The Curbsiders Internal Medicine Podcast

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

Oct. 17, 2023

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 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

  • 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

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