AFP: American Family Physician Podcast Episode 228 -- April 2025 -- Part 2 AFP: American Family Physician
7 snips
May 1, 2025 Dive into the world of healthcare with discussions on innovative treatments for opioid use disorder using buprenorphine. Discover effective strategies for managing pain during IUD insertion and learn about liver fibrosis staging in chronic hepatitis C. The conversation also covers the impact of SSRIs and cognitive therapy on premenstrual syndrome. Plus, don't miss insights into the impressive benefits of cold water immersion for muscle recovery after intense workouts!
AI Snips
Chapters
Transcript
Episode notes
Buprenorphine Treatment Guidelines
- Use buprenorphine for treating moderate to severe opioid use disorder as it lowers mortality by over 50%.
- Continue treatment indefinitely when beneficial, as relapse risk drops only after 12+ months.
Triptans Best for Acute Migraine
- Triptans outperform other migraine treatments, including newer drugs, in relieving acute migraine pain.
- Elatriptan provides greater pain relief than sumatriptan with fewer rescue meds needed.
Managing PMS and PMDD
- Diagnose PMS by symptoms starting 5 days before menses and resolving 4 days after, recurring over at least two cycles.
- Treat PMS and PMDD first-line with SSRIs; CBT and exercise also help some symptoms.