The Curbsiders Addiction Medicine Podcast

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs. Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Show Segments

Intro, disclaimer

Picks of the Week

Off-Label GLP use

Naloxone review

Acute pain in patients with opioid use disorder (OUD)

Care Coordination with opioid treatment programs (OTPs)

New medications for pain; suzetrigine

Perioperative pain management for patients with OUD

Outro

Credits

Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD

Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD

Reviewer: Kenny Morford, MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD

Production Partner: ACAAM 
The Curbsiders Addiction Medicine Podcast are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM’s membership has grown to include a strong and expanding community of addiction medicine specialists, fellows, and trainees dedicated to advancing the field. Membership provides access to a wide range of educational resources, professional development, and a national network of colleagues. Learn more about ACAAM Membership here.

Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).   
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Credits

Written and Produced, with  Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD 

Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD

Reviewer: Kento Sonoda, MD, MPH

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Jonathan Tanawan, MD

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak; Definitions

Pharmacology of  kratom and other mitragynine-based compounds

How to take a mitragynine-specific substance use history

Defining a use disorder

Withdrawal from kratom 

Managing a use disorder with MOUD

Legal landscape and regulation 

Outro

Sponsor: Freed

Go to freed.ai and use code FREED50 for fifty dollars off your first month. 

Sponsor: Figs

Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.  

Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

Become the Medetomi-Dean of Admissions
Step up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply is impacting patients and withdrawal management. We’re joined by Dr Maggie Lowenstein (University of Pennsylvania)
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Credits

Writer, Producer, and Show Notes: Shawn Cohen MD

Infographic and Cover Art: Zoya Surani 

Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD

Reviewer: Payel Jhoom Roy MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest:  Maggie Lowenstein MD MPhil MSHP

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 Ashish Thakrar, MD at the University of Pennsylvania. 

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

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Symptoms of opioid withdrawal

Medications for the management of opioid withdrawal

Buprenorphine precipitated withdrawal

Starting Buprenorphine: Experiences and Strategies 

Titrating Methadone: Dosage and Adjuncts

Adjunctive short-acting opioids

Emerging Trends in Drug Supply: Xylazine and Medetomidine

Outro

Credits

Producer, Show Notes: Zina Huxley-Reicher

Infographics: Zina Huxley-Reicher MD and Zoya Surani

Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD

Reviewer: Payel Jhoom Roy, MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Ashish Thakrar, MD MHSP

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, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. 

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

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Four-tier approach to taking care of patients with methamphetamine use/use disorder

Medications for treatment

Psychosocial treatment

Harm reduction

New horizons in treatment 

Outro

Credits

Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD

Infographic and Cover Art: Zoya Surani

Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD

Reviewer: Sarah Leyde MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Dr. Phillip Coffin