Podcast 512: Abstinence is Bad, mmmkay?

Podcast 512: Abstinence is Bad, mmmkay?

Author: Don Stader, MD

Educational Pearls:

  • Abstinence from substances such as tobacco or alcohol are effective strategies to achieve long term sobriety
  • However, abstinence is not an effective strategy for achieving sobriety with opiate use disorder (OUD)
  • Up to 90% of those who use an abstinence-only strategy for OUD will relapse within a month.
  • Attending a rehabilitation facility increases mortality in those with OUD due to decreased tolerance and higher rates of overdose.
  • Medication-assisted therapy (MAT) with naltrexone, buprenorphine or methadone for OUD is supported by evidence, and is the preferred method for achieving remission

References

Nielsen S, Larance B, Degenhardt L, Gowing L, Kehler C, Lintzeris N. Opioid agonist treatment for pharmaceutical opioid dependent people. Cochrane Database Syst Rev. 2016 May 9;(5):CD011117. doi: 10.1002/14651858.CD011117.pub2. Review. PubMed PMID: 27157143.

Medications for Opioid Use Disorder Save Lives. 2019 Mar 30;. doi: 10.17226/25310. Review. PubMed PMID: 30896911.

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD

Music credit: "Smooth Lovin" by Kevin MacLoed (incompetech.com). Licensed under Creative Commons By Attribution 3.0 License. http://creativecommons.org/licenses/by/3.0/



Jaksot(1146)

Brewcast Part V: Researching Cannabis

Brewcast Part V: Researching Cannabis

Author: Sophie Yorkwilliams -B.A. (Psychology) -Dual Ph.D. Candidate, Clinical Psychology and Neuroscience. Expected graduation: 2020 Topic: Studying cannabis comes with its own set of challenges. Fin...

6 Heinä 201717min

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Authors: Don Stader, M.D. & Peter Pryor, M.D. Topic: What caused Dr. Pryor to leave emergency medicine and enter the realm of medical marijuana?

5 Heinä 201723min

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Author: Rachael Duncan, PharmD BCPS BCCCP Topic: Rachel explains the science behind one of the most common maladies thought to be induced by chronic cannabis use.

4 Heinä 201714min

Brewcast Part II: Pharmacology of Cannabis

Brewcast Part II: Pharmacology of Cannabis

Author: Brett Marlin, M.D. Topics: Brett explains the biochemical and physiological properties of cannabis.

3 Heinä 201718min

Brewcast Part I: The History of Cannabis in Medicine

Brewcast Part I: The History of Cannabis in Medicine

Author: Don Stader, M.D Topic: Don kicks things off with an overview of the history of marijuana and how it has made its way into medicine.

2 Heinä 201720min

Podcast #224: Troponin

Podcast #224: Troponin

Author: Sam Killian, M.D. Educational Pearls Not every troponin elevation is an MI. Trop elevates in about an hour in ACS and stays elevated for days. Non-MI conditions that cause elevated troponin: ...

1 Heinä 20174min

Podcast #223: Acyclovir Toxicity

Podcast #223: Acyclovir Toxicity

Author: Nick Hatch, M.D. Educational Pearls Acyclovir toxicity can uncommonly cause altered mental status, low blood glucose, hallucinations and myoclonic jerks. Toxicity often occurs in the setting ...

29 Kesä 20172min

Podcast #222: Wells Criteria for PE

Podcast #222: Wells Criteria for PE

Author: Michael Hunt, M.D. Educational Pearls Wells Criteria was initially designed to screen patients for further workup for PE. Aspects of the Wells Criteria include: signs and symptoms of DVT (3...

27 Kesä 20174min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
docemilia
rss-duodecim-lehti
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
utelias-mieli
rss-astetta-parempi-elama-podcast
filocast-filosofian-perusteet
rss-lapsuuden-rakentajat-podcast
rss-sosiopodi