Psychiatry

Addiction Medicine

Questions discussed in this category

How do you evaluate and manage acute alcohol withdrawal when symptom-driven protocols are confounded/unreliable?

For instance, what do you do when patients have chronic tremors, cognitive impairment, hypertension, etc.?

3 Answers available

What is your medication of choice when considering outpatient alcohol withdrawal management (diazepam vs chlordiazepoxide vs lorazepam)?

For your recommended medication, are you doing a scheduled set dose, or is it primarily symptom-driven?

4 Answers available

How do you counsel patients on the risks vs benefits of naltrexone for alcohol use disorder with persistently elevated liver enzymes?

Is there an absolute cutoff for AST/ALT that you use where the risks outweigh the potential harm reduction benefits of using the medication? &nbs...

2 Answers available

When do you consider using phenobarbital over symptom-driven alcohol withdrawal protocols for patients at low-to-moderate risk of withdrawal complications?

1 Answer available

Is there a role for use of GLP-1/GIP receptor agonists in the management of substance use disorders, whether or not they meet other inclusion criteria for their use?

2 Answers available

How do you decide whether to start MAT for opioid use disorder during hospitalization?

1 Answer available

Papers discussed in this category

Drug and alcohol dependence, 2024 Sep 07

Potential role of glucagon-like peptide-1 (GLP-1) receptor agonists in substance use disorder: A systematic review of randomized trials.

JAMA psychiatry, 2025 Apr 01

Once-Weekly Semaglutide in Adults With Alcohol Use Disorder: A Randomized Clinical Trial.

Journal of addiction medicine, 2020 May/Jun

The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management.

Alcohol (Fayetteville, N.Y.), 2014-06

The "Prediction of Alcohol Withdrawal Severity Scale" (PAWSS): systematic literature review and pilot study of a new scale for the prediction of complicated alcohol withdrawal syndrome.

American journal of preventive medicine, 2015-10

Emergency Department Visits and Overdose Deaths From Combined Use of Opioids and Benzodiazepines.

JHEP reports : innovation in hepatology, 2024 Apr 10

Safety of naltrexone in patients with cirrhosis.

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