSA - https://www.samhsa.gov/  Buprenorphine quick-start guide for new prescribers https://www.samhsa.gov/sites/default/files/quick-start-guide.pdf Addiction Medicine Podcast – The Curbsiders - https://thecurbsiders.com/addictionBridge to Treatment - https://nida.nih.gov/  

NC S2 Ep4 TikTok @trashtalkpodcasts YOUTUBE: www.youtube.com/c/TrashTalkPodcasts Bonus Patreon.com/TrashTalkPodcast Traceycarnazzo.com Tracey Carnazzo @trixietuzzini Noelle Winters @noeygirl_ IG @TeenMomTrashTalk Twitter @TeenMomPodcast tropicalsmoothiecafe.com

Piloting a Hospital-Based Rapid Methadone Initiation Protocol for Fentanyl  Journal of Addiction Medicine The epidemic of fentanyl has led to increased opioid tolerance and made traditional dosing for methadone initiation insufficient. In this study, the authors examine an inpatient rapid titration of methadone initiation among patients with opioid use disorder (OUD). The protocol recommended dosing of 60 mg on day 1, 70 mg day 2, 80 mg day 3 and 100 mg day 4-7. After patients with significant underlying medical conditions, benzodiazepine or alcohol use and age >65 were excluded, 25 patients underwent the rapid initiation. No patients in the study experienced an adverse event and while additional research is needed, the study demonstrated the feasibility of rapid initiation of methadone for OUD in select patients in an inpatient setting.    Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM

In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Corey Hazekamp, MD, MS, one of authors of the June 2024 Emergency Medicine Practice article, Managing Emergency Department Patients With Opioid Use DisorderCurrent State of Opioid EpidemicOverview of overdose deaths and trends.Data and statistics about opioid overdose mortality rates.Three Waves of Opioid Overdose Deaths in the U.S.Opioid Classifications and Urine Drug TestingTypes of opioids: synthetic, semi-synthetic, and natural.Urine drug testing limitations and false positives/negatives.Practical use and research on co-ingestionsEmergency Medical Services (EMS) and Pre-Hospital CareImportance of ABCs in acute opioid overdose cases.Naloxone usage trends and an empirical approach.Anecdotal insights on changing naloxone administration dosages.Clinical Management in the Emergency DepartmentBuprenorphine InitiationProtocols for initiating buprenorphine in ED settings.Assessment using the Clinical Opiate Withdrawal Scale (COWS).Safe dosing procedures for buprenorphine.Withdrawal and Overdose CareLaboratory testing recommendations.Capnography and VBG in overdose management.The role of end-tidal CO2 monitoring and respirations.Methadone vs. Buprenorphine ConsiderationsMethadone to buprenorphine transition protocols.Personal testimonials and clinical experiences in managing overdoses and withdrawal symptoms.Patient Discharge and Follow-upPreparation of discharge prescriptions.Referral to addiction medicine clinics and resources.Educating patients on continued treatment and harm reduction.

Broadcast on KSQD Santa Cruz on 7-05-2024: Guest introduction and Background Introduction of Rita Hewitt, regional director for Central Coast overdose prevention, and her professional background. Overview of Rita's notable achievements and roles in various healthcare and harm reduction initiatives. Rita's journey from a licensed pharmacy technician to her current role in overdose prevention. Impact of the prescription opioid epidemic on her career choices and motivation to address addiction and overdose issues. Stories from Rita's early career, including encounters with prescription opioid misuse and its consequences. Challenges in Opioid Prescription and Addiction Discussion on the challenges faced by healthcare providers in managing pain and the consequences of opioid prescriptions. Examples of misuse and the impact of addiction on individuals and the community. Historical Context of Opioid Epidemic Examination of the history of opioid use and misuse, from pharmaceutical origins to current trends. The role of pharmaceutical companies and legislation in shaping the opioid crisis. Pendulum Swing in Opioid Prescribing Practices Analysis of the shifting attitudes towards opioid prescribing over the decades. The impact of educational mandates and legislation on prescribing practices and patient care. Current Strategies for Harm Reduction Overview of harm reduction initiatives and resources available in the community. Discussion on the effectiveness of buprenorphine and other medications in treating opioid addiction. Emerging Drug Threats Introduction of new substances like Xylazine and their impact on the community. Challenges in addressing these new threats and the limitations of existing overdose reversal medications. Testing and Safety Measures Importance of fentanyl test strips and other tools in preventing overdoses. Availability and distribution of test strips and Narcan within the community. Legislation and Policy Initiatives Recent laws and mandates aimed at improving opioid prescription practices and overdose prevention. Discussion on potential future initiatives to enhance harm reduction and public safety. Pendulum Swing in Opioid Prescribing Practices Continued discussion on the history of opioid prescribing and the shifts in attitudes over the decades. Impact of legislation and educational mandates on opioid prescribing practices and patient care. Challenges and Personal Experiences in Addiction Rita shares personal experiences and anecdotes about friends and community members affected by opioid addiction. Dr. Dawn shares a story about a patient with a severe infection due to opioid misuse and the challenges in managing their pain and treatment. Current Strategies for Harm Reduction Overview of harm reduction strategies and resources available in the community. Discussion on the effectiveness and benefits of buprenorphine and other medications in treating opioid addiction. Emerging Drug Threats Introduction of new substances like Xylazine and their impact on the community. Challenges in addressing these new threats and the limitations of existing overdose reversal medications like Narcan. Statistics and Trends in Overdose Fatalities Examination of the current statistics and trends in overdose fatalities in the local community and nationally. Discussion on the increase in fentanyl-related fatalities and the ongoing challenges in addressing the crisis. Testing and Safety Measures Importance of fentanyl test strips and other tools in preventing overdoses. Availability and distribution of test strips and Narcan within the community. Legislation and Policy Initiatives Recent laws and mandates aimed at improving opioid prescription practices and overdose prevention. Discussion on potential future initiatives to enhance harm reduction and public safety. Community Initiatives and Collaboration Overview of local initiatives and collaborations aimed at addressing the opioid crisis and improving public health outcomes. Importance of community engagement and support in harm reduction efforts. Future Directions and Goals Rita's vision and goals for future harm reduction initiatives and policies. Discussion on the potential impact of upcoming legislation and community efforts on the opioid crisis.

This morning on the radio I talked about the importance of zooming out when you are feeling anxious or overwhelmed or in despair. Zoom out to find perspective and peace. But it was William, at the end of the show, while telling us the story of how he was withdrawing from Methadone, who properly finished the process. You have to zoom out, but then, don't forget to zoom back in. Learn more about your ad choices. Visit megaphone.fm/adchoices

This morning on the radio I talked about the importance of zooming out when you are feeling anxious or overwhelmed or in despair. Zoom out to find perspective and peace. But it was William, at the end of the show, while telling us the story of how he was withdrawing from Methadone, who properly finished the process. You have to zoom out, but then, don't forget to zoom back in. Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to a deep dive into the tangled world of methadone. It's often pitched as being a hope in the fight against opioid addiction, but there's a lot more to the story than meets the eye. Join us as we peel back the layers and explore the highs and lows of this controversial medication. We discuss what we have seen on a first hand basis and what we have experiences with personally.  Although it can work for SOME people, the vast majority of people would be far better off in an abstinence based program. If you have any questions you can reach us at INFO@realrecoverytalk.com          

Methadone is a highly effective treatment for substance use disorder but strict regulations like daily clinic visits have led to its nickname, “liquid handcuffs.” Dr. Yngvild Olsen, director of the Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Services administration, talks with Lindsay Smith Rogers about new federal regulations that expand access to this life saving medication.  They talk about how the COVID era showed that changes can make methadone much easier to prescribe and access, and how these updates are part of a critical cultural shift towards making substance use treatment more reasonable, equitable, and compassionate. Resources for this episode: https://www.samhsa.gov/medications-substance-use-disorders/statutes-regulations-guidelines/methadone-guidance https://findtreatment.gov/

The specter of the opioid epidemic has shadowed life in California for nearly three decades, and opioid deaths in the state are rising precipitously. Physicians have long advocated the use of life-saving opioid medications methadone and buprenorphine to treat addiction. Despite methadone's proven effectiveness, access to the drug has been blocked across the health care system – and California is among the most restrictive states in the nation. This week, new federal regulations take effect that could expand access to methadone treatment. STAT addiction reporter Lev Facher examined access to these medications in a recent investigation titled “The War on Recovery.” We'll talk about what this shift at the national level means for addiction treatment in California. And we'll hear from you: Has access to methadone had an impact on your life or recovery? Guests: Lev Facher, addiction reporter, STAT News Leslie Suen, physician and researcher, University of California San Francisco Jordan Scott, disabled drug user in recovery; organizing coordinator, Pennsylvania Harm Reduction network

Opioid use disorder is a major contributor to maternal mortality in the US. The gold standard of care is medication like methadone, but for incarcerated pregnant people, treatment can be difficult to access and highly stigmatized. Johns Hopkins obgyn and reproductive health researcher Dr. Carolyn Sufrin and Bloomberg Fellow Camille Kramer talk with Lindsay Smith Rogers about their new study that shows not only just how difficult OUD medication is to access behind bars for anyone, let alone pregnant women in the prison system. https://arrwip.org/projects/management-of-pregnant-people-with-opioid-use-disorder-in-jail/

In this episode, my guest is Dr. Sean Mackey, M.D., Ph.D., Chief of the Division of Pain Medicine and Professor of Anesthesiology, Perioperative and Pain Medicine and Neurology at Stanford University School of Medicine. His clinical and research efforts focus on using advanced neurosciences, patient outcomes, biomarkers and informatics to treat pain. We discuss what pain is at the level of the body and mind, pain thresholds, and the various causes of pain. We also discuss effective protocols for controlling and reducing pain, including the use of heat and cold, acupuncture, chiropractic, physical therapy, nutrition, and supplementation. We also discuss how pain is influenced by our emotions, stress and memories, and practical tools to control one's psychological perception of pain. And we discuss pain medications, including the controversial use of opioids and the opioid crisis. This episode will help people understand, manage, and control their pain as well as the pain of others. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman AeroPress: https://aeropress.com/huberman Levels: https://levels.link/huberman BetterHelp: https://betterhelp.com/huberman InsideTracker: https://insidetracker.com/huberman Momentous: https://livemomentous.com/huberman Timestamps (00:00:00) Dr. Sean Mackey (00:02:11) Sponsors: AeroPress, Levels & BetterHelp (00:06:13) Pain, Unique Experiences, Chronic Pain (00:13:05) Pain & the Brain (00:16:15) Treating Pain, Medications: NSAIDs & Analgesics (00:22:46) Inflammation, Pain & Recovery; Ibuprofen, Naprosyn & Aspirin (00:28:51) Sponsor: AG1 (00:30:19) Caffeine, NSAIDs, Tylenol (00:32:34) Pain & Touch, Gate Control Theory (00:38:56) Pain Threshold, Gender (00:44:53) Pain in Children, Pain Modulation (Pain Inhibits Pain) (00:53:20) Tool: Heat, Cold & Pain; Changing Pain Threshold (00:59:53) Sponsor: InsideTracker (01:00:54) Tools: Psychology, Mindfulness-Based Stress Reduction, Catastrophizing (01:08:29) Tool: Hurt vs. Harmed?, Chronic Pain (01:12:38) Emotional Pain, Anger, Medication (01:20:43) Tool: Nutrition & Pain; Food Sensitization & Elimination Diets (01:28:45) Visceral Pain; Back, Chest & Abdominal Pain (01:34:02) Referenced Pain, Neuropathic Pain; Stress, Memory & Psychological Pain (01:40:23) Romantic Love & Pain, Addiction (01:48:57) Endogenous & Exogenous Opioids, Morphine (01:53:17) Opioid Crisis, Prescribing Physicians (02:02:21) Opioids & Fentanyl; Morphine, Oxycontin, Methadone (02:07:44) Kratom, Cannabis, CBD & Pain; Drug Schedules (02:18:12) Pain Management Therapies, Acupuncture (02:22:19) Finding Reliable Physicians, Acupuncturist (02:26:36) Chiropractic & Pain Treatment; Chronic Pain & Activity (02:31:35) Physical Therapy & Chronic Pain; Tool: Pacing (02:36:35) Supplements: Acetyl-L-Carnitine, Alpha Lipoic Acid, Vitamin C, Creatine (02:42:25) Pain Management, Cognitive Behavioral Therapy (CBT), Biofeedback (02:48:32) National Pain Strategy, National Pain Care Act (02:54:05) Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Sponsors, Momentous, Social Media, Neural Network Newsletter Disclaimer