The Curbsiders Internal Medicine Podcast

#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient

Nov 14, 2022

01:02:38

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Highlights

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Episode notes

Dosage of Methadone in the Hospital

01:25

Is Full Agonist Pain Control a Good Option?

02:26

Low Dose Initiation of Buprenorphine

04:47

Introduction

2min

The Curbsiders Addiction Medicine Podcast

5min

Is Full Agonist Pain Control a Good Option?

2min

Getting Better Control of Your Pain by Splitting Your Dose

5min

PCA - Should I Use IV or IV?

2min

Is the PCA for an Individual With an Opioid Use Disorder?

2min

Are You Preventing Short-Action Pain Control?

3min

Methadone Maintenance

3min

Is There Any Legal Issue With Split Dose Methadone?

5min

10.

How Do You Know if You Have an Opioid Use Disorder?

5min

11.

What's the Problem With Buprenorphine?

3min

12.

Is Fenton Still Effective for Opioid Use Disorder?

2min

13.

The Bigger Dose, Wait as Long as You Can

2min

14.

Dosage Initiation

4min

15.

Treating Pain Treating With Short Acting Opioids

6min

16.

Dosage of Methadone in the Hospital

1min

17.

Low Dose Initiation of Buprenorphine

5min

18.

Precipitated Withdrawal

3min

19.

Curbsiders Addiction Medicine Episodes With Carolyn and Sean

2min

20.

The Curbsiders Podcast - Part 2

3min

With Carolyn Chan MD and Shawn Cohen MD

Conquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)!

Claim free CME for this episode at curbsiders.vcuhealth.org!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Acute pain in the patient on buprenorphine maintenance
Acute pain in the patient on methadone maintenance
Acute pain in the patient with opioid withdrawal
Standard buprenorphine initiation
Methadone initiation
Low dose buprenorphine initiation
Take-home points
Outro

Credits

Writer and Producer: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art and Infographic: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP
Reviewer: Fatima Syed MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Carolyn Chan MD and Shawn Cohen MD

Sponsor: ExpressVPN

Visit expressvpn.com/curb to get and extra three months free.

Sponsor: Southern California Permanente Medical Group

Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684.

Full transcript HERE

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The Curbsiders Internal Medicine Podcast

#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient

Dosage of Methadone in the Hospital

Is Full Agonist Pain Control a Good Option?

Low Dose Initiation of Buprenorphine

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