Addiction Medicine

Questions discussed in this category

Do you start more than one medication for alcohol use disorder simultaneously (e.g., disulfram with gabapentin, acamprosate, or naltrexone) or do you start one agent at a time?

1 Answer available

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.?

2 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

What is your preferred first line management of alcohol use disorder with concomitant depression?

2 Answers available

For those who don't have access to addiction medicine, have you considered using naltrexone for the treatment of stimulant use disorder in your primary care clinic?

What medical co-morbid conditions are most helpful when trying to decide which agent to start with?

2 Answers available

How do you counsel patients with AUD about non-alcoholic (NA) beverage consumption?

1 Answer available

Do you routinely monitor urine toxicology for primary care patients prescribed tramadol for chronic pain?

2 Answers available

Do you use buprenorphine in patients with chronic pain and prior history of opioid use disorder?

1 Answer 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 (if ever) do you recommend taping a patient off of buprenorphine after sustained remission?

If so, you have a recommended tapering strategy?

1 Answer 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

What is your typical approach to the use of beta blockers in the setting of recent cocaine use amongst patients presenting with cocaine-related MI, arrhythmias, or new-onset heart failure?

If these patients were already prescribed non-selective beta blockers outpatient, do you recommend withholding these medications in the acute phase?&n...

2 Answers 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.

Journal of addiction medicine, 2021 May-Jun 01

Using Extended Release Buprenorphine Injection to Discontinue Sublingual Buprenorphine: A Case Series.

Anesthesia and analgesia, 2023 Jun 16

Analgesic Effect of Buprenorphine for Chronic Noncancer Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

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