The Curbsiders Addiction Medicine Podcast

<div>Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by <a href="https://ldi.upenn.edu/fellows/fellows-directory/ashish-thakrar-md-mshp/">Ashish Thakrar, MD</a> at the University of Pennsylvania. <br> <br> <strong>Claim CME for this episode at </strong><a href="http://curbsiders.vcuhealth.org"><strong><a href="http://curbsiders.vcuhealth.org">curbsiders.vcuhealth.org</a></strong></a><strong>!</strong><br> 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.<br> <br> <a href="https://thecurbsiders.com/addiction">Episodes</a> | <a href="https://audioboom.com/channels/5079665.rss">Subscribe</a> | <a href="https://open.spotify.com/show/78TGTjd1CaeR9NbW6dZKLk">Spotify</a> |<a href="https://podcasts.apple.com/us/podcast/the-curbsiders-addiction-medicine-podcast/id1631451096?itsct=podcast_box&amp;itscg=30200&amp;ls=1"> iTunes </a>| <a href="mailto:[email protected]">[email protected]</a> | <a href="https://vcu.cloud-cme.com/course/search?P=4000&amp;search=curbsiders%20addiction%20medicine">CME!</a><br> <strong><br> <br> Show Segments<br> </strong><br> </div> <ul> <li>Intro, disclaimer, guest bio</li> <li>Guest one-liner</li> <li>Case from Kashlak; Definitions</li> <li>Symptoms of opioid withdrawal</li> <li>Medications for the management of opioid withdrawal</li> <li>Buprenorphine precipitated withdrawal</li> <li>Starting Buprenorphine: Experiences and Strategies </li> <li>Titrating Methadone: Dosage and Adjuncts</li> <li>Adjunctive short-acting opioids</li> <li>Emerging Trends in Drug Supply: Xylazine and Medetomidine</li> <li>Outro</li> </ul> <div> <br> <strong>Credits<br> </strong><br> </div> <ul> <li>Producer, Show Notes: Zina Huxley-Reicher</li> <li>Infographics: Zina Huxley-Reicher MD and Zoya Surani</li> <li>Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD</li> <li>Reviewer: Payel Jhoom Roy, MD, MSc</li> <li>Showrunner: Carolyn Chan, MD, MHS</li> <li>Technical Production: PodPaste</li> <li>Guest: Ashish Thakrar, MD MHSP</li> </ul>

<div>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, <a href="https://x.com/pcoffin">Dr. Phillip Coffin</a>, <a href="https://cfar.ucsf.edu/people/phillip-coffin">Director </a>of the Center on Substance Use and Health in the SFDPH. <br> <br> <strong>Claim CME for this episode at </strong><a href="http://curbsiders.vcuhealth.org"><strong><a href="http://curbsiders.vcuhealth.org">curbsiders.vcuhealth.org</a></strong></a><strong>!</strong><br> 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.<br> <br> <a href="https://thecurbsiders.com/addiction">Episodes</a> | <a href="https://audioboom.com/channels/5079665.rss">Subscribe</a> | <a href="https://open.spotify.com/show/78TGTjd1CaeR9NbW6dZKLk">Spotify</a> |<a href="https://podcasts.apple.com/us/podcast/the-curbsiders-addiction-medicine-podcast/id1631451096?itsct=podcast_box&amp;itscg=30200&amp;ls=1"> iTunes </a>| <a href="mailto:[email protected]">[email protected]</a> | <a href="https://vcu.cloud-cme.com/course/search?P=4000&amp;search=curbsiders%20addiction%20medicine">CME!</a><br> <strong><br> Show Segments<br> </strong><br> </div> <ul> <li>Intro, disclaimer, guest bio</li> <li>Guest one-liner</li> <li>Case from Kashlak; Definitions</li> <li>Four-tier approach to taking care of patients with methamphetamine use/use disorder</li> <li>Medications for treatment</li> <li>Psychosocial treatment</li> <li>Harm reduction</li> <li>New horizons in treatment </li> <li>Outro</li> </ul> <div> <strong>Credits<br> </strong><br> </div> <ul> <li>Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD</li> <li>Infographic and Cover Art: Zoya Surani</li> <li>Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD</li> <li>Reviewer: Sarah Leyde MD</li> <li>Showrunner: Carolyn Chan, MD, MHS</li> <li>Technical Production: PodPaste</li> <li>Guest: Dr. Phillip Coffin</li> </ul> <div> <br> <br> </div>

<div>Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, <a href="https://twitter.com/katherinesherifhttps://x.com/JessicaMerlinMD">@JessicaMerlinMD</a> (<a href="https://profiles.dom.pitt.edu/dgim/faculty_info.aspx/Merlin6894">University of Pittsburgh</a>). <br> <br> <strong>Claim CME for this episode at </strong><a href="http://curbsiders.vcuhealth.org"><strong><a href="http://curbsiders.vcuhealth.org">curbsiders.vcuhealth.org</a></strong></a><strong>!</strong><br> 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.<br> <br> <a href="https://thecurbsiders.com/addiction">Episodes</a> | <a href="https://audioboom.com/channels/5079665.rss">Subscribe</a> | <a href="https://open.spotify.com/show/78TGTjd1CaeR9NbW6dZKLk">Spotify</a> |<a href="https://podcasts.apple.com/us/podcast/the-curbsiders-addiction-medicine-podcast/id1631451096?itsct=podcast_box&amp;itscg=30200&amp;ls=1"> iTunes </a>| <a href="mailto:[email protected]">[email protected]</a> | <a href="https://vcu.cloud-cme.com/course/search?P=4000&amp;search=curbsiders%20addiction%20medicine">CME!</a><br> <strong><br> Credits<br> </strong><br> </div> <ul> <li>Producer, Show Notes, Infographics: Carolyn Chan MD, MHS</li> <li>Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD</li> <li>Reviewer: Payel Jhoom Roy MD, MSc</li> <li>Showrunner: Carolyn Chan, MD, MHS</li> <li>Technical Production: PodPaste</li> <li>Guest: Jessica Merlin MD, PhD, MBA</li> </ul> <div> <strong><br> Sponsor: </strong><a href="http://journalfeed.org/curb"><strong>JournalFeed<br> </strong></a><br> Try JournalFeed free for 7 days — and get 20% off your first year with code CURB25 at <a href="http://journalfeed.org/curb">journalfeed.org/curb</a>.<br> <br> <strong>Sponsor: </strong><a href="http://freed.ai"><strong>Freed<br> </strong></a><br> Usecode: CURB50 to get $50 off your first month when you subscribe at <a href="http://freed.ai">freed.ai</a><br> <br> <strong>Sponsor: </strong><a href="http://mintmobile.com/CURB"><strong>Mint Mobile<br> </strong></a><br> Get your summer savings and shop premium wireless plans at <a href="http://mintmobile.com/CURB">MINTMOBILE.com/CURB</a>.</div>

<div>Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (<a href="https://medicine.yale.edu/profile/stephen-holt/">Yale University School of Medicine</a>)<br> <br> <strong>Claim CME for this episode at </strong><a href="http://curbsiders.vcuhealth.org"><strong><a href="http://curbsiders.vcuhealth.org">curbsiders.vcuhealth.org</a></strong></a><strong>!</strong><br> 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.<br> <br> <a href="https://thecurbsiders.com/addiction">Episodes</a> | <a href="https://audioboom.com/channels/5079665.rss">Subscribe</a> | <a href="https://open.spotify.com/show/78TGTjd1CaeR9NbW6dZKLk">Spotify</a> |<a href="https://podcasts.apple.com/us/podcast/the-curbsiders-addiction-medicine-podcast/id1631451096?itsct=podcast_box&amp;itscg=30200&amp;ls=1"> iTunes </a>| <a href="mailto:[email protected]">[email protected]</a> | <a href="https://vcu.cloud-cme.com/course/search?P=4000&amp;search=curbsiders%20addiction%20medicine">Free CME!</a><br> <strong><br> Credits<br> </strong><br> </div> <ul> <li>Written, produced, show notes, cover art and infographics by: Shawn Cohen MD </li> <li>Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD</li> <li>Reviewer: Kento Sonoda MD</li> <li>Showrunner: Carolyn Chan, MD, MHS</li> <li>Technical Production: PodPaste</li> <li>Guest:  Stephen Holt MD</li> </ul> <div> <strong><br> Sponsor: </strong><a href="http://prettylitter.com/curb"><strong>Pretty Litter<br> </strong></a><br> Go to <a href="http://prettylitter.com/curb">Prettylitter.com/curb</a> to save twenty percent on your first order and get a free cat toy. <br> <strong><br> Sponsor: </strong><a href="http://quince.com/curb"><strong>Quince<br> </strong></a><br> Go to <a href="http://quince.com/curb">Quince.com/curb</a> for 365-day returns, plus free shipping on your order. <br> <strong><br> Sponsor: </strong><a href="https://www.acponline.org/meetings-courses/acp-courses-recordings/internal-medicine-board-review-courses"><strong>American College of Physicians Inc<br> </strong></a><br> </div> <h1>Internal Medicine Board Review Courses and offered in the Greater Chicago area May 13-17 and, new for 2025,  Philadelphia, July 14-18. • Enter code COURSECS25 toSave $75 dollars when registering for the Philadelphia course by 6/1.  Registration is open now at <a href="http://acponline.org">acponline.org</a> </h1> <div> <strong><br> Sponsor: </strong><a href="http://www.ezresus.com/curbsiders"><strong>Ezresus<br> </strong></a><br> Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to <a href="http://www.ezresus.com/curbsiders">.ezresus.com/curbsiders</a> and use promo code <strong>Curbsiders</strong> </div>

<div>Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (<a href="https://profiles.ucsf.edu/pamela.ling">UCSF</a>) and Maya Vijayaraghavan (<a href="https://profiles.ucsf.edu/maya.vijayaraghavan">UCSF</a>).  <br> <br> <strong>Claim CME for this episode at </strong><a href="http://curbsiders.vcuhealth.org"><strong><a href="http://curbsiders.vcuhealth.org">curbsiders.vcuhealth.org</a></strong></a><strong>!</strong><br> 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.<br> <br> We are thrilled to produce Season 3 with support and partnership from <a href="https://www.acaam.org/board-review-self-study?utm_source=podcast-partner&amp;utm_medium=ad&amp;utm_campaign=curbsiders">The American College of Academic Addiction Medicine (ACAAM)</a>!<br> <br> <a href="https://thecurbsiders.com/addiction">Episodes</a> | <a href="https://audioboom.com/channels/5079665.rss">Subscribe</a> | <a href="https://open.spotify.com/show/78TGTjd1CaeR9NbW6dZKLk">Spotify</a> |<a href="https://podcasts.apple.com/us/podcast/the-curbsiders-addiction-medicine-podcast/id1631451096?itsct=podcast_box&amp;itscg=30200&amp;ls=1"> iTunes </a>| <a href="mailto:[email protected]">[email protected]</a> | <a href="https://vcu.cloud-cme.com/course/search?P=4000&amp;search=curbsiders%20addiction%20medicine">Free CME!</a><br> <strong><br> Credits<br> </strong><br> <br> </div> <ul> <li>Producer/Writer: Era Kryzhanovskaya, MD</li> <li>Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD</li> <li>CME: Era Kryzhanovskaya, MD</li> <li>Infographic and Cover Art: Zina Huxley-Reicher, MD</li> <li>Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD</li> <li>Reviewer: Kento Sonoda, MD</li> <li>Showrunner: Carolyn Chan, MD, MHS</li> <li>Technical Production: PodPaste</li> <li>Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD</li> </ul> <div> <strong><br> Show Segments<br> </strong><br> </div> <ul> <li>00:11 Intro, disclaimer</li> <li>02:22 Guest bios</li> <li>04:28 Guest one-liners</li> <li>10:28 Case from Kashlak</li> <li>11:55 Vape info and definitions</li> <li>14:32 How to discuss vaping with patients</li> <li>17:53 FDA authority over vapes</li> <li>20:37 Development of nicotine (via vaping) use disorder</li> <li>23:29 Questions to ask about use disorder </li> <li>30:53 E-cigarettes for tobacco cessation</li> <li>35:39 Exploring ways to quit smoking (+/- vapes)</li> <li>39:53 Screening for vaping use disorder; research measures</li> <li>43:10 Resources for e-cigarette cessation </li> <li>45:33 Medication approaches </li> <li>48:25 Behavioral supports for e-cigarette cessation </li> <li>1:00:31 Take Home Points</li> <li>1:05:08 Outro</li> </ul>